Central Plains Center for American Indian Health Disparties (CPC-AIHD)

美国印第安人(Al)是美国所有种族/民族中健康差距最大的群体。此外，Al在研究中的代表性不足，特别是在临床试验中，以及在高等教育中，包括本科生课程、研究生课程和医学院。为了解决这些健康差距，并将更多的AI带入卫生职业，我们建议发展中原美洲印第安人健康差距中心(CPC-AIHD)。我们的长期目标是减少健康 通过高质量的基于社区的参与性研究(CBPR)和通过从高中到大学、再到研究生和医学院的管道项目，增加了铝学生进入卫生专业的机会，从而促进了中原地区铝之间的差异。我们对CPC-AIHD的具体目标是：1)创建一个跨学科的CBPR中心，用于研究Al社区的健康差距 该中心的目标是：1)通过质量控制的生物统计和数据管理，为该中心的健康差距研究人员提供方法学支持；3)为从高中到大学、进入卫生专业研究生院的Al学生建立一个教育渠道；4)通过社区咨询委员会和研究人员，在研究过程的各个部分寻求当地和地区Al社区的帮助。在过去的五年里，堪萨斯大学医学中心的美国印第安人社区健康项目开发并领导了美国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阿勒颇的健康状况。CPC-AIHD将在我们成功的CBPR研究团队和联盟的基础上再接再厉，并将现有的、有资金支持的健康差距研究与两个新的研究项目相结合。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Al妇女再次进行乳房X光检查；以及2) 一项流行病学研究集中在部落大学生中的吸烟模式，以帮助确定为什么艾尔的吸烟率是美国所有种族/民族中最高的。

American Indians (Al) suffer some ofthe 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 ofthe 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 detemnine how the mammography experience can be improved to encourage repeat mammography among Al women; and 2) an epidemiology study focused on smoking pattems among tribal college students to help determine why Al have the highest smoking rates of any racial/ethnic group in the US.