Central Plains Center for American Indian Health Disparities (CPC-AIHD) Revision

描述（由申请人提供）：美洲印第安人（Al）在美国遭受一些最大的健康差距。许多疾病，包括哮喘、肥胖和糖尿病，在人工智能中很普遍，并受到人工智能生活环境的影响。此外，黑人有严重住房问题的比例也很高，他们的吸烟率是美国所有种族中最高的。KUMC美洲印第安人社区健康中心（CAICH）是通过P20卓越探索中心拨款于2010年创建的，旨在研究和解决人工智能面临的健康差距。目前关于CAICH环境健康Subcore的提案将利用CAICH的基础设施和社区联系，并加强与儿童慈善医院环境健康中心的新兴伙伴关系。这种伙伴关系将扩大并继续处理社区咨询委员会向我们提出的环境问题。早在CAICH存在之前，KUMC的研究人员就使用基于社区的参与性研究（CBPR）方法与人工智能社区合作，解决紧迫的健康问题。环境卫生和住房问题在社区讨论中一再出现，我们与环境卫生中心的持续伙伴关系将使我们能够研究和进一步解决这些问题。我们提出以下具体目标：(1)在CAICH社区参与核心中创建一个环境健康子核心（EHS），以支持当前和未来的培训和教育、外展和研究项目；(2)利用地理信息系统（GIS）制图，扩大部落大学生烟草使用的研究项目，包括环境烟草烟雾暴露（ETS）和烟草制品的可得性。EHS将为我们的部落学院项目和新的环境卫生试点项目提供地理信息系统制图服务；向社区成员、卫生保健提供者和建筑物维修人员提供环境健康教育；进行健康房屋评估；并为我们环境卫生专业的公共卫生硕士学生和哈斯克尔印第安民族大学环境科学专业的大学生提供研究和服务的机会。

DESCRIPTION (provided by applicant): American Indians (Al) suffer some of the greatest health disparities in the US. Many conditions, including asthma, obesity, and diabetes, are prevalent among Al and are influenced by the places Al live. In addition, Al have high rates of severe physical housing problems and the highest rates of smoking of any ethnic group in the US. The KUMC Center for American Indian Community Health (CAICH) was created in 2010 through a P20 Exploratory Center of Excellence grant to study and address health disparities faced by Al. The current proposal, for a CAICH Environmental Health Subcore, will capitalize on CAICH's infrastructure and community connectedness and strengthen a burgeoning partnership with the Children's Mercy Hospital Center for Environmental Health. This partnership will expand and continue to address environmental issues brought to our attention by our Community Advisory Boards. Long before CAICH existed, researchers at KUMC were using community-based participatory research (CBPR) methods to work with the Al community to address pressing health concerns. Environmental health and housing issues have come up repeatedly in community discussions and our continued partnership with the Center for Environmental Health will allow us to study and further address them. We propose the following specific aims: (1) To create an Environmental Health Subcore (EHS) in the CAICH Community Engagement Core to support current and future training and education, outreach, and research projects; and (2) To expand our research project examining tribal college students' tobacco use to include exposure to environmental tobacco smoke (ETS) and availability of tobacco products using Geographic Information Systems (GIS) mapping. The EHS will provide GIS mapping services to our tribal college project and new environmental health pilot projects; provide environmental health education to community members, health care providers, and building maintenance personnel; conduct healthy homes assessments; and provide research and service opportunities for Master's in Public Health students in our track in environmental health and college students majoring in environmental science at Haskell Indian Nations University.