Columbia Center for the Health of Urban Minorities

描述（由申请人提供）：在本申请中，我们建议建立一个卓越中心，称为哥伦比亚城市少数民族健康中心（CHUM）。这一提议源于哥伦比亚大学健康科学系与两个北方曼哈顿少数民族社区之间的长期关系，一个主要是拉丁美洲人，另一个主要是非洲裔美国人。哥伦比亚的医学院和公共卫生学院都是西班牙裔服务健康学校。此外，作为这项申请的主要附属机构之一，哈莱姆医院长期以来一直是一个主要为少数民族服务的卫生机构。该大学已经选择了两名少数民族调查员领导CHUM。一位在短时间内成为少数民族健康和健康差距领域的全国领先人物的高效调查员将担任首席调查员，而该大学最资深的调查员之一将担任共同首席调查员和科学主任。两名调查员还参与培训，并与社区组织有许多联系。此外，在拟议的9个核心中的每一个核心的18名主任或联合主任中，有9名是拉丁美洲人或非洲裔美国人。在现有的研究计划的基础上，我们建议开发一个跨学科的研究中心，在少数民族的健康和健康的差距虽然差距是多因素的病因学有很少的证据种族/民族的健康差距和广泛的证据，在接受优质的医疗保健的差异的生物学基础。因此，CHUM的研究重点将是获得护理。一个研究核心将侧重于护理的主要（财务）障碍，其他核心将侧重于四个具体领域的非财务障碍：心血管疾病，心理健康，糖尿病以及伤害和残疾预防。利用哥伦比亚大学与社区建立的联系，我们建议通过建立社区规划理事会和公共卫生促进专家来作为学术健康中心与社区之间的联络人，来开发社区参与式研究的新范式。CHUM还将支持少数民族研究人员的培训和研究职业发展，并为大学提供一个独特的机会，为医学生开发和制度化跨文化课程。

DESCRIPTION (provided by applicant): In this application we propose to establish a Center of Excellence to be called the Columbia Center for the Health of Urban Minorities (CHUM). This proposal originates in a longstanding relationship between Columbia University's Health Sciences Division and two Northern Manhattan minority communities one predominantly Latino and the other mostly African-American. Both, Columbia's medical school and school of public health are Hispanic Serving Health Professions Schools. Also, one of the principal affiliates in this application, Harlem Hospital has long been a predominantly minority serving health institution. The University has selected two of its minority investigators to lead CHUM. A highly productive investigator who in a short time has become a leading national figure in the field of minority health and health disparities will serve as principal investigator while one of the University's most senior investigators will serve as co-principal investigator and scientific director. Both investigators are also involved in training and have numerous contacts with community organizations. Furthermore, of the 18 directors or co-directors in each of the nine proposed cores, nine are either Latino or African-American. Building on existing research programs we propose to develop an interdisciplinary center of research in minority health and health disparities Although disparities are multi-factorial in etiology there is little evidence of biological underpinnings of racial/ethnic health disparities and extensive evidence of disparities in receipt of quality health care. Accordingly, the research focus of CHUM will be access to care. One research core will focus on primary (financial) barriers to care and other cores will focus on non-financial barriers in four specific areas: cardiovascular disease, mental health, diabetes and injury and disability prevention. Using Columbia University's established ties to the community we propose to develop a new paradigm in community participatory research by the creation of a community planning council and a public health promotion specialist to serve as a liaison between the academic health center and the community. CHUM will also support the training and research career development of minority investigators and provide the university with a unique opportunity to develop and institutionalize a cross-cultural curriculum for medical students.