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Benefits of Disparities Cores:

  • The UC CFARs were the first in the nation to have a core dedicated to disparities research.

  • CFARs can address disparities specific to the different geographic regions of CA.

  • The CFAR cores can leverage the strength of the CFAR Centers to address disparities in multiple populations.

Disparities Research

CHRP-funded disparities research focused on African American gay, bisexual, and transgender youth; homeless youth; and women of color.

In California, significant health disparities exist across the continuum of care for HIV. HIV positive populations that are hard to reach, have little or no access to care, face strong stigma or encounter other socio-structural barriers fare poorly in the HIV treatment cascade.  In 2012, 34% of African Americans who were diagnosed with HIV in California achieved viral suppression, compared to 43% of whites. Younger age groups were less likely to be diagnosed, retained in care, or to have achieved viral suppression when compared to older populations – only 15% of persons aged 13-24 who were diagnosed with HIV were virally suppressed compared to 45% of those age 45-65. Women with HIV were less likely to be virally suppressed than men, and male injection drug users and male heterosexuals were less likely to be in care, retained in care, or virally suppressed than other risk groups (see, HIVCareContinuum-2012.pdf). In order to curb the HIV epidemic in California, special efforts are needed to reach these populations, and to ensure that they are linked to care, receive appropriate treatment, and remain virally suppressed.

Reducing these disparities will require unique interventions tailored to specific populations at risk, and implemented at each stage of the cascade. The overall goals of the CHRP HIV Disparities Initiative were:

  1. To facilitate California-based Centers for AIDS Research (CFARs) enhanced focus on disparities in HIV in California;
  2. To encourage collaboration between CFARs, local government organizations and community based organizations in evaluating and decreasing disparities in HIV care and treatment;
  3. To encourage collaboration across the three California-based CFARs in evaluating and decreasing disparities in HIV care and treatment;
  4. To identify, implement and evaluate innovative interventions aimed at decreasing disparities in HIV care and treatment in California.

UCLA, UCSD, and UCSF have Centers for AIDS Research (CFARs) which conduct and evaluate innovative research for HIV/AIDS prevention and treatment. Beginning in April 2016, CHRP funded the creation of Disparities Cores at each CFAR to initiate projects focused on HIV/AIDS health disparities throughout California, a focus that the CFARs did not previously have. Abstracts from the three funded cores, along with their collaborative projects, are accessible below.

UCLA CFAR Disparities, Core.  Norweeta Milburn, Principal Investigator

UCSD CFAR Disparities, Core Jamila Stockman, Principal Investigator

UCSF CFAR Disparities, Core Paul Volberding and Marguerita Lightfoot, Principal Investigators