Center for Population Health Research

项目总结/摘要 众所周知，农村人口，特别是农村儿童，不成比例地受到几种疾病的影响， 慢性疾病和对生活质量产生不利影响的风险因素。例如，农村与 婴儿死亡率上升，婴儿下呼吸道感染住院率上升， 幼儿和可预防疾病的幼儿疫苗接种率较低。资源和研究 针对农村保健的主要重点是解决获得保健服务的问题， 卫生保健专业人员，但改善整体健康和降低农村儿童的风险也需要一个 更全面地了解如何制定、调整和检验预防战略 在农村社区。我们的总体目标是建立一个可持续的预防研究中心（CPR）。的 CPR旨在支持研究人员在预防研究连续体中取得进展， 最先进的流行病学和建模CPR项目，以R 01资助的干预研究，是知情的， 通过CPR支持。有几个主要障碍限制了发展面向农村的中心的潜力 侧重于儿童健康的预防研究，包括（1）电子健康记录的获取有限; (2)主要面向城市环境的建模资源和方法;（3）基于 主要为城市社区制定并在城市社区内测试的干预战略， 在农村利益攸关方的投入下设计的解决方案;以及（4）建立 一大批具有科学竞争力的研究人员CPR是专门为解决这些问题而设计的。 它将通过三个具体目标来实现其总体目标。第一，预防危机和复原将支持、发展和 扩大蒙大拿州研究人员的临界质量，解决农村儿童的健康问题。行政 核心将通过各种机制积极招募新的预防研究人员，包括 新员工，试点项目和与蒙大拿州其他校区的合作。第二，CPR将建立 研究核心，为中心研究人员提供最先进的技术工具和专业知识， 流行病学和建模以及过渡到制定和测试干预战略， 儿童健康。数据和建模核心将为CPR研究人员提供一个集中的资源， 拥有最先进的数据采集和敏感数据管理;生物统计学和建模 专业知识和高性能计算资源。利益相关者的参与和干预 支持核心将为CPR研究人员提供调查和定性方法支持， 第三，也是最后，预防危机和复原将创造一种可持续的以中心为基础的文化 通过指导，促进农村儿童健康预防研究的多学科成功， 合作交流和支持学术生产力和成就。

Project Summary/Abstract It is well understood that rural populations, especially rural children, suffer disproportionately from several chronic diseases and risk factors that adversely impact quality of life. For example, rurality is associated with higher infant mortality, increased rates of lower respiratory tract infection hospitalization among infants and young children and lower rates of early childhood vaccinations for preventable disease. Resources and studies targeting rural heath have primarily focused on addressing problems of access to healthcare services and healthcare professionals, but improving overall health and reducing risks among rural children also requires a more comprehensive understanding of how prevention strategies can be developed for, adapted to, and tested in rural communities. Our overall goal is to build a sustainable Center for Prevention Research (CPR). The CPR is designed to support researchers in advancing across the prevention research continuum from state-of- the-art epidemiological and modeling CPR projects to R01-funded intervention research that is informed and developed through CPR support. Several key barriers limit the potential for developing a rural-oriented center focused on prevention research for children’s health, including (1) limited access to electronic health records; (2) modeling resources and methods that are primarily oriented to urban settings; (3) evidenced based intervention strategies that have been primarily developed for, and tested within, urban communities but few solutions that have been designed with input from rural-based stakeholders; and (4) challenges to establishing a critical mass of scientifically competitive investigators. The CPR is specifically designed to address these barriers and will achieve its overall goal through three specific aims. First, CPR will support, develop and expand a critical mass of researchers in Montana addressing rural children’s health issues. The Administrative Core will actively recruit new prevention researchers to the CPR through a variety of mechanisms including new hires, pilot projects and collaborations with other Montana campuses. Second, CPR will establish research cores that provide Center investigators with state-of-the-art technical tools and expertise to conduct epidemiological and modeling and transition to development and testing of intervention strategies to protect children’s health. The Data and Modeling Core will provide CPR researchers with a centralized resource that houses state-of-the-art data acquisition and management of sensitive data; biostatistics and modeling expertise; and high performance computational resources. The Stakeholder Engagement and Intervention Support Core will provide CPR researchers with survey and qualitative methods support to inform rural and stakeholder informed interventions Third, and ultimately, CPR will create a sustainable Center-based culture that fosters multidisciplinary success around prevention research for rural children’s health through mentoring, collaborative exchange and support for scholarly productivity and achievement.