Bronx Center to Reduce and Eliminate Ethnic and Racial Health Disparities

阿尔伯特·爱因斯坦医学院 (AECOM) 的布朗克斯减少和消除民族和种族健康差异中心 (BxCREED) 是一个 P60 社区外展、健康差异研究和培训合作卓越中心 (PROJECT EXPORT)，成立于 2003 年 10 月。该中心在本申请中提议成为综合性 NCMHD 卓越研究中心。布朗克斯 CREED 的使命是通过促进、协调和整合 AECOM 的健康差异研究，减少和消除布朗克斯、纽约市和全国的民族和种族健康差异；社区外展和参与；对本科生、研究生和教职人员的研究人员进行培训；加强和扩大布朗克斯区现有的学术界伙伴关系。布朗克斯 CREED 将在社会生态学理论的指导下，重点关注布朗克斯区和全国非裔美国人和拉丁裔的肥胖、糖尿病、心血管疾病及其并发症。具体目标包括 A. 开展三个主要的、相互关联的主题研究项目，以预防和治疗肥胖和糖尿病： 1) “改善婴儿营养和生长率的提供者方法研究-配对”——一项基于社区健康中心的随机临床试验，旨在通过哺乳顾问与常规护理来促进母乳喂养； 2）“纽约市快餐店、超市和公园对肥胖和糖尿病的影响”——一项采用地理信息科学制图方法的生态研究； 3）“肥胖治疗的赋权方法”——一项基于社区卫生中心的随机临床试验，旨在通过生活方式教练和社区卫生工作者的干预来促进成人减肥。 B. 继续提供健康差异教师研究奖学金、本科生暑期研究实习以及对雷曼学院 MPH 项目的支持。 C. 对西班牙语处方的可用性与可预防的住院治疗之间的关系进行试点研究，建立社区研究审查委员会；焦点小组关注布朗克斯区研究的信念和态度；以及对两个布朗克斯社区花园的社会资本、健康和参与者之间关系的评估。 布朗克斯 CREED 将设有行政、研究、研究培训和社区参与核心。

The Bronx Center to Reduce and Eliminate Ethnic and Racial Health Disparities (BxCREED) of the Albert Einstein College of Medicine (AECOM) is a P60 Center of Excellence in Partnerships for Community Outreach, Research on Health Disparities and Training (PROJECT EXPORT) founded in October 2003. The center proposes in this application to become a Comprehensive NCMHD Research Center of Excellence. Bronx CREED'S mission is to reduce and eliminate ethnic and racial health disparities in the Bronx, New York City, and the nation through promotion, coordination, and integration of health disparities research at AECOM; community outreach and engagement; and training of investigators at the undergraduate, graduate, and faculty levels; and strengthening and expanding existing academic-community partnerships in the Bronx. Bronx CREED will focus on obesity, diabetes, cardiovascular diseases, and their complications among African Americans and Latinos in the Bronx and nation, guided by social ecology theory. Specific Aims include A. Conducting three major, inter-related and thematic research projects on the prevention and treatment of obesity and diabetes: 1) "Provider Approaches to Improved Rates of Infant Nutrition and Growth Study-PAIRINGS"--a community health center-based randomized clinical trial to promote breastfeeding using lactation consultants vs. usual care; 2) "The Impact of Fast Food Restaurants, Supermarkets, and Parks on Obesity and Diabetes in New York City"-an ecologic study employing Geographic Information Science mapping methods; and 3) "An Empowering Approach to Obesity Treatment"--a community health center-based randomized clinical trial to promote weight reduction in adults using a lifestyle coach and community health worker intervention. B. Continuing a Health Disparities Faculty Research Fellowship, summer research internships for undergraduates, and support for Lehman College's MPH program. C. Conducting pilot studies of the relationship between availability of Spanish language prescriptions and preventable hospitalizations, establishment of a Community Research Review Board; focus groups on beliefs and attitudes towards research in the Bronx; and assessment of the relation between social capital, health, and participants in two Bronx community gardens. Bronx CREED will have Administrative, Research, Research Training, and Community Engagement Cores.