Connecting the Dots: HIV, COVID-19, and Structural Racism in Gender Minority Women

连接点：艾滋病毒、COVID-19 和性别少数女性的结构性种族主义

• 批准号: 10452141
• 负责人: TONIA C POTEAT
• 金额: $ 16.42万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2023-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10452141
• 关键词: AIDS prevention; Adherence; Adult; Affect; Biological; Biological Markers; COVID-19; COVID-19 diagnosis; COVID-19 pandemic; COVID-19 testing; COVID-19 vaccination; Caring; Censuses; Chronic; Chronic stress; Cities; Communities; County; Data; Data Analyses; Data Collection; Development; Disease; Ethnic Origin; Family; Fright; Funding; Gender Identity; Goals; Gonadal Steroid Hormones; Government; HIV; HIV Seronegativity; Health; Housing; Individual; Interruption; Knowledge; Latina; Latinx; Law Enforcement; Link; Long COVID; Longitudinal cohort; Measures; Mental Health; Neighborhoods; Outcome; Parents; Participant; Pathway interactions; Persons; Physiological; Population; Positioning Attribute; Prevalence; Prospective Studies; Prospective cohort; Proxy; Public Health; Race; Reporting; Research; Risk; Role; SARS-CoV-2 infection; Safety; Science; Social Distance; Stress; Structural Racism; Structure; Technology; Telemedicine; Time; Transportation; United States National Institutes of Health; Vaccination; Vaccines; Viral; Woman; adverse outcome; allostatic load; antiretroviral therapy; barrier to care; biopsychosocial; cardiovascular risk factor; comorbidity; coronavirus disease; cost; distrust; empowerment; experience; follow-up; gender minority; health care service; health disparity; health disparity populations; health equity; health inequalities; innovation; novel; pandemic disease; physical conditioning; pre-exposure prophylaxis; prospective; psychological distress; psychosocial; public health relevance; recruit; residential segregation; segregation; social; social exclusion; social stigma; socioeconomics; substance use; telehealth; transgender; transgender women; transportation access; uptake; vaccine hesitancy; violence victimization

Project Summary/Abstract Transgender women, particularly Black and Latina transgender women living with HIV, are particularly vulnerable to the socioeconomic and psychosocial impacts of the COVID-19 pandemic. However, data are lacking on how the intersection of HIV, COVID-19, and structural racism affect the physical health and psychosocial outcomes among transgender women. Understanding these relationships and identifying factors that may modify them are important steps towards advancing health equity. This study combines and supplements data from existing NIH-funded prospective studies with transgender women (with and without HIV) to assess longitudinal relationships between HIV and COVID-19 disease experiences and to examine associations between structural racism, HIV, and pandemic-related health inequities among transgender women. This innovative study will analyze data from 450 transgender women to assess health outcomes along lines of race/ethnicity, HIV status, and technology access. This innovative research will provide novel information that can be used to guide public health efforts to reduce health disparities.

项目概要/摘要 跨性别女性，特别是感染艾滋病毒的黑人和拉丁裔跨性别女性， 特别容易受到 COVID-19 的社会经济和社会心理影响 大流行。然而，缺乏关于 HIV、COVID-19 和结构性疾病如何交叉的数据。 种族主义影响跨性别妇女的身体健康和心理社会结果。 理解这些关系并确定可能改变它们的因素很重要 促进健康公平的步骤。本研究结合并补充了来自 NIH 资助的现有跨性别女性（感染和未感染艾滋病毒）的前瞻性研究 评估 HIV 和 COVID-19 疾病经历之间的纵向关系，并 研究结构性种族主义、艾滋病毒和与流行病相关的健康不平等之间的关联 在跨性别女性中。这项创新研究将分析 450 名跨性别者的数据 女性根据种族/族裔、艾滋病毒状况和技术评估健康结果 使用权。这项创新研究将提供可用于指导公众的新颖信息 减少健康差距的卫生工作。