Supplement for Kentucky BIRCWH Program: Training the Next Generation of Women's Health Scholars

摘要 在过去的20年里，肯塔基大学(英国)的BIRCWH项目一直非常 成功地创造了一个研究环境，为早期职业科学家培养必要的技能做好准备 成为美国国立卫生研究院支持的、致力于改善女性健康的独立研究人员。这 行政副刊将增加第四位BIRCWH学者兰妮希亚·康纳博士，她来自 英国BIRCWH计划的代表不足的少数族裔群体，目标是发展她的研究 成为一名参与老年布莱克干预开发的独立研究员所需的技能 现实世界中的女性。艾滋病毒仍然是一个主要的公共卫生问题，50岁及以上的成年人 在过去20年中，艾滋病毒确诊病例有所增加，82%的艾滋病毒感染是通过 通过异性接触。黑人女性继续受到艾滋病毒的不成比例的影响，所占比例较小 超过15%的女性人口，但占美国老年女性新增艾滋病毒感染的一半 在艾滋病毒预防服务方面，由于年龄歧视和对黑人妇女的耻辱，黑人妇女经常被忽视 老年人中的高危行为，以及缺乏关于老年黑人的经验基础。通过这件事 作为BIRCWH的行政副手和任命，康纳博士将获得启动她的技能 三个领域的研究计划：干预发展，制定可持续的社区计划 老年人，以及为未来的随机对照试验研究拓展方法学技能。拟议中的项目将开发 一种与文化相关的女性2女性(W2W)干预措施，已被调整以解决 针对老年黑人妇女的艾滋病毒预防。与两个面向成年人的低收入住房建筑群合作 50岁的老年黑人妇女将被招募参加多节会议，小组级别的行为 干预措施既适用于生理风险，也适用于低风险感知。高度未知 血清状况表明，艾滋病毒在老年人中的流行率可能高于报告的水平。这个项目将 提供有关如何为老年黑人妇女制定适应文化的艾滋病毒预防干预措施的信息 除了测量行为之外，还提供关于干预的可行性和可接受性的数据 和知识成果。执行和评估程序和协议将通知后续 全规模R01随机临床试验。这个创新项目的总体目标是开发和测试 女性对女性(W2W)的可行性、可接受性、可用性和初步疗效，这是一种艾滋病干预措施 使用混合方法的老年黑人妇女。具体目标是：(1)适应群体干预 (W2W)专注于降低老年黑人女性的艾滋病毒风险和提高决策技能，以包括 探讨生殖健康史对性决策和危险行为的影响，以及(2) 在两个社区站点进行修订后的W2W干预的试点研究，以评估可接受性和 可行性。这一行政副刊将为康纳博士提供职业发展活动。

ABSTRACT Over the past 20 years, the BIRCWH Program at the University of Kentucky (UK) has been extremely successful in creating a research environment to prepare early career scientists to develop the necessary skills to become independent NIH-supported researchers who are dedicated to improving women’s health. This administrative supplement will add a 4th BIRCWH scholar, Dr. Laneshia Conner, who is from an underrepresented racial minority group to the UK BIRCWH program with the goal of developing her research skills necessary to become an independent researcher engaged in intervention development for older Black women in real world settings. HIV remains a major public health issue, with adults aged 50 and older experiencing an increase in HIV diagnoses over the past two decades, and, 82% of HIV infections transmitted through heterosexual contact. Black women continue to be disproportionately impacted by HIV, making up less than 15% of the female population yet accounting for half of new HIV infections in women in the U.S. Older Black women are often overlooked when it comes to HIV prevention services, due to ageism and stigma about high-risk behaviors among older adults, and lack of an empirical base about older Black. Through this administrative supplement and appointment to the BIRCWH, Dr. Conner will acquire skills to launch her research program in three areas: intervention development, developing sustainable community programs for older adults, and expanding methodological skills for a future RCT research. The proposed project will develop a culturally relevant Woman 2 Woman (W2W) intervention that has been adapted to address unique gaps in HIV prevention that target older Black women. Working with two low-income housing complexes for adults over the age of 50, older Black women will be recruited to participate in a multisession, group-level behavioral intervention adapted to address both physiological risk as well as low perception of risk. High unknown serostatus suggest that HIV prevalence may be higher than reported among older adults. This project will provide information on how to develop a culturally adapted HIV prevention intervention for older Black women and provide data on the feasibility and acceptability of the intervention in addition to the measuring behavioral and knowledge outcomes. Implementation and assessment procedures and protocols will inform a subsequent full-scale R01 randomized clinical trial. The overall objective of this innovative project is to develop and test the feasibility, acceptability, usability, and preliminary efficacy of Woman to Woman (W2W), an HIV intervention for older Black women using a mixed methods approach. Specific aims are: (1) Adapt the group-level intervention (W2W) focused on reducing HIV risk and increasing decision making skills in older Black women to include reproductive health histories in exploring the impact on sexual decision making and risk behaviors, and (2) Conduct a pilot study of the revised W2W intervention in two community sites to evaluate acceptability and feasibility. This administrative supplement will provide Dr. Conner with career development activities.