Health Promotion and Disease Prevention Research Centers

项目摘要/摘要 美国农村面临着巨大的健康差距和整体健康状况的差异，慢性病的发病率更高 疾病、地理上的隔绝和有限的就业机会。最近的数据显示，美国农村地区没有 与非农村地区相比，过早死亡率持续下降。西弗吉尼亚州(西弗吉尼亚州)，一个高度 农村州就是这些差距和不平等的例证。WV在许多美国健康指数中排名垫底或接近垫底 指标(如心血管和癌症发病率/死亡率)及其相关风险因素(如肥胖、 烟草使用)。西弗吉尼亚也是美国阿片类药物危机的震中。自1995年以来，WV预防研究 中心一直是进行和翻译创新的社区参与研究的变革性力量 并将评估转化为实际解决方案，以改善西弗吉尼亚州及以后的健康状况。与我们承诺的和 经验丰富的社区合作委员会，我们提出了一个研究和翻译议程，建立在 我们在物质使用/滥用(特别是烟草和阿片类药物)方面的专门知识，促进健康的生活方式，并促进 青年和社区复原力。这一议程反映了我们合作伙伴的优先事项，并强调政策和 练习翻译。我们在发展和在全国传播循证青少年的经验 美国肺脏协会的戒烟计划，不是在烟草上，证明了我们有能力 指导、翻译和向不同社区传播经过验证的干预措施。我们以前的合作伙伴关系和 成就为我们未来5年的增长和成就奠定了基础。我们建议实现这一目标 通过以下具体目标：1)维持和加强多学科基础设施，包括 全州社区伙伴关系委员会，负责进行、翻译和传播创新的社区- 参与研究和评估；2)让多方利益相关者合作伙伴制定、实施和维持 研究和翻译议程，包括一个核心研究项目；3)加强公众能力 卫生从业者、卫生保健提供者、教职员工、学生和社区的行为和应用 开展预防研究，通过培训和提供服务解决公共卫生的优先事项和差距； 4)传播WVPRC的能力、产品和调查结果；以及5)参与中华人民共和国国家网络。我们的 建议的核心研究项目使用交叉顺序设计来解决风险和保护因素 与青年和社区对物质使用的启动和进展有关的中期和中期 处于高中年龄的青年。本研究项目是在公共卫生实践基础上进行的实证研究 这一类别纳入了卫生公平办法，并注重可持续性和可扩充性目标。我们的 预期成果包括可持续的中心基础设施；提高预防研究的能力；以及 环境、政策和实践的变化，从而产生实际的、可持续的解决方案，从而改善 人口健康和未来几年的活力。

Project Summary/Abstract Rural Americans face major health disparities and differences in overall health status, higher rates of chronic disease, geographic isolation, and limited job opportunities. Recent data shows that US rural areas do not experience the consistent decline in premature mortality that non-rural locations do. West Virginia (WV), a highly rural state, exemplifies these disparities and inequities. WV ranks at or near the bottom in many US health indicators (e.g., cardiovascular and cancer morbidity/mortality) and their associated risk factors (e.g., obesity, tobacco use). WV is also at the epicenter of the US opioid crisis. Since 1995, the WV Prevention Research Center has been a transformative force that conducts and translates innovative community-engaged research and evaluation into practical solutions to improve health in WV and beyond. Together with our committed and experienced Community Partnership Board, we propose a Research and Translation Agenda that builds on our expertise in substance use/abuse (especially tobacco and opioids), promotes healthy lifestyles, and fosters youth and community resilience. This Agenda reflects the priorities of our partners and emphasizes policy and practice translation. Our experience with development and national dissemination of the evidence-based teen smoking cessation program, Not on Tobacco, for the American Lung Association, demonstrates our capacity to conduct, translate, and disseminate proven interventions to diverse communities. Our previous partnerships and accomplishments position us for the next 5 years of growth and achievement. We propose to achieve this through the following Specific Aims: 1) sustain and enhance a multidisciplinary infrastructure, inclusive of a statewide Community Partnership Board, that conducts, translates, and disseminates innovative, community- engaged research and evaluation; 2) engage multi-stakeholder partners to develop, implement, and sustain a Research and Translation Agenda, inclusive of a Core Research Project; 3) strengthen the capacity of public health practitioners, health care providers, faculty, staff, students, and communities to conduct and apply prevention research to address public health priorities and disparities through training and service provision; 4) disseminate WVPRC capacity, products, and findings; and 5) participate in the National PRC Network. Our proposed Core Research Project uses a cross-sequential design to address risk and protective factors relevant to youth and community resilience against substance use initiation and progression in middle- and high school-aged youth. This research project is in the public health practice-based evidence research category, incorporates health equity approaches, and attends to the goals of sustainability and scalability. Our intended outcomes include a sustained Center infrastructure; increased capacity in prevention research; and environmental, policy, and practice changes that result in practical, sustainable solutions that improve population health and vitality for years to come.