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Increasing financial and health equity among low income black youth and young adults

Award Number: U01MD019398
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/23/2021
PERIOD OF PERFORMANCE END DATE: 04/30/2027

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Increasing financial and health equity among low income black youth and young adults - PROJECT SUMMARY Black Emerging Adults (BEA), ages 18-24, in the U.S. experience higher levels of poverty, illness, and discrimination than White youth. These exposures to harm, coupled with the lack of supportive services to address and mitigate poverty and structural inequities, result in health inequities. BEA experience high mental health service needs, but much less service utilization than White youth, have higher rates of STI and less access to family planning. Disrupting the social determinants of poverty that systematically affects BEA, can have a transformative impact on a healthy transition into adulthood during a critical time in their development. Guaranteed basic income (GBI) is an economic strategy that could redress financial inequities and transform the mental and physical health outcomes of BEA, which has shown tremendous promise in adults populations and youth in families receiving income, but little is known about how GBI program would work when cash is transferred unconditionally and directly to Black emerging adults and what critical supports would be needed to ensure GBI is most effective. We propose a randomized controlled crossover trial in which 300 low-income BEA are allocated to receive a $500/month GBI either during the first twelve months of follow-up (phase I) or to receive GBI in the second 12 months of a total of 24 months follow-up (phase II). All participants, regardless of randomization arm, will be offered enrollment in financial capability programs -- peer learning circles and financial coaching -- to bolster GBI effectiveness. Participants will also receive a cell phone-based real-time monitoring and response intervention (RTMR), which will ensure that BEA with unmet health service needs receive referrals. The RTMR system will simultaneously provide critical, time-sensitive information for community agencies and policy makers to address documented service gaps. All components will be co- designed and monitored by our Community Working Group, comprised of representatives from an extensive network of partnering community agencies, city officials, and youth who have been active in the financial capability space. Together these intervention components support BEA on the individual-level (GBI, coaching, RTMR), interpersonal-level (peer learning circles), community-level (GBI & RTMR), and at the societal level (policy impacts of GBI, RTMR). We will determine the impacts of GBI and GBI+multi-level supports on BEA’s investment in their future (education, employment training), mental health (depressive symptoms and anxiety), and unmet mental health and sexual/reproductive health service needs. We will also include a nested qualitative component to explore mechanisms of impact on financial, mental and physical health. This study leverages a strong multi-disciplinary community and research partnership; multilevel intervention components that address the most urgent inequities that impact the trajectory of BEA during their transition to adulthood and independence; and provides urgent experimental data with findings that could inform service provision and policy to advance health equity.


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: 2026 ( Subtotal = $0 )
2026	2025	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	000	4	2/5/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $1,119,441 )
2025	2025	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	010	4	7/17/2025	SUPPLEMENT FOR EXPANSION	$124,998
2025	2025	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	009	4	7/9/2025	NON-COMPETING CONTINUATION	$994,443
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	007	3	7/1/2025	OTHER REVISION	$0
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	005	3	7/1/2025	OTHER REVISION	$0
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	002	3	3/23/2025	TERMINATION	$0
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	000	3	11/20/2024	SUPPLEMENT FOR EXPANSION	$0
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	008	3	7/9/2025	OTHER REVISION	$0
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	006	3	7/1/2025	OTHER REVISION	$0
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	003	3	3/23/2025	TERMINATION	$0
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	001	3	3/23/2025	TERMINATION	$0
2025	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	004	3	3/23/2025	TERMINATION	$0
														Subtotal = $1,119,441

Issue Date FY: 2024 ( Subtotal = $3,104,686 )
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	004	3	6/18/2024	SUPPLEMENT FOR EXPANSION	$124,998
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	003	3	6/12/2024	SUPPLEMENT FOR EXPANSION	$353,908
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	002	3	5/6/2024	NON-COMPETING CONTINUATION	$2,126,891
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Minority Health and Health Disparities Research	006	3	9/19/2024	SUPPLEMENT FOR EXPANSION	$321,426
2024	2024	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	005	3	8/24/2024	SUPPLEMENT FOR EXPANSION	$0
2024	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	000	2	2/5/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$177,463
2024	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94103	SAN FRANCISCO	USA	Trans-NIH Research Support	001	2	4/29/2024	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $3,104,686

Issue Date FY: 2023 ( Subtotal = $2,736,451 )
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Trans-NIH Research Support	001	2	9/23/2023	SUPPLEMENT FOR EXPANSION	$124,998
2023	2023	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Trans-NIH Research Support	000	2	9/12/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$2,611,453
														Subtotal = $2,736,451

Grand Total All Awards = $6,960,578

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Increasing financial and health equity among low income black youth and young adults

Award Number: U01MD019398

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

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

PERIOD OF PERFORMANCE START DATE: 09/23/2021

PERIOD OF PERFORMANCE END DATE: 04/30/2027

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