Columbia Center for the Health of Urban Minorities

描述(由申请者提供)：在本申请中，我们建议建立一个卓越中心，名为哥伦比亚城市少数族裔健康中心(CHUM)。这项提议源于哥伦比亚大学健康科学部和曼哈顿北部两个少数民族社区之间的长期关系，一个以拉丁裔为主，另一个以非裔美国人为主。哥伦比亚大学的医学院和公共卫生学院都是为健康专业学校服务的西班牙裔学校。此外，作为这项申请的主要附属机构之一，哈莱姆医院长期以来一直是一家主要为少数族裔服务的医疗机构。该大学已经选择了两名少数族裔调查人员来领导CHUM。一位在短时间内成为少数群体健康和健康差距领域的全国领军人物的高生产率调查员将担任首席调查员，而该大学最资深的调查员之一将担任联合首席调查员和科学主任。这两名调查人员还参与了培训，并与社区组织有许多联系。此外，在拟议的九个核心中，每一个核心的18名董事或联合董事中，有9名是拉丁裔或非裔美国人。在现有研究计划的基础上，我们建议建立一个关于少数民族健康和健康差距的跨学科研究中心，尽管差异在病因上是多因素的，但几乎没有证据表明种族/民族健康差距的生物学基础，以及在接受高质量医疗保健方面存在差异的广泛证据。因此，CHUM的研究重点将是获得医疗服务。一个研究核心将侧重于主要(财务)护理障碍，其他核心将侧重于四个具体领域的非财务障碍：心血管疾病、心理健康、糖尿病以及伤害和残疾预防。利用哥伦比亚大学与社区建立的联系，我们建议通过创建社区规划委员会和公共卫生促进专家来发展社区参与式研究的新范式，作为学术健康中心和社区之间的联络人。CHUM还将支持少数族裔研究人员的培训和研究职业发展，并为该大学提供一个独特的机会，为医科学生开发和制度化跨文化课程。

DESCRIPTION (provided by applicant): In this application we propose to establish a Center of Excellence to be called the Columbia Center for the Health of Urban Minorities (CHUM). This proposal originates in a longstanding relationship between Columbia University's Health Sciences Division and two Northern Manhattan minority communities one predominantly Latino and the other mostly African-American. Both, Columbia's medical school and school of public health are Hispanic Serving Health Professions Schools. Also, one of the principal affiliates in this application, Harlem Hospital has long been a predominantly minority serving health institution. The University has selected two of its minority investigators to lead CHUM. A highly productive investigator who in a short time has become a leading national figure in the field of minority health and health disparities will serve as principal investigator while one of the University's most senior investigators will serve as co-principal investigator and scientific director. Both investigators are also involved in training and have numerous contacts with community organizations. Furthermore, of the 18 directors or co-directors in each of the nine proposed cores, nine are either Latino or African-American. Building on existing research programs we propose to develop an interdisciplinary center of research in minority health and health disparities Although disparities are multi-factorial in etiology there is little evidence of biological underpinnings of racial/ethnic health disparities and extensive evidence of disparities in receipt of quality health care. Accordingly, the research focus of CHUM will be access to care. One research core will focus on primary (financial) barriers to care and other cores will focus on non-financial barriers in four specific areas: cardiovascular disease, mental health, diabetes and injury and disability prevention. Using Columbia University's established ties to the community we propose to develop a new paradigm in community participatory research by the creation of a community planning council and a public health promotion specialist to serve as a liaison between the academic health center and the community. CHUM will also support the training and research career development of minority investigators and provide the university with a unique opportunity to develop and institutionalize a cross-cultural curriculum for medical students.