Center for Chronic Disease Reduction and Equity Promotion Across Minnesota (C2DREAM)

项目摘要/摘要--总体 越来越多的研究证明结构性和人际性种族主义对 包括心血管疾病在内的慢性病及其相关慢性病的差异 高血压和肥胖症(RCC)。在明尼苏达州，乔治·弗洛伊德先生在那里被谋杀 警方鼓动地方、国家和全球对种族主义的普遍性进行清算，迫切需要 了解并最终解决种族主义破坏黑人、土著和 有色人种(BIPOC)社区。我们建议的慢性病减少中心的使命 明尼苏达州的公平促进(C2DREAM)旨在减少CVD和RCC的差距 BIPOC社区，包括明尼苏达州的移民和难民，都经历过。我们的3 拟议的干预项目针对社区和初级保健方法，包括饮食、体力活动、 在明尼苏达州不同的BIPOC中，戒烟和其他近端因素对心血管疾病和RCC的影响 社区。C2DREAM将促进针对以下根本原因的创新、多层次干预措施 明尼苏达州不同BIPOC社区之间的健康不平等；产生知识、分析和 实施方法和社区参与战略，以了解和制定解决方案 在多个层面解决种族主义问题；发展和支持下一代卫生公平研究人员；创建 并维持社区参与和公平指导的传播和实施进程，以将 关于解决慢性病不平等问题的研究成果和知识付诸实施；以及员工 以公平为导向的评价方法。所有中心活动和研究项目都与统一的 由NIMHD的少数民族健康和健康差距研究框架指导的概念模型。 C2DREAM是明尼苏达大学(UMN)之间跨越该州的地区性伙伴关系， 包括双城(中部)和德卢斯(北部)校区的医学院，以及 公共卫生；梅奥诊所，包括罗切斯特诊所和以社区为基础的梅奥诊所卫生系统诊所 (南部)；以及Hennepin Healthcare，这是一家县级医疗保健组织，也是该州最大的安全网医院 (中环)。我们的伙伴关系建立在合作者和机构之间的许多正式和非正式联系的基础上， 包括NCATS资助的UMN临床转化科学研究所(CTSI)和梅奥临床中心 临床和转化科学(CCATS)资源，以及与主要社区的广泛合作伙伴关系 利益相关者。我们的团队在多个层面上衡量种族主义、促进健康方面拥有丰富的专业知识 针对心血管疾病和相关慢性病的干预措施、行为医学、流行病学、公共卫生、 心理学、以社区为基础的参与性研究、政策、传播和实施科学。 这种广度、深度和区域覆盖范围使我们能够严谨地调查 健康不平等并产生将影响明尼苏达州和全国的解决方案。

PROJECT SUMMARY/ABSTRACT – Overall A growing body of research documents the profound contribution of structural and interpersonal racism to disparities in chronic disease including cardiovascular disease (CVD) and the related chronic conditions (RCC) of hypertension and obesity. In Minnesota, where the murder of Mr. George Floyd at the hands of police instigated a local, national, and global reckoning on the pervasiveness of racism, there is an urgent need to understand and ultimately address the ways that racism undermines well-being of Black, Indigenous, and people of color (BIPOC) communities. The mission of our proposed Center for Chronic Disease Reduction and Equity Promotion Across Minnesota (C2DREAM) is to reduce disparities in CVD and RCC experienced by BIPOC communities including immigrants and refugees across Minnesota. Our 3 proposed intervention projects target community and primary care approaches to diet, physical activity, smoking cessation, and other proximal contributors to CVD and RCC among Minnesota’s diverse BIPOC communities. C2DREAM will promote innovative, multilevel interventions that target fundamental causes of health inequities among diverse BIPOC communities across Minnesota; generate knowledge, analytical and implementation approaches, and community engagement strategies to understand and develop solutions to address racism at multiple levels; develop and support the next generation of health equity researchers; create and sustain a community-engaged and equity-guided dissemination and implementation processes to translate research results and knowledge regarding addressing chronic disease inequities into action; and employ equity-guided evaluation approaches. All center activities and research projects are aligned with a unifying conceptual model guided by the NIMHD’s Minority Health & Health Disparities Research Framework. C2DREAM is a regional partnership that spans the state among the University of Minnesota (UMN), including the Medical School on the Twin Cities (central) and Duluth (northern) Campuses, and the School of Public Health; Mayo Clinic including Rochester and community-based Mayo Clinic Health System clinics (southern); and Hennepin Healthcare, a county-owned HMO and the state’s largest safety net hospital (central). Our partnership builds on many formal and informal connections across collaborators and institutions, including NCATS-funded UMN Clinical Translational Science Institute (CTSI) and Mayo Clinic Center for Clinical and Translational Sciences (CCaTS) resources, as well as extensive partnerships with key community stakeholders. Our team has rich expertise in measurement of racism at multiple levels, health promotion interventions targeting CVD and related chronic conditions, behavioral medicine, epidemiology, public health, psychology, community based participatory research, policy, communications, and implementation science. This breadth, depth, and regional reach uniquely positions us to rigorously investigate fundamental drivers of health inequities and generate solutions that will impact Minnesota and the nation.