Texas Center for Minority Health, Education, Research and Outreach

项目摘要--总体 尽管美国人的健康状况在过去30年中总体上有所改善，但意义重大 由于种族和民族、性别、教育水平和收入的不同，健康结果的差异仍然存在， 以及其他社会特征。在美国的许多地区，人们越来越意识到 社会认为，持续的健康差距是不可接受的，并通过协调和有针对性的 行动大多数健康差距是可以纠正的。成立于2005年，资金来源为出口中心， 和目前的资金作为NIMHD卓越中心(P20)，德克萨斯健康差异中心 (TCHD)在当地的健康差距研究、教育和推广方面一直处于领先地位 社区，整个德克萨斯州，以及全国许多地区。以其重要意义为基础 经验和广泛的关系，TCHD建议NIMHD专业中心 卓越(COE)，重点关注妇女的健康差距。与以社区为基础的 参与研究(CBPR)是TCHD的重点，重点领域是通过大量的 与合作伙伴进行社区对话。我们将使用翻译和CBPR方法来确定 开发三重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HIV综合用药治疗管理 并采取干预措施，改善服务不足社区妇女的健康行为。 我们的COE将扩充和加强TCHD的现有基础设施和能力，以 进行基础、临床、翻译、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满足一个重要的需求 在美国、德克萨斯州和我们当地社区的种族和少数民族妇女中。我们 还将与我们的合作伙伴一起扩展和开发新的教育和社区参与活动 机构和社区。我们COE的目标是：1)基于和 生物医学-关于德克萨斯州少数民族妇女健康方面的健康差距的研究，如 癌症、艾滋病毒、肥胖症、心血管疾病和中风，2)为初级教员提供机会， 博士后和早期调查人员接受满足社区需求的健康差距研究培训 需要，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 制定者关于健康差距的存在和与这一问题作斗争的必要性，以及4)充当 为德克萨斯州北部的少数族裔社区传播健康信息，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.