REDUCING HEALTH DISPARITIES IN MD ALONG THE NATIONAL CAPITAL BORDER

描述（由申请人提供）：马里兰大学预防研究中心（UMD-PRC）致力于减少马里兰州的健康差距。马里兰州乔治王子县（PGC）在“国家首都环城公路”内的国家首都边境人口是改善社区健康的专门目标。该地区主要是医疗服务不足和少数民族。此外，该地区的初级梅毒、艾滋病毒、中风、糖尿病、低出生体重和其他健康问题的发病率非常高。这个服务不足地区的人口在与马里兰州蒙哥马利县（MC）和哥伦比亚特区（DC）接壤的地区工作、社交、获得医疗保健和教育。PGC边境人口与MC和DC边境人口在人口统计、卫生服务和健康状况方面的对比和相似之处是明显的。UMD公共卫生学院（SPH）恰好位于乔治王子县，处于这些比较的中心。尽管SPH自1999年以来就与西特普莱森特市在PGC服务不足的地区建立了合作伙伴关系，但它需要UMD-PRC的资源来充分解决该地区对基础设施的迫切需求，将需求与资源联系起来。马里兰大学中华人民共和国分校的基础设施将建立在西特普莱森特市、SPH和乔治王子县卫生部门的三方合作基础上，并进一步与许多地区边界内和边界外的组织合作。它将跨越国界，解决加剧剥夺公民权的问题。由此产生的跨界合作将为该区域解决共同的卫生问题提供新的能力。一个关于艾滋病毒和其他性传播感染（STI）的试点项目展示了基于社区的参与性研究方法，并将UMD-PRC的重点放在严重影响少数群体的健康问题上，并需要社会和系统层面的解决方案。该试点项目审查了如何加强乔治王子郡卫生局与其合作伙伴服务机构有关的艾滋病毒/性传播感染预防方案。通过加强与艾滋病毒/性传播感染客户的接触，将跨越传统的边界（障碍），向有风险的个人提供教育外展，解决导致风险的场所，并将需要的领域与资源联系起来。相关性（见说明）：马里兰大学二类预防研究中心（UMD-PRC）创建基础设施和系统，以解决服务不足地区的高发病率问题。该试点项目展示了以社区为基础的参与性研究，以加强有关艾滋病毒和其他性传播感染（艾滋病毒/STI）伙伴服务的基础设施和系统。

DESCRIPTION (provided by applicant): The University of Maryland Prevention Research Center (UMD-PRC) focuses on reducing health disparities in Maryland. The national capital border population in Prince George's County (PGC), Maryland within the "National Capital Beltway" is specifically targeted for community health improvement. This area is predominantly medically underserved and minority. Furthermore, this area suffers from remarkably high rates of primary Syphilis, HIV, stroke, diabetes, low birth weight, and other health problems. Populations in this underserved area work, socialize, and access health care and education in bordering Montgomery County (MC), Maryland and the District of Columbia (DC). The contrasts and similarities between the border population in PGC and the border population of MC and DC are pronounced in regard to demographics, health services, and health status. The UMD School of Public Health (SPH) happens to be located in Prince George's County at the nexus of these comparisons. Although the SPH has partnered with the City of Seat Pleasant in the underserved area of PGC since 1999, it needs UMD-PRC resources to fully address the glaring need for an infrastructure to link needs with resources in this region. The UMD-PRC infrastructure will build on the triumvirate among the City of Seat Pleasant, the SPH, and the Prince George's County Health Department and further engage with organizations within and across the many area borders. It will cross borders to address issues that exacerbate disenfranchisement. The resulting cross-border collaborative will provide new capacity for the region to address shared health problems. A pilot project on HIV and other sexually transmitted infections (STI) exhibits the community-based-participatory-research approach and focuses the UMD-PRC on a health problem disproporationately affecting minorities, and requiring social and systems-level solutions. The pilot examines how to enhance the Prince George's County Health Department HIV/STI prevention programs related to its Partner Services. Through enhanced engagement with HIV/STI clients, tradional borders (barriers) will be crossed to deliver educational outreach to individuals at risk, address risk inducing venues, and link areas of need with resources. RELEVANCE (See instructions): The Category 2 University of Maryland Prevention Research Center (UMD-PRC) creates infrastructure and systems to address the high morbidity rates in underserved areas. The pilot project exhibits community- based-participatory-research to enhance infrastrucure and systems regarding HIV and other sexually transmitted infection (HIV/STI) Partner Services.