Johns Hopkins Center for Health Disparities Solutions

项目摘要 霍普金斯健康差异解决中心 HCHDS成立于2002年，由NCMHD出口中心计划提供资金 并于2006年和2011年在COE计划下续签。我们的首要目标是成为 促进健康公平科学的国家资源， 减少和消除健康差距的解决方案。总部设在卫生部 政策和管理在公共卫生的彭博学校，我们促进和鼓励 健康差距研究、培训和社区参与， 约翰霍普金斯公共卫生、医学和护理学院。 在未来五年，我们建议进行三项主要研究计划， 注重人际和社区层面的影响。这些领域的交叉主题 项目是“探索和解决基于地点的健康决定因素的影响， 非洲裔美国人之间的差异”。我们将地点广义地定义为物理/建筑 环境、社会文化环境和医疗体系。物理/建筑 环境包括影响结果的上下文/远端因素， 邻里关系和社区层面的因素。社会文化环境包括家庭和 社区规范、社会支持、社交网络、社会联系和隔离， 种族/民族，农村，社会经济地位和语言。卫生保健系统包括： 当地医疗保健市场特征、监管环境和政策水平的影响 因素

PROJECT SUMMARY The Hopkins Center for Health Disparities Solutions The HCHDS was established in 2002 with funding from the NCMHD-EXPORT Center program and renewed under the COE program in 2006 and 2011. Our primary objective is to be a national resource for advancing the science of health equity and identifying and promulgating solutions for reducing and eliminating health disparities. Based in the Department of Health Policy and Management in the Bloomberg School of Public Health, we promote and encourage health disparities research, training and community engagement using the resources of the Johns Hopkins Schools of Public Health, Medicine and Nursing. Over the next five years we propose to conduct three major research projects that primarily focus on interpersonal and community-level influences. The cross-cutting theme for these projects is “exploring and addressing the impact of place-based determinants in health disparities among African Americans.” We define place broadly as the physical/built environment, sociocultural environment, and the healthcare system. The physical/built environments include contextual/distal factors that influence outcomes such as household, neighborhood, and community level factors. Sociocultural environment includes family and community norms, social support, social networks, social connectedness, and segregation by race/ethnicity, rurality, socioeconomic status, and language. The healthcare system includes the influence of local healthcare market characteristics, the regulatory environment, and policy level factors.