Admin Core

种族和民族健康差距的负担在美国东南部最为明显，那里 黑人和拉丁裔人口患心血管疾病、糖尿病、肥胖症、高血压的比例最高， 癌症和哮喘。这些慢性疾病是健康状况不佳、生活质量下降的主要原因，以及 过早死亡，占医疗保健支出的50%以上。尽管大幅减少了 一些慢性病和危险因素在过去的几十年里，东南地区继续保持最高 五种主要死因中每一种的潜在可预防死亡人数。 少数族裔占东南部(HHS第四区)人口的39%，其中包括 近1500万非洲裔美国人和900万拉丁裔美国人。东南部的少数民族在许多方面的健康状况更差 指标与其他区域相比，很大程度上是由于社会经济状况较差，22%以上 东南部居民生活贫困。有效解决普遍存在的慢性疾病差异将需要 干预措施，考虑那些不成比例受影响的人的需求、优先事项和生活经历。 具有社会、环境、行为和生物学科专业知识的研究团队必须合作 制定和测试旨在推动差异的多层次决定因素的多组成部分战略。 东南区创新公平解决方案合作的行政核心 慢性疾病差异建立在现有的、高生产力的健康差异研究合作的基础上 在东南部的多个机构中，缓解慢性病差异的努力 数量众多，但在非洲裔美国人和拉美裔美国人中仍然难以处理。核心将创建一个跨机构的 结构，汇集了来自迈阿密大学范德比尔特大学医学中心的教职员工 医学院和梅哈里医学院： 具体目标1.发展和维持高产出和高效率的区域跨学科 合作中心，使慢性病差异研究能够减少非洲之间的差异 美国人和拉丁裔人口。 具体目标2.有效加快数据整合、协调数据统一和共享数据 跨研究项目和试点项目，并与协调中心合作。 具体目标3.通过实时数据收集促进中心运营，以实现持续质量 改进和支持对中心活动的前瞻性监测和评估。

The burden of racial and ethnic health disparities is most evident in the southeastern United States, where Black and Latino populations suffer the highest rates of cardiovascular disease, diabetes, obesity, hypertension, cancer, and asthma. These chronic conditions are a primary cause of poor health, reduced quality of life, and premature death, and account for more than 50% of health care expenditures. Despite substantial reduction of some chronic diseases and risk factors over the last few decades, the Southeast continues to have the highest number of potentially preventable deaths for each of the five leading causes of death. Racial and ethnic minorities comprise 39% of the population of the Southeast (HHS Region IV), which includes nearly 15 million African Americans and 9 million Latinos. Minorities in the Southeast fare worse on many health indicators compared to other regions, in large part due to poor socioeconomic status, with more than 22% of Southeastern residents living in poverty. Effectively addressing pervasive chronic disease disparities will require interventions that consider the needs, priorities, and lived experiences of those disproportionately impacted. Research teams with expertise in social, environmental, behavioral, and biological disciplines must collaborate to develop and test multicomponent strategies aimed at the multilevel determinants that drive disparities. The Administrative Core of the Southeast Collaborative for Innovative and Equitable Solutions to Chronic Disease Disparities builds on existing, highly-productive, health disparities research collaborations across multiple institutions in the Southeast, where efforts to mitigate chronic disease disparities have been numerous, yet remain intractable among African Americans and Latinos. The Core will create a cross-institutional structure, bringing together faculty from Vanderbilt University Medical Center, University of Miami School of Medicine, and Meharry Medical College to: Specific Aim 1. To develop and sustain a highly productive and efficient regional transdisciplinary collaborative center that enables chronic disease disparities research to reduce disparities among African American and Latino populations. Specific Aim 2. To effectively expedite data integration, coordinate data harmonization, and share data across research projects and pilot projects, and with the Coordinating Center. Specific Aim 3. To facilitate Center operations through real-time data collection for continuous quality improvement and support prospective monitoring and evaluation of Center activities.