SHARE Haiti: Syndemic HIV/AIDS Research and Education

描述(申请人提供)：海地是加勒比地区艾滋病毒/艾滋病流行最严重的国家(2008年约占海地成年人口艾滋病毒携带者的2.2%)。人们对艾滋病毒和海地青年以及增加他们脆弱性的因素知之甚少。这项申请寻求资金，为海地大学(UEH)的社会和行为教员/学者的创新研究、教育和能力建设提供基础设施支持。海地是令人感兴趣的发展中国家，因为其艾滋病毒/艾滋病感染率不成比例，缺乏对艾滋病毒和海地青年的了解，以及基于南佛罗里达大学(USF)团队在那里建立的联系。Share海地为艾滋病毒研究教育提供了一种独特的国际、机构间和多学科方法。其目标是发展UEH教员/学者的创新研究技能，以利用综合理论(ST)方法解决海地青年中的艾滋病毒问题。科学和技术是海地青年预防艾滋病毒的核心，规定除非调查和解决共同发生的社会和生物因素(例如，贫困的共同流行、性传播疾病、对少女的性暴力，以及与2010年地震后人口流离失所和家庭结构解体有关的因素)，否则在海地青年中减轻艾滋病毒的努力将不会取得成功。具体目标如下：目标1：发展UEH的基础设施，加强UEH教职员工/学者开展研究的能力，为当地社区的海地青年提供科学合理和与文化相关的艾滋病毒预防、护理和治疗，方法是提供计算资源，支持开发赠款申请，培训受试者保护，并制定符合研究伦理标准的条例。目标2：使用Syndemics作为指导理论，跨学科的努力将强调社区环境中预防计划的干预开发、实施、保真度、评估和可持续性的必要组成部分。USF的教员将通过基于网络的面对面教学和密集的一对一指导来培训UEH的学者，为期三年半。

DESCRIPTION (provided by applicant): Haiti has the largest HIV/AIDS epidemic in the Caribbean (approximately 2.2% of its adult population living with HIV in 2008). Little is known about HIV and Haitian youth and factors that increase their vulnerability. This application seeks funding to create infrastructure support for innovative research education and capacity-building with social and behavioral faculty/scholars at Universite d'Etat d'Haiti (UEH). Haiti is the developing country of interest due to its disproportionate HIV/AIDS rate, to the dearth of knowledge about HIV and Haitian youth, and based on the University of South Florida (USF) team's established connections there. SHARE Haiti provides a unique international, inter-institutional and multidisciplinary approach to HIV research education. The goal is to develop innovative research skills of faculty/ scholars at UEH to address issues of HIV in youth in Haiti using a Syndemics Theory (ST) approach. ST is central to HIV prevention among Haitian youth, stipulating that HIV mitigation efforts in that population will not succeed unless co- occurring social and biological factors are investigated and addressed (e.g., co-occurring epidemics of poverty, sexually transmitted diseases, sexual violence against adolescent females, and factors related to the displacement of populations and dissolution of family structure after the 2010 earthquake). Specific aims are as follows: Aim 1: Develop infrastructure at UEH and strengthen capacity of UEH faculty/Scholars to conduct research that informs scientifically sound and culturally-relevant HIV prevention, care, and treatment to Haitian youth in their local communities by providing computing resources, support for developing grant applications, training in human subjects protection, and developing regulations consistent with complying with ethical standards of the conduct of research. Aim 2: Using Syndemics as the guiding theory, the cross- disciplinary efforts will underscore requisite components of intervention development, implementation, fidelity, evaluation, and sustainability of prevention programs in community settings. Faculty at USF will train Scholars at UEH through web-based and in-person teaching and intensive one-on-one mentoring through a period of 3 and a half years.