The East Texas Project EXPORT Center

描述（由申请人提供）：在过去的几十年里，预期寿命的延长对糖尿病患者的影响是不对称的。虽然所有种族/民族和社会经济群体的糖尿病患者经历的相互疾病较少，休克和肾功能衰竭引起的乳酸酸中毒率较低，其他疾病并发症也较少，但糖尿病的患病率和进展存在差异。此外，这种模式在东德克萨斯州也很明显。部分由于在获得治疗方面的差异，基于患者的变量也部分解释了目前在糖尿病及其相关疾病、高血压和肥胖方面证实的差异。

DESCRIPTION (provided by applicant): The extensions in life expectancy that have attenuated diabetics over the last few decades have been asymmetric. While diabetic persons by all races/ethnicities and socioeconomic groups have experienced fewer inter-current illnesses, lower rates of lactic acidosis due to shock and renal failure, and fewer other complications of their disease, disparities in the prevalence and progress of diabetes mellitus, have, nevertheless, occurred. Moreover, such patterns are observable in East Texas. Due in part to differences in access to treatment, patient-based variables also explain in part, the currently confirmed disparities regarding diabetes, and its related diseases, hypertension and obesity. In this regard, Texas College, a Historically Black College/University, located in Tyler, Texas and its partner, the University of Texas Health Center at Tyler (UTHCT), propose to implement the East Texas Project EXPORT Center through the use of R24 funding. This highly specialized Center will partner with UTHCT faculty, staff and Texas College students in conducting health disparities research regarding the prevention, diagnosis, treatment, and self-management of diabetes and its related diseases, hypertension and obesity. The Center will utilize a mobile unit, the Hometown Education Van, to conduct outreach and engage in the dissemination of prevention and treatment information. Initially, this innovative Center will target Smith County residents with the goal of reaching other counties in East Texas in order to increase the incidence of self-management treatment for diabetes in health disparity populations living in East Texas.