Health Disparities Research at SIRC: Cultural Processes in Risk and Resiliency

描述(由申请人提供)：本申请建议建立一个探索性的NCMHD卓越研究中心，以探索影响少数族裔健康和健康差距的复杂因素，并为卫生与公众服务部(DHHS)改善少数族裔健康和缩小美墨边境地区少数族裔之间的健康差距的倡议做出贡献。该中心将开展跨学科、以社区为基础的少数民族健康和健康差距研究，研究导致健康结果差异的途径，重点是家庭因素、文化适应和性别。西南跨学科研究中心(SIRC)为建立新的健康差距研究中心提供了基础。探索中心的建立将加强亚利桑那州立大学(ASU)作为美国-墨西哥边境地区推进健康差距研究的全国领导者的能力，并为推进国土安全部消除西南地区健康差距的倡议做出重大贡献。拟议中心的使命是产生和应用科学发现，通过倡导少数群体不受限制地获得具有文化能力的健康/行为健康预防、服务和治疗，从而改善少数群体的健康并缩小健康差距。探索中心将健康差异研究从发病率和死亡率的近端原因扩展到疾病的根本原因和作为保护性因素或风险因素的相关文化过程。这将通过确定和改善因贫困、语言障碍、种族、族裔、性别和文化规范相互作用而产生的有害制约来实现，这些规范在缺乏反应的护理系统内。该中心的研究项目及其行政、研究、培训和社区参与/外联中心旨在预防、减少和消除以下卫生部确定的特别重点领域和决定因素中的健康差距：艾滋病毒/艾滋病、精神健康和药物滥用。将在预防到服务的整个过程中研究这三个重点领域，特别强调了解它们的共病及其对西南部历史上的族裔社区(墨西哥裔美国人和美国印第安人)以及该地区两个快速增长的少数族裔人口--非洲裔美国人和亚裔美国人--的健康结果的影响。

DESCRIPTION (provided by applicant): This application proposes the establishment of an Exploratory NCMHD Research Center of Excellence to explore the complex factors influencing minority health and health disparities, and to contribute to the Department of Health and Human Services' (DHHS) initiatives for improving minority health and reducing health disparities among the racial and ethnic minorities of the U.S.-Mexico border region. The Center will conduct interdisciplinary, community-based minority health and health disparities research by studying the pathways to disparities in health outcomes with an emphasis on familial factors, acculturation, and gender. The Southwest Interdisciplinary Research Center's (SIRC) provides the foundation upon which the new center on health disparities will be established. Founding the Exploratory Center will strengthen Arizona State University's (ASU) capacity as a national leader in the U.S.-Mexico border region to advance health disparities research and make a significant contribution to advancing DHHS' initiatives for eliminating health disparities in the Southwest. The proposed center's mission is to produce and apply scientific findings leading to the improvement of minority health and the reduction of health disparities by advocating the unfettered access to culturally competent health/behavioral health prevention, services, and treatment for minority populations. The Exploratory Center expands health disparities research from proximal causes of morbidity and mortality to fundamental causes of disease and related cultural processes which act as protective or risk factors. This will be achieved by identifying and ameliorating the pernicious constraints that emerge from the interaction of poverty, language barriers, race, ethnicity, gender, and cultural norms within unresponsive systems of care. The center's research projects and its administrative, research, training and community engagement/outreach cores aim to prevent, reduce and eliminate health disparities within the following DHHS identified special emphasis areas and determinants: HIV/AIDS, mental health, and substance abuse. The three focus areas will be studied throughout the prevention-to-services continuum with a special emphasis on understanding their comorbidity and their effect on the health outcomes of the historical ethnic communities of the Southwest (Mexican Americans & American Indians) and two fast growing racial minority populations in the region, African Americans and Asian Americans.