Expanding Vietnamese Community and Academic Infrastructure for Health Research

扩大越南健康研究社区和学术基础设施

• 批准号: 8005719
• 负责人: BANG H NGUYEN
• 金额: $ 100万
• 依托单位: CANCER PREVENTION INSTIT OF CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-06 至 2013-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8005719
• 关键词: American; Area; Asian Americans; Asians; Breast; Budgets; California; Cancer Center; Cancer Control; Carcinogens; Cardiovascular Diseases; Caring; Cervical; Cervical Cancer Screening; Chemical Exposure; Clinical; Collaborations; Colonoscopy; Colorectal; Communities; Community Health; Community Health Centers; County; Diabetes Mellitus; Diet; Dietary intake; Discipline; Disease; Educational workshop; Endocrine Disruptors; Endowment; Environment; Exposure to; Family; Fecal occult blood; Funding; Funding Agency; Health; Health Personnel; Health Sciences; Hepatitis B; Immigrant; Incidence; Internal Medicine; Intervention; Irritants; Knowledge; Life; Liver; Liver Cirrhosis; Low income; Malignant neoplasm of cervix uteri; Malignant neoplasm of liver; Malignant neoplasm of lung; Mammography; Media Intervention; Mentorship; Minor; Modeling; Nail plate; Not Hispanic or Latino; Obesity; Occupational Epidemiology; Occupational Exposure; Pap smear; Population; Poverty; Preventive; Process; Psychiatry; Public Assistance; Public Health; Published Comment; Refugees; Research; Research Infrastructure; Research Personnel; Research Support; Resources; San Francisco; Science; Services; Sexually Transmitted Diseases; Sigmoidoscopy; Smoking; Smoking Cessation Intervention; Staging; Subgroup; Surveys; Target Populations; Testing; Tobacco; Training; Universities; Vaccination; Workplace; base; breast cancer diagnosis; colorectal cancer screening; community based participatory research; community organizations; comparative; cost; cost effectiveness; design; health disparity; health science research; high school; improved; innovation; medically underserved; medically underserved population; member; men; mortality; nutrition; public health relevance; racial and ethnic; respiratory; skills; smoking cessation; socioeconomics; success; tool

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.

描述(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。该项目的目标是为社区和学术健康中心(AHC)提供基础设施服务，以克服合作障碍，形成社区-学术合作伙伴关系，开展健康科学研究。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、开展和维持社区与学术合作的健康科学研究，以减少这个服务不足的社区的健康差距。该项目扩展了基础设施1)服务-包括协作支持、指导、培训和研讨会、提案审查小组和提交，以及社区健康论坛；2)研究主题-包括饮食、戒烟、乙肝、减少职业暴露、流动乳房X光检查的比较和成本效益，以及乳腺癌、宫颈癌和结直肠癌筛查；3)地理区域-包括加利福尼亚州的4个毗连的旧金山湾区县(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、社区健康中心和医疗保健提供者组织；5)开展合作研究的组织数量；6)目标人群--从越南人到亚裔美国人社区。该基础设施提供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，以提供有用的意见，以改进提案和资助成功，f)提案提交，以及g)社区健康论坛，以获得社区对研究的支持，并向社区成员传播研究结果。项目创新包括：1)社区参与性研究过程，由社区组织和AHC概念化、设计和实施项目；2)广泛的基础设施服务；3)跨学科的跨学科方法(例如内科、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)，并可能对多种疾病和状况产生影响(例如肥胖症；糖尿病；性传播疾病；乙肝；心血管疾病；以及4)将基础设施服务费用纳入合作提案预算以及捐赠基金和癌症中心为维持基础设施所作的承诺。如果这种基础设施模式被发现在越南和亚裔美国人社区成功实现了其目标，该模式将传播到美国各地其他服务不足、低收入、族裔和种族的人群中。 公共卫生相关性：该项目与公共卫生的相关性包括对科学和健康的潜在影响。基础设施服务支持的范例项目的潜在科学影响正在发现：1)有效的基于社区的乙肝检测和疫苗接种干预措施，2)针对性剥削未成年人的有效的宫颈癌筛查和保健工作者干预模式，3)针对越南裔美国男子的有效戒烟干预措施，4)有效和具有成本效益的多种疾病媒体干预措施，用于癌症控制，5)针对医疗服务不足的人群的有效和具有成本效益的乳房X光照相服务模式，6)使用家庭式膳食更准确地调查亚洲亚群的饮食摄入量，以及7)有效的非保健干预措施，以减少美甲沙龙工人工作场所的化学暴露。基础设施服务支持的范例项目对健康的潜在影响是减少肥胖、糖尿病、性传播疾病、晚期乳腺癌诊断、乳腺癌、宫颈癌、结直肠癌、肝癌和肺癌、肝硬变、心血管疾病、烟草相关疾病以及因接触致癌物、内分泌干扰物和呼吸道刺激物而引起的其他疾病。