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Efficacy of a differentiated care intervention for adolescents transitioning to adult HIV care in Peru

Award Number: R01MH131414
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/15/2022
PERIOD OF PERFORMANCE END DATE: 06/30/2027

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Efficacy of a differentiated care intervention for adolescents transitioning to adult HIV care in Peru - PROJECT SUMMARY In Latin America, sexual and gender minorities are disproportionately affected by HIV. Recent data from the proposed study setting of Peru suggests that the prevalence of HIV is as high as 12% among men who have sex with men (MSM) and 21% among transgender women (TGW), with >60% of new infections occurring in these key populations. Homophobia, transphobia and exaggerated masculinity (i.e., machismo) are pervasive in Latin America: one survey found that over 60% of sexual and gender minorities felt they could not disclose their sexual orientation or gender identity without fear, and 30% reported that their family was unaware of their sexual orientation. To avoid stigmatizing labels, individuals may elect not to disclose sexual or gender identity and withhold relevant information on sexual behaviors from healthcare providers. They may also incorrectly assess their own risk for important medical conditions (e.g., MPox, HIV) and opt not to engage in preventive health interventions (e.g., PrEP, HIV testing). Furthermore, the evolving terminology used to describe sexual and gender identity may vary across educational and socioeconomic status, challenging the meaningful interpretation of standardized sociodemographic surveys on sexual and gender identity. The overall goal of this proposal is to gain a better understanding of how sexual and gender identity are conceived by youth in an urban Latin American setting. We will leverage an ongoing social-behavioral intervention trial enrolling adolescents and young adults living with HIV and strong ties with the LGBTQI+ community in Lima, Peru to explore (1) how sexual identity aligns with prior consensual sexual behavior; (2) perceptions of common terms used to describe sexual and gender identity and differences according to education and socioeconomic status; and (3) reasons that sexual and gender minorities refuse, withdraw from, or have limited in engagement with healthcare, research and/or intervention activities. The findings from this research will be critical to tailoring HIV prevention messages; deriving terminology that is intuitive and aligned with the Peruvian population for patient-centered HIV care and research activities; and ensuring that that sexual and gender minorities can fully avail of existing health interventions and health research.


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: 2024 ( Subtotal = $752,509 )
2024	2024	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Mental Health Research Grants	001	3	7/5/2024	SUPPLEMENT FOR EXPANSION	$100,000
2024	2024	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Mental Health Research Grants	000	3	6/26/2024	NON-COMPETING CONTINUATION	$652,509
														Subtotal = $752,509

Issue Date FY: 2023 ( Subtotal = $650,139 )
2023	2023	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Mental Health Research Grants	002	2	6/23/2023	NON-COMPETING CONTINUATION	$650,139
2023	2022	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Mental Health Research Grants	000	1	10/27/2022	NEW	$0
2023	2022	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Mental Health Research Grants	001	1	6/15/2023	NEW	$0
														Subtotal = $650,139

Issue Date FY: 2022 ( Subtotal = $802,879 )
2022	2022	PRESIDENT AND FELLOWS OF HARVARD COLLEGE	25 SHATTUCK ST	BOSTON	MA	02115	SUFFOLK	USA	Mental Health Research Grants	000	1	9/14/2022	NEW	$802,879
														Subtotal = $802,879

Grand Total All Awards = $2,205,527

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Efficacy of a differentiated care intervention for adolescents transitioning to adult HIV care in Peru

Award Number: R01MH131414

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/15/2022

PERIOD OF PERFORMANCE END DATE: 06/30/2027

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