Monday, October 2, 2023 10/2/2023

Southwest Health Equity Research Collaborative

Award Number: U54MD012388
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

Group Awards By Issue Date FY or Funding FY:

View Award Abstract

PROJECT SUMMARY In the U.S., incidence rates of HIV and sexually transmitted infections (STIs) are disproportionately high among gay, bisexual, and other men who have sex with men—referred to herein as sexual minority men (SMM)— compared to men who have sex with women only.1,2 Roughly 10% of HIV incidence is attributable to increased transmission due to untreated STIs among SMM,3 64% of syphilis cases occur among SMM,4 and SMM residing in Ending the HIV Epidemic (EHE) priority jurisdictions have nearly 50% greater odds of STIs compared to those residing elsewhere.5 Oklahoma is an EHE priority rural state with above average yearly cases of chlamydia and ranks in the top 10 for gonorrhea and syphilis infections nationwide. Within these Oklahoma communities, those under the age of 24 account for a quarter of new HIV, chlamydia, and gonorrhea infections. Less than 28% of rural Oklahomans have received an HIV test during their lifetime and only 5.7% during the past year, the lowest testing rate among the EHE states.6 Similar to their SMM peers, rural American Indian (AI) men have seen an increase in HIV incidence—where the AI men now account for 9.3% of new infections in Oklahoma compared to 7.8% in 2016.7-9 AI men and SMM living in rural areas of the U.S. are less likely to receive HIV prevention messaging, engage in routine testing, identify HIV testing resources, or receive comprehensive education as compared to their urban counterparts. Rural SMM and AI men in Oklahoma experience many barriers to HIV and STI testing, including worries about HIV-related stigma, low perceptions of risk, difficulty communicating with healthcare providers, and confidentiality concerns,10-15 requiring expansion of prevention and screening services. Our proposed research will specifically focus on two EHE pillars: diagnose (i.e., HIV screening) and prevent (i.e., increase condom use; adoption of Pre-Exposure Prophylaxis). Our specific aims are as follows: AIM 1 – To refine our preliminary intervention strategy in partnership with a Community Advisory Board (CAB) and rural peer mentors. In a 4-month formative phase, we will partner with a CAB to finalize Ending the HIV Epidemic in Rural Oklahoma (e-HERO) components to be included in an initial intervention prototype. AIM 2 – To assess feasibility, acceptability, and preliminary impact of the e-HERO intervention. We will pilot and evaluate the finalized intervention in rural Oklahoma using a randomized control trial design to mimic a future statewide implementation. We will recruit rural SMM (n = 100) and AI men (n = 100) between 17-29 years of age. We will use RE-AIM19 to guide the evaluation, which will entail conducting a convergent mixed-method analysis of surveys (SMM and AI men), HIV/STI testing records, and exit interviews to assess feasibility, acceptability, and preliminary impact of the intervention.


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: 2023 ( Subtotal = $4,086,352 )
2023	2023	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	009	7	7/3/2023	NON-COMPETING CONTINUATION	$0
2023	2023	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	008	7	6/7/2023	NON-COMPETING CONTINUATION	$4,086,352
2023	2023	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	010	7	8/21/2023	NON-COMPETING CONTINUATION	$0
2023	2022	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	007	6	6/6/2023	COMPETING CONTINUATION	$2,009,078
2023	2022	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	006	5	6/6/2023	SUPPLEMENT FOR EXPANSION	-$393,793
2023	2022	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	001	5	11/18/2022	SUPPLEMENT FOR EXPANSION	$0
2023	2022	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	000	6	10/21/2022	COMPETING CONTINUATION	$0
2023	2022	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	002	5	3/9/2023	SUPPLEMENT FOR EXPANSION	$0
2023	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	003	5	6/6/2023	NON-COMPETING CONTINUATION	-$1,347,719
2023	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	005	5	6/6/2023	SUPPLEMENT FOR EXPANSION	-$234,066
2023	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	004	5	6/6/2023	SUPPLEMENT FOR EXPANSION	-$33,500


Issue Date FY: 2022 ( Subtotal = $4,867,752 )
2022	2022	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	006	6	9/19/2022	COMPETING CONTINUATION	$4,473,959
2022	2022	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	005	5	8/13/2022	SUPPLEMENT FOR EXPANSION	$393,793
2022	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	000	5	10/8/2021	NON-COMPETING CONTINUATION	$0
2022	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	002	5	10/12/2021	NON-COMPETING CONTINUATION	$0
2022	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	003	5	10/29/2021	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	001	5	10/8/2021	SUPPLEMENT FOR EXPANSION	$0
2022	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	004	5	1/6/2022	SUPPLEMENT FOR EXPANSION	$0


Issue Date FY: 2021 ( Subtotal = $5,174,021 )
2021	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	009	5	6/24/2021	NON-COMPETING CONTINUATION	$4,316,963
2021	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	010	5	7/8/2021	SUPPLEMENT FOR EXPANSION	$107,306
2021	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	011	5	7/30/2021	NON-COMPETING CONTINUATION	$0
2021	2021	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	012	5	9/21/2021	SUPPLEMENT FOR EXPANSION	$749,752
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	003	4	1/19/2021	NON-COMPETING CONTINUATION	$0
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	001	4	11/20/2020	NON-COMPETING CONTINUATION	$0
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	008	4	6/8/2021	NON-COMPETING CONTINUATION	$0
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	006	4	5/24/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	002	4	1/8/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	007	4	5/24/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	005	4	5/24/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	004	4	2/25/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	000	4	10/29/2020	NON-COMPETING CONTINUATION	$0


Issue Date FY: 2020 ( Subtotal = $5,487,325 )
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	005	4	7/1/2020	SUPPLEMENT FOR EXPANSION	$368,737
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	010	4	9/8/2020	SUPPLEMENT FOR EXPANSION	$293,101
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	006	4	7/29/2020	NON-COMPETING CONTINUATION	$0
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	011	4	9/22/2020	SUPPLEMENT FOR EXPANSION	$200,000
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	009	4	8/28/2020	NON-COMPETING CONTINUATION	$0
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	003	3	4/21/2020	SUPPLEMENT FOR EXPANSION	$0
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	013	4	9/25/2020	SUPPLEMENT FOR EXPANSION	$0
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	008	4	8/14/2020	SUPPLEMENT FOR EXPANSION	$0
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	004	4	6/18/2020	NON-COMPETING CONTINUATION	$4,011,068
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	000	3	1/3/2020	SUPPLEMENT FOR EXPANSION	$125,000
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	007	4	8/4/2020	SUPPLEMENT FOR EXPANSION	$119,462
2020	2020	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	012	4	9/23/2020	SUPPLEMENT FOR EXPANSION	$369,957
2020	2019	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	001	3	4/21/2020	NON-COMPETING CONTINUATION	$0
2020	2019	NORTHERN ARIZONA UNIVERSITY	601 S KNOLES DR ROOM 220	FLAGSTAFF	AZ	86011	COCONINO	USA	Minority Health and Health Disparities Research	002	3	4/21/2020	SUPPLEMENT FOR EXPANSION	$0


Issue Date FY: 2019 ( Subtotal = $4,547,522 ) (Continued on the next page)
Grand Total All Awards = $32,952,613

Sum of Action Amount is $32,952,613;

Grand Total = $32,952,613

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Southwest Health Equity Research Collaborative

Award Number: U54MD012388

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

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

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