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

项目摘要 已经确定了许多战略，以促进农村，边境健康差距的研究。这些努力 使人们认识到这些健康差距的复杂性。农村和边境社区 由于一系列复杂的社会决定因素影响到社区成员的健康和福祉，使其不堪重负。 他们的资源也不足，城市和郊区的工作决定没有认识到他们的需要， 创客然而，正如人们经常得出的结论，来自基层的变化和研究工作往往不是 由于资源有限，没有得到维持或传播。从这个角度来看，拟议的“多部门， 农村边境健康差异研究和创新倡议（我们的健康）”的构想。的Our 卫生倡议将召集来自不同部门的15名代表，以确定与以下方面有关的研究优先事项： 在帝国县沿美墨边境沿着生活和工作的人们的健康和福祉， 加州。帝国县一直在从事加州负责任的社区健康倡议; 因此，所有拟议的联盟成员都积极参与自己组织内的研究， 参加了一个县的集体努力，以改善人口健康，并知道第一手是什么样子， 生活和工作在一个持续贫困县。所有联盟成员都热情地同意参与一项 这是一个为期一年的过程，涉及正式的数据收集，建立在以前的努力，以形成一个统一的方法 建立和使用证据来改进解决这些差异的实践和政策。正式数据 收集方法将包括不需要人类受试者批准的次级数据分析（例如， 使用先前研究中的现有去识别数据;使用州和国家数据， 与帝国县的联系）和与联盟成员的焦点小组，以确定研究的优先事项， 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：数据储存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;具有农村、边境健康差距研究方面的专业知识和兴趣的学者;以及， 资助研究活动。这些活动将集中于选择一个试点项目， 对联盟成员确定的优先事项和需要作出反应。这一行政补充是 由父母奖，SDSU健康链接跨学科健康差异中心支持 Research.通过与中心的整合，预计联盟成员及其 各组织将确定新的伙伴关系，以推进农村和边境地区健康差距的研究。

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.