Texas Center for Minority Health, Education, Research and Outreach

项目概要-总体 尽管在过去的三十年里，美国人的健康状况总体上有所改善， 由于种族和族裔、性别、教育水平和收入，健康结果方面的差异持续存在， 和其他社会特征。在美国的许多地区， 社会认识到，持续存在的健康差距是不可接受的， 大多数健康差距是可以纠正的。成立于2005年，作为一个出口中心的资金， 和目前的资金作为一个卓越的NIMHD中心（P20），得克萨斯州健康差异中心 （TCHD）一直是当地健康差异研究，教育和推广的领导者 整个社区，整个德克萨斯州，以及全国许多地区。在其重要的 经验和广泛的关系，TCHD建议NIMHD专业中心， 卓越（COE），重点是妇女的健康差距。与基于社区的 参与性研究（CBPR）的TCHD的重点，重点领域是通过大量的 与合作伙伴的对话。我们将采用翻译和CBPR方法来识别 开发三阴性乳腺癌的检测和治疗策略，测试患者- 以社区药房为中心的艾滋病综合药物治疗管理 病人和干预措施，以改善妇女在服务不足的社区的健康行为。 我们的COE将扩大和加强TCHD的现有基础设施和能力， 进行基础，临床，转化，参与性和社会行为研究符合 NIMHD研究框架。我们对妇女健康差距的关注将解决一个重大需求 在美国的少数种族和少数民族妇女中，德克萨斯州和我们当地的社区我们 我们还将与合作伙伴一起扩大和发展新的教育和社区参与活动 机构和社区。我们的COE的目标是：1）基于CBPR开展工作， 生物医学-研究妇女健康的健康差距，存在于得克萨斯州的少数民族，如 癌症、艾滋病、肥胖、心血管疾病和中风，2）为初级教师提供机会， 博士后和早期研究人员接受满足社区需求的健康差异研究培训 3）促进学生在卫生专业、卫生保健从业人员和政策方面的教育 （a）向决策者介绍存在的健康差距和解决这一问题的必要性; 北德克萨斯州少数民族社区的资源，以传播健康信息，促进 社区参与健康教育和研究，并实施疾病预防 活动

Project Summary-Overall Despite the overall improvement in the health of Americans during the past three decades, significant disparities in health outcomes persist based on race and ethnicity, sex, level of education and income, and other social characteristics. There is a growing awareness in many segments of United States society that persistent health disparities are not acceptable, and that through coordinated and targeted actions most health disparities are correctable. Created in 2005 with funding as an EXPORT Center, and current funding as a NIMHD Center of Excellence (P20), the Texas Center for Health Disparities (TCHD) has been a leader in health disparities research, education, and outreach in its local community, throughout the State of Texas, and in many parts of the nation. Building on its significant experience and expansive relationships, the TCHD proposes the NIMHD Specialized Center of Excellence (COE) with a focus on Women's Health Disparities. Consistent with the community-based participatory research (CBPR) focus of the TCHD, the focus area was identified through substantial community dialogue with partners. We will employ translational and CBPR approaches for identifying developing detection and therapeutic strategies for triple negative breast cancer, testing a patient- centered, community pharmacy-based comprehensive medication therapy management for HIV patients and an intervention to improve health behavior among women in underserved communities. Our COE will augment and strengthen the existing infrastructure and capacity of the TCHD for conducting basic, clinical, translational, participatory, and socio-behavioral research consistent with the NIMHD Research Framework. Our focus on Women's Health Disparities will address a significant need among racial and ethnic minority women in the U.S., the State of Texas, and our local community. We will also expand and develop new education and community engagement activities with our partner institutions and community. The objectives of our COE are to: 1) Conduct CBPR based- and biomedical- research on health disparities in women's health that exists in Texas minorities such as cancer, HIV, obesity, cardiovascular diseases, and stroke, 2) Provide opportunities for junior faculty, postdocs and early stage investigators to train in health disparity research that meets the community needs, 3) Promote education of students in health professions, health care practitioners and policy makers on the existence of health disparities and the need to combat the problem, and 4) Serve as a resource for the minority communities in North Texas to disseminate health information, promote community participation in health education and research, and to implement disease prevention activities.