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Examining HIV-related Stigma and HIV Testing Among Formerly Incarcerated African American Youth

Award Number: K01MH119942
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 05/01/2020
PERIOD OF PERFORMANCE END DATE: 04/30/2025

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Examining HIV-related Stigma and HIV Testing Among Formerly Incarcerated African American Youth - Project Summary/Abstract Persistent HIV health disparities impacts African Americans and are a public health priority. Despite declining HIV rates nationally, African American communities continue to experience disproportionate HIV burden and increasingly account for the largest share of HIV-related morbidity and mortality in the United States. These concerning disparities necessitate research to inform robust responses that target priority subgroups within this population. High rates of incarceration in many African American communities contribute to high HIV risk environments, where the risks persist after release from the criminal justice system. Formerly incarcerated African American youth (FIAAY, ages 18-24 years) in particular are at heightened risk in terms of sexual behavior, illicit drug use, and challenged rates of HIV testing behavior after release. A prominent barrier to HIV testing and timely diagnosis in this and other vulnerable populations is HIV-related stigma. Thus, more research needs to not only examine stigma-related factors that reduce HIV testing behavior, but also create a basis for interventions that can reduce stigma and increase HIV testing and HIV preventive behaviors in priority populations, such as FIAAY. Towards these goals, my proposed study focusing on FIAAY in Louisville Kentucky will allow me to: 1) develop a risk profile of HIV-negative or HIV status unknown FIAAY at greater likelihood of having stigmatizing beliefs related to HIV infection and longitudinally examine the likelihood of HIV testing based on this profile and 2) delineate mediating and moderating mechanisms by which stigma reduces HIV testing in this population. These actions will help generate knowledge for the development of a multilevel intervention targeting individual and structural factors to reduce HIV-related stigma and increase HIV testing and prevention among this population of vulnerable youth. This Career Development Award will provide the necessary knowledge and skills to conduct this and future research with criminal justice-involved populations. This entails enhancing my skills in advanced statistical methods such as survival analysis and structural equation modeling. In addition it will foster content expertise in decision science and the criminal justice system, which will help inform intervention development. Study methods will include longitudinal survey data collection (baseline, 12-months, 24-months) from 274 FIAAY in Louisville, KY. This research will inform the development of stigma-related HIV-risk profiles for FIAAY who are less likely to test and delineate mediators and moderators of the stigma-HIV testing relationship. If a relationship between stigma and testing is not detected, other psychosocial factors will be examined to determine mediators and moderators of HIV testing. This study has important downstream benefits for HIV prevention and treatment in this highly vulnerable population.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2023	UNIVERSITY OF LOUISVILLE	2301 S 3RD ST	LOUISVILLE	KY	40208	JEFFERSON	USA	Mental Health Research Grants	000	4	8/15/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $159,992 )
2023	2023	UNIVERSITY OF LOUISVILLE	2301 S 3RD ST	LOUISVILLE	KY	40208	JEFFERSON	USA	Mental Health Research Grants	000	4	5/18/2023	NON-COMPETING CONTINUATION	$159,992
														Subtotal = $159,992

Issue Date FY: 2022 ( Subtotal = $160,013 )
2022	2022	UNIVERSITY OF LOUISVILLE	2301 S 3RD ST	LOUISVILLE	KY	40208	JEFFERSON	USA	Mental Health Research Grants	000	3	4/22/2022	NON-COMPETING CONTINUATION	$160,013
														Subtotal = $160,013

Issue Date FY: 2021 ( Subtotal = $159,906 )
2021	2021	UNIVERSITY OF LOUISVILLE	2301 S 3RD ST	LOUISVILLE	KY	40208	JEFFERSON	USA	Mental Health Research Grants	000	2	4/7/2021	NON-COMPETING CONTINUATION	$159,906
														Subtotal = $159,906

Issue Date FY: 2020 ( Subtotal = $158,880 )
2020	2020	UNIVERSITY OF LOUISVILLE	2301 S 3RD ST	LOUISVILLE	KY	40208	JEFFERSON	USA	Mental Health Research Grants	001	1	5/18/2020	NEW	$0
2020	2020	UNIVERSITY OF LOUISVILLE	2301 S 3RD ST	LOUISVILLE	KY	40208	JEFFERSON	USA	Mental Health Research Grants	000	1	4/9/2020	NEW	$158,880
2020	2020	UNIVERSITY OF LOUISVILLE	2301 S 3RD ST	LOUISVILLE	KY	40208	JEFFERSON	USA	Mental Health Research Grants	002	1	7/10/2020	NEW	$0
														Subtotal = $158,880

Grand Total All Awards = $638,791

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Examining HIV-related Stigma and HIV Testing Among Formerly Incarcerated African American Youth

Award Number: K01MH119942

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 05/01/2020

PERIOD OF PERFORMANCE END DATE: 04/30/2025

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