Center of Excellence in Eliminating Disparities

描述(由申请者提供)：伊利诺伊大学芝加哥分校(UIC)消除健康差距卓越中心(CEED)是推动我们解决少数族裔健康和健康差距问题的研究和推广活动的重要资源。国家少数民族健康和健康差距研究所(NIMHD)支持环境健康差距研究的修订申请(RFA-MD-11-008)是一个及时的回应，旨在通过将广义的环境健康差距视角整合到现有的UIC CEED框架中来扩大健康差距研究。该研究项目的目标是探索在暴露于环境危害和获得护理以及健康结果方面存在种族差异的机制。为了实现这一目标，我们将汇编库克县环境危害和获得护理的相关邻里层面数据，并将它们与数据库中汇编的其他社会决定因素数据联系起来。我们将使用三种方法来检查这些关联。首先，我们将研究种族居住隔离对物理和社会环境变量(环境危害的存在和获得卫生保健设施的机会)的影响。其次，我们将研究乳腺癌、宫颈癌和肺癌的发病率和晚期诊断与环境危险因素的关系。第三，为了研究环境条件的变化对健康结果的影响，我们将探讨2000至2010年间种族构成和社会经济状况的变化(从芝加哥市中心迁移到库克县郊区的种族/少数民族迁移)的影响。环境核心将与其他核心小组合作运作，以最大限度地提高环境健康差异研究中心的环境健康差距研究能力。该项目产生的数据将存入数据核心，供合作的当地健康差距研究人员和社区倡导者使用。

DESCRIPTION (provided by applicant): The Center of Excellence in Eliminating Health Disparities (CEED) at the University of Illinois at Chicago (UIC) is a crucial resource to advance our research and outreach activities addressing minority health and health disparities. This National Institute for Minority Health and Health Disparities (NIMHD) Revision Application to Support Environmental Health Disparities Research (RFA-MD-11-008) is a timely response designed to expand health disparity research by integrating a broadly defined environmental health disparity perspective to the existing UIC CEED framework. The research project objective is to explore mechanisms explaining racial differences in exposure to environmental hazards and access to care, and in health outcomes. To achieve this objective, we will compile relevant neighborhood level data on environmental hazards and access to care in Cook County, and link them to other social determinants data that are compiled in the data repository. We will use three approaches to examine the associations. First, we will examine the effect of racial residential segregation on the physical and social environment variables (the presence of environmental hazards and access to health care facilities). Second, we will examine incidence and late stage diagnosis of breast, cervical, and lung cancer in relation to environmental risk factors. Third, to examine changes in environmental conditions on health outcomes, we will explore the effect of changes in racial composition and SES between 2000 and 2010 (relocation of racial/ethnic minorities who moved from inner city Chicago to suburban Cook County). The Environmental Core will operate in collaboration with the other Core groups, to maximize the environmental health disparities research capacity of the UIC CEED. Data generated from this project will be deposited into the Data Core and made available to collaborating local health disparities researchers and community advocates.