Center for Health Equity in Rural Montana

美国原住民和蒙大拿州的其他农村社区存在严重的健康差距。是这样的 蒙大拿州印第安人的差异导致全因死亡率比白人高58% 费率。这项提案的长期目标是减少蒙大拿州农村社区的健康差距。在……里面 为了实现这一目标，蒙大拿州研究型大学的健康差距研究基础设施 必须首先发展，以便存在适当的专业知识和组织来开发类似的 农村社区的能力。拟议的中心将通过完成四项具体工作来满足这一需求 目标。1.在蒙大拿州农村发展有效和可持续的卫生公平中心的基础设施 (CHERM)2.通过培训年轻一代，培养蒙大拿州的健康差距研究人员 研究健康差距的调查人员并聘用在这一领域具有专业知识的调查人员。这一目标将 首先通过支持和指导密歇根州立大学的现有健康差距研究人员 他们在R01资金方面具有竞争力，其次是通过赞助雇用一个额外的终身教职路径 密歇根州立大学印第安人或农村健康差距研究助理教授以及一名资深员工 在密歇根州立大学教授级别的健康差距研究(Julie Baldwin博士)。3.调查研究和 随后了解导致健康差距的疾病的病因，并理性发展 既有效又符合和尊重文化信仰的干预措施。这一目标将是 部分是通过支持处理蒙大拿州原住民健康差距的研究项目来实现的 和拉丁裔社区。4.培养CHERM调查人员采取跨学科方法的能力 在缓解蒙大拿州农村地区的健康差距方面。CHERM试点项目将与社会学家合作， 心理学家和长凳科学家，如免疫学家、生理学家和微生物学家来了解 社会、文化和行为因素以及生理因素是如何相互作用而导致健康的 差距。

Native American and other rural communities in Montana suffer from severe health disparities. Such disparities in Montana's Native Americans result in an all-cause death rate that is 58% higher than the white rate. The long term goal of this proposal is to reduce health disparities in Montana's rural communities. In order to achieve this goal, the health disparities research infrastructure at Montana's research universities must first be developed so that the appropriate expertise and organization exist to develop similar capabilities in rural communities. The proposed Center will address this need by accomplishing four specific aims. 1. Develop the infrastructure of an effective and sustainable Center for Health Equity in Rural Montana (CHERM). 2. Develop a critical mass of health disparities researchers in Montana by training young investigators in health disparities research and hiring investigators with expertise in this area. This aim will be accomplished first by supporting and mentoring current health disparities researchers at MSU to make them competitive for R01 funding and secondly by sponsoring the hire of one additional tenure track assistant professor at MSU in Native American or rural health disparities research as well as one senior hire at MSU in health disparities research at the professor level (Dr. Julie Baldwin). 3. Investigate and subsequently understand the etiology of diseases that cause health disparities and rationally develop interventions that are both efficacious and consistent with and respectful of cultural beliefs. This aim will be accomplished in part by supporting research projects that deal with health disparities in Montana's Native and Latino communities. 4. Develop the ability of CHERM investigators to take interdisciplinary approaches in mitigating health disparities in rural Montana. The CHERM pilot project will partner sociologists, psychologists, and bench scientists such as immunologists, physiologists and microbiologists to understand how social, cultural, and behavioral factors, as well as physiological factors, interact to cause health disparities.