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Latino gay men in the US
The ever changing mosaic of Latino demographics in the US creates unique challenges to address health disparities of the population, especially when it comes to HIV prevention needs. Latinos are the largest and fastest growing ethno racial minority group in the US, experiencing a 43% growth between 2000 and 2010. Data also show that Latinos are one of the fastest growing populations at risk for HIV transmission:
- Latino men who have sex with men (MSM*) represent 81% of new infections among Latino men, and 19% among all MSM2
- Latinos are 16% of the US population, but make up 17% of living HIV/ AIDS cases and 20% of new HIV infections each year
- Youth (ages 13-29) accounted for 45% of new HIV infections among Latino MSM. In light of these data there is a need to identify culturally-specific health concerns of Latino gay men so that effective interventions may be developed to address current and prevent future disparities.
The US National HIV/AIDS Strategy highlights the call for HIV programs that reduce health inequities among both ethnoracial and sexual minority populations. Latino gay men have distinct cross-cultural identities that place them into both prioritized categories.
Black men
Black and African American men cannot be lumped into a one-size-fits-all category. They are the fathers, brothers, uncles and sons in Black communities. They are doctors and lawyers, barbers and bus drivers; they are Christians and Muslims and speak many languages. However, not every person who looks Black or African American will identify with these labels. In the US, Black men represent a diverse group, including, but not limited to, Afro-Cuban, Caribbean, Brazilian and African national men.
ASHA Improving Health and Nutrition of Indian Women with AIDS and Their Children
The overall goal of this study is to enhance the physical and mental health of rural Indian women living with AIDS and their children. We will achieve these goals through the use of trained village women as Accredited Social Health Activists (ASHA) to enhance the health of women and children through improved ART adherence, CD4 levels, and physical and mental health. This Indo-US collaboration between University of California, Los Angeles, University of California, San Francisco and All India Institutes of Medical Sciences (AIIMS) builds on our previous work with rural women living with AIDS and our successful ASHA program. Specific objectives include: Using a 2x2 factorial design, we plan to assess the effects of nutrition training and/or food supplements on primary outcomes for rural women living with AIDS in improving body composition and immune status (CD4 levels) as assessed at 6-, 12- and 18-month follow-up. Examining the effects of the program arms and their interaction on adherence to ART, psychological health, nutritional adequacy, and lipid profile over time.
International HIV Prevention Research at the Center for AIDS Prevention Studies, University of California San Francisco
The principal objective of the International Core at the Center for AIDS Prevention Studies (CAPS) is to facilitate high quality international research by creating effective and productive partnerships between CAPS scientists and HIV prevention researchers from developing countries. The International Core brings together CAPS scientists and alumni of the Collaborative Prevention Research in Developing Countries Program, a training program for new developing country researchers (described below). CAPS has successfully developed a broad portfolio of small-scale international research projects conducted by CAPS scientists and Program alumni. Together we have made important contributions toward understanding how to prevent HIV transmission and how to care for the HIV-infected in the developing world.
Mother-to-child transmission (MTCT)
In 2012, there were 2.3 million new HIV infections globally. A large proportion of people newly diagnosed with HIV worldwide are in their reproductive years and these men and women are likely to want children in the future. Addressing the sexual and reproductive health and rights of this population is critical to addressing the spread of HIV because HIV infection in childbearing women is the main cause of HIV infection in children. Treatment for those who are already infected is also central to stopping the spread of HIV to infants and to uninfected sexual partners.