# Southeast Collaborative for Innovative and Equitable Solutions to Chronic Disease Disparities

> **NIH NIH P50** · VANDERBILT UNIVERSITY MEDICAL CENTER · 2022 · $319,066

## Abstract

SUMMARY- Bon Bagay (Good Stuff): Biomedical HIV Prevention Among People of Haitian Descent
HIV is a chronic disease. The city of Miami, Florida has one of the highest incidence rates of HIV in the United
States.1 Previous data from Miami showed that Haitian-born people represented 11% of the total reported HIV
cases, despite comprising only 4.4% of the population.2 A likely cause for the disparity in HIV incidence among
people of Haitian descent living in Miami is a lack of access to or uptake of HIV-preventive services.3 Pre-
exposure prophylaxis (PrEP) is an effective method to prevent new HIV infections.4 There are, however, vast
disparities in PrEP utilization. Black individuals in the US at risk for HIV are not accessing these medications as
frequently as their White counterparts,5 and PrEP use is even less common among people of Haitian descent.
Previous research was conducted in Miami, among people of Haitian descent living with HIV, however, these
studies have not included biomedical HIV prevention strategies such as PrEP.6,7 Preliminary work conducted by
Dr. Sternberg, (the Bon Sante or Good Health study), identified a strong interest in PrEP use but a lack of
culturally appropriate and accessible PrEP services.8 In addition, churches as avenues for PrEP information and
potentially delivery was noted.8 The aims for this application are:
Aim 1: To characterize contextual and organizational determinants of PrEP implementation and
sustainability at churches serving people of Haitian descent in Miami. Rationale: In developing culturally
relevant implementation approaches that overcome existing gaps (PrEP uptake) among people of Haitian
descent, it is critical to understand the organizational culture, management support, and goals of churches
serving the population, with a focus on PrEP delivery. Approach: This study will use a context-focused approach
to implementation, the Practical, Robust Implementation and Sustainability Model (PRISM).9 This study will use
PRISM to assess the churches' perspectives. We will focus on the context of delivery by conducting focus groups
with leaders, managers, and staff. We will use an established community partnership in Miami (the Haitian
American Professionals Coalition) to recruit focus group participants. Three focus groups will be conducted using
semi-structured interview guides and will be analyzed using qualitative analysis. Outcome: From this aim, we
will have a further understanding of the churches' needs and determinants for effective PrEP delivery.
Aim 2: To quantify key preferences for PrEP among people of Haitian descent. Rationale: Discrete choice
experiments have been widely used to further understand individual preferences regarding a wide range of
services and products, including PrEP10. We will use this approach to rank preferences regarding PrEP delivery
and type among people of Haitian descent in Miami attending church. Approach: We will conduct a discrete
choice experiment among 120 peo...

## Key facts

- **NIH application ID:** 10604586
- **Project number:** 3P50MD017347-02S1
- **Recipient organization:** VANDERBILT UNIVERSITY MEDICAL CENTER
- **Principal Investigator:** Nancy J Cox
- **Activity code:** P50 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $319,066
- **Award type:** 3
- **Project period:** 2021-09-24 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10604586

## Citation

> US National Institutes of Health, RePORTER application 10604586, Southeast Collaborative for Innovative and Equitable Solutions to Chronic Disease Disparities (3P50MD017347-02S1). Retrieved via AI Analytics 2026-06-01 from https://api.ai-analytics.org/grant/nih/10604586. Licensed CC0.

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