Sexually Transmited Infection Testing Risk and Prevention among Trans Women (STRiP-T)

项目总结/摘要 职业目标：我的长期职业目标是a）获得全职终身教职;以及B） 成为人体免疫缺陷病毒/性传播感染（艾滋病毒/性传播感染）的独立调查员 变性妇女（变性妇女、出生时被指定为男性的妇女）的风险和预防研究。这 研究和培训补助金将为我提供机会，以提高我的研究技能作为博士后 中佛罗里达大学的学者，并成功地过渡到STI干预科学家， 解决跨性别女性面临的突出健康不平等问题。职业发展：K99/R 00研究 培训计划将促进我努力获得评估可行性所需的高级培训， 自我采集样本与临床医生采集样本用于STI检测的可接受性和有效性， 检查组合的社会空间网络特征（例如，社会资本，获得 性传播感染的风险。在K99阶段，我的培训目标包括a）混合方法 研究，通过获得定性研究和分析技能; B）干预绘图和c）社会和空间 流行病学方法，通过获得社会网络分析和地理信息系统的技能。 研究目标：此K99/R 00应用程序建议将我以前的经验整合到稳健的定量分析中。 方法与混合方法研究，干预绘图和社会和空间的新知识 流行病学的方法，以提高我作为一个研究人员的独立性，专注于解决性病健康 国家少数民族健康和健康差异研究所（National Institute on Minority Health and Health Disparities） （NIMHD）已被确定为一个主要优先事项。具体目标：目标1：进行试点研究，以探索可接受性， 跨性别者中自我收集与临床医生收集的生殖器和非生殖器样本的可行性和有效性 使用混合方法（定量调查和深入调查）， 采访）。目的2：检查跨性别女性中多部位（生殖器、直肠、咽）性传播感染的患病率， 没有新阴道目标3：描述社会和空间网络特征之间的关系（例如， 网络规模，社会支持，邻里特征）和性传播感染风险之间的跨性别妇女和没有 新生阴道导师团队：我的努力将由一个有成就的跨学科导师团队指导 (with以前的经验一起工作）致力于支持我过渡到一个独立的调查员。

PROJECT SUMMARY/ABSTRACT Career Goal: My long-term career goals are to a) secure a full-time tenure track academic appointment; and b) become an independent investigator in human immunodeficiency virus/sexually transmitted infection (HIV/STI) risk and prevention research among transgender women (trans women, women assigned male at birth). This research and training grant will provide me with the opportunity to enhance my research skills as a Postdoctoral Scholar at the University of Central Florida and to successfully transition to an STI intervention scientist that addresses prominent health inequalities faced by trans women. Career Development: This K99/R00 research and training plan will catalyze my efforts to acquire the advanced training necessary to assess the feasibility, acceptability, and validity of self-collected samples versus clinician collected samples for STI testing and examine the relationship between combined socio-spatial network characteristics (e.g., social capital, access to care) and STI risk among trans women. During the K99 phase my training goals consist of a) mixed methods research, by gaining skills in qualitative research and analysis; b) intervention mapping and c) social and spatial epidemiology methods, by gaining skills in social network analysis and geographic information systems. Research Objective: This K99/R00 application proposes to integrate my prior experience in robust quantitative methods with new knowledge in mixed methods research, intervention mapping and social and spatial epidemiology methods in order to enhance my independence as a researcher focused on addressing STI health disparities within a health care setting, which the National Institute on Minority Health and Health Disparities (NIMHD) has identified as a major priority. Specific Aims: Aim 1: Conduct pilot study to explore the acceptability, feasibility, and validity of self-collected vs. clinician collected genital and non-genital samples among trans women with and without neovaginas to detect STIs using mixed methodology (quantitative surveys and in-depth interviews). Aim 2: Examine multi-site (genital, rectal, pharyngeal) STI prevalence among trans women with and without neovaginas. Aim 3: Characterize the relationship between social and spatial network characteristics (e.g., network size, social support, neighborhood characteristics) and STI risk among trans women with and without neovaginas. Mentorship team: My efforts will be guided by an accomplished, interdisciplinary team of mentors (with prior experience working together) committed to support my transition to an independent investigator.