REDUCING HEALTH DISPARITIES IN MD ALONG THE NATIONAL CAPITAL BORDER

描述(由申请人提供)：马里兰大学预防研究中心(UMD-PRC)专注于减少马里兰州的健康差距。马里兰州乔治王子郡(PGC)的国家首都边境人口位于“国家首都环城公路”内，专门用于改善社区卫生状况。这一地区主要是医疗服务不足和少数族裔。此外，该地区一期梅毒、艾滋病毒、中风、糖尿病、低出生体重和其他健康问题的发病率非常高。在与蒙哥马利县(MC)、马里兰州和哥伦比亚特区(DC)接壤的蒙哥马利县(MC)，这一服务不足地区的居民工作、社交并获得医疗保健和教育。在人口结构、卫生服务和健康状况方面，PGC的边境人口与MC和DC的边境人口之间存在明显的对比和相似之处。UMD公共卫生学院(SPH)恰好位于乔治王子郡，处于这些比较的中心。尽管SPH自1999年以来一直在PGC服务不足的地区与Seat Pleasant市合作，但它需要UMD-PRC的资源来充分满足该地区对基础设施的明显需求，以将需求与资源联系起来。UMD-PRC基础设施将建立在Seat Pleasant市、SPH和乔治王子县卫生局之间的三人小组的基础上，并进一步与许多地区边界内外的组织接触。它将跨越国界，解决加剧公民权利被剥夺的问题。由此产生的跨境协作将为该区域解决共同的卫生问题提供新的能力。一个关于艾滋病毒和其他性传播感染的试点项目展示了以社区为基础的参与性研究方法，并将UMD-PRC的重点放在一个对少数群体造成不成比例影响的健康问题上，需要社会和系统层面的解决办法。该试点研究了如何加强乔治王子县卫生局与其合作伙伴服务相关的艾滋病毒/性传播感染预防计划。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)，向有风险的个人提供教育宣传，解决风险诱发场所，并将需要的领域与资源联系起来。相关性(见说明)：马里兰大学第2类预防研究中心(UMD-PRC)建立基础设施和系统，以解决服务不足地区的高发病率问题。试点项目展示了以社区为基础的参与性研究，以加强有关艾滋病毒和其他性传播感染(艾滋病毒/性传播感染)伙伴服务的基础设施和系统。

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.