The Impact of Structural Racism on Racial/Ethnic Disparities in End-Stage Kidney Disease from Healthy Population to Mortality

结构性种族主义与慢性肾脏病到慢性肾脏病的进展 终末期肾病-多样性补充 项目摘要 这一为期两年的研究多样性补充的目标，“结构性种族主义和种族歧视”， 从慢性肾脏病进展到终末期肾脏病，”是为了提供博士。 vonLocandum拥有研究经验和指导，在以下领域建立资金和出版组合： 肾脏和相关疾病的健康差距，重点是结构性种族主义的影响。这种多样性 增刊将为vonLochal博士提供一个扩大其方法学专门知识机会， 科学知识与肾脏健康和健康的差距，并制定一个新的，独立的 研究议程作为肾脏健康差异学者。本研究将探讨结构的作用， 种族主义（SR）在解释从慢性肾脏病（CKD）进展到终末期肾病的种族差异方面的作用。 肾脏疾病分期（ESKD），并将比较三个地理级别（国家、大城市和州） 在此我们可以测量SR以确定SR最具影响力的空间级别。SR的研究 对健康差距的影响仍处于初期阶段。提供更深入分析SR如何创建 这些持续存在的差异可以提供更大的清晰度和准确性，以确定对 结构性种族主义对诸如此类的健康差距的影响。

Structural Racism and the Progression from Chronic Kidney Disease to End-Stage Kidney Disease--Diversity Supplement Project Summary The goal of this two-year Research Diversity Supplement, “Structural Racism and the Progression from Chronic Kidney Disease to End-Stage Kidney Disease,” is to provide Dr. Niki vonLockette with the research experience and mentorship to build a funding and publishing portfolio in kidney and related diseases' health disparities, focusing on the impact of structural racism. This diversity supplement will provide an opportunity for Dr. vonLockette to expand her methodological expertise and scientific knowledge related to kidney health and health disparities, and develop a new, independent research agenda as a kidney health disparities scholar. This study will examine the role of structural racism (SR) in explaining racial disparities in the progression from chronic kidney disease (CKD) to end- stage kidney disease (ESKD) and will compare three geographic levels (country, metropolitan, and state) at which we can measure SR to identify the spatial level where SR is most impactful. The study of SR's impact on health disparities is still nascent. Explanations that offer deeper analysis into how SR creates these persistent disparities can offer greater clarity and precision to identifying effective disruptions to the impact of structural racism on health disparities such as these.