Training Program in Approaches to Address Social-Structural Factors Related to HIV Intersectionally (TASHI)

项目摘要 艾滋病毒/艾滋病在全球流行已有40年，但它仍然是一个紧迫的公共卫生挑战。 每年造成近100万人死亡。已经出现了高效的生物医学干预措施， 包括多种形式的长效抗逆转录病毒治疗和预防。但并非 所有人都有平等机会获得这些拯救生命的技术。许多相同的社会结构决定因素 (e.g.结构性种族主义、基于性别的暴力、相互交织的污名和歧视），这些问题在历史上 艾滋病毒保护行为受到限制，限制了最边缘化的人和社区的潜力 种族、民族、性别、社会经济地位以及性和性别少数地位的交叉点， 这些新技术对现实世界的影响。尽管在该领域中， 社会结构因素对预防和治疗的作用，在如何最好地 概念化，研究和制定有效的干预措施，以解决权力结构的影响， （c）从交叉透镜等角度，对艾滋病毒预防、治疗和护理成果的系统进行评估。拟议 解决与艾滋病毒有关的社会结构因素的方法的博士前培训计划 交叉（TASHI）将准备下一代社区参与的研究人员，以严格 对这些决定因素进行研究和战略性干预，以促进卫生公平，结束艾滋病毒的流行。 该计划将利用预防和社区部的多方面优势， 健康（PCH）和心理和脑科学（PBS）在乔治华盛顿大学（GW）米尔肯 公共卫生学院（SPH）和艺术与科学学院（CCAS），以及 GW交叉性研究所（IRI），SPH流行病学系和GW学校 精神病学和行为科学系的教授博士前学员将进行一个 严格的课程计划，包括批判性理论框架的坚实基础（例如，批判种族 理论，交叉性），多种研究方法（例如，基于社区的前瞻性研究， 混合方法），以及社会结构和多层次干预的发展和评价。学员将 参加跨领域和综合活动，包括每月一次的系列研讨会，指导研究 项目以及社区和利益攸关方参与回合。学员将得到一个18人小组的支持 计划教师在艾滋病毒和相关的社会，结构和交叉方面的专业知识 健康成果。拟议的联合项目主任，博士丽莎Bowleg和博士迪安娜Kerrigan，是公认的 美国和全球艾滋病毒应对工作的领导人，都是华盛顿特区的执行委员会成员。 哥伦比亚艾滋病研究中心（DC CFAR），该中心将作为TASHI的基础平台。

Project Summary Four decades into the global HIV pandemic, HIV/AIDS remains a pressing public health challenge contributing to almost 1 million deaths per year. Highly efficacious biomedical interventions have emerged, including multiple modalities of long-acting anti-retroviral (ART)-based treatment and prevention. However, not all people have equal access to these lifesaving technologies. Many of the same social-structural determinants (e.g. structural racism, gender-based violence, intersectional stigma and discrimination) that have historically constrained HIV protective behaviors, limit the potential for people and communities at the most marginalized intersections of race, ethnicity, gender, socioeconomic status, and sexual and gender minority status, to benefit from the real-world impact of these new technologies. Although there is increasing attention in the field to the role of social-structural factors on prevention and treatment, substantial gaps exist about how best to conceptualize, research, and develop effective interventions to address the influence of power structures and systems on HIV prevention, treatment and care outcomes, including from an intersectional lens. The proposed predoctoral Training Program in Approaches to Address Social-Structural Factors Related to HIV Intersectionally (TASHI) will prepare the next generation of community-engaged researchers to rigorously study and strategically intervene on these determinants to promote health equity and to end the HIV epidemic. The program will leverage the multi-faceted strengths of the Departments of Prevention and Community Health (PCH) and Psychological and Brain Sciences (PBS) at the George Washington University (GW) Milken Institute School of Public Health (SPH) and the College of Arts and Sciences (CCAS), respectively, as well as the GW Intersectionality Research Institute (IRI), the SPH’s Department of Epidemiology and the GW School of Medicine’s Department of Psychiatry and Behavioral Sciences. Pre-doctoral trainees will undertake a rigorous program of coursework including a solid foundation in critical theoretical frameworks (e.g., critical race theory, intersectionality), multiple research methodologies (e.g., Community-Based Participatory Research, mixed methods), and social-structural and multi-level intervention development and evaluation. Trainees will participate in cross-cutting and integrative activities including a monthly seminar series, mentored research projects, and community and stakeholder engagement rounds. Trainees will be supported by a group of 18 program faculty members with expertise in the social, structural and intersectional aspects of HIV and related health outcomes. Proposed Co-Program Directors, Dr. Lisa Bowleg and Dr. Deanna Kerrigan, are recognized leaders in the U.S. and global HIV response and both are executive committee members of the District of Columbia Center for AIDS Research (DC CFAR), which will serve as a foundational platform for TASHI.