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

摘要 在过去的20年里，肯塔基州大学（英国）的BIRCWH项目一直非常成功。 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NIH支持的独立研究人员，致力于改善女性健康。这 行政补充将增加一个第四BIRCWH学者，博士Laneshia康纳，谁是从一个 代表性不足的种族少数群体，以发展她的研究的目标，英国BIRCWH计划 必要的技能，成为一个独立的研究人员从事干预发展为老年黑人 真实的世界中的女性艾滋病毒仍然是一个重大的公共卫生问题，50岁及以上的成年人 在过去的二十年里，艾滋病毒诊断增加，82%的艾滋病毒感染是通过 通过异性接触。黑人妇女继续不成比例地受到艾滋病毒的影响， 超过15%的女性人口，但占美国女性新感染艾滋病毒的一半。 在艾滋病毒预防服务方面，黑人妇女往往被忽视，原因是年龄歧视和对艾滋病毒感染者的污名化。 老年人的高风险行为，以及缺乏关于老年黑人的经验基础。通过这个 行政补充和任命的BIRCWH，康纳博士将获得技能，推出她 三个领域的研究计划：干预发展，发展可持续的社区计划， 老年人，并扩大未来RCT研究的方法技能。该项目将开发 一项具有文化相关性的“妇女对妇女”干预措施，经调整后， 针对老年黑人妇女的艾滋病毒预防。与两个低收入住宅区的工作，为成年人超过 年龄在50岁，年龄较大的黑人妇女将被招募参加一个多阶段，群体水平的行为 适应于解决生理风险以及低风险感知的干预。高未知 血清状况表明，老年人中艾滋病毒流行率可能高于报告的流行率。该项目将 提供关于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 并提供有关干预的可行性和可接受性的数据，以及测量行为 知识成果。执行和评估程序和议定书将为随后的 全规模R01随机临床试验。这一创新项目的总体目标是开发和测试 可行性，可接受性，可用性和初步疗效的妇女对妇女（W2W），艾滋病毒干预， 老年黑人妇女使用混合方法。具体目标是：（1）适应群体层次的干预 (W2W)重点是降低艾滋病毒风险，提高老年黑人妇女的决策技能， 生殖健康史在探索性决策和风险行为的影响，和（2） 在两个社区站点对修订后的W2W干预措施进行试点研究，以评估可接受性， 可行性该行政补充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.