The East Texas Project EXPORT Center

描述(由申请人提供)：在过去的几十年里，延长糖尿病患者的预期寿命是不对称的。尽管所有种族/族裔和社会经济群体的糖尿病人经历的并发疾病较少，休克和肾功能衰竭引起的乳酸中毒发生率较低，其疾病的其他并发症也较少，但糖尿病的患病率和进展存在差异。此外，在德克萨斯州东部也可以观察到这样的模式。部分由于获得治疗的机会不同，以患者为基础的变量也部分解释了目前证实的糖尿病及其相关疾病、高血压和肥胖症的差异。 在这方面，位于得克萨斯州泰勒的历史上的黑人学院/大学德克萨斯学院及其合作伙伴德克萨斯大学泰勒健康中心(UTHCT)提议通过使用R24资金实施东德克萨斯项目出口中心。这个高度专业化的中心将与德克萨斯大学的教职员工和学生合作，开展关于糖尿病及其相关疾病、高血压和肥胖症的预防、诊断、治疗和自我管理的健康差异研究。该中心将利用一个流动单位--家乡教育面包车--开展外联活动，并参与传播预防和治疗信息。最初，这个创新中心将以史密斯县居民为目标，目标是到达东得克萨斯州的其他县，以增加居住在东得克萨斯州的健康差距人群中糖尿病自我管理治疗的发生率。

DESCRIPTION (provided by applicant): The extensions in life expectancy that have attenuated diabetics over the last few decades have been asymmetric. While diabetic persons by all races/ethnicities and socioeconomic groups have experienced fewer inter-current illnesses, lower rates of lactic acidosis due to shock and renal failure, and fewer other complications of their disease, disparities in the prevalence and progress of diabetes mellitus, have, nevertheless, occurred. Moreover, such patterns are observable in East Texas. Due in part to differences in access to treatment, patient-based variables also explain in part, the currently confirmed disparities regarding diabetes, and its related diseases, hypertension and obesity. In this regard, Texas College, a Historically Black College/University, located in Tyler, Texas and its partner, the University of Texas Health Center at Tyler (UTHCT), propose to implement the East Texas Project EXPORT Center through the use of R24 funding. This highly specialized Center will partner with UTHCT faculty, staff and Texas College students in conducting health disparities research regarding the prevention, diagnosis, treatment, and self-management of diabetes and its related diseases, hypertension and obesity. The Center will utilize a mobile unit, the Hometown Education Van, to conduct outreach and engage in the dissemination of prevention and treatment information. Initially, this innovative Center will target Smith County residents with the goal of reaching other counties in East Texas in order to increase the incidence of self-management treatment for diabetes in health disparity populations living in East Texas.