RFA-PS-23-006, De Confianza: Creating Medical Trust with Latinx Communities

摘要 这个项目的总体目标是“de Confianza：与Latinx建立医疗信任 增加医疗信任，以减少艾滋病毒预防和治疗的不平等 西班牙裔/拉丁裔同性恋者、双性恋者和其他与男性发生性关系的男性经历 (HLMSM)。具体目标包括： 目的1.确定HLMSM中医疗不信任和信任的主要驱动因素。 目标2.通过发现现有的、有效的旧金山来调整或制定干预计划 湾区干预措施，旨在建立信任，以改善获取、利用和保留 在艾滋病毒预防和护理服务方面。 目标3.实施和评估多层次干预，以增加医疗信任和改善 获得、利用和保留艾滋病毒预防和护理服务。 该项目将设在旧金山湾区，在第一阶段的两个优先司法管辖区 结束艾滋病毒流行倡议的两个县：旧金山和阿拉米达县。三三郎 旧金山湾区有相当大比例的西班牙裔/拉丁裔人口，是 全国性别和性少数群体的比例。 我们的团队，包括我们的社区合作伙伴(Aguas)，完全掌握双语(西班牙语和英语) 和跨文化，在旧金山湾区扎根，并在艾滋病毒预防工作方面有坚实的记录 HLMSM社区。 虽然在艾滋病毒预防和护理的背景下解决医疗不信任是一个多因素， 由于多部门的努力，该项目可能会产生重大影响，因为该项目的专门知识在 我们的团队对种群的多样性进行了研究。这些发现将为多层次的 在拉丁裔和男男性接触者人口占很大比例的环境中进行干预。

Abstract The overall goal of this project, titled “De Confianza: Creating Medical Trust with Latinx Communities,” is to increase Medical Trust to lessen HIV prevention and treatment inequities experienced by Hispanic/Latino Gay, Bisexual and Other Men Who Have Sex with Men (HLMSM). The specific aims include: Aim 1. Identify main drivers of medical mistrust and trust among HLMSM. Aim 2. Adapt or develop an intervention plan by uncovering existing, effective, San Francisco Bay Area interventions aimed at building trust to improve access to, utilization of, and retention in HIV prevention and care services. Aim 3. Implement and evaluate a multilevel intervention to increase medical trust and improve access to, utilization of, and retention in HIV prevention and care services. The project will be based in the San Francisco Bay Area, in two priority jurisdictions of Phase I of the Ending the HIV Epidemic initiative: San Francisco and Alameda Counties. The San Francisco Bay Area has a substantial percentage of Hispanic/Latino population and the highest proportion of gender and sexual minority people in the country. Our team, including our community partner (AGUILAS), is fully bilingual (Spanish and English) and bi-cultural, with strong roots in the Bay Area and a solid record of HIV prevention work with HLMSM communities. While addressing medical mistrust in the context of HIV prevention and care is a multifactor and multisectoral effort, this project could have a significant impact given depth of the expertise in our team and the diversity of the population studied. The findings would inform multi-level interventions in settings with a significant proportion of Latinx and MSM population.