Central Plains Center for American Indian Health Disparities (CPC-AIHD) Revision

描述(由申请人提供)：美国印第安人(Al)在美国遭受着一些最大的健康差距。许多疾病，包括哮喘、肥胖症和糖尿病，在Al中很普遍，并受Al居住的地方的影响。此外，艾尔族的严重住房问题发生率很高，吸烟率也是美国所有种族中最高的。KUMC美国印第安人社区健康中心(CAICH)于2010年通过P20探索性英才中心赠款成立，旨在研究和解决Al面临的健康差距问题。目前关于CAICH环境健康分核心的提议将利用CAICH的基础设施和社区联系，并加强与儿童慈善医院环境健康中心的蓬勃发展的伙伴关系。这一伙伴关系将扩大并继续解决我们的社区咨询委员会提请我们注意的环境问题。早在CAICH存在之前，KUMC的研究人员就使用基于社区的参与性研究(CBPR)方法与Al社区合作，解决紧迫的健康问题。环境健康和住房问题在社区讨论中一再被提及，我们与环境健康中心的持续伙伴关系将使我们能够研究和进一步解决这些问题。我们提出了以下具体目标：(1)在CAICH社区参与核心中创建一个环境健康分核心(EHS)，以支持当前和未来的培训和教育、外联和研究项目；以及(2)扩大我们的研究项目，研究部落大学生的烟草使用情况，包括接触环境烟草烟雾(ETS)和利用地理信息系统(GIS)地图获得烟草产品。EHS将为我们的部落学院项目和新的环境健康试点项目提供地理信息系统地图服务；为社区成员、医疗保健提供者和建筑维护人员提供环境健康教育；进行健康家庭评估；并为我们环境健康专业的公共卫生硕士学生和哈斯克尔印度民族大学环境科学专业的大学生提供研究和服务机会。

DESCRIPTION (provided by applicant): American Indians (Al) suffer some of the greatest health disparities in the US. Many conditions, including asthma, obesity, and diabetes, are prevalent among Al and are influenced by the places Al live. In addition, Al have high rates of severe physical housing problems and the highest rates of smoking of any ethnic group in the US. The KUMC Center for American Indian Community Health (CAICH) was created in 2010 through a P20 Exploratory Center of Excellence grant to study and address health disparities faced by Al. The current proposal, for a CAICH Environmental Health Subcore, will capitalize on CAICH's infrastructure and community connectedness and strengthen a burgeoning partnership with the Children's Mercy Hospital Center for Environmental Health. This partnership will expand and continue to address environmental issues brought to our attention by our Community Advisory Boards. Long before CAICH existed, researchers at KUMC were using community-based participatory research (CBPR) methods to work with the Al community to address pressing health concerns. Environmental health and housing issues have come up repeatedly in community discussions and our continued partnership with the Center for Environmental Health will allow us to study and further address them. We propose the following specific aims: (1) To create an Environmental Health Subcore (EHS) in the CAICH Community Engagement Core to support current and future training and education, outreach, and research projects; and (2) To expand our research project examining tribal college students' tobacco use to include exposure to environmental tobacco smoke (ETS) and availability of tobacco products using Geographic Information Systems (GIS) mapping. The EHS will provide GIS mapping services to our tribal college project and new environmental health pilot projects; provide environmental health education to community members, health care providers, and building maintenance personnel; conduct healthy homes assessments; and provide research and service opportunities for Master's in Public Health students in our track in environmental health and college students majoring in environmental science at Haskell Indian Nations University.