SHARE Haiti: Syndemic HIV/AIDS Research and Education

描述（由申请人提供）：海地是加勒比地区艾滋病毒/艾滋病流行最多的国家（2008年约占成年艾滋病毒感染者的2.2%）。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。该申请旨在寻求资金，为海地国家大学（UEH）的社会和行为教师/学者的创新研究教育和能力建设提供基础设施支持。海地是感兴趣的发展中国家，因为其艾滋病毒/艾滋病发病率不成比例，缺乏关于艾滋病毒和海地青年的知识，并基于南佛罗里达大学（USF）团队在那里建立的联系。分享海地提供了一个独特的国际，机构间和多学科的艾滋病毒研究教育的方法。我们的目标是开发UEH的教师/学者的创新研究技能，使用Syndemics理论（ST）方法解决海地青年艾滋病毒问题。ST是海地青年艾滋病毒预防的核心，规定除非同时发生的社会和生物因素得到调查和解决，否则在该人群中减轻艾滋病毒的努力将不会成功（例如，同时发生的贫穷、性传播疾病、对少女的性暴力等流行病，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）。 具体目标如下：目标1：在UEH发展基础设施和加强UEH教师/学者的能力进行研究，告知科学合理和文化相关的艾滋病毒预防，护理和治疗海地青年在当地社区通过提供计算资源，支持开发赠款申请，在人类受试者保护培训，并制定符合研究行为的道德标准的法规。目标二：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方案的干预开发、实施、忠实性、评估和可持续性的必要组成部分。南佛罗里达大学的教师将通过基于网络的教学和面对面的教学以及为期3年半的一对一辅导来培训UEH的学者。

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.