South Asian Health: From Research to Practice and Policy

描述(由申请人提供)：项目摘要在过去的几十年里，在美国的南亚人的数量有了巨大的增长，现在已经超过250万。这些人主要来自印度、巴基斯坦、孟加拉国和尼泊尔，他们有惊人的心血管和癌症风险。虽然多样化，但在实现良好健康方面，它往往面临巨大的文化、社会经济、语言和结构障碍。此外，缺乏关于人群独特的心血管和癌症风险概况、病因机制以及有效干预措施的详细数据，以解决影响美国第一代和第二代南亚人的健康差距。这一数据差距迫使在这些领域工作的人召开会议，制定更有针对性的研究和以证据为基础的做法和政策。该领域的两位领导者，南亚健康倡议(SAHI)，这是一个位于纽约的社区参与式研究项目，由纪念斯隆-凯特琳癌症中心(MSKCC)的移民健康和癌症差异中心(CIHCD)和南亚社会服务理事会(SACS)共同指导，以及加利福尼亚州的帕洛阿尔托医学基金会研究所(PAMFRI)，因此将于2013年9月20日在纽约市举行第一次全国性南亚翻译研究会议-南亚健康：从研究到实践和政策。这次为期一天的邀请性会议将与一个由医学、护理、卫生政策、社会科学、公共卫生和经济学领域的研究人员、社区成员和从业人员组成的多学科小组合作，共同开展一项多方面的南亚健康差距研究审查，以确定差距和协同效应，并为未来的研究重点制定蓝图。会议规划工作将由一个强有力的指导委员会领导，该委员会由南亚健康差距研究和实践方面的国内和国际专家以及社区领导人组成。他们将为会议规划和执行的各个方面提供建议，这将导致南亚社区关于心血管疾病和癌症的翻译研究议程和行动的蓝图。会议将包括约50名受邀专家和一组观察员，他们将参加按以下主题划分的工作组会议：遗传风险和代谢综合征；无烟烟草使用；炎症、感染和接触；以及保健服务的获得。这次会议将是真正的翻译性会议，将外联与教育、研究、实践和政策联系起来。在纽约、旧金山和芝加哥举行的五次会后社区市政厅会议将扩大会议与社区的互动。会议将利用修改后的德尔福程序，进一步让SA社区参与确定研究和服务的优先事项，促进研究蓝图的发展，并传播会议结果。工作组会议和社区市政厅会议将为为期一年的合作努力奠定基础，以绘制南亚健康差距转化研究和行动的蓝图，并制定相应的研究计划。这项工作将在《移民和少数民族健康杂志》上发表一篇特别增刊。 公共卫生相关性：南亚健康：从研究到实践和政策将审查当前的研究，找出差距，并制定行动议程，向前迈进，以解决美国不断增长的大型南亚社区令人震惊的心血管疾病和癌症风险。这次研究会议将团结社区、科学家、提供者和政策制定者，以减少美国南亚人面临的巨大健康差距。

DESCRIPTION (provided by applicant): Project Summary The number of South Asians in the United States has grown tremendously in the past decades, and now stands at over 2.5 million. This population, which hails largely from India, Pakistan, Bangladesh, and Nepal, has staggering cardiovascular and cancer risk. Although diverse, it often faces tremendous cultural, socioeconomic, linguistic and structural obstacles to achieving good health. Coupled with this is a paucity of detailed data on the populations' unique cardiovascular and cancer risk profiles, etiologic mechanisms, and effective interventions to address the health disparities affecting first and second- generation South Asians in the United States. This data gap compels a convening of those who are working in these areas to develop more targeted research and evidence-based practice and policy. Two leaders in the field, the South Asian Health Initiative (SAHI), a community based participatory research program in New York, co-directed by the Center for Immigrant Health and Cancer Disparities (CIHCD) at Memorial Sloan-Kettering Cancer Center (MSKCC) and the South Asian Council for Social Services (SACSS), and the Palo Alto Medical Foundation Research Institute (PAMFRI) in California, are thus partnering to bring together the first national South Asian translational research convening, South Asian Health: From Research to Practice and Policy, to take place in New York City on September 20th, 2013. This one day invitational conference will join a multidisciplinary group of researchers, community members, and practitioners in medicine, nursing, health policy, social science, public health, and economics to partner in a multi-faceted South Asian health disparities research review to identify gaps and synergies, and to develop a blueprint for future research priorities. Conference planning efforts will be led by a robust Steering Committee consisting of national and international experts in South Asian health disparities research and practice, and community leaders. They will advise all aspects of conference planning and execution, which will lead to a blueprint for a translational research agenda and action on cardiovascular disease and cancer in the South Asian community. The convening will include approximately 50 invited experts, and a group of observers, who will participate in working group sessions divided by themes: genetic risk and metabolic syndrome; smokeless tobacco use; inflammation, infection, and exposure; and health care access. The conference will be truly translational in nature, bridging outreach and education, research, practice, and policy. Five post-conference community town hall meetings, in New York, San Francisco, and Chicago, will extend the conference's interactions with the community. The meetings will utilize a modified Delphi process to further engage the SA community in identifying research and service priorities, facilitate the development of the research blueprint, and disseminate conference findings. The working group sessions and the community town hall meetings will be the foundation for a yearlong collaborative effort to chart a blueprint for South Asian health disparities translational research and action, and to develop resultant research programs. The work will culminate in a special supplement in the Journal of Immigrant and Minority Health. PUBLIC HEALTH RELEVANCE: South Asian Health: From Research to Practice and Policy will review current research, identify gaps, and develop an action agenda moving forward to address the staggering cardiovascular disease and cancer risk in the large, growing South Asian communities in the United States. This research convening will unite the community, scientists, providers, and policy makers to reduce the large health disparities faced by South Asians in the United States.