Community Engagement/Outreach Core

联邦机构要求将少数群体纳入研究人群，但 研究人员在接触这些服务不足的群体时面临许多障碍，包括对科学的不信任。 社区和过去的不良经历。对于南加州内陆的少数族裔来说也是如此 帝国地区（IE）和圣贝纳迪诺县（SBC），西班牙裔和黑人/非裔美国人 社区占人口的近60%（分别为48.1%和9.5%）。IE已 被认为是美国最庞大的地区，缺乏交通选择，城镇中心， 混合使用的社区，以及连接不良的街道网络“^^”^“l缺乏开放空间： 三分之一的0-18岁儿童居住的地方距离公园、游乐场或开阔地都很远。而且是 被认为是加州最不健康的地区之一，每6家商店/餐馆中只有1家出售 健康的食物。与种族/族裔有关的健康差异尤其见于乳腺癌、前列腺癌、 超重、肥胖和糖尿病例如，黑人妇女的乳腺癌发病率与 非西班牙裔白色女性更高（分别为124.1例/100，000和116.6例/100，000），甚至 更重要的是黑人妇女患乳腺癌的死亡率高于非西班牙裔白人， 更有攻击性的疾病SBC在黑人中的前列腺癌发病率高于 白色男性（分别为135.1例/100，000和243例/100，000）和黑人男性的死亡率 几乎是其他男性群体患前列腺癌的2.5 ~ 6倍。此外，糖尿病诊断 拉丁裔和黑人比白人更高，并发症和更差的结果也是如此。在成年人中，63% 超重或肥胖，糖尿病相关死亡率为每10万人120.9人。许多领域符合 高需求。医疗服务不足地区（MUAs）尽管存在这些有据可查的差异，但独立专家收到的 与全州平均水平相比，来自赠款者和基金会的人均资金较少（3美元， 人均联邦资金大大减少（21美元对全国1,507美元）。

Federal agencies mandate the inclusion of minority groups in study populations, yet researchers face many obstacles in reaching these underserved groups, including mistrust about the scientific community and poor past experiences. This holds true for minorities in the Southern California Inland Empire Region (IE) and San Bernardino County (SBC), where Hispanic and Black/African American communities comprise nearly 60 percent (48.1 and 9.5 percent, respectively) of the population. The IE has been identified as the most sprawling region in the U S, with a lack of transportation choices, town centers, and mixed use neighborhoods, and poorly connected street networks '^^' ^"l There is a dearth of open spaces: one third of children 0-18 do not live within walking distance of a park, playground, or open area. Moreover, it is considered one of the unhealthiest regions of California, with only 1 of every 6 stores/restaurants selling healthy food. Race/ethnicity related health disparities are especially seen for breast cancer, prostate cancer, overweight and obesity and diabetes. For instance, breast cancer incidence in Black women compared to non-Hispanic White women is higher (124.1 cases/100,000 vs. 116.6 cases/100000, respectively), and, even more importantly. Black women suffer from higher breast cancer mortality rates than non-Hispanic Whites due to more aggressive forms of the disease. SBC has higher prostate cancer incidence in Black versus White men (135.1 cases/100,000 vs. 243 cases/100,000, respectively), and Black men have mortality rates nearly 2.5 to 6 times that of other male groups from prostate cancer. Additionally, diabetes diagnosis is higher in Latinos and Blacks vs. Whites'^^'as are complications and worse outcomes' '. Among adults, 63% are overweight or obese, and diabetes-related deaths are 120.9 per 100,000. Many areas fit the definition of high need. Medically Underserved Areas (MUAs). Despite these well documented disparities, the IE receives less per capita funding from grant-makers and foundations compared to the statewide average ($3 versus $119, respectively) and substantially less federal funding per capita ($21 vs. $1,507 nationally).