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

项目摘要 已经确定了许多战略来促进农村和边境健康差距的研究。这些努力 使人们意识到这些健康差距的复杂性。农村、边境社区是 因影响社区成员健康和福祉的一系列复杂的社会决定因素而负担过重。 他们也缺乏资源，他们的需求没有得到城市和郊区工作决策的认可- 制造者。然而，正如人们经常得出的结论，来自基层的变化和研究努力往往不是 由于资源限制，维持或传播。从这个角度来看，拟议的“多部门、 农村-边境健康差距研究和创新倡议(我们的健康)的构想。我们的 卫生倡议将召集来自不同部门的15名代表，以确定与以下方面相关的研究优先事项 在帝国郡美墨边境生活和工作的人们的健康和福祉， 加利福尼亚。帝国郡一直参与加州健康责任社区倡议； 因此，所有拟议的联盟成员都在自己的组织内积极从事研究， 参与了全县范围内改善人口健康的集体努力，并亲身了解 在一个长期贫困的县生活和工作。所有联盟成员都热情地同意参与一项 为期一年的过程，包括在以前努力的基础上进行正式的数据收集，以形成统一的方法 建立和使用证据，以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辅助数据分析(例如， 使用来自以前研究报告的现有未确认数据；使用具有具体数据的州和国家数据 与帝国郡的联系)和与联盟成员的焦点小组，以确定解决以下问题的研究优先事项 帝国郡的健康差距，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：数据储存库和数据共享基础设施； 具有影响弱势群体以及能力和/或兴趣的研究需求的组织合作伙伴 从事研究；对农村和边境健康差距研究具有专业知识和兴趣的学者；以及 为研究活动提供资金。这些活动将集中在选择一个试点项目上，即 响应联盟成员确定的优先事项和需求。本行政副刊是 由家长奖项SDSU跨学科健康差异健康链接中心支持 研究。通过与该中心的整合，联盟成员和他们的 各组织将确定新的合作伙伴关系，以推进农村、边境卫生差异的研究。

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.