Policy Impact Core

抽象-政策影响核心 政策影响核心通过促进与政策相关的研究、培训和 针对社会和结构性精神健康和物质使用障碍的传播活动 健康决定因素(下称“合并症”)，以及与人同住或与人同住的人之间的健康差距 增加感染艾滋病毒的风险。核心目标是利用政策来解决问题并将科学进步转化为 转变为可采取行动的政策项目；影响目标和成果之间差距的活动 归因于与共病有关的系统性不平等。核心使用数据和科学发现来强调 艾滋病毒预防和治疗结果在种族/民族、性取向、性别、 和精神健康/物质使用障碍群体在社会经济中的比例过高 弱势群体。重点关注因卫生政策变化而变得脆弱的人群， 导致医疗不信任和过度参与刑事司法系统的经验，这是 为CHIPTS研究主题做出贡献，并管理政策层面的变化，以应对 科学、政策和实践朝着公平的目标迈进。通过提升社区知情研究 解决对黑人、拉丁裔和美洲原住民人口产生负面和不成比例影响的因素 在并存的情况下，核心支持努力利用政策增加机会和公平机会，以实现 艾滋病防治相结合。这些观点说明了独特的视角和焦点的核心 带到了整个中心。具体目标是：(1)科学：促进和评估 对科学研究的回应，消除公平传播的障碍和促进者 实施新的创新，特别是与艾滋病毒相关的差距和有风险或有风险的人 艾滋病毒与共病和/或刑事司法系统的参与；(2)联网：发展、加强、 并保持与政策制定者、社区利益相关者、调查人员和国家的沟通渠道 和地方公共卫生实体；(3)能力建设：建设调查员的能力，包括 国内和国际合作伙伴，执行和评估旨在增加 新兴创新对结束艾滋病毒流行的贡献。核心推动政策性 研究、培训和传播，解决精神健康和物质使用障碍，社会和 健康的结构性决定因素，以及艾滋病毒携带者或艾滋病毒高危人群之间的健康差距。这个 目标和结果之间的差距可归因于健康的社会决定因素中的系统性不平等。

ABSTRACT – POLICY IMPACT CORE The Policy Impact Core supports the CHIPTS mission by promoting policy-relevant research, training, and dissemination activities that address mental health and substance use disorders, social and structural determinants of health (hereafter “comorbidities”), and health disparities among people living with or at elevated risk for HIV. The core aims to leverage policy to address issues and to translate scientific advances into actionable policy items; activities that impact the gaps between targets and outcomes that can be attributed to systemic inequities linked with comorbidities. The core uses data and scientific findings to highlight systemic disparities in HIV prevention and treatment outcomes across racial/ethnic, sexual orientation, gender, and mental health/substance use disorder groups that are overrepresented among socioeconomically disadvantaged populations. Focusing on populations made vulnerable by changes to health policy, experiences that lead to medical mistrust and over engagement with the criminal justice system, the core contributes to CHIPTS research themes and stewards policy-level change in response to new developments in science, policy, and practice towards equitable ends. Through elevating community-informed research addressing factors that negatively and disproportionately affect Black, Latinx, and Native American populations with comorbidities, the core supports efforts to use policy to increase access and equitable opportunities for combination HIV prevention and treatment. These points illustrate the unique perspective and focus the core brings to the overall center. The specific aims are: (1) Science: To promote and evaluate policy change in response to scientific research that addresses barriers and facilitators to equitable dissemination and implementation of emerging innovations, especially regarding HIV-related disparities and people with or at risk for HIV with comorbidities and/or criminal justice system involvement; (2) Networking: To develop, strengthen, and maintain channels of communication with policy makers, community stakeholders, investigators, and state and local public health entities; and (3) Capacity Building: To build the capacity of investigators, including domestic and international partners, to implement and evaluate evidence-based policies that aim to increase contributions of emerging innovations to end the HIV epidemic. The core works to promote policy-relevant research, training, and dissemination that address mental health and substance use disorders, social and structural determinants of health, and health disparities among people living with or at high risk for HIV. The gap between targets and outcomes can be attributed to systemic inequities in social determinants of health.