Transdisciplinary Health Disparities Research Training for Native Hawaiians and Pacific Students

在环太平洋地区长大的人，包括夏威夷原住民（NH），菲律宾人和其他太平洋地区的人。 岛民，即，太平洋人民（PP），带来独特的地理，种族和文化的研究视角。然而， 她们在研究型职业中的代表性仍然不足。他们带来了一个个人的角度来研究， 健康差距，因为他们受到许多相同的传染病（疟疾，结核病，艾滋病，登革热）的负担， 非传染性疾病作为其他少数群体（例如，糖尿病、心血管疾病、肥胖症）。以来 在2013年获得MHIRT奖，为太平洋人民制定了一项培训计划， 夏威夷大学（UH），提供研究各方面的培训，重点是健康 热带医学的差异。拟议的MHRT培训计划是建立在这个基础上，但 将重点从基于实验室的生物医学研究转移到对社会，行为和公众的研究 影响NH/PP社区的健康差异的健康方面。V. Nerurkar博士，热带医学主席， 医学微生物学和药理学（T3 MP），和J. K。Kaholokula，夏威夷原住民健康主席 (NHH)，将共同指导修订后的计划，提供生物医学和行为医学方面的补充专业知识。 以理工科为重教师在NHH，T3 MP，癌症中心和营养，心理学，公共卫生， 和社会福利在UH加入修订后的夏威夷MHRT培训计划。每年，5名本科生和5名 博士前学员将接受MHRT培训，因为这是NH/PP在 教育管道培训包括：1）春季学期课程，涵盖研究的基本原则; 2)与UH和国家和国际导师合作开发研究项目; 3）参加为期8天的 关于健康差异的旅行前讲习班; 4）开展研究（本科生和研究生10-12 周;博士前1至2个学期）在4个国家或3个国际网站之一; 5）分析结果， 在旅行后研讨会上解释数据; 6）创建“E Ho'欧卢haumana”（夏威夷语，意为“新兴 学生”），为家庭，朋友和教师公开介绍研究成果; 7）继续 进行研究和接受职业发展指导，直到毕业及以后。学员 将有机会从事对社区重要的文化相关项目;例如， 进行研究1）糖尿病预防在社区的移民从马歇尔群岛在 阿肯色州大学; 2）华盛顿大学美国印第安妇女的肥胖预防; 3） 高血压干预与NH/PP生活是西雅图与华盛顿州立大学; 4）预防 吸烟对癌症发病率的影响; 5）关岛大学变性妇女的健康问题; 泰国红十字会; 6）应对埃博拉疫情的社区举措， 利比里亚; 7）喀麦隆农村孕妇产前护理。博士生将 在部门研讨会以及地方和国家会议上介绍其成果。夏威夷MHRT培训 该计划的目标是增加NH/PP学生谁是在研究纳入培训的数量， 他们的研究具有社区和文化敏感性，同时具有思想，文化和人才的多样性。

Individuals raised within the Pacific Rim, including Native Hawaiians (NH), Filipinos, and other Pacific Islanders, i.e., Pacific People (PP), bring unique geographic, ethnic, and cultural perspectives to research. Yet, they remain underrepresented in research-oriented careers. They bring a personal perspective to research in health disparities, as they are burdened by many of the same communicable (malaria, TB, AIDS, dengue) and non-communicable diseases as other minority groups (e.g., diabetes, cardiovascular disease, obesity). Since receiving a MHIRT award in 2013, a Training Program designed for Pacific Peoples was developed at the University of Hawaii (UH) that provided training in all aspects of research, with an emphasis on health disparities in tropical medicine. The proposed MHRT Training Program is built on that foundation, but has shifted the focus from laboratory-based biomedical research to research on social, behavioral, and public health aspects of health disparities impacting NH/PP communities. Dr. V. Nerurkar, Chair of Tropical Medicine, Medical Microbiology and Pharmacology (T3MP), and Dr. J.K. Kaholokula, Chair of Native Hawaiian Health (NHH), will co-direct the revised program, providing complementary expertise in biomedical and behavioral sciences. Faculty in NHH, T3MP, the Cancer Center and Departments of Nutrition, Psychology, Public Health, and Social Welfare at UH join the revised Hawaii-MHRT Training Program. Annually, 5 undergraduate and 5 pre-doctoral trainees will receive MHRT training, since this is the point of highest attrition of NH/PP in the educational pipeline. Training includes: 1) a Spring semester course covering the basics principles of research; 2) working with UH and national and international mentors to develop research projects; 3) attending an 8-day Pre-Travel Workshop on health disparities; 4) conducting research (under-graduates and graduates 10-12 weeks; pre-doctoral 1 to 2 semesters) at one of 4 national or 3 international sites; 5) analyzing results and interpreting data at a Post-Travel Workshop; 6) creating “E Ho‘oulu haumana” (Hawaiian for “emerging students”), a public presentation of research results for families, friends, and faculty; and 7) continue conducting research and receiving mentoring for career development until graduation and beyond. Trainees will have the opportunity to work on culturally-relevant projects important to the communities; for example, conduct research on 1) diabetes prevention in a community of migrants from the Marshall Islands at the University of Arkansas; 2) obesity prevention in American Indian women at the University of Washington; 3) hypertension intervention with NH/PP living is Seattle with Washington State University; 4) prevention of smoking on cancer prevalence at the University of Guam; 5) health problems of transgender women at the Thai Red Cross, Thailand; 6) community-based initiative to respond to Ebola outbreaks at the University of Liberia; and 7) prenatal care of pregnant women in rural villages in Cameroon. Pre-doctoral students will present their results at departmental seminars and local and national meetings. The Hawaii MHRT Training Program goal is to increase the number of NH/PP students who are trained in research incorporating a diversity of ideas, culture, and talents while tailoring their research to be community and culturally sensitive.