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Principal Investigator: Miranda Hill
Organization: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Fiscal Year: 2024
Award: $183,331
Funding agency: National Institute of Mental Health
PROJECT SUMMARY/ABSTRACT
Global health agencies have identified migration as a common and key determinant of health and well-being,
with women disproportionately vulnerable to higher HIV risk and poorer health service access and utilization.
African American women are among the key populations hardest hit by the HIV epidemic in the U.S. and have
sustained markedly higher participation in migration compared to White populations for two decades due to
gendered and racialized trends. Data illuminating complex HIV service linkage barriers among migrant women
advocate for leveraging social networks as innovative avenues for HIV testing and treatment interventions.
This approach is particularly relevant given migrants' reliance on networks to relocate and the robust influence
of networks on social support and health behaviors. While network-based strategies have proven effective in
promoting HIV service linkage among diverse groups, they are currently untested, untailored, and unsuitable to
meet the culturally specific needs of African American migrant women. This K01 Mentored Research Scientist
Development application is among the first to examine the influence of migration-driven social support network
dynamics and characteristics on HIV testing and treatment (Aim 1) among African American women migrants,
aiming to develop (Aim 2), implement, and evaluate (Aim 3) a social network-based HIV service intervention.
The study site, Atlanta, GA, is a southern urban center with a disproportionately high burden of HIV incidence
and prevalence among African American women. It is also the most populous destination city for over 2 million
African American New Great Migration migrants. African American women, who bear the highest burden of
HIV risk, prevention, and treatment inequities among all other groups of women in the U.S., constitute the
majority of New Great Migration migrants. This K01 will provide necessary training in (1) advanced longitudinal
social network data analyses, (2) mixed methods, (3) social network intervention design, and (4) testing and
evaluation. These skills are crucial for achieving my long-term goal of becoming an independent scientific
pioneer who uses interdisciplinary and community-led methods to develop high-impact network-based health
interventions for African American women. The career development and training essential to launching my
independence will be led by a multidisciplinary and internationally recognized team of experts in mixed-
methods HIV research and interventions with migrants (Primary mentor: Dr. Carol Camlin), longitudinal
dynamic social network research methods and analysis in public health research (Co-mentor: Dr. Jim Moody),
advanced statistical analyses using multilevel modeling (Co-mentor: Dr. Tor Neilands), and HIV intervention
design, implementation, and evaluation (Co-mentor: Dr. Jae Sevelius, Advisor: Dr. Sophia Hussen).
Terms: <AIDS><AIDS Virus><AIDS prevention><AIDS test><AIDS/HIV><AIDS/HIV test><Access to Care><Acquired Immune Deficiency><Acquired Immune Deficiency Syndrome><Acquired Immune Deficiency Syndrome Virus><Acquired Immunodeficiency Syndrome><Acquired Immunodeficiency Syndrome Virus><Address><Administrator><Advocate><Affect><African American><African American Females><African American Women><Afro American><Afroamerican><American><Assessment instrument><Assessment tool><Attention><Caring><Caucasian Females><Caucasian Women><Cause of Death><Characteristics><Cities><Clinical><Clinical Trials><Communities><Complex><Consult><Data><Data Analyses><Data Analysis><Destinations><Development><Diagnosis><Epidemic><Equity><Evaluation><Female Groups><Focus Groups><Gender><Goals><HIV><HIV Infections><HIV Prevention><HIV diagnosis><HIV disparities><HIV inequalities><HIV inequities><HIV related disparities><HIV related inequities><HIV risk><HIV test><HIV-1 test><HIV-2 test><HIV/AIDS><HIV/AIDS disparities><HIV/AIDS inequities><HIV/AIDS prevention><HIV/AIDS related disparities><HTLV-III Infections><HTLV-III-LAV Infections><Health><Health Services Accessibility><Health behavior><Human><Human Immunodeficiency Viruses><Human T-Lymphotropic Virus Type III Infections><Human immunodeficiency virus test><Incidence><Inequity><International><Interpersonal Interaction><Interpersonal Relations><Intervention><Intervention Strategies><Interview><Knowledge><LAV-HTLV-III><Link><Lymphadenopathy-Associated Virus><Measures><Medical><Mentors><Methods><Migrant><Modern Man><NIH><National Institutes of Health><Network-based><Outcome><Pathway interactions><Personal Satisfaction><Population><Prevalence><Prevention><Provider><Race><Races><Regression Analyses><Regression Analysis><Regression Diagnostics><Research><Research Methodology><Research Methods><Risk><Scientist><Series><Services><Shapes><Site><Social Network><Social support><Statistical Data Analyses><Statistical Data Analysis><Statistical Data Interpretation><Statistical Regression><Structure><Subgroup><Survey Instrument><Surveys><System><Time><Training><Transmission><Treatment outcome><Underserved Population><United States National Institutes of Health><Virus-HIV><Vulnerable Populations><White Females><White Women><Woman><Women's Group><acceptability and feasibility><access to health services><access to services><access to treatment><accessibility to health services><availability of services><care access><career development><cohort><community setting><consults><data interpretation><design><designing><developmental><disparities in treatment><evaluation/testing><global health><health determinants><health related behavior><health service access><health services availability><high risk><implementation intervention><improved><inequality in treatment><innovate><innovation><innovative><insight><interpersonal relationship><intervention design><intervention mapping><interventional strategy><interventions leveraging social networks><methods to study multiple-level influences><migration><mortality><multi-level analysis><multi-level model><multidisciplinary><multilevel analysis><multilevel model><multilevel modeling><novel><outreach><pathway><public health research><racial><racial background><racial origin><research and methods><residence><residential building><residential site><service availability><service engagement><service intervention><services engagement><skills><social><social network based intervention><social network intervention><social science research><social support network><statistical analysis><therapy design><tool><transmission process><treatment access><treatment design><treatment disparity><treatment inequality><treatment inequity><trend><under served group><under served individual><under served people><under served population><underserved group><underserved individual><underserved people><vulnerable group><vulnerable individual><vulnerable people><well-being><wellbeing>