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NIDA REI: Reaching Equity at the Intersection of HIV and Substance Use – Novel Approaches to Address HIV Related Health Disparities

This Funding Opportunity Announcement (FOA) is a part of NIDA’s Racial Equity Initiative (REI), with goals that include promoting racial equity in NIDA’s research portfolio. The purpose of this FOA is to support pilot or feasibility research on structural factors, organizational practices, policies, and other social, cultural, and contextual influences that lead to inequities at the intersection of HIV and substance use among underserved racial and/or ethnic minority populations affected by persistent HIV disparities.

Donor Name: National Institutes of Health

State: All States

County: All Counties

Territory: Commonwealth of Puerto Rico, U.S. Virgin Islands, Guam, American Samoa, Commonwealth of the Northern Mariana Islands

Type of Grant: Grant

Deadline: 11/14/2024

Size of the Grant: up to $450,000

Grant Duration: 3 years

Details:

Research that addresses the multiple dimensions of individuals’ identity (e.g., race, ethnicity, gender, sexual orientation, gender identity) and social systems as they intersect with one another is encouraged.

Research Objectives

This initiative will support innovative pilot or feasibility research to inform efforts to address persistent inequities in HIV prevention, diagnosis, and treatment among underserved racial and/or ethnic minority populations. All projects should address social, cultural, and structural factors potentially driving inequities. Research that addresses intersectional sexual and gender minority populations is also encouraged. Areas of research can include epidemiology, prevention, and treatment services research addressing topics such as stigma, cultural competence, accessibility, acceptability, retention, mistrust/trustworthiness, and financing. Proposed studies can be:

  • observational studies, providing a deeper understanding of how social, cultural, policy and structural factors interact to perpetuate or ameliorate health inequities in HIV and substance use outcomes for racial and/or ethnic minority persons and other persons with disproportionate burden of HIV disease, or
  • intervention studies that test novel strategies that focus on social, structural, policy and cultural factors in order to reduce health disparities and lead to equity in HIV and substance use outcomes for populations affected by persistent disparities.

Areas of Research Interest

Projects may come from various research disciplines such as epidemiology, prevention, and treatment services research, and may address topics such as stigma, culturally competent care, accessibility, acceptability, retention, mistrust/trustworthiness, and financing of services.  Research topics for this initiative include but are not limited to:

  • Research on the extent to which racial and ethnic discrimination and other social, structural and systematic inequities perpetuate disparities in HIV and substance use service use and outcomes.
  • Studies that examine the impact of bias and discrimination on patient-provider communication(s), informed decision-making, and HIV care outcomes.
  • Research to explore strengths-based approaches for trust-building and engagement in communities that have been disproportionately impacted by HIV and substance use.
  • Studies to determine the impact of polices, laws and associated social/structural characteristics that contribute to HIV case diagnoses, service utilization and clinical outcomes.
  • Research to assess the benefits of telehealth, mobile and other technological approaches for populations disproportionately affected by HIV and substance use.
  • Research that identifies how systematic racism is manifested in HIV service delivery and substance use settings.
  • Research that examines the influence of social and structural factors (e.g., social hierachies in care settings; the requirements placed on clients for receipt of services) on HIV and substance use outcomes.
  • Research on social, structural, cultural and policy level strategies to reduce disparities related to HIV outcomes, e.g., uptake/initiation of PrEP and/or antiretroviral therapy (ART).
  • Research to enhance cultural competence, improve access to quality health care, and mitigate the adverse effects of racism on HIV, substance use and health outcomes.
  • Culturally specific interventions to address social determinants of health by promoting resiliency and confronting structural racism, including studies with a focus on stigma, discrimination, and prejudice in the context of substance use and HIV prevention and treatment services.
  • Studies to develop new models of research partnerships with state/local agencies and private or public health systems to eliminate systemic barriers to substance use and HIV care.
  • Addressing structural racism and other impediments to HIV service utilization in primary care, HIV, substance use treatment, and other specialty settings.
  • Develop and test interventions to address relevant intersectional racial/ethnic and sexual/gender stigmas, as well as substance use stigma in settings that provide HIV and substance use prevention and/or care services.

Funding Information

Applicants may request direct costs of up to $450,000 for three years.

Eligibility Criteria

  • Higher Education Institutions
    • Public/State Controlled Institutions of Higher Education
    • Private Institutions of Higher Education
  • The following types of Higher Education Institutions are always encouraged to apply for NIH support as Public or Private Institutions of Higher Education:
    • Hispanic-serving Institutions
    • Historically Black Colleges and Universities (HBCUs)
    • Tribally Controlled Colleges and Universities (TCCUs)
    • Alaska Native and Native Hawaiian Serving Institutions
    • Asian American Native American Pacific Islander Serving Institutions (AANAPISIs)
  • Nonprofits Other Than Institutions of Higher Education
    • Nonprofits with 501(c)(3) IRS Status (Other than Institutions of Higher Education)
    • Nonprofits without 501(c)(3) IRS Status (Other than Institutions of Higher Education)
  • For-Profit Organizations
  • Local Governments
    • State Governments
    • County Governments
    • City or Township Governments
    • Special District Governments
    • Indian/Native American Tribal Governments (Federally Recognized)
    • Indian/Native American Tribal Governments (Other than Federally Recognized)
  • Federal Government
    • Eligible Agencies of the Federal Government
    • U.S. Territory or Possession
  • Other
    • Independent School Districts
    • Public Housing Authorities/Indian Housing Authorities
    • Native American Tribal Organizations (other than Federally recognized tribal governments)
    • Faith-based or Community-based Organizations
    • Regional Organizations.

For more information, visit Grants.gov.

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