OVERCOMING HEALTH RACIAL HEALTH DISPARITIES

克服健康种族健康差异

• 批准号: 6222068
• 负责人: TIMOTHY S CAREY
• 金额: $ 33.46万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-15 至 2005-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6222068
• 关键词: African American; behavioral /social science research tag; caucasian American; health care quality; health care service availability; health services research tag; human morbidity; human mortality; racial /ethnic difference

The Cecil G Sheps Center and the Program on Health Outcomes of the University of North Carolina propose to establish a Center of Excellence on Overcoming Racial Disparities (CEORHD). The CEORHD will focus the expertise of a diverse and unique research community on causes and contributing factors leading to inequalities in access to and outcomes of care. We will work with two historically black North Carolina universities, NC Central and Shaw University, in both the research projects and through research training linkages. We will establish two core groups: the Administrative and Methods Core and the Data Management Core. We will be assisted by an external advisory board as well an internal group to aid in training issues. Over the 5 years of the proposed program project, we will complete seven research projects. These projects will share research infrastructure and contribute to research seminars at UNC, NCCU, and Shaw. Our clinical area of interest is the understanding and elimination of health disparities for adult cancer and other chronic illnesses among black adults, with a special focus on rural black populations: (1) racial disparities in rectal cancer (community-based case-control study); (2) racial differences in prostate cancer treatment outcomes (community- based case-case study assessing differences between prostate cancer in whites and blacks); (3) interventions to reduce disparities between black and white women in physicians' recommendations for mammography (community-based RCT); (4) community-based disease management for (5) service coordination for patients with HIV and STD infections (study of administrative coordination among agencies in rural areas and its relationship to health disparities); (6) racial concordance and outcomes of care for black patients with high blood pressure (secondary data analysis); and (7) measurement of functioning and well-being in minority populations (secondary data analysis). Taken together, these projects will substantially advance our understanding of both the etiology of and redress for current racial disparities in health.

塞西尔·G·谢普斯中心和北卡罗来纳大学健康成果项目提议建立一个克服种族差异卓越中心 (CEORHD)。 CEORHD 将集中多元化和独特研究界的专业知识，研究导致护理机会和结果不平等的原因和影响因素。我们将与北卡罗来纳州两所历史悠久的黑人大学——北卡罗来纳中央大学和逸夫大学——在研究项目和研究培训方面进行合作。我们将建立两个核心小组：管理和方法核心以及数据管理核心。我们将得到外部顾问委员会和内部小组的协助，以帮助解决培训问题。在拟议的计划项目的五年内，我们将完成七个研究项目。这些项目将共享研究基础设施，并为北卡罗来纳大学、NCCU 和 Shaw 的研究研讨会做出贡献。我们感兴趣的临床领域是了解和消除黑人成人中成人癌症和其他慢性疾病的健康差异，特别关注农村黑人群体：（1）直肠癌的种族差异（基于社区的病例对照研究）； (2) 前列腺癌治疗结果的种族差异（基于社区的案例研究，评估白人和黑人前列腺癌之间的差异）； (3) 采取干预措施，减少黑人和白人妇女在医生建议的乳房X光检查方面的差异（基于社区的随机对照试验）； (4) 以社区为基础的疾病管理，(5) 艾滋病毒和性病感染者的服务协调（农村地区机构间行政协调及其与健康差距的关系研究）； (6) 黑人高血压患者的种族一致性和护理结果（二次数据分析）； (7) 少数民族人口的功能和福祉衡量（二次数据分析）。总而言之，这些项目将极大地增进我们对当前健康种族差异的病因和补救措施的理解。