REDUCING HEALTH DISPARITIES IN MD ALONG THE NATIONAL CAPITAL BORDER

减少首都边境地区医学博士的健康差距

• 批准号: 7701139
• 负责人: BRADLEY O BOEKELOO
• 金额: $ 30万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7701139
• 关键词: REDUCING; HEALTH; DISPARITIES; MD; ALONG

DESCRIPTION (provided by applicant): The University of Maryland Prevention Research Center (UMD-PRC) focuses on reducing health disparities in Maryland. The national capital border population in Prince George's County (PGC), Maryland within the "National Capital Beltway" is specifically targeted for community health improvement. This area is predominantly medically underserved and minority. Furthermore, this area suffers from remarkably high rates of primary Syphilis, HIV, stroke, diabetes, low birth weight, and other health problems. Populations in this underserved area work, socialize, and access health care and education in bordering Montgomery County (MC), Maryland and the District of Columbia (DC). The contrasts and similarities between the border population in PGC and the border population of MC and DC are pronounced in regard to demographics, health services, and health status. The UMD School of Public Health (SPH) happens to be located in Prince George's County at the nexus of these comparisons. Although the SPH has partnered with the City of Seat Pleasant in the underserved area of PGC since 1999, it needs UMD-PRC resources to fully address the glaring need for an infrastructure to link needs with resources in this region. The UMD-PRC infrastructure will build on the triumvirate among the City of Seat Pleasant, the SPH, and the Prince George's County Health Department and further engage with organizations within and across the many area borders. It will cross borders to address issues that exacerbate disenfranchisement. The resulting cross-border collaborative will provide new capacity for the region to address shared health problems. A pilot project on HIV and other sexually transmitted infections (STI) exhibits the community-based-participatory-research approach and focuses the UMD-PRC on a health problem disproporationately affecting minorities, and requiring social and systems-level solutions. The pilot examines how to enhance the Prince George's County Health Department HIV/STI prevention programs related to its Partner Services. Through enhanced engagement with HIV/STI clients, tradional borders (barriers) will be crossed to deliver educational outreach to individuals at risk, address risk inducing venues, and link areas of need with resources. RELEVANCE (See instructions): The Category 2 University of Maryland Prevention Research Center (UMD-PRC) creates infrastructure and systems to address the high morbidity rates in underserved areas. The pilot project exhibits community- based-participatory-research to enhance infrastrucure and systems regarding HIV and other sexually transmitted infection (HIV/STI) Partner Services.

描述（由申请人提供）：马里兰州预防研究中心（UMD-PRC）的重点是减少在马里兰州的健康差距。“国家首都环城公路”内的马里兰州乔治王子县（PGC）的国家首都边境人口是专门针对社区健康改善的。这个地区主要是医疗服务不足和少数民族。此外，这一地区的原发性梅毒、艾滋病毒、中风、糖尿病、出生体重不足和其他健康问题的发病率非常高。这个服务不足地区的人口在与蒙哥马利县（MC）、马里兰州和哥伦比亚特区（DC）接壤的地方工作、社交、获得医疗保健和教育。PGC边境人口与MC和DC边境人口之间的对比和相似之处在人口统计学，卫生服务和健康状况方面是明显的。UMD公共卫生学院（SPH）恰好位于乔治王子县，处于这些比较的中心。虽然自1999年以来，SPH一直与喜座城在PGC服务不足的地区合作，但它需要UMD-PRC的资源来充分满足对基础设施的迫切需求，将该地区的需求与资源联系起来。UMD-PRC的基础设施将建立在Seat Pleasant市、SPH和乔治王子县卫生局的三巨头基础上，并进一步与许多地区边界内和边界外的组织合作。它将跨越国界，解决加剧剥夺公民权的问题。由此产生的跨界合作将为该区域提供新的能力，以解决共同的卫生问题。一个关于艾滋病毒和其他性传播感染的试点项目展示了基于社区的参与性研究方法，并将UMD-PRC的重点放在对少数群体造成严重影响并需要社会和系统一级解决办法的健康问题上。该试点项目审查了如何加强乔治王子县卫生部与其伙伴服务有关的艾滋病毒/性传播感染预防方案。通过加强与艾滋病毒/性传播感染客户的接触，将跨越传统的边界（障碍），向风险个人提供教育宣传，解决引发风险的场所，并将需求领域与资源联系起来。相关性（参见说明）：马里兰州预防研究中心（UMD-PRC）的第2类大学创建基础设施和系统，以解决服务不足地区的高发病率。该试点项目展示了基于社区的参与性研究，以加强有关艾滋病毒和其他性传播感染伙伴服务的基础设施和系统。