The Center for Research, Health, and Social Justice

项目总结--总体 阿肯色州位于美国南部地区，总体排名在全国垫底 健康结果以及癌症和心血管疾病(CVD)。在阿肯色州，以地点和种族为基础 差距相当大，农村居民和黑人/非裔美国人的情况最差。四十一个- %的阿肯色州人生活在农村地区，在那里，社会经济困境、慢性病风险因素和社会 这些差距背后的结构性因素几十年来没有改变。贫困和粮食不安全是 阿肯色州农村的工资更高，就业机会和医疗保健机会都比城市低。 黑人/非裔美国人的癌症和心血管疾病死亡率最高，社会经济指标最差， 并经历了巨大的历史创伤，特别是在三角洲地区。为了解决这一历史性的问题 在阿肯色州嵌入基于地点和种族的健康不平等，拟议的研究，健康， 和社会正义(CRHS)将使用社会正义框架来指导制定和实施 推动新的多层次和跨学科研究的强大进程，让社区参与 建立公平的伙伴关系以解决慢性疾病差异的根本原因，并建立、培训和 指导多样化和有能力的研究人员准备消除癌症和心血管疾病方面的差异。 我们的社会正义框架将帮助CRHS识别相互关联的系统性劣势模式 社区和我们的研究生态系统，以告知核心、研究项目、顾问委员会和 我们基础广泛的学术和社区合作伙伴联盟可以协同工作，实现CRHS 目标。我们的利益相关者联盟包括阿肯色州西北部、高地和三角洲地区的合作伙伴 以及整合到核心和研究项目中的多个机构合作伙伴，他们将采用共同的 实现CRHS目标的措施、工具、方法和途径。CRHS将与NIMHD合作 慢性病差距协调中心利用和共享资源，从事前沿交叉 中心研究，并为新的调查人员增加网络和研究机会。CRHS将 利用多个联邦资助的资源，包括临床转化科学奖计划， 国家研究指导网络，联邦资助的中心拨款和联邦调查，以帮助促进 研究、培训、指导、传播和翻译研究，为公共实践和政策提供信息。 CRHS建立在我们之前的成功基础上，并将创建一个强大的研究生态系统，作为全国的典范 通过使用研究、培训和社会公正框架消除慢性病差距 社区参与。

PROJECT SUMMARY – OVERALL Arkansas, located in the Southern region of the United States, ranks among the lowest in the nation in overall health outcomes and in cancer and cardiovascular disease (CVD). Within Arkansas, place- and race-based disparities are quite profound, and rural residents and Blacks/African Americans fare the worst. Forty one- percent of Arkansans live in rural areas where socioeconomic distress, chronic disease risk factors, and social structural factors underlying these disparities have not changed in decades. Poverty and food insecurity are higher, and wages, employment opportunities and health care access are lower in rural than in urban Arkansas. Blacks/African Americans have the highest cancer and CVD mortality rates, the worst socioeconomic indicators, and have experienced enormous historic trauma, particularly in the Delta regions. To address this historical embedment of place- and race-based health inequities in Arkansas, the proposed Center for Research, Health, and Social Justice (CRHS) will use a social justice framework to inform the development and implementation of a robust process for advancing novel multilevel and transdisciplinary research, engaging communities in equitable partnerships to address the root causes of chronic disease disparities, and building, training and mentoring a diverse and competent research workforce prepared to eliminate disparities in cancer and CVD. Our social justice framework will help the CRHS identify interconnected patterns of systematic disadvantage in the community and in our research ecosystem to inform how the cores, research projects, advisory boards, and our broad-based coalition of academic and community partners can work synergistically to accomplish CRHS goals. Our coalition of stakeholders includes partners in the Northwest, Highlands and Delta regions of Arkansas and multiple institutional partners integrated into the cores and research projects who will employ common measures, tools, methods, and approaches to accomplish the CRHS goals. The CRHS will work with the NIMHD Chronic Disease Disparities Coordinating Center to leverage and share resources, engage in cutting-edge cross center research, and increase networking and research opportunities for new investigators. The CRHS will leverage multiple federally-funded resources including the Clinical Translational Science Award program, the National Research Mentoring Network, federally funded center grants, and federal surveys to help facilitate research, training, mentoring, dissemination, and translation of research to inform public practice and policy. CRHS builds on our prior successes and will create a robust research ecosystem that serves as a national model for eliminating chronic disease disparities by using a social justice framework for research, training, and community engagement.