Addressing Social and Behavioral Determinants of Health

解决健康的社会和行为决定因素

• 批准号: 10285667
• 负责人: JEFFREY KULLGREN
• 金额: $ 6.97万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-06 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10285667
• 关键词: Address; Age; Behavior; Behavioral; Behavioral Sciences; Collaborations; Community Healthcare; Diabetes Mellitus; Diabetes prevention; Diet; Discrimination; Economics; Environment; Evaluation; Faculty; Foundations; Health; Health behavior; Individual; Intervention; Intervention Studies; Knowledge; Learning; Measurement; Measures; Mediator of activation protein; Medical; Michigan; Morbidity - disease rate; Outcome; Physical activity; Play; Positioning Attribute; Prevention; Public Health; Research; Research Personnel; Self Management; Structural Racism; System; Translational Research; Work; behavior change; behavior influence; behavioral economics; care seeking; career; cultural competence; disparity elimination; disparity reduction; experience; health care settings; health disparity populations; health equity promotion; improved; improved outcome; innovation; insight; medication compliance; mortality disparity; multidisciplinary; next generation; novel; patient population; psychosocial; social; social health determinants; treatment disparity

Project Summary/Abstract – Addressing Social and Behavioral Determinants of Health Core Social determinants of health (SDOHs), defined as the conditions in the environments in which people are born, live, learn, work, play, worship, and age, are major drivers of diabetes-related morbidity, mortality, and disparities. Health behaviors such as care-seeking decisions, medication adherence, self management, diet, and physical activity are also key factors that influence diabetes-related outcomes. In addition, these behavioral factors can be important mediators of the deleterious effects of SDOHs on diabetes-related outcomes, limiting the real world impact of medical and public health advances in diabetes prevention and treatment and further contributing to population health disparities. Despite growing recognition of the importance of socio-ecological, economic, and behavioral influences on the prevention and treatment of diabetes, and their contribution to inequities in diabetes-related outcomes, much remains unknown about the most effective ways to address these influences to improve outcomes and eliminate disparities. Closing this gap in knowledge will require cross-disciplinary expertise in a broad range of social and behavioral determinants of health, experience with and access to strong cross-sector partnerships, and dissemination of novel research to key stakeholders who can implement, sustain, and disseminate findings. The Addressing Social and Behavioral Determinants of Health Core will catalyze state-of-the-art approaches to address socio- ecological, economic, and behavioral determinants of health in order to eliminate inequities in diabetes prevention and treatment. The Core will support Center investigators and trainees with measuring and intervening on social and behavioral determinants of health among diverse patient populations in a range of community and health care settings. This Core will have a particular focus on developing novel interventions that screen for and modify SDOHs, leverage insights from behavioral economics and other behavioral science frameworks, support culturally competent behavior change among diverse patient populations, and address the health consequences of individual, interpersonal, and structural racism. This Core has four Specific Aims: Aim 1. Support state-of-the-art translational research to address socio-ecological, economic, and behavioral determinants of health in order to eliminate inequities in diabetes prevention and treatment. Aim 2. Integrate rigorous measurement of socio-ecological, economic, and behavioral determinants of health into translational diabetes research. Aim 3. Catalyze new collaborations to address socio-ecological, economic, and behavioral determinants of health in translational diabetes research. Aim 4. Develop early career investigators who will measure and target socio-ecological, economic, and behavioral determinants of health in translational diabetes research. Our multidisciplinary focus, breadth, and depth of expertise in the social and behavioral determinants of health in this Core position us well to catalyze a pipeline of innovative diabetes translational research to improve outcomes and ameliorate the conditions that result in diabetes disparities.

项目摘要/摘要-解决健康核心的社会和行为决定因素 健康的社会决定因素（SDOH），定义为人们所处环境的条件 出生、生活、学习、工作、娱乐、崇拜和年龄是糖尿病相关发病率、死亡率和 差距。健康行为，如寻求护理的决定，药物依从性，自我管理，饮食， 和体力活动也是影响糖尿病相关结果的关键因素。另外这些 行为因素可能是SDOH对糖尿病相关的有害影响的重要介质， 结果，限制了糖尿病预防方面的医学和公共卫生进步对真实的世界的影响， 治疗和进一步促进人口健康差距。尽管人们越来越认识到 社会生态，经济和行为影响对预防和治疗的重要性 糖尿病及其对糖尿病相关结果不公平的贡献， 最有效的方法来解决这些影响，以改善结果和消除差距。关闭此 知识的差距将需要在广泛的社会和行为领域的跨学科专业知识 健康的决定因素，建立强有力的跨部门伙伴关系的经验和机会，以及传播 新的研究，以关键利益相关者谁可以实施，维持和传播的结果。寻址 健康核心的社会和行为决定因素将催化最先进的方法来解决社会问题， 健康的生态、经济和行为决定因素，以消除糖尿病方面的不平等 预防和治疗。核心将支持中心调查员和学员进行测量和 在一系列不同的患者人群中干预健康的社会和行为决定因素， 社区和卫生保健机构。该核心将特别侧重于开发新的干预措施 筛选和修改SDOH，利用行为经济学和其他行为科学的见解， 框架，支持不同患者群体之间的文化能力行为改变，并解决 个人、人际和结构性种族主义的健康后果。该核心有四个具体目标： 目标1.支持最先进的转化研究，以解决社会生态，经济和行为问题 我们将继续努力，以消除糖尿病预防和治疗方面的不公平现象。目标二。整合 严格测量健康的社会生态，经济和行为决定因素转化为 糖尿病研究。目标3。促进新的合作，以解决社会生态，经济和行为问题 转化糖尿病研究中健康的决定因素。目标4。培养早期职业调查员， 测量和针对转化型糖尿病健康的社会生态、经济和行为决定因素 research.我们在社会和行为决定因素方面的多学科重点，广度和专业知识的深度 在这个核心位置，我们很好地催化了一个创新的糖尿病转化研究的管道， 改善结果并改善导致糖尿病差异的条件。