International Collaborative Alcohol & Injury Research Training Program in Poland

说明（由申请人提供）：减少与酒精有关的故意和非故意伤害造成的死亡和残疾是世界卫生组织的一项主要全球卫生目标。酒精使用与机动车碰撞、跌倒和火灾造成的大量伤亡有关。在波兰和其他经历了迅速社会和文化变革的东欧国家，与极高的人均酒精消费量和与酒精有关的伤害率上升有关的问题已成为极为重要的国家关切问题。在波兰，伤害和创伤是第三大死亡原因，主要是与酒精有关的死亡。发展基础设施以扩大波兰对伤害和酒精的研究和预防能力，将解决日益严重的公共卫生问题，该问题可能在今后几十年对该区域造成毁灭性的健康和经济后果。为了实现这一目标，将通过密歇根大学（UM）和弗罗茨瓦夫医科大学（WMU）以及波兰其他几个学术医疗机构的研究人员之间的合作，建立一个多层次的研究培训计划。这建立在UM与波兰神经病学和精神病学研究所以及华沙医学院的科学家之间成功的培训和研究合作的基础上，重点关注物质使用障碍。这一新的特殊伤害和酒精合作将密歇根大学在酒精相关伤害预防、EMS/创伤服务、精神病学、公共卫生和交通研究方面的专业知识与威斯康星大学在伤害和创伤医学和公共卫生方面的专业知识结合起来，以提高波兰的培训和研究能力。通过这一合作努力，将在弗罗茨瓦夫医科大学和波兰各地的学术医疗和公共卫生地点建立一个联盟。该项目将对来访的波兰科学家进行酒精和伤害研究方法的培训，并制定指导研究项目，以解决波兰酒精和伤害预防、治疗和评估方面的当前问题。波兰解决与药物滥用有关的伤害的研究基础设施将得到改善，办法是提供能够开展独立研究项目和制定新的方案的临床科学家核心，以解决急诊医学和公共卫生中的这一关键问题。公共卫生相关性：波兰和其他前苏联集团国家的人均酒精消费量和酒精相关伤害水平很高，再加上解决这些问题的研究基础设施有限，这给波兰和其他前苏联集团国家带来了重大的公共卫生挑战。这一拟议的培训方案将发展波兰进行高质量伤害和创伤研究的能力，可作为区域范围联盟的核心，以解决这些发展中国家日益严重的卫生保健负担。

DESCRIPTION (provided by applicant): Reducing death and disability caused by alcohol-related intentional and non-intentional injuries is a major world-wide health goal for the World Health Organization. Alcohol use has been linked with a substantial proportion of injuries and deaths from motor vehicle crashes, falls, and fires. In Poland and other Eastern European countries that have been experiencing rapid social and cultural changes, problems related to extremely high per capita alcohol consumption and the rising rate of alcohol-related injury have become critically important national concerns. Injury and trauma constitute the third leading cause of death in Poland, with a preponderance of alcohol-related mortality. Developing an infrastructure to expand the capacity for injury and alcohol research and prevention in Poland will address an escalating public health problem that has the potential for devastating health and economic consequences to this region over the next decades. To accomplish this goal, a multi-tiered research training program will be established through collaboration among researchers at the University of Michigan (UM) and Wroclaw Medical University (WMU) and several other academic medical settings in Poland. This builds on a successful training and research collaboration between UM and Polish scientists at the Institute of Neurology and Psychiatry, and the Medical College of Warsaw focused on substance use disorders. This new specific injury and alcohol collaboration brings together expertise in alcohol-related injury prevention, EMS/Trauma services, psychiatry, public health, and transportation research at UM with a developing expertise in injury and trauma medicine and public health at WMU in order to increase training and research capacity in Poland. A consortium at Wroclaw Medical University and academic medical and public health locations throughout Poland will be fostered through this collaborative effort. The program will train visiting Polish scientists at the UM in alcohol and injury research methodology, and develop mentored programs of research that address current issues in alcohol and injury prevention, treatment, and evaluation in Poland. The Polish research infrastructure for addressing substance abuse-related injuries will be improved by the provision of an essential core of clinician scientists capable of conducting independent research projects and developing new programming to address this critical issue in emergency medicine and public health. Public Health Relevance: The high levels of per capita alcohol consumption and alcohol-related injuries, combined with a limited research infrastructure to address these issues, present significant public health challenges to Poland and other former Soviet-bloc countries. This proposed training program will develop the capacity for high quality injury and trauma research in Poland that can serve as the core of a region-wide consortium to address a growing, critical health care burden in these developing countries.