Michigan Center for Integrative Approaches to Health Disparities (CIAHD)

由于多种健康结果，按种族/族裔划分的健康状况存在持久和明显的差异。尽管这些差距一再被记录在案，但关于这些差距背后的驱动力仍存在大量辩论。人们越来越感到，目前理解这些差异的方法往往试图将问题分解为不同的社会和生物因素，这不仅从科学理解的角度来看，而且从确定消除现实世界中差异的最有效战略的角度来看，都是不够的。了解健康差距将需要综合考虑社会和生物因素，不仅要考虑个人特点，还要考虑个人生活和工作所处的多种环境的特点。密歇根州健康差距综合方法中心(CIAHD)的总体目标是促进和支持在多层次框架内全面整合社会和生物因素的研究，以了解少数群体健康和健康差距的决定因素。这一总体目标将通过一系列相互关联的目标来实现：(1)促进对社会和生物因素的相互关系如何促进少数群体健康和健康差距的科学理解，并特别关注心血管风险。(2)继续促进密歇根大学和杰克逊心脏研究之间的互惠伙伴关系，以便在我们的多层次综合框架内进一步推进研究、培训和社区参与/拓展。(3)建立一套全面的研究教育/培训和社区参与/外展活动，并使之正规化，明确地与研究组成部分和杰克逊心脏研究合作联系在一起，并与之协同。(4)维持一个论坛，使WILT广泛整合密歇根大学和我们在杰克逊的合作机构正在进行的少数群体健康和健康差距研究。这项建议的延续扩大了我们之前非常成功的资助期的发现和教训，包括在密歇根大学杰克逊大学心脏研究伙伴关系的背景下进行的一系列综合研究、培训和社区活动。

Persistent and pronounced differences in health by race/ethnicity exist for multiple health outcomes. Despite repeated documentation of these disparities, there is still substantial debate on the driving forces behind them. There is a growing sense that current approaches to understanding these disparities which often attempt to fragment the problem into distinct social and biological components are insufficient, not only from the point of view of scientific understanding but also from the point of view on identifying the most effective strategies to eliminate disparities in the real world. Understanding health disparities will require integration of social and biological factors as well as consideration not only of individual characteristics but also characteristics of the multiple contexts in which individuals live and work. The overarching goal of the Michigan Center for Integrative Approaches to Health Disparities (CIAHD) is to promote and support research that comprehensively integrates social and biological factors within a multilevel framework in understanding the determinants of minority health and health disparities. This overarching goal will be achieved through a set of interrelated Aims: (1) To advance scientific understanding of how the interrelation of social and biologic factors contributes to health in minority populations and health disparities with a specific focus on cardiovascular risk.(2) To continue to nurture a mutually beneficial partnership between the University of Michigan and the Jackson Heart Study in order to further advance research, training, and community engagement/outreach within our multilevel integrated framework. (3) To establish and formalize a comprehensive set of research education/ training and community engagement/outreach activities explicitly linked to and synergistic with the research components and the Jackson Heart Study collaboration. (4) To maintain a forum that wilt integrates ongoing minority health and health disparities research broadly at the University of Michigan and at our partner institutions in Jackson. This proposed continuation expands on the findings and lessons of our very successful prior funding period to encompass a set of integrated research, training and community activities in the context of the U of M -Jackson Heart Study partnership.