Expanding Vietnamese Community and Academic Infrastructure for Health Research

描述（由申请人提供）：越南裔美国人在社会经济和健康方面存在差距，医疗服务不足。该项目的目标是向社区和学术保健中心（AHC）提供基础设施服务，以克服合作障碍，形成社区-学术伙伴关系，开展保健科学研究。具体目标是：1)扩大越南裔美国人社区和AHC的基础设施；2)支持、开展和维持社区学术合作的健康科学研究，以减少这个服务不足社区的健康差距。该项目扩大了基础设施服务——包括协作支持、指导、培训和讲习班、提案审查小组和提交以及社区卫生论坛；2)研究课题——包括饮食、戒烟、乙型肝炎、减少职业暴露、移动乳房x光检查以及乳腺癌、宫颈癌和结直肠癌筛查的比较效益和成本效益；3)地理区域-包括加利福尼亚州的4个相邻的旧金山湾区县（阿拉米达、旧金山、圣马特奥和圣克拉拉）；4)社区组织类型——包括社区组织、社区卫生中心和医疗保健提供者组织；5)开展合作研究的机构数量；6)目标人群——从越南人到亚裔美国人社区。基础设施提供a)协作支持服务，以形成和维持社区学术伙伴关系；b)指导；c)培训和讲习班；d)提案审查小组，提供有益的意见，以提高提案和筹资的成功率；f)提案提交；g)社区卫生论坛，以获得社区对研究的支持，并向社区成员传播研究成果。项目创新包括：1)以社区为基础的参与性研究过程，由社区组织和AHC对项目进行概念化、设计和实施；2)广泛的基础设施服务；3)跨学科方法，涵盖科学学科（如内科、精神病学、公共卫生、营养科学、环境和职业流行病学以及种族研究），并对多种疾病和病症(如肥胖、糖尿病；性传播疾病；乙型肝炎;心血管疾病;（宫颈癌、乳腺癌、结肠直肠癌、肝癌和肺癌），以及4)将基础设施服务费用纳入合作提案预算和来自捐赠基金和癌症中心的承诺，以维持基础设施。如果这种基础设施模式在越南和亚裔美国人社区成功实现其目标，那么这种模式将被推广到美国其他服务不足、低收入、少数民族和种族的人群中

DESCRIPTION (provided by applicant): Vietnamese Americans have socio-economic and health disparities and are medically underserved. The objective of this project is to provide infrastructure services to the community and academic health centers (AHC) to overcome collaboration barriers to form community-academic partnerships to conduct health science research. The specific aims are 1) to expand infrastructure in the Vietnamese American community and at AHC and 2) to support, conduct, and sustain community-academic collaborative health science research to reduce health disparities in this underserved community. The project expands the infrastructure 1) services - to include collaboration support, mentorship, training and workshops, proposal review panels and submission, and community health forums; 2) research topics - to include diet, smoking cessation, hepatitis B, occupational exposure reduction, comparative- and cost-effectiveness of mobile mammography, and breast, cervical, and colorectal cancer screening; 3) geographical area - to include 4 contiguous San Francisco Bay Area Counties (Alameda, San Francisco, San Mateo, and Santa Clara) in California; 4) type of community organizations - to include community-based organizations, community health centers, and healthcare provider organizations; 5) number of organizations conducting collaborative research; and 6) target population - from the Vietnamese to Asian American community. The infrastructure provides a) collaborative support service to form and sustain community-academic partnerships, b) mentorship, c) training and workshops, d) proposal review panels to provide helpful comments to improve proposals and funding success, f) proposal submissions, and g) community health forums to obtain community support for research and disseminate findings to community members. The project innovations include: 1) a community-based participatory research process to conceptualize, design, and implement the project by community organizations and AHC, 2) a wide range of infrastructure services, 3) a trans-disciplinary approach that spans scientific disciplines (e.g. internal medicine, psychiatry, public health, nutritional science, environmental and occupational epidemiology, and ethnic studies) and has potential impact across multiple diseases and conditions (e.g. obesity; diabetes; sexually transmitted diseases; hepatitis B; cardiovascular diseases; and cervical, breast, colorectal, liver, and lung cancer), and 4) incorporation of infrastructure service expenses in collaborative proposal budgets and commitment from an endowment and a cancer center to sustain the infrastructure. If this infrastructure model is found to successful in achieving its aims in the Vietnamese and Asian American communities, the model will be disseminated to other underserved, low income, ethnic, and racial populations throughout the U.S. PUBLIC HEALTH RELEVANCE: The relevance of this project to public health includes potential impact in science and health. Potential impact in science of the example projects supported the infrastructure services are finding: 1) an effective community-based hepatitis B testing and vaccination intervention, 2) an effective cervical cancer screening lay health worker intervention model for sexually exploited minors, 3) an effective smoking cessation intervention for Vietnamese American men, 4) an effectiveness and cost-effective multi-disease media intervention for cancer control, 5) an effective and cost-effective mammography delivery model for medically underserved populations, 6) a more accurate survey instrument for dietary intake for Asian subgroups using family style meals, and 7) an effective lay health intervention to reduce chemical exposure in the workplace among nail salon workers. Potential impact in health of the example projects supported the infrastructure services are reducing incidence and mortality caused by obesity; diabetes; sexually transmitted diseases; late stage breast cancer diagnosis; breast, cervical, colorectal, liver, and lung cancer; liver cirrhosis; cardiovascular diseases; tobacco-related diseases; and other diseases caused by exposure to carcinogens, endocrine disruptors and respiratory irritants.