The East Texas Project EXPORT Center

描述（由申请人提供）：在过去的几十年里，预期寿命的延长减少了糖尿病患者，但这种延长是不对称的。虽然所有种族/族裔和社会经济群体的糖尿病患者的并发症较少，休克和肾衰竭导致的乳酸酸中毒发生率较低，疾病的其他并发症较少，但糖尿病的患病率和进展存在差异。此外，在东德克萨斯州也可以观察到这种模式。部分由于在获得治疗方面的差异，基于患者的变量也部分解释了目前确认的糖尿病及其相关疾病、高血压和肥胖症方面的差异。 在这方面，位于德克萨斯州泰勒的德克萨斯学院是一所历史上的黑人学院/大学，其合作伙伴位于泰勒的德克萨斯大学健康中心（UTHCT）提议通过使用R24资金实施东德克萨斯项目出口中心。这个高度专业化的中心将与UTHCT的教职员工和德克萨斯大学的学生合作，进行关于糖尿病及其相关疾病，高血压和肥胖的预防，诊断，治疗和自我管理的健康差异研究。该中心将利用一个移动的单位-“家乡教育”货车开展外联活动，并参与传播预防和治疗信息。最初，这个创新中心将针对史密斯县的居民，目标是达到东德克萨斯州的其他县，以增加生活在东德克萨斯州健康差异人群中糖尿病自我管理治疗的发病率。

DESCRIPTION (provided by applicant): The extensions in life expectancy that have attenuated diabetics over the last few decades have been asymmetric. While diabetic persons by all races/ethnicities and socioeconomic groups have experienced fewer inter-current illnesses, lower rates of lactic acidosis due to shock and renal failure, and fewer other complications of their disease, disparities in the prevalence and progress of diabetes mellitus, have, nevertheless, occurred. Moreover, such patterns are observable in East Texas. Due in part to differences in access to treatment, patient-based variables also explain in part, the currently confirmed disparities regarding diabetes, and its related diseases, hypertension and obesity. In this regard, Texas College, a Historically Black College/University, located in Tyler, Texas and its partner, the University of Texas Health Center at Tyler (UTHCT), propose to implement the East Texas Project EXPORT Center through the use of R24 funding. This highly specialized Center will partner with UTHCT faculty, staff and Texas College students in conducting health disparities research regarding the prevention, diagnosis, treatment, and self-management of diabetes and its related diseases, hypertension and obesity. The Center will utilize a mobile unit, the Hometown Education Van, to conduct outreach and engage in the dissemination of prevention and treatment information. Initially, this innovative Center will target Smith County residents with the goal of reaching other counties in East Texas in order to increase the incidence of self-management treatment for diabetes in health disparity populations living in East Texas.