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

描述（由申请人提供）：美国印第安人（Al）在美国所有种族/族裔群体中遭受一些最大的健康差异。此外，人工智能在研究中的代表性不足，特别是在临床试验中，以及在高等教育中，包括本科课程，研究生课程和医学院。为了解决这些健康差距，使更多的铝进入卫生专业，我们建议美国印第安人健康差距（CPC-AIHD）的中原中心的发展。我们的长期目标是通过高质量的社区参与式研究（CBPR）减少Al在中原地区的健康差距，并增加Al学生通过从高中到大学的管道计划进入卫生专业的机会，并进入研究生和医学院。CPC-AIHD的具体目标是：1）创建一个跨学科的CBPR中心，用于中原地区Al社区的健康差异研究; 2）通过质量控制的生物统计学和数据管理，为中心的健康差异研究人员提供方法论支持; 3）为Al学生从高中到大学再到卫生专业研究生院建立教育渠道;以及4）通过社区咨询委员会和研究人员，在研究过程的所有部分争取当地和区域人工智能社区的帮助。在过去的五年中，在美国印第安人社区健康计划在堪萨斯医学中心的大学已经开发和领导创建美国印第安人健康研究和教育联盟，学术机构，部落，社区组织和公司/政府实体，其使命的联盟是通过高质量的参与性研究和教育，以改善铝的健康。CPC-AIHD将建立在我们成功的CBPR研究团队和联盟的基础上，并将现有的资助健康差异研究与两个新的研究项目相结合。我们的项目包括：1）乳房X光检查满意度项目，旨在确定如何改善乳房X光检查体验，以鼓励Al妇女重复乳房X光检查; 2）流行病学研究，重点关注部落大学生的吸烟模式，以帮助确定为什么Al在美国的任何种族/族裔群体中吸烟率最高。

DESCRIPTION (provided by applicant): American Indians (Al) suffer some of the greatest health disparities among all racial/ethnic groups in the United States. In addition, Al are under-represented in research, particularly in clinical trials, and in higher education, including undergraduate programs, graduate programs, and medical school. To address these health disparities and bring more Al into the health professions, we propose the development of the Central Plains Center for American Indian Health Disparities (CPC-AIHD). Our long term goal is to reduce health disparities among Al in the Central Plains through quality community-based participatory research (CBPR) and enhanced opportunities for Al students to enter the health professions through pipeline programs from high school through college and into graduate and medical school. Our Specific Aims for the CPC-AIHD are to: 1) To create an interdisciplinary, CBPR center for health disparities research in Al communities in the Central Plains; 2) To provide methodologic support to health disparities researchers in the Center through quality-controlled biostatistics and data management; 3) To create an educational pipeline for Al students from high school, through college, and into graduate schools in the health professions; and 4) To enlist the help of the local and regional Al communities in all parts of the research process through Community Advisory Boards and research staff. Over the past five years, the Program in American Indian Community Health at the University of Kansas Medical Center has developed and lead the creation of the American Indian Health Research and Education Alliance, an alliance of academic institutions, tribes, community organizations, and corporations/government entities, whose mission is to improve the health of Al through quality participatory research and education. The CPC-AIHD will build on our successful CBPR research team and alliance and will integrate existing, funded health disparities research with two new research projects. Our projects include 1) a mammography satisfaction project designed to determine how the mammography experience can be improved to encourage repeat mammography among Al women; and 2) an epidemiology study focused on smoking patterns among tribal college students to help determine why Al have the highest smoking rates of any racial/ethnic group in the US.