Armenia-US Collaboration to Address Chronic Disease via Education in Social Determinants Science (ACCESS)

亚美尼亚与美国合作通过社会决定因素科学教育解决慢性病问题 (ACCESS)

• 批准号: 10664096
• 负责人: Carla J Berg
• 金额: $ 24.44万
• 依托单位: GEORGE WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2028-02-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10664096
• 关键词: Address; Alcohol consumption; Alcoholism; American; Armenia; Awareness; COVID-19 pandemic; Cause of Death; Cessation of life; Chronic Disease; Clinical; Collaborations; Communities; Country; Disease; Disease Outcome; Disparity; Doctor' s Degree; Education; Face; Future; Goals; Health; Health Priorities; Healthcare; Inequality; Infrastructure; Institution; Mentors; Obesity; Overweight; Play; Policies; Prevalence; Program Sustainability; Public Health; Research; Research Infrastructure; Research Personnel; Research Training; Risk Factors; Role; Science; Smoking; Social Environment; Students; Tobacco; Training; Training Programs; Unhealthy Diet; United States National Institutes of Health; Universities; Washington; burden of illness; disability; disorder control; disorder prevention; disorder risk; health disparity; knowledge translation; low and middle-income countries; male; premature; programs; research data dissemination; response; skills; social determinants

SUMMARY/ABSTRACT The COVID-19 pandemic heightened awareness of health disparities and related social determinants (SDs) globally, as well as inequalities in countries’ capacities to study and address such disparities and their SDs. This is especially relevant to non-communicable diseases (NCDs), which account for >70% of deaths annually and disproportionately impact low- and middle-income countries (LMICs). Armenia (AM) faces particular NCD- related challenges; NCDs account for 93% of all deaths and the top 10 causes of death, premature death, and disability. Critical to decreasing NCD burden is reducing modifiable NCD risk factors (e.g., tobacco/alcohol use, unhealthy diet); this is particularly important in AM. AM has the 11th highest male smoking rate globally (52%), ranks in the top 40% of countries in alcoholism rates, and has a 48% prevalence of overweight/obesity. SDs (e.g., healthcare, social context) impact both modifiable NCD risk factors and NCD outcomes, and play a crucial role in NCD-related health disparities in AM. We propose the Armenia-US Collaboration to Address Chronic Disease via Education in Social Determinants Science (ACCESS) program, in response to PAR- 21-230. Its overall goal is to reduce the NCD burden in AM by enhancing research capacity related to NCD prevention and control, emphasizing SDs of NCD risk factors as key components. ACCESS is a strategic collaboration between George Washington University (GW) and American University of Armenia (AUA), alongside AM’s Ministry of Health (MOH) and its entities (e.g., NIH). Leveraging our team’s substantial ongoing collaborations, ACCESS will be an effective, sustainable program that enhances research infrastructure, training, and research opportunities related to NCD prevention and control for junior researchers. In Aim 1, we will develop a formal NCD prevention and control research training program (emphasizing SDs of NCD risk factors) and related institutional infrastructure. We will offer specialized training to: a) long-term MPH trainees who already hold an MD or related doctoral degree in order to develop future NCD research leaders; and b) short-term trainees (e.g., public health/clinical students/professionals) to enhance core NCD research skills. In Aim 2, we will advance AM’s national NCD research agenda via mentored research focused on SDs of NCD risk factors among future NCD research leaders (i.e., long-term trainees). In Aim 3, we will catalyze NCD- related research dissemination and knowledge translation to inform policy and practice, by enhancing related skills and leveraging the engagement of the MOH and its entities. ACCESS will be the 1st program of its kind in AM and will address AM’s national health priorities. We will establish future NCD prevention and control leaders and an educational core for the broader community of public health and clinical professionals in AM. Our team is uniquely-suited to establish ACCESS, enhance NCD research capacity in AM in the next 5 years, and sustain and expand it in scope and scale in the long-term to optimize its impact on global NCD burden.

摘要/摘要 COVID-19 大流行提高了人们对健康差异和相关社会决定因素 (SD) 的认识 全球范围内的不平等，以及各国研究和解决此类差距及其可持续发展能力的不平等。 这与非传染性疾病 (NCD) 尤其相关，每年死亡人数的 70% 以上是由非传染性疾病造成的 对低收入和中等收入国家 (LMIC) 的影响尤为严重。亚美尼亚 (AM) 面临着特殊的非传染性疾病 - 相关挑战；非传染性疾病占所有死亡的 93%，是导致死亡、过早死亡和死亡的十大原因。 残疾。减少非传染性疾病负担的关键是减少可改变的非传染性疾病风险因素（例如吸烟/饮酒、 不健康的饮食）；这在 AM 中尤其重要。 AM 的男性吸烟率位居全球第 11 位（52%）， 酗酒率位居前 40% 的国家之列，超重/肥胖率为 48%。标准差 （例如医疗保健、社会背景）影响可改变的非传染性疾病风险因素和非传染性疾病结果，并发挥 AM 中非传染性疾病相关健康差异的关键作用。我们建议亚美尼亚与美国合作解决 通过社会决定因素科学教育 (ACCESS) 计划慢性病，响应 PAR- 21-230。其总体目标是通过增强与非传染性疾病相关的研究能力来减轻 AM 领域的非传染性疾病负担 预防和控制，强调非传染性疾病危险因素的SDs作为关键组成部分。 ACCESS 是一项战略 乔治华盛顿大学（GW）和亚美尼亚美国大学（AUA）之间的合作， 与 AM 的卫生部 (MOH) 及其实体（例如 NIH）一起。利用我们团队的大量持续 ACCESS 将是一项有效、可持续的计划，可增强研究基础设施， 为初级研究人员提供与非传染性疾病预防和控制相关的培训和研究机会。在目标 1 中，我们 将制定正式的非传染性疾病预防和控制研究培训计划（强调非传染性疾病风险的可持续发展 因素）和相关的制度基础设施。我们将为以下人员提供专门培训： a) 长期 MPH 学员 已经拥有医学博士或相关博士学位以培养未来非传染性疾病研究领导者的人；和 b) 短期培训生（例如公共卫生/临床学生/专业人员），以提高核心非传染性疾病研究技能。在 目标 2，我们将通过专注于非传染性疾病 SD 的指导研究来推进 AM 的国家非传染性疾病研究议程 未来非传染性疾病研究领导者（即长期受训者）的风险因素。在目标 3 中，我们将催化 NCD- 通过加强相关研究传播和知识转化，为政策和实践提供信息 技能并利用卫生部及其实体的参与。 ACCESS 将是第一个此类计划 AM 并将解决 AM 的国家卫生优先事项。我们将建立未来的非传染性疾病预防和控制 为更广泛的公共卫生和 AM 临床专业人员社区提供领导者和教育核心。 我们的团队非常适合在未来 5 年内建立 ACCESS，增强 AM 领域的非传染性疾病研究能力， 长期维持并扩大其范围和规模，以优化其对全球非传染性疾病负担的影响。