Cumulative Victimization and Women's Health Risks: Development of an Intervention

 NICHD K99/R00奖的总体目标是促进萨布里博士从博士后研究员过渡到学术研究机构内的独立，校外资助的研究员。她的短期培训目标是（1）获得累积的人际暴力，生殖-性健康和艾滋病毒风险行为交叉点的实质性知识，（2）熟练掌握多层次的 分析技术和生理数据的混合方法研究的整合，以及3）获得干预开发技能，为具有累积暴力经历的黑人非洲移民妇女提供文化定制的干预。培训计划包括正式的课程和教学法（例如，研讨会、讲习班）、先进方法培训、生理数据的使用、个人指导、研究道德行为培训、手稿开发、在国家和国际会议上的演讲以及与graneclampsia活动有关的经验。长期职业目标是制定文化上适合的干预措施， 促进少数民族和移民妇女的安全和健康。K99培训阶段将在Jacquelyn C博士的主要指导下进行。约翰霍普金斯大学的坎贝尔。约翰霍普金斯大学有着悠久的科学卓越的历史，并将为萨布里博士的指导提供一个杰出的环境，由一个宝贵的专家和高级研究人员小组。拟议的K99并行混合方法形成性研究，与培训目标相结合，将研究本地出生和移民之间的差异 黑人妇女：a）对正在进行的ESSENCE项目收集的定量数据进行分析 （1R01HD077891：PI：Stockman）从140名有童年和/或成年暴力经历的妇女中收集的数据;以及B）使用深入访谈（n = 25）和6个重点小组（每组7 - 10名妇女）从6个东非和西非国家的非洲黑人移民妇女中收集的额外定性数据。K99阶段研究将a）调查环境、文化和个人的作用（即，生理和心理）因素 累积的暴力暴露、生殖性健康和艾滋病毒风险之间的交叉点，B）探讨环境和文化因素如何影响对艾滋病毒的看法和反应， （c）确定非洲黑人移民妇女用于加强保护因素和减少风险因素的战略、对潜在干预措施组成部分的看法以及提供干预措施的障碍/促进因素。调查结果将为制定针对黑人移民妇女累积暴力经历的创伤知情文化定制干预措施提供信息。R00阶段将利用K99研究成果，重点关注干预措施的标准化、忠诚措施的制定以及在社区诊所和为黑人移民妇女服务的方案中大规模实施干预措施的试点测试。

 DESCRIPTION (provided by applicant): The overall goal of the NICHD K99/R00 award is to facilitate Dr. Sabri's transition from a post-doctoral researcher to an independent, extramurally funded researcher within an academic research institution. Her short-term training objectives are (1) to gain substantial knowledge of the intersections of cumulative interpersonal violence, reproductive-sexual health, and HIV risk behaviors, (2) gain proficiency in multilevel analytical techniques and integration of physiological data in mixed methods research, and 3) acquire intervention development skills for a culturally tailored intervention for Black African immigrant women with cumulative violence experiences. The training plan includes formal coursework and didactics (e.g., seminars, workshops), advanced methods training, use of physiological data, individual mentorship, training in the ethical conduct of research, manuscript development, presentations at national and international conferences, and experience with grantsmanship activities. Long term career goal is to develop culturally tailored interventions to promote safety and health among minority and immigrant women. The K99 training phase will occur under the primary mentorship of Dr. Jacquelyn C. Campbell at Johns Hopkins University. Johns Hopkins University has a long history of scientific excellence and will provide an outstanding environment for Dr. Sabri's guidance by an invaluable group of experts and senior investigators. The proposed K99 concurrent mixed methods formative research, tailored with the training goals in mind, will examine differences between native-born and immigrant Black women via a) analysis of quantitative data collected by the ongoing ESSENCE Project (1R01HD077891:PI: Stockman) from 140 women with childhood and/or adulthood violence experiences; and b) additional qualitative data collection from a purposive sample of Black African immigrant women from 6 East and West African countries using in-depth interviews (n=25) and 6 focus groups (7-10 women per group). The K99 phase research will a) investigate roles of environmental, cultural, and individual (i.e., physiological and psychological) factors in the intersections between cumulative violence exposure, reproductive-sexual health, and HIV risk, b) explore how environmental and cultural factors affect perceptions and responses to violence, reproductive-sexual health, and HIV risk, among Black African immigrant women, and c) identify strategies Black African immigrant women use to enhance protective factors and reduce risk factors, perceptions of potential intervention components, and barriers/ facilitators i delivery of the intervention. The findings will inform the development of a trauma-informed culturally tailored intervention for Black African immigrant women with cumulative violence experiences. The R00 phase will utilize the K99 research findings to focus on standardization of the intervention, development of fidelity measures, and pilot test for large scale implementation of the intervention in community-based clinics and programs serving Black immigrant women.