Addressing Mental Illness and Physical Comorbidities in Migrants and Their Famili

说明(申请人提供)：本申请涉及移民对慢性非传染性疾病的不利影响，特别是在精神疾病和身体合并症方面。这项申请的总体目标是在低收入和中等收入国家建设关于这一重大全球卫生问题的研究能力。它关注的是东欧和中亚来自世界上移民人数最多的两个国家科索沃和塔吉克斯坦的移民，这两个国家都是穆斯林占多数的LMIC。这项研究的目的是提高科索沃和塔吉克斯坦的政策制定者、实践者和教育工作者的能力，以应对与移民有关的公民的心理和身体疾病 在国内和国外。这笔赠款支持伊利诺伊大学芝加哥分校与科索沃和塔吉克斯坦的领先研究机构合作，培训博士后研究人员，并建立非传染性疾病研究的专业中心，这些中心将成为芝加哥-普里什蒂纳-杜尚别网络(CPDN)的一部分。该研究培训计划有三个具体目标：1)通过在UIC的培训，培训来自科索沃和塔吉克斯坦的10名职业生涯早期和中期的博士后研究人员，了解非传染性疾病研究的多学科方法；2)通过支持10个为期一年的指导研究项目，并通过每年约250名参与者(包括现场和在线培训)，在7个合作机构建设研究能力，这些参与者要么是学者、教育工作者、实践者、决策者或利益相关者，要么是相关研究方法、问题和基础设施；3)发展和维持来自美国、科索沃和塔吉克斯坦的研究人员的多样化网络，致力于通过召开年会、培训和传播来分享知识和技能。研究培训计划侧重于移民对精神疾病(如抑郁症、焦虑症、创伤后应激障碍和药物滥用)领域的慢性非传染性疾病以及身体合并症风险(如心血管、脑血管和职业病)的影响。当代移民、精神疾病和身体并存的复杂性要求采用多方面和新颖的非传染性疾病研究培训方法，其中包括：1)研究移民影响的临床、行为、环境和社会科学方法；2)研究风险、复原力和干预机会的生命周期、家庭、表观遗传和预防科学方法；3)在不同环境中实施和评估护理和预防的服务研究方法；以及4)国际研究专业知识交流。

DESCRIPTION (provided by applicant): This application addresses the adverse impact of migration on chronic non-communicable diseases (NCD), specifically in the area of mental illness and physical comorbidities. The overall aim of this application is to build research capacity in low- and middle-income countries concerning this major global health problem. It focuses on migration in Eastern Europe and Central Asia from two of the world's highest migrant sending countries, Kosovo and Tajikistan, both Muslim majority LMICs. The purpose of this research is to improve the abilities of policymakers, practitioners, and educators in Kosovo and Tajikistan to deal with migration- associated mental and physical illnesses for their citizens both at home and abroad. This grant supports the University of Illinois at Chicago to work with leading research institutions in Kosovo and Tajikistan to train postdoctoral researchers and build centers of expertise in NCD research that will be part of a Chicago- Prishtina-Dushanbe Network (CPDN). This research training program has three specific aims: 1) Train 10 early- to mid-career postdoctoral researchers from Kosovo and Tajikistan in multidisciplinary approaches to NCD research through training at UIC; 2) Build research capacity at 7 partner institutions by supporting 10 one-year mentored research projects and by training an estimated 250 participants per year (both live and on- line) who are either academics, educators, practitioners, policymakers, or stakeholders on pertinent research methods, issues, and infrastructure; 3) Develop and sustain a diverse network of researchers from the U.S., Kosovo, and Tajikistan dedicated to sharing knowledge and skills through convening annual meetings, trainings, and dissemination. The research training program focuses on the impact of migration upon chronic non-communicable diseases in the areas of mental illness (e.g. depression, anxiety, PTSD, and substance abuse) and risks for physical comorbidities (e.g. cardiovascular, cerebrovascular, and occupational diseases). The contemporary complex nature of migration, mental illness, and physical comorbidities requires multifaceted and novel approaches to NCD research training that incorporate: 1) clinical, behavioral, environmental, and social science approaches to the impact of migration; 2) lifecycle, family, epigenetic, and prevention science approaches to studying risks, resilience, and intervention opportunities; 3) services research approaches to the implementation and evaluation of care and prevention in diverse settings; and 4) international exchange of research expertise.