The HIV Center for Clinical and Behavioral Studies at the New York State Psychiatric Institute and Columbia University is committed to interdisciplinary research on behaviors critical to HIV infection and the consequence of HIV disease. In this resubmission, we propose to continue our research for the next five years, building on a strong record of accomplishments; of stimulating new research in HIV/AIDS through consultation and collaboration; and of providing training and exchange with local, national, and international communities. We propose four research projects: 1) Peer Activism for Female Partners of Injection Drug Users; 2) High-Risk Latino Men: An empowerment Program to Reduce Unsafe Sex; 3) Disclosure Skills for HIV+ Pregnant and Post-Partum Women; and 4) Promoting Antiviral Medication Adherence in HIV Clinics. In addition to the Administrative Core, four research cores will provide expertise to Center investigators and affiliated colleagues: the Statistics, Epidemiology and Data Management Core; the Psychosexual Core; the Psychosocial/Qualitative Assessment Core; and the Information Exchange Core, which will include an international component to develop an infrastructure for collaboration on research in South African and Brazil. The significance of the proposed HIV Center III is multifold: 1) The research will advance our understanding of the effectiveness of new intervention approaches based on innovate theories and techniques such as peer activism, empowerment, and peer counseling. 2) We will specifically further our knowledge on recruiting and retaining female sexual partners of injection drug using men for a multi-session intervention in the community. 3) We will test an innovative intervention for newly immigrated Latino men who have sex with men in partnership with a Latino community organization. 4) We will test an intervention to enhance disclosure skills among HIV+ pregnant and post-partum women who are informed of their HIV status through a new New York State mandate. 5) We will conduct a clinic- based intervention that is nurse-delivered to promote adherence of antiviral therapies in two inner-city hospitals and will document adherence based on self-report and biological indicators. 6) We will develop an international program of research collaboration with colleagues in South Africa and Brazil. 7) The Center will be a forum for HIV research and policy and will foster strategies for effective bidirectional exchange with various communities. 8) The Center will use a variety of mechanisms that support an train young scientists in multidisciplinary research skills, in sensitivity to culturally diverse norms, and in strategies to respond to the special needs of underserved populations and their communities.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Specialized Center (P50)
Project #
5P50MH043520-13
Application #
6186337
Study Section
Special Emphasis Panel (ZMH1-BRB-T (01))
Program Officer
Rausch, Dianne M
Project Start
1987-09-30
Project End
2002-06-30
Budget Start
2000-09-23
Budget End
2001-06-30
Support Year
13
Fiscal Year
2000
Total Cost
$2,419,254
Indirect Cost
Name
New York State Psychiatric Institute
Department
Type
DUNS #
167204994
City
New York
State
NY
Country
United States
Zip Code
10032
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Harrison, Abigail; Hoffman, Susie; Mantell, Joanne E et al. (2016) Gender-Focused HIV and Pregnancy Prevention for School-Going Adolescents: The Mpondombili Pilot Intervention in KwaZulu-Natal, South Africa. J HIV AIDS Soc Serv 15:29-47
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Rosario, Margaret; Schrimshaw, Eric W; Hunter, Joyce (2012) Risk Factors for Homelessness Among Lesbian, Gay, and Bisexual Youths: A Developmental Milestone Approach. Child Youth Serv Rev 34:186-193
Rosario, Margaret; Schrimshaw, Eric W; Hunter, Joyce (2012) Homelessness among lesbian, gay, and bisexual youth: implications for subsequent internalizing and externalizing symptoms. J Youth Adolesc 41:544-60
Rosario, Margaret; Schrimshaw, Eric W; Hunter, Joyce (2011) Different patterns of sexual identity development over time: implications for the psychological adjustment of lesbian, gay, and bisexual youths. J Sex Res 48:3-15
Rosario, Margaret; Schrimshaw, Eric W; Hunter, Joyce (2011) Cigarette smoking as a coping strategy: negative implications for subsequent psychological distress among lesbian, gay, and bisexual youths. J Pediatr Psychol 36:731-42
Wallis, A; Dukay, V; Mellins, C (2010) Power and empowerment: fostering effective collaboration in meeting the needs of orphans and vulnerable children. Glob Public Health 5:509-22
White, Yohann R G; Barnaby, Loraine; Swaby, Antoneal et al. (2010) Mental Health Needs of Sexual Minorities in Jamaica. Int J Sex Health 22:91-102
Rosario, Margaret; Schrimshaw, Eric W; Hunter, Joyce (2009) Disclosure of sexual orientation and subsequent substance use and abuse among lesbian, gay, and bisexual youths: critical role of disclosure reactions. Psychol Addict Behav 23:175-84

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