IMPROVING OUTCOMES IN US LATINO CHILDREN

改善美国拉丁裔儿童的学习成果

• 批准号: 6538134
• 负责人: Marielena Lara
• 金额: $ 12.63万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-01 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6538134
• 关键词: Hispanic Americans; Mexican Americans; Puerto Rican; adolescence (12-20); asthma; child (0-11); clinical research; emergency health services; health care quality; health care service evaluation; health care service utilization; health insurance; health services research tag; human data; outcomes research; racial /ethnic difference; socioeconomics; urban area

I am applying for this 5-year K08 Mentored Clinical Scientist Development Award to support and facilitate my development as a health services researcher and speed my transition to an independent investigator. This award will allow me to complete my training in health services methods and provide me with the protected time to assure my publication and grant-making productivity during a pivotal period. I have begun to establish myself as a minority researcher concerned with disparities in health care delivery and outcomes in children through work in 3 areas: 1) analyzing access and quality of care barriers associated with higher asthma morbidity in poor and minority children with asthma; (2) improving survey methods for evaluating morbidity and risk factors associated with asthma, paying particular attention to challenges posed by English/Spanish bilingualism and by the need to incorporate perspectives of both parents and child, and (3) reviewing the existing literature regarding differences in asthma morbidity among Latino children with asthma. Founded on this work and with the guidance of my mentors, Dr. Robert Brook and Dr. Harold Morgenstern, I will continue to develop a research career whose long-term goal is to improve health outcomes and quality of life in Latino children with asthma through evidence-based health care and community- based interventions. The short-term objectives of this 5-year career development award are to: 1) obtain additional formal training in quality of care, statistical, study design, and epidemiological methods, 2) complete a period of supervised experience in analyses of existing datasets to enhance my analytic skills and increase my publication record, 3) submit at least 2 R01 applications to carry out the next phase of my investigations, and 4) continue to develop the community-based and research infrastructure necessary for my research. The specific aims of my intended R01 funded research include to: 1) develop and evaluate a combined health care and school community-based intervention to ensure access to high-quality primary care for Latino and other children with asthma, and 2) identify the factors, such as differences in primary care health care use and socio-demographic risks, that are associated with variations in asthma prevalence and morbidity among US children of Puerto Rican, Mexican, Cuban, and other Latino heritage.

我正在申请这个为期5年的K08指导临床科学家发展奖，以支持和促进我作为卫生服务研究人员的发展，并加快我向独立研究者的过渡。这个奖项将使我能够完成我在卫生服务方法方面的培训，并为我提供受保护的时间，以确保我在关键时期的出版和拨款效率。我已经开始确立自己作为一个少数民族研究者的身份，通过在三个领域的工作来关注儿童卫生保健服务和结果的差异：1)分析与贫困和少数民族哮喘儿童较高哮喘发病率相关的护理障碍的获取和质量；(2)改进评估哮喘发病率和相关危险因素的调查方法，特别注意英语/西班牙语双语带来的挑战，以及需要纳入父母和儿童的观点；(3)回顾现有关于拉丁裔哮喘儿童哮喘发病率差异的文献。在这项工作的基础上，在我的导师罗伯特·布鲁克博士和哈罗德·摩根斯坦博士的指导下，我将继续发展一项研究事业，其长期目标是通过循证卫生保健和基于社区的干预措施改善拉丁裔哮喘儿童的健康结果和生活质量。这项为期5年的职业发展奖励计划的短期目标是：1)在护理质量、统计、研究设计和流行病学方法方面获得额外的正式培训；2)完成一段有监督的现有数据集分析经验，以提高我的分析技能并增加我的发表记录；3)提交至少2份R01申请，以开展我的下一阶段调查；4)继续发展我的研究所需的社区基础设施和研究基础设施。我计划的R01资助研究的具体目标包括：1)制定和评估医疗保健和学校社区联合干预措施，以确保拉丁裔和其他患有哮喘的儿童获得高质量的初级保健；2)确定与波多黎各、墨西哥、古巴和其他拉丁裔美国儿童哮喘患病率和发病率变化相关的因素，如初级保健保健使用的差异和社会人口风险。