Georgia State University Center of Excellence: Syndemics of Disparities

描述（由申请人提供）：这个提议的佐治亚州立大学卓越中心：差异的共同之处是一个P20中心，是为了响应NCMHD对卓越探索中心的申请而设计的（RFA: MD-09-005）。我们在佐治亚州立大学提出的探索性NCMHD卓越中心的激励重点是了解亚特兰大内城健康差异人群的疾病负担。综合方法认为，个人、社会和环境问题与疾病和条件相互作用，产生比这些条件单独起作用时更高的发病率和死亡率。个别的例子很普遍，但据我们所知，还没有对一个大型、多样化的大都市地区进行全面的分析。除了三个具体的项目，我们提出这样一个全面的分析作为我们的研究核心的一部分。所需数据的收集和分析将为我们的研究计划服务；通过为学生和教师提供必要的数据资源，将成为我们培训/教育核心的关键要素；并将为我们的社区参与/外展核心提供规划和实施干预措施所需的基础设施。整个中心的具体目标是：l)巩固和扩大公共卫生研究所和城市卫生研究伙伴关系对亚特兰大大都市城市人口健康差异的关注；2)根据从地理、传染病和慢性病、社会和人口、刑事司法和城市规划来源收集的数据制定研究方案；3)在现有公共卫生硕士学位和即将开设的公共卫生博士学位的基础上，制定一个培训计划，重点关注健康差异和多因素干预；4)继续发展社区干预措施，以研究数据库为基础，利用社区参与性研究机制，改善健康差距。相关性（见说明）：我们提出的项目将通过处理健康差异的相互作用和协同作用，扩大我们对健康差异对公共卫生影响的理解。通过研究疾病、状况和风险的共同影响；通过开展旨在加强对保健差距问题的承诺的教育；通过社区参与邻里倡议，提议的卓越中心将与理解和改善健康差距相关。

DESCRIPTION (provided by applicant): This proposed Georgia State University Center of Excellence: Syndemics of Disparities is a P20 Center which was designed in response to the NCMHD request for application for Exploratory Centers for Excellence (RFA: MD-09-005). The motivating focus for the exploratory NCMHD Center of Excellence that we propose at Georgia State University is an understanding of the syndemic burden on health disparity populations in the inner cities of Atlanta. The syndemic approach posits that personal, social, and environmental issues interact with diseases and conditions to produce a greater level of morbidity and mortality than would occur if these conditions acted singly. Individual examples are rife, but a comprehensive analysis of a large, diverse metropolitan area has not to our knowledge been undertaken. In addition to three specific projects, we propose such an comprehensive analysis as part of our Research Core. The collection and analysis of required data will serve our research plan; will be a key element in our Training/Education Core by providing students and faculty with the necessary data resources; and will provide our Community Engagement/Outreach Core with the needed infrastructure to plan and implement interventions. The Specific Aims of the overall center are: l)Consolidate and expand the focus of the Institute for Public Health and the Partnership for Urban Health Research on health disparities suffered by urban populations in metropolitan Atlanta; 2) Develop a research program based on assembled data from geographic, infectious and chronic disease, social and demographic, criminal justice, and urban planning sources; 3) Develop a training program, built on the current MPH and soon-to-be-offered PhD in Public Health, that focuses on health disparities and multi-factorial interventions; and 4) Continue the development of community interventions to ameliorate health disparities, based on the research data base and using the mechanism of community-based participatory research. RELEVANCE (See instructions): The project we propose will amplify our understanding of the public health impact of health disparities by addressing their interaction and synergism. Through research into the joint effect of diseases, conditions, and risk; through teaching an education aimed at increasing commitment to issues of health disparities; and through community engagement with neighborhood initiatives, the proposed Center of Excellence will have relevance for both understanding and amelioration of health disparities.