Oklahoma Native American EXPORT Center

描述（由申请人提供）：有充分的证据表明美洲原住民人口的健康差异。这一人群的主要健康差异之一是2型糖尿病。2型糖尿病在印第安人中的患病率是一般人群的几倍。更令人担忧的是，2型糖尿病，被认为是一种中年人的疾病，越来越多地出现在美国土著儿童和青少年中。因此，必须在这一人群中制定和验证旨在减少糖尿病的健康促进和疾病预防战略。这项建议是建立一个俄克拉何马州印第安人出口中心，以减少印第安人的健康差距，重点是儿童和青少年的糖尿病预防。我们的方法是与美国土著部落、社区项目和组织以及俄克拉荷马大学的项目合作。拟议中的俄克拉荷马州印第安人出口中心有五个组成部分：行政核心、研究核心、社区外展和信息传播部分、培训部分和共享资源核心。研究核心提出了两个完整项目和一个试点项目。这些项目侧重于涉及家庭、学校和社区组织的从婴儿到青少年预防糖尿病和肥胖症的战略。社区外联和信息传播部分提议的活动包括向美洲印第安社区传播关于流行病学、糖尿病和肥胖的干预和预防的信息，促进对糖尿病和肥胖的治疗和预防的积极态度，鼓励社区参与健康科学研究并使其做好准备，以及向印第安高中学生提供科学教育机会。培训部分将提供机会，增加印第安人健康方面的知识，向美洲土著学生介绍卫生领域的职业机会，为保健提供者、俄克拉何马大学教员和其他卫生专业人员赞助印第安人健康方面的继续教育讲习班/会议，并招募美洲土著学生到俄克拉何马大学及其健康科学中心学习。最后，共享资源核心将为研究设计和监测、数据管理和统计分析提供资源。人们相信，拟议的出口中心将有效地努力减少健康差距，特别是儿童糖尿病和肥胖症方面的差距。

DESCRIPTION (provided by applicant): There is ample evidence of health disparities in the Native American population. One of the major health disparities in this population is Type 2 diabetes. The prevalence rate of Type 2 diabetes in Native Americans is several times higher than the general population. More alarmingly, type 2 diabetes, which was considered to be a disease for middle-aged adults, is increasingly present in Native American children and adolescents. It is therefore imperative that health promotion and disease prevention strategies to reduce diabetes be developed and validated in this population. This proposal is to establish an Oklahoma Native American EXPORT Center to reduce health disparities in Native Americans with an emphasis on diabetes prevention in children and adolescents. Our approach is to partner with Native American tribes, community-based programs and organizations, and programs at the University of Oklahoma. The proposed Oklahoma Native American EXPORT Center has five components: Administrative Core, Research Core, Community Outreach and Information Dissemination Component, Training Component, and Shared Resources Core. Two full projects and one pilot pROJECT are proposed in the Research Core. These projects focus on strategies for preventing diabetes and obesity from infancy to adolescents involving family, school and community organizations. Activities proposed in the Community Outreach and Information Dissemination Component include disseminating information on the epidemiology, intervention and prevention of diabetes and obesity to American Indian communities, promoting positive attitudes towards treatment and prevention of diabetes and obesity, encouraging and preparing communities to participate in scientific studies of health, and providing science education opportunities to Indian high school students. The Training component will provide opportunities to increase knowledge in Indian health and introduce health field career opportunities to Native American students, sponsor continuing education workshops/conferences on Indian health to health care providers, University of Oklahoma faculty and other health professionals, and recruit Native American students to the University of Oklahoma and its Health Sciences Center. Lastly, the Shared Resources Core will provide resources for study design and monitoring, data management and statistical analysis. It is believed that the proposed EXPORT Center will be effective in the efforts to reduce health disparities, particularly in childhood diabetes and obesity.