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

项目摘要 在全球艾滋病毒大流行40年后，艾滋病毒/艾滋病仍然是一个紧迫的公共卫生挑战 每年造成近100万人死亡。高效的生物医学干预措施已经出现， 包括多种形式的基于长效抗逆转录病毒(ART)的治疗和预防。然而，不是 所有人都有平等的机会使用这些拯救生命的技术。许多相同的社会结构决定因素 (例如结构性种族主义、基于性别的暴力、跨部门的耻辱和歧视) 受约束的艾滋病毒保护行为，限制了最边缘化人群和社区的潜力 种族、民族、性别、社会经济地位以及性别和性别少数地位的交叉，以受益 这些新技术对现实世界的影响。尽管该领域越来越多的人关注 社会结构因素在预防和治疗方面的作用，但在如何最好地 概念化、研究和开发有效的干预措施，以解决权力结构和 关于艾滋病毒预防、治疗和护理成果的系统，包括从跨部门的角度。建议数 解决与艾滋病毒有关的社会结构性因素的方法的博士前培训计划 交叉性(Tashi)将为下一代社区参与的研究人员做好严格的准备 对这些决定因素进行研究并进行战略性干预，以促进卫生公平和结束艾滋病毒流行。 该方案将利用预防和社区部门的多方面优势 乔治华盛顿大学(GW)Milken的健康(PCH)和心理与脑科学(PBS) 公共卫生学院(SPH)和文理学院(CCAS)研究所，以及 乔治华盛顿大学交叉性研究所(IRI)、圣公会流行病学系和乔治华盛顿大学 医学精神病学和行为科学系。博士前实习生将进行 严格的课程计划，包括在关键理论框架(例如，关键种族)方面的坚实基础 理论、交叉性)、多种研究方法(例如，基于社区的参与性研究、 混合方法)，以及社会-结构和多层次干预开发和评估。实习生将 参与交叉和综合活动，包括每月一系列的研讨会、辅导研究 项目，以及社区和利益相关者参与回合。学员将由18人组成的小组提供支持 在艾滋病毒和相关的社会、结构和交叉方面具有专业知识的方案教员 健康结果。被提名的联合项目主任丽莎·鲍里格博士和迪安娜·克里根博士获得认可 美国和全球应对艾滋病毒的领导人，两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)，这将成为扎西的基础平台。

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.