Rush Center for Urban Health Equity

拉什城市健康公平中心

• 批准号: 8458600
• 负责人: LYNDA H POWELL
• 金额: $ 223.63万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-15 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8458600
• 关键词: Affect; Americas; Area; Asthma; Behavioral; Biology; Cardiopulmonary; Cardiovascular system; Cessation of life; Chicago; Child; Cities; Clinical Research; Clinical Trials; Collaborations; Color; Communities; Congestive; Country; Development; Documentation; Elderly; Ensure; Funding; Health; Heart Diseases; Individual; Interdisciplinary Study; Internet; Intervention; Intervention Studies; Life Stress; Location; Longevity; Low Income Population; Low income; Lung diseases; Measures; Medical; Metabolic; Metabolic syndrome; Methodology; Minority; Mission; Observational Study; Participant; Persons; Policies; Population; Poverty; Procedures; Pulmonary Heart Disease; Randomized Controlled Trials; Recruitment Activity; Research; Research Design; Research Personnel; Research Proposals; Resources; Risk; Risk Factors; Secure; Site; Social Sciences; Testing; Training; Translating; Trauma; Underrepresented Minority; United States; Universities; Urban Health; Vision; base; behavioral clinical trial; career; community based participatory research; community organizations; control trial; design; disability; empowered; experience; health disparity; health equity; improved; inner city; innovation; interest; member; mortality; next generation; population health; prevent; programs; repository; stress management

DESCRIPTION (provided by applicant): Researchers have been measuring and describing health disparities in the United States for well over a century. Despite this, persistent health disparities continue and translate into lost lives every day in the City of Chicago as well as in cities across the country. In Chicago alone, if the mortality rate for blacks was the same as for whites, then 4,000 fewer black people would die each year. The Rush Center for Urban Health Equity is based upon the principle that continued documentation of avoidable deaths and disabilities from these disparities in observational studies is insufficient Instead; the Center is dedicated to preventing them through the conduct of rigorous behavioral clinical trials, in partnership with communities. The Center has convened an interdisciplinary group of medical and social science investigators and community residents who have a shared vision, values, and passion. We aim to find ways to promote changes, all the way from policy to biology, to eliminate the health disparities affecting the residents of America's cities, in particular those who are low-income persons of color. Recognizing that populations at excess risk of cardiopulmonary disease are often characterized by high degrees of traumatic experience and life stress, the Center's mission is to integrate the management of stress and trauma into multi-level interventions that will reduce health disparities in cardio metabolic risk and cardiopulmonary disease. The long-term objectives for the Center are to 1) Develop and integrate rigorous clinical trial methodology into disparities-focused behavioral clinical trials; 2) Test innovative multi-level interventions across the lifespan from children to the elderly; 3) Empower inner-city communities to become active participants in the design and conduct of interventions to improve their health; and 4) Provide training opportunities for promising individuals from underrepresented and underserved communities to pursue careers in transdisciplinary research on health disparities. The Center's location, situated in the middle of communities of extreme poverty, its interdisciplinary research team, its expertise in behavioral clinical trials and community based participatory research, its broad educational programs, and the Rush culture of clinical and research collaboration combine to create a powerful site for the development and testing of interventions to reverse disparities. Funding is now sought to bring these resources together to establish a unique center of excellence in health disparities interventions.

描述（由申请人提供）：一个多世纪以来，研究人员一直在测量和描述美国的健康差异。尽管如此，在芝加哥市以及全国各地的城市，持续存在的健康差距仍然存在，并导致每天都有人丧生。仅在芝加哥，如果黑人的死亡率与白人相同，那么每年死亡的黑人就会减少 4,000 人。拉什城市健康公平中心的原则是，在观察性研究中持续记录这些差异造成的可避免的死亡和残疾是不够的；该中心致力于与社区合作，通过进行严格的行为临床试验来预防这些问题。该中心召集了一个由医学和社会科学研究人员以及具有共同愿景、价值观和热情的社区居民组成的跨学科小组。我们的目标是找到促进从政策到生物学的变革的方法，以消除影响美国城市居民，特别是低收入有色人种的健康差异。该中心认识到心肺疾病风险过高的人群往往具有高度的创伤经历和生活压力，因此其使命是将压力和创伤的管理纳入多层次干预措施中，以减少心脏代谢风险和心肺疾病的健康差异。该中心的长期目标是 1) 开发严格的临床试验方法并将其整合到以差异为中心的行为临床试验中； 2）测试从儿童到老年人整个生命周期的创新多层次干预措施； 3) 使市中心社区积极参与设计和实施改善健康的干预措施； 4) 为来自代表性不足和服务不足的社区的有前途的个人提供培训机会，以从事健康差异跨学科研究的职业。该中心位于极端贫困社区的中心，其跨学科研究团队、行为临床试验和社区参与性研究方面的专业知识、广泛的教育项目以及临床和研究合作的 Rush 文化相结合，为开发和测试扭转差异的干预措施创造了一个强大的场所。目前正在寻求资金来整合这些资源，以建立一个独特的健康差异干预卓越中心。