Research collaboratories: their potential for health behavior researchers

An open debate about the object and purpose of global health knowledge in the context of an interdisciplinary research partnership on HIV/STI prevention priorities in Peru

Background

With the failure of the latest vaccine trial, HVTN-505, HIV prevention efforts remain critical. Social and structural factors contributing to HIV and STI transmission include stigma regarding sexual violence, HIV infection and sexual orientation. For instance, HIV prevention and overall sexual health programs in Peru have been implemented yet key populations of youth (sex workers, male and transgender youth) continue to be overrepresented in new cases of HIV and STI. This suggests that interventions must take new directions and highlights the need for additional research.

Discussion

While interdisciplinary, international research collaborations often are indicated as best practice in developing new knowledge in global health and an important component of the leadership in health systems, this does not mean they are free of challenges. In this debate we document our reflections on some of the challenges in developing an interdisciplinary and international research team to understand HIV and STI prevention priorities among youth in two culturally diverse cities in Peru: Lima, the capital city, and Ayacucho, in the Andean region.

Summary

Rather than offering solutions we aim to contribute to the debate about the object and purpose of global health research in the context of developing international research partnerships that genuinely promote a reciprocal and bidirectional flow of knowledge between the Global South and the Global North, and researchers at intersections of these locations.

A knowledge-anchored integrative image search and retrieval system

Clinical data that may be used in a secondary capacity to support research activities are regularly stored in three significantly different formats: (1) structured, codified data elements; (2) semi-structured or unstructured narrative text; and (3) multi-modal images. In this manuscript, we will describe the design of a computational system that is intended to support the ontology-anchored query and integration of such data types from multiple source systems. Additional features of the described system include (1) the use of Grid services-based electronic data interchange models to enable the use of our system in multi-site settings and (2) the use of a software framework intended to address both potential security and patient confidentiality concerns that arise when transmitting or otherwise manipulating potentially privileged personal health information. We will frame our discussion within the specific experimental context of the concept-oriented query and integration of correlated structured data, narrative text, and images for cancer research.

A qualitative study of adaptation experiences of 1.5-generation Asian Americans

Adaptation experiences of 1.5-generation Asian American college students (N = 10) were examined using the consensual qualitative research method. Results indicated 4 domains of adaptation experiences: preimmigration experiences, acculturation and enculturation experiences, intercultural relationships, and support systems. Participants reported that English proficiency played a significant role in their initial adjustment. Currently, most of the participants reported feeling identified with both the U.S. and Asian cultures. Some participants reported having experienced racism in the past. Many participants noted that they currently have no difficulty establishing friendships with culturally different persons. Participants reported currently feeling most close to friends of a similar background and that they usually seek support from friends, family, and religious organizations, but not from a psychologist or counselor.