Social Determinants of HIV

健康的社会决定因素(SDH)包括重叠的社会结构和经济制度 造成大多数健康不平等的原因。检查SDH可能有助于识别和监测HIV相关 不平等现象，例如艾滋病毒检测、护理和治疗方面的种族和性别差异。这 提案要求为博士前研究培训计划提供资金，以解决SDH问题，包括结构 种族主义和性别不平等、跨界别污名、居住隔离、老龄化和边缘化 影响艾滋病毒的结构。抗击持续的SDH、HIV、附属共病和其他 可能重叠的传染病，如冠状病毒，需要尖端的公共卫生研究 由最高水平的科学家进行。这一博士前项目将设在 哥伦比亚大学梅尔曼公共卫生学院(MSPH)的社会医学。培训 该计划将利用MSPH的跨学科专业知识在指导经验和 高危人群和艾滋病毒携带者在SDH方面的专业知识。我们还建议与教职员工在 哥伦比亚大学欧文医学中心(CUIMC)艾滋病毒临床和行为研究中心 麻省理工学院国际艾滋病护理和治疗计划中心和社会干预小组 哥伦比亚大学社会工作学院。这些富有的教职员工在出版方面有着出色的记录， 资助，并成功地指导学员。我们建议资助10名MSPH博士前研究员。 将集中招聘，以便至少50%的被录用研究员将是代表性不足的受训人员。 符合条件的学员是哥伦比亚大学MSPH系录取的博士前学生。 社会医学、生物统计学、流行病学和人口与家庭健康，并致力于 了解艾滋病毒的社会决定因素。学员被要求在他们的小学系完成学业， 具体的理论、方法和生物统计学博士前院系要求。所有的研究员都会 接受指导和共同指导，并将被要求完成以下培训部分：(1)a 教员-同事研讨会，轮流主持嘉宾演讲，讨论专业发展、结构 干预措施、社会政策、社区参与的研究和艾滋病毒的社会决定因素，由学生主导 期刊俱乐部，(2)关于健康的社会和经济决定因素的课程作业，(3)关于社会和经济的课程作业 流行病学，(4)关于艾滋病毒的课程作业，(5)关于多层次建模的课程作业，(6)参加艾滋病毒大赛 在CUIMC巡回，(7)负责任的研究行为课程，(8)资质，(9)经验 培训以磨练出版和演示技能，以及(10)关于社会决定因素的博士研究 爱滋病毒。这一博士前课程旨在为MSPH学生的研究和教学生涯做好准备 审查SHD，并将影响艾滋病毒的结构性因素边缘化，无论是在国内还是全球。

Social determinants of health (SDH) comprise overlapping social structures and economic systems that account for most health inequities. Examining SDH may be useful in identifying and monitoring HIV-related inequities, such as racial and gender disparities in HIV testing, engagement in care, and treatment. This proposal requests funding for a pre-doctoral research training program to address SDH including structural racism and gender inequality, intersectional stigma, residential segregation, aging, and marginalizing structures influencing HIV. Combatting the ongoing syndemic of SDH, HIV, affiliated co-morbidities, and other potentially overlapping infectious diseases such as Coronavirus, requires cutting edge public health research conducted by scientists of the highest caliber. This pre-doctoral program will be located in the department of Sociomedical Sciences within Columbia University, Mailman School of Public Health (MSPH). The training program will take advantage of the interdisciplinary expertise across MSPH in mentoring experience and expertise in SDH among people at risk and living with HIV. We also propose to collaborate with faculty at the HIV Center on Clinical and Behavioral Studies at Columbia University Irving Medical Center (CUIMC), the International Center for AIDS Care and Treatment Program, at MSPH, and the Social Interventions Group at the Columbia University School of Social Work. This wealth of faculty have outstanding records in publishing, funding, and successfully mentoring trainees. We propose to fund ten MSPH pre-doctoral fellows. Recruitment will be focused such that at least 50% of fellows enrolled will be under-represented trainees. Eligible trainees are pre-doctoral students admitted to Columbia University's MSPH departments of Sociomedical Sciences, Biostatistics, Epidemiology, and Population and Family Health, and committed to understanding social determinants of HIV. Trainees are required to complete in their primary department, specific theoretical, methodological, and biostatistical pre-doctoral department requirements. All fellows will receive mentoring and co-mentoring and will be required to complete the following training components: (1) a Faculty-Fellow seminar that alternates hosting guest speakers discussing professional development, structural interventions, social policies, community-engaged research, and social determinants of HIV, with a student-led journal club, (2) coursework on social and economic determinants of health, (3) coursework on social epidemiology, (4) coursework on HIV, (5) coursework on multilevel modeling, (6) attendance in HIV Grand Rounds at CUIMC, (7) a course in the responsible conduct of research, (8) grantsmanship, (9) experiential training to hone publication, and presentation skills, and (10) doctoral research on the social determinants of HIV. This pre-doctoral program aims to prepare MSPH students for research and teaching careers that examine SHD, and marginalizing structural factors that influence HIV, nationally and globally.