Rush Center for Urban Health Equity

描述(由申请者提供)：一个多世纪以来，研究人员一直在测量和描述美国的健康差距。尽管如此，持续的健康差距仍在继续，并在芝加哥和全国各地的城市每天转化为生命损失。仅在芝加哥，如果黑人和白人的死亡率相同，那么每年将减少4000名黑人死亡。拉什城市健康公平中心的原则是，在观察性研究中继续记录这些差异造成的可避免的死亡和残疾是不够的；该中心致力于通过与社区合作进行严格的行为临床试验来预防这些差异。该中心召集了一个由医学和社会科学研究人员以及社区居民组成的跨学科小组，他们拥有共同的愿景、价值观和激情。我们的目标是找到方法促进从政策到生物的所有变化，以消除影响美国城市居民的健康差距，特别是那些低收入有色人种的居民。认识到心肺疾病风险过高的人群往往具有高度创伤经历和生活压力的特点，该中心的使命是将压力和创伤的管理整合到多层次的干预措施中，以减少心脏代谢风险和心肺疾病方面的健康差距。该中心的长期目标是1)开发严格的临床试验方法并将其整合到注重差异的行为临床试验中；2)测试从儿童到老年人的创新型多层次干预措施；3)增强市中心社区的能力，使其能够积极参与旨在改善他们健康状况的干预措施的设计和实施；以及4)为来自代表性不足和服务不足社区的有前途的个人提供培训机会，使其能够从事跨学科的健康差距研究。该中心位于极端贫困社区的中心，其跨学科研究团队、其在行为临床试验和基于社区的参与性研究方面的专业知识、其广泛的教育计划以及临床和研究合作的Rush文化，共同创建了一个强大的网站，用于开发和测试旨在扭转差距的干预措施。现在正在寻求资金，将这些资源聚集在一起，以建立一个独特的健康差距干预卓越中心。

DESCRIPTION (provided by applicant): Researchers have been measuring and describing health disparities in the United States for well over a century. Despite this, persistent health disparities continue and translate into lost lives every day in the City of Chicago as well as in cities across the country. In Chicago alone, if the mortality rate for blacks was the same as for whites, then 4,000 fewer black people would die each year. The Rush Center for Urban Health Equity is based upon the principle that continued documentation of avoidable deaths and disabilities from these disparities in observational studies is insufficient Instead; the Center is dedicated to preventing them through the conduct of rigorous behavioral clinical trials, in partnership with communities. The Center has convened an interdisciplinary group of medical and social science investigators and community residents who have a shared vision, values, and passion. We aim to find ways to promote changes, all the way from policy to biology, to eliminate the health disparities affecting the residents of America's cities, in particular those who are low-income persons of color. Recognizing that populations at excess risk of cardiopulmonary disease are often characterized by high degrees of traumatic experience and life stress, the Center's mission is to integrate the management of stress and trauma into multi-level interventions that will reduce health disparities in cardio metabolic risk and cardiopulmonary disease. The long-term objectives for the Center are to 1) Develop and integrate rigorous clinical trial methodology into disparities-focused behavioral clinical trials; 2) Test innovative multi-level interventions across the lifespan from children to the elderly; 3) Empower inner-city communities to become active participants in the design and conduct of interventions to improve their health; and 4) Provide training opportunities for promising individuals from underrepresented and underserved communities to pursue careers in transdisciplinary research on health disparities. The Center's location, situated in the middle of communities of extreme poverty, its interdisciplinary research team, its expertise in behavioral clinical trials and community based participatory research, its broad educational programs, and the Rush culture of clinical and research collaboration combine to create a powerful site for the development and testing of interventions to reverse disparities. Funding is now sought to bring these resources together to establish a unique center of excellence in health disparities interventions.