Addressing Social and Behavioral Determinants of Health

项目摘要/摘要--处理卫生核心的社会和行为决定因素 健康的社会决定因素(SDOHs)，定义为人们所处环境的条件 出生、生活、学习、工作、娱乐、崇拜和年龄是糖尿病相关发病率、死亡率和 差距。健康行为，如就医决定、服药依从性、自我管理、饮食、 体力活动也是影响糖尿病相关结果的关键因素。此外，这些 行为因素可能是SDOHs对糖尿病相关有害影响的重要中介因素 结果，限制了医疗和公共卫生进步在糖尿病预防和治疗方面的现实影响 治疗和进一步加剧了人口健康差距。尽管人们越来越认识到 社会生态、经济和行为影响对预防和治疗该病的重要性 糖尿病及其对糖尿病相关结果不平等的贡献，关于 解决这些影响的最有效方法，以改善结果和消除差距。结束这件事 知识差距将需要在广泛的社会和行为领域拥有跨学科的专业知识 健康的决定因素、与强有力的跨部门伙伴关系的经验和机会，以及传播 向能够实施、维持和传播研究结果的关键利益相关者提供新颖的研究。寻址 健康核心的社会和行为决定因素将促进最先进的方法来解决社会和 健康的生态、经济和行为决定因素，以消除糖尿病中的不平等 预防和治疗。核心将支持中心调查人员和受训人员进行测量和 在不同患者群体中对健康的社会和行为决定因素进行干预 社区和卫生保健环境。这一核心将特别注重开发新的干预措施 筛选和修改SDOH，利用行为经济学和其他行为科学的见解 框架，支持不同患者群体中有文化能力的行为改变，并解决 个人、人际和结构性种族主义的健康后果。这一核心有四个具体目标： 目标1.支持最先进的翻译研究，以解决社会生态、经济和行为问题 健康决定因素，以消除糖尿病预防和治疗中的不平等现象。目标2.整合 将健康的社会生态、经济和行为决定因素严格衡量为 糖尿病研究。目标3.促进新的合作，以解决社会生态、经济和行为问题 转化型糖尿病研究中的健康决定因素。目标4.发展早期职业调查人员，他们将 测量和定位转化型糖尿病患者的社会生态、经济和行为健康决定因素 研究。我们在社会和行为决定因素方面的多学科重点、广度和深度的专业知识 在这一核心地位的健康我们很好地催化创新的糖尿病转化研究管道，以 改善结果，改善导致糖尿病差异的条件。

Project Summary/Abstract – Addressing Social and Behavioral Determinants of Health Core Social determinants of health (SDOHs), defined as the conditions in the environments in which people are born, live, learn, work, play, worship, and age, are major drivers of diabetes-related morbidity, mortality, and disparities. Health behaviors such as care-seeking decisions, medication adherence, self management, diet, and physical activity are also key factors that influence diabetes-related outcomes. In addition, these behavioral factors can be important mediators of the deleterious effects of SDOHs on diabetes-related outcomes, limiting the real world impact of medical and public health advances in diabetes prevention and treatment and further contributing to population health disparities. Despite growing recognition of the importance of socio-ecological, economic, and behavioral influences on the prevention and treatment of diabetes, and their contribution to inequities in diabetes-related outcomes, much remains unknown about the most effective ways to address these influences to improve outcomes and eliminate disparities. Closing this gap in knowledge will require cross-disciplinary expertise in a broad range of social and behavioral determinants of health, experience with and access to strong cross-sector partnerships, and dissemination of novel research to key stakeholders who can implement, sustain, and disseminate findings. The Addressing Social and Behavioral Determinants of Health Core will catalyze state-of-the-art approaches to address socio- ecological, economic, and behavioral determinants of health in order to eliminate inequities in diabetes prevention and treatment. The Core will support Center investigators and trainees with measuring and intervening on social and behavioral determinants of health among diverse patient populations in a range of community and health care settings. This Core will have a particular focus on developing novel interventions that screen for and modify SDOHs, leverage insights from behavioral economics and other behavioral science frameworks, support culturally competent behavior change among diverse patient populations, and address the health consequences of individual, interpersonal, and structural racism. This Core has four Specific Aims: Aim 1. Support state-of-the-art translational research to address socio-ecological, economic, and behavioral determinants of health in order to eliminate inequities in diabetes prevention and treatment. Aim 2. Integrate rigorous measurement of socio-ecological, economic, and behavioral determinants of health into translational diabetes research. Aim 3. Catalyze new collaborations to address socio-ecological, economic, and behavioral determinants of health in translational diabetes research. Aim 4. Develop early career investigators who will measure and target socio-ecological, economic, and behavioral determinants of health in translational diabetes research. Our multidisciplinary focus, breadth, and depth of expertise in the social and behavioral determinants of health in this Core position us well to catalyze a pipeline of innovative diabetes translational research to improve outcomes and ameliorate the conditions that result in diabetes disparities.