EXPORT Center for Health Disparities in Smaller Cities

说明(申请人提供)：拟议工作的基本基础是小城镇的少数群体和弱势群体社区在重要方面不同于大城市的社区。尽管威胁这两类社区的健康问题有很大的重叠，但在健康差距的程度和性质以及地方政府可能或已经尝试的补救措施方面存在重大差异。我们认为，其结果是，他们得到的服务不太好，健康状况不太好，需要满足他们独特地位要求的计划。这项拟议的工作旨在确定这种说法是否属实，并在假设属实的基础上，启动试点项目，以确定他们的具体问题和要求，并寻求针对纽约人所称的北部社区的独特地位而量身定做的补救措施。这项申请的一个重要目标是在奥尔巴尼大学进行能力建设，以便通过研究、社区宣传、现有的专门知识以及奥尔巴尼大学多个单位分布的现有专门知识，解决少数群体的健康状况和健康差距问题，并通过将所有这些专业知识放在一个屋檐下，协同建设能力；和2)与阿姆斯特丹和纽约奥尔巴尼为少数群体和弱势社区服务的社区团体建立现有的密切伙伴关系。有了这笔赠款，奥尔巴尼大学将准备申请中心拨款(P20或P60)，将其工作范围扩大到纽约州北部较小城市的少数族裔社区。

DESCRIPTION (provided by applicant): The fundamental basis for the proposed work is that communities of minorities and disadvantaged persons in smaller cities and towns differ in important ways from those in very large cities. Although there are substantial overlaps in the health problems threatening both types of communities, there are significant differences in the extent and character of health disparities, and in the remedies that are possible or have been attempted by local governments. The result, we contend, is that they are less well served, less healthy, and in need of programs that address the requirements of their unique position. The proposed work seeks to determine if this contention is true, and, based on the assumption that it is, to launch pilot programs to determine their specific problems and requirements, and to seek remedies tailored to the unique position of what New Yorkers call upstate communities. An important goal of this application is to build capacity at the University at Albany to address the problems of minority health status and health disparities through research, community outreach, existing expertise that is distributed across multiple units at the University at Albany, and that by bringing them all under one roof, will synergistically build capacity; and, 2) existing, close partnerships with community groups serving the minority and disadvantaged communities in Amsterdam and Albany New York. With this grant, the University at Albany will be ready to apply for a center grant {P20 or P60) to extend the scope of its work to the upstate New York minority communities in smaller cities.