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，人工智能在研究领域的代表性不足，尤其是在临床试验领域，以及在高等教育领域，包括本科课程、研究生课程和医学院。为了解决这些健康差异，并使更多的人工智能进入卫生专业，我们建议发展中原美洲印第安人健康差异中心（CPC-AIHD）。我们的长期目标是通过高质量的社区参与性研究（CBPR）减少中原地区人工智能之间的健康差距，并通过从高中到大学，再到研究生和医学院的管道项目，增加人工智能学生进入卫生专业的机会。我们的CPC-AIHD的具体目标是：1)创建一个跨学科的CBPR中心，用于中原地区人工智能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学支持；3)为人工智能学生建立一条教育管道，从高中到大学，再到卫生专业的研究生院；4)通过社区咨询委员会和研究人员，在研究过程的各个环节争取当地和区域人工智能社区的帮助。在过去的五年中，堪萨斯大学医学中心的美洲印第安人社区健康项目已经发展并领导了美洲印第安人健康研究和教育联盟的创建，这是一个由学术机构、部落、社区组织和公司/政府实体组成的联盟，其使命是通过高质量的参与性研究和教育来改善人类的健康。CPC-AIHD将以我们成功的CBPR研究团队和联盟为基础，并将把现有的受资助的健康差异研究与两个新的研究项目结合起来。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，以鼓励女性重复进行乳房x光检查；2)一项关于部落大学生吸烟模式的流行病学研究，以帮助确定为什么在美国所有种族/族裔群体中，阿尔族的吸烟率最高。

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.