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

RFA-PS-23-006，De Confianza：与拉丁裔社区建立医疗信任

• 批准号: 10794871
• 负责人: Jesus Ramirez-Valles
• 金额: $ 46.03万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10794871
• 关键词: RFA; PS; 23; 006; De

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.

抽象的 该项目的总体目标，标题为“ de confianza：与拉丁裔建立医学信任 社区“是为了增加医疗信任来减少艾滋病毒预防和治疗不平等 由西班牙裔/拉丁裔同性恋，双性恋和其他与男人发生性关系的男人体验 （HLMSM）。具体目的包括： 目标1。确定HLMSM中医疗不信任和信任的主要驱动力。 目标2。通过发现现有的，有效的旧金山来适应或制定干预计划 旨在建立信任的湾区干预措施，以改善获得，利用和保留的机会 在艾滋病毒预防和护理服务中。 目标3。实施和评估多层次干预以增加医疗信任并改善 访问，利用和保留艾滋病毒预防和护理服务。 该项目将总部设在旧金山湾地区，这是第一阶段的两个优先管辖区 结束艾滋病毒流行倡议：旧金山和阿拉米达县。圣 弗朗西斯科湾地区的西班牙裔/拉丁裔人口中有很大一部分 该国性别和性少数人的比例。 我们的团队，包括我们的社区合作伙伴（Aguilas），是双语的（西班牙语和英语） 和双文化，在海湾地区有很强的根源，并与艾滋病毒预防工作有着稳固的记录 HLMSM社区。 在解决艾滋病毒预防和护理的情况下解决医学不信任的同时是多因素， 鉴于专家的深度，该项目的多部门努力可能会产生重大影响 我们的团队和人口研究的多样性。这些发现将为多层次提供信息 在拉丁裔和MSM人群中相当一部分的设置干预措施。