Multi-sector, Rural-Border Health Disparities Research and Innovation Initiative

多部门农村边境健康差异研究与创新计划

• 批准号: 10192281
• 负责人: GUADALUPE X AYALA
• 金额: $ 18.81万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-11 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10192281
• 关键词: Address; Administrative Supplement; Affect; Award; Awareness; California; Characteristics; Chronic; Collaborations; Collection; Communities; Community Health; Complex; County; Data; Data Analyses; Data Collection; Ensure; Exhibits; Federally Qualified Health Center; Focus Groups; Funding; Goals; Health; Health Promotion; Healthcare; Household; Income; Individual; Infrastructure; Institutes; Leadership; Mental Health; Methods; Mexico; Minority-Serving Institution; Mission; Outcome; Parents; Personal Satisfaction; Pilot Projects; Plant Roots; Poaceae; Policies; Population; Postdoctoral Fellow; Poverty; Process; Pueblo Race; Research; Research Activity; Research Infrastructure; Research Priority; Research Project Grants; Resources; Rural; Rural Community; Social Network; Translational Research; U-Series Cooperative Agreements; Unemployment; Vulnerable Populations; Work; career; data de-identification; data sharing; data warehouse; food insecurity; health difference; health disparity; high risk; human subject; improved; innovation; interest; member; minority health; population health; research study; rural dwellers; social determinants; social organization; suburb

Project Summary Numerous strategies have been identified to promote rural, border health disparities research. These efforts have led to an awareness of the complexities of these health disparities. Rural, border communities are overburdened by a complex set of social determinants that affect community members’ health and well-being. They are also under-resourced and their needs are not recognized by urban and suburban-working decision- makers. However, as is frequently concluded, changes from grass roots and research efforts are often not maintained nor disseminated due to resource limitations. From this perspective, the proposed “Multi-sector, Rural-Border Health Disparities Research and Innovation Initiative (Our Health)” was conceived. The Our Health initiative will convene 15 representatives from diverse sectors to identify research priorities relevant to the health and well-being of people living and working along the US-Mexico border in Imperial County, California. Imperial County has been engaged in the California Accountable Community for Health Initiative; thus all proposed coalition members are actively engaged in research within their own organizations, have participated in a countywide collective effort to improve population health, and know first-hand what it is like to live and work in a persistent poverty county. All coalition members have enthusiastically agreed to engage in a year-long process that involves formal data collection that builds on previous efforts to form a unified approach to building and using evidence to improve practices and policies that address these disparities. Formal data collection methods will include secondary data analyses that do not require human subjects’ approval (e.g., use of existing de-identified data from previous research studies; use of state and national data with specific ties to Imperial County) and focus groups with coalition members to identify research priorities that address health disparities in Imperial County, as well as the infrastructure needed to do this research. These infrastructure needs include, but are not limited to: data repository and data sharing infrastructure; organizational partners with research needs that impact vulnerable populations and the capacity and/or interest to engage in research; academics with expertise and interest in rural, border health disparities research; and, funding for research activities. These activities will converge on the selection of a pilot project that is responsive to the priorities and needs identified by coalition members. This administrative supplement is supported by the parent award, the SDSU HealthLINK Center for Transdisciplinary Health Disparities Research. Through their integration with the Center, it is anticipated that coalition members and their organizations will identify new partnerships to advance research in rural, border health disparities.

项目概要 已经确定了许多战略来促进农村、边境健康差异研究。这些努力 使人们认识到这些健康差异的复杂性。农村、边境社区是 一系列影响社区成员健康和福祉的复杂社会决定因素使他们不堪重负。 他们的资源也不足，他们的需求没有得到城市和郊区工作决策的认可。 制造商。然而，正如人们经常得出的结论，来自基层和研究工作的改变往往不会被忽视。 由于资源限制而无法维护或传播。从这个角度来看，提出“多部门、 构想了“农村边境健康差异研究与创新计划（我们的健康）”。 健康倡议将召集来自不同部门的 15 名代表，以确定与以下领域相关的研究重点： 帝国县美墨边境沿线生活和工作的人们的健康和福祉， 加利福尼亚州。因皮里尔县一直参与加州健康责任社区倡议； 因此，所有提议的联盟成员都在自己的组织内积极从事研究， 参与全县范围内改善人口健康的集体努力，并亲身了解 在一个持续贫困县生活和工作。所有联盟成员都热情同意参与 为期一年的过程，涉及正式数据收集，以以前的努力为基础，形成统一的方法 建立和使用证据来改进解决这些差异的做法和政策。正式数据 收集方法将包括不需要人类受试者批准的二次数据分析（例如， 使用先前研究中的现有去识别化数据；使用具有特定特征的州和国家数据 与帝国县的联系）和与联盟成员的焦点小组，以确定解决问题的研究重点 因皮里尔县的健康差异，以及进行这项研究所需的基础设施。这些 基础设施需求包括但不限于：数据存储库和数据共享基础设施； 具有影响弱势群体的研究需求以及能力和/或兴趣的组织合作伙伴 从事研究；对农村、边境健康差异研究具有专业知识和兴趣的学者；和， 研究活动的资金。这些活动将集中于选择一个试点项目 响应联盟成员确定的优先事项和需求。这个行政补充是 由家长奖、SDSU HealthLINK 跨学科健康差异中心支持 研究。通过与中心的整合，预计联盟成员及其成员 各组织将确定新的伙伴关系，以推进农村和边境健康差异的研究。