South Asian Health: From Research to Practice and Policy

描述（由申请人提供）：项目概述在过去的几十年里，美国的南亚人数量大幅增长，现在超过250万。这一人群主要来自印度、巴基斯坦、孟加拉国和尼泊尔，他们有着惊人的心血管和癌症风险。虽然形式多样，但在实现良好健康方面往往面临巨大的文化、社会经济、语言和结构性障碍。与此同时，缺乏关于人群独特的心血管和癌症风险特征、病因机制和有效干预措施的详细数据，以解决影响美国第一代和第二代南亚人的健康差异。这种数据差距迫使那些在这些领域工作的人聚集在一起，以制定更有针对性的研究和循证实践和政策。该领域的两个领导者，南亚健康倡议（SAHI），一个在纽约的社区参与性研究计划，由纪念斯隆-凯特琳癌症中心（MSKCC）的移民健康和癌症差异中心（CIHCD）和南亚社会服务理事会（SACSS）共同指导，以及加州的帕洛阿尔托医学基金会研究所（PAMFRI），因此，我们正在合作，将于2013年9月20日在纽约市举行第一次全国南亚转化研究会议，南亚健康：从研究到实践和政策。这个为期一天的邀请会议将加入一个多学科的研究人员，社区成员和医生在医学，护理，卫生政策，社会科学，公共卫生和经济学合作伙伴在多方面的南亚健康差距研究审查，以确定差距和协同作用，并制定未来研究重点的蓝图。会议规划工作将由一个强有力的指导委员会领导，该委员会由南亚健康差距研究和实践方面的国家和国际专家以及社区领导人组成。他们将为会议规划和执行的各个方面提供建议，这将导致南亚社区心血管疾病和癌症转化研究议程和行动的蓝图。会议将包括约50名受邀专家和一组观察员，他们将参加按主题划分的工作组会议：遗传风险和代谢综合征;无烟烟草使用;炎症，感染和暴露;以及卫生保健获取。会议将是真正的翻译性质，连接外展和教育，研究，实践和政策。在纽约、弗朗西斯科和芝加哥举行的五次会后社区市政厅会议将扩大会议与社区的互动。会议将利用修改后的德尔菲过程，以进一步参与SA社区在确定研究和服务的优先事项，促进研究蓝图的发展，并传播会议的结果。工作组会议和社区市政厅会议将是为期一年的合作努力的基础，为南亚健康差异转化研究和行动绘制蓝图，并制定相应的研究计划。这项工作将在《移民和少数民族健康杂志》的特别增刊中达到高潮。 公共卫生相关性：南亚健康：从研究到实践和政策将审查目前的研究，找出差距，并制定一个行动议程向前迈进，以解决在美国的大型，不断增长的南亚社区惊人的心血管疾病和癌症风险。这次研究会议将团结社区，科学家，供应商和政策制定者，以减少南亚人在美国面临的巨大健康差距。

DESCRIPTION (provided by applicant): Project Summary The number of South Asians in the United States has grown tremendously in the past decades, and now stands at over 2.5 million. This population, which hails largely from India, Pakistan, Bangladesh, and Nepal, has staggering cardiovascular and cancer risk. Although diverse, it often faces tremendous cultural, socioeconomic, linguistic and structural obstacles to achieving good health. Coupled with this is a paucity of detailed data on the populations' unique cardiovascular and cancer risk profiles, etiologic mechanisms, and effective interventions to address the health disparities affecting first and second- generation South Asians in the United States. This data gap compels a convening of those who are working in these areas to develop more targeted research and evidence-based practice and policy. Two leaders in the field, the South Asian Health Initiative (SAHI), a community based participatory research program in New York, co-directed by the Center for Immigrant Health and Cancer Disparities (CIHCD) at Memorial Sloan-Kettering Cancer Center (MSKCC) and the South Asian Council for Social Services (SACSS), and the Palo Alto Medical Foundation Research Institute (PAMFRI) in California, are thus partnering to bring together the first national South Asian translational research convening, South Asian Health: From Research to Practice and Policy, to take place in New York City on September 20th, 2013. This one day invitational conference will join a multidisciplinary group of researchers, community members, and practitioners in medicine, nursing, health policy, social science, public health, and economics to partner in a multi-faceted South Asian health disparities research review to identify gaps and synergies, and to develop a blueprint for future research priorities. Conference planning efforts will be led by a robust Steering Committee consisting of national and international experts in South Asian health disparities research and practice, and community leaders. They will advise all aspects of conference planning and execution, which will lead to a blueprint for a translational research agenda and action on cardiovascular disease and cancer in the South Asian community. The convening will include approximately 50 invited experts, and a group of observers, who will participate in working group sessions divided by themes: genetic risk and metabolic syndrome; smokeless tobacco use; inflammation, infection, and exposure; and health care access. The conference will be truly translational in nature, bridging outreach and education, research, practice, and policy. Five post-conference community town hall meetings, in New York, San Francisco, and Chicago, will extend the conference's interactions with the community. The meetings will utilize a modified Delphi process to further engage the SA community in identifying research and service priorities, facilitate the development of the research blueprint, and disseminate conference findings. The working group sessions and the community town hall meetings will be the foundation for a yearlong collaborative effort to chart a blueprint for South Asian health disparities translational research and action, and to develop resultant research programs. The work will culminate in a special supplement in the Journal of Immigrant and Minority Health. PUBLIC HEALTH RELEVANCE: South Asian Health: From Research to Practice and Policy will review current research, identify gaps, and develop an action agenda moving forward to address the staggering cardiovascular disease and cancer risk in the large, growing South Asian communities in the United States. This research convening will unite the community, scientists, providers, and policy makers to reduce the large health disparities faced by South Asians in the United States.