Child Health Equity Research Program for Post-doctoral Trainees.

美国儿童越来越多地来自非多数种族/民族背景;这些是最高的群体。 到2045年，美国人口将成为“少数民族占多数”。低年级儿童 社会经济地位（SES）家庭获得医疗保健的机会较少，导致慢性病的风险更大。 成人疾病主要的成人慢性病影响三分之一的成年人，占美国人口的75%以上。 医疗保健支出。儿童期成人疾病的主要决定因素明显是社会因素， 非医疗：贫困、教育水平低、不健康的社会和物质环境以及不健康的生活方式 选项.然而，目前美国生物医学劳动力缺乏受过儿童健康培训的科学家 劳动力不平等和缺乏多样性，无法更好地让得不到充分服务的少数群体参与研究。 为了填补这些空白，我们提出了儿童健康公平性博士后研究计划 （CHERPP-T），一个指导，研究项目为基础的培训计划，提供严格的教学培训 卫生服务和临床研究方法，体验式研究培训，职业发展， 社区-学术伙伴关系的机会，以及导师，合作者和 伙伴该计划将重点关注从代表性不足的种族/少数民族中招募学员 通过利用与博士前和早期职业URM管道计划的现有关系， 学术儿科医生。健康公平研究将被定义为旨在改善或检查 NIMHD框架中定义的四个主要健康差异人群的结果（种族/民族，低SES， 农村、性/性别少数群体）。博士水平的学员将发展独立的研究生涯，重点是 在多个领域和对健康的影响层面实现健康公平，并获得改善健康状况的技能。 个人、家庭/组织、社区和人口层面的健康结果。我们要求两个 第一年的学员和随后几年的四名学员（两名第一年学员和两名第二年学员）。 具体目标是： 1.从全国申请人库中招募优秀的URM研究员，注意临床和 学术背景、社会经济地位、种族/民族和性别; 2.为研究员提供健康公平研究方法和研究技能方面的强大背景; 3.支持研究员完成有影响力的，严格的研究项目; 4.为研究员建立和维持一个支持性和协作性的导师网络。 CHERPP-T的长期影响将是增加URM谁是独立资助的科学家在儿童 卫生领域，以及其对儿童健康公平和健康差距的关注，CHERPP-T也将领导 更多的未得到充分服务的儿童、青年和家庭参加和从事生物医学教育， research.这两个关键的计划影响将反过来大大有助于减少儿童健康方面的不平等。

U.S. children are increasingly from non-majority racial/ethnic backgrounds; these are the groups at highest risk for health inequities, and by 2045, the U.S. population will be “majority minority”. Children in lower socioeconomic status (SES) families have poorer access to health care, resulting in greater risk of chronic diseases as adults. The major adult chronic diseases affect 1 in 3 adults and account for more than 75% of US health care spending. The major childhood determinants of adult disease are distinctly societal and nonmedical: poverty, poor education, unhealthy social and physical environments, and unhealthy lifestyles options. However, the current U.S. biomedical workforce lacks scientists trained to address child health inequities and lacks diversity in the workforce to better engage underserved minority populations in research. To fill these gaps, we propose the Child Health Equity Research Program for Post-doctoral Trainees (CHERPP-T), a mentored, research project-based training program that provides didactic training in rigorous health services and clinical research methodologies, experiential research training, career development, opportunities for community-academic partnerships, and a long-term network of mentors, collaborators, and partners. The program will focus heavily on recruiting trainees from underrepresented racial/ethnic minority groups (URM) by leveraging existing relationships with predoctoral and early career URM pipeline programs for academic pediatricians. Health equity research will be defined as work that aims to improve or examine outcomes for four main health disparity populations defined in the NIMHD Framework (race/ethnicity, low SES, rural, sexual/gender minority). Doctoral level trainees will develop an independent research career focused on achieving health equity across multiple domains and levels of influence on health, and acquire skills to improve health outcomes at the level of the individual, family/organization, community, and population. We request two trainees in year one and four trainees in subsequent years (two 1st year and two 2nd year fellows). The Specific Aims are to: 1. Recruit outstanding URM fellows from a national applicant pool with attention to diversity in clinical and academic backgrounds, socioeconomic status, race/ethnicity and gender; 2. Equip fellows with a strong background in health equity research methodology and research skills; 3. Support fellows in completion of an impactful, rigorous research project; and 4. Establish and maintain a supportive and collaborative network of mentors for fellows. CHERPP-T's long term impact will be to increase URMs who are independently funded scientists in child health fields, and by nature of their focus on child health equity and health disparities, CHERPP-T will also lead to an increase in the numbers of underserved children, youth, and families enrolled and engaged in biomedical research. These two key program impacts will in turn contribute greatly to reducing inequities in child health.