Stoff David M, Bowleg Lisa, Del Río-González Ana María, Rodriguez-Diaz Carlos E, Zea Maria Cecilia
Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA.
Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Health Educ Behav. 2023 Mar 16:10901981231157795. doi: 10.1177/10901981231157795.
HIV-related comorbidities in underrepresented minority populations are reframed to include the co-occurring problems of systemic and structural barriers, within the mentoring context as a buffer and as action-oriented. This framework is discussed to improve racial and ethnic minority diversity in the research workforce from the perspectives of HIV comorbidities and mentoring. An integrated and coordinated approach to HIV-related comorbidities and inequities may be helpful when combined with research on the social-structural contributions as drivers to diversify the research workforce. We emphasize how these key research issues (a) provide a platform for training and retraining a highly motivated, diverse workforce and (b) facilitate the empowerment of these trained individuals to conduct rigorous scientific research on social-structural factors to mitigate the effects of these comorbidities. We conclude that a diverse research workforce is necessary but insufficient for improving training-related outcomes or reducing comorbidity effects. Additional considerations are warranted that include systemic approaches and changes at the structural and institutional levels.
在代表性不足的少数族裔人群中,与艾滋病毒相关的合并症被重新界定,在指导背景下,将其作为一种缓冲和以行动为导向,纳入系统性和结构性障碍等并存问题。从艾滋病毒合并症和指导的角度讨论了这一框架,以提高研究人员队伍中的种族和族裔少数群体的多样性。当与关于作为推动研究人员队伍多样化的驱动因素的社会结构贡献的研究相结合时,针对与艾滋病毒相关的合并症和不平等现象采取综合协调的方法可能会有所帮助。我们强调这些关键研究问题如何:(a) 为培训和再培训一支积极性高、多样化的研究人员队伍提供一个平台;(b) 促进这些经过培训的人员有能力就社会结构因素开展严谨的科学研究,以减轻这些合并症的影响。我们得出结论,多样化的研究人员队伍对于改善与培训相关的成果或减少合并症影响是必要的,但还不够。还需要考虑包括系统性方法以及结构和机构层面的变革等其他因素。