Transdisciplinary Health Disparities Research Training for Native Hawaiians and Pacific Students

在环太平洋地区长大的个人，包括夏威夷土著(NH)、菲律宾人和其他太平洋人 岛民，即太平洋人(PP)，为研究带来了独特的地理、种族和文化视角。然而， 在以研究为导向的职业中，他们的代表性仍然很低。他们为研究带来了个人的视角 健康差距，因为他们背负着许多相同的传染性疾病(疟疾、结核病、艾滋病、登革热)和 非传染性疾病与其他少数群体一样(如糖尿病、心血管疾病、肥胖症)。自.以来 在2013年获得MHIRT奖后，为太平洋人民设计的培训方案在 夏威夷大学(UH)，提供所有方面的研究培训，重点是健康 热带医学方面的差异。拟议的MHRT培训方案建立在这一基础上，但 将重点从基于实验室的生物医学研究转移到社会、行为和公共领域的研究 影响NH/PP社区的健康方面的健康差距。热带医学主席V.Nerurkar博士， 医学微生物学和药理学(T3MP)和夏威夷土著健康主席J.K.Kaholokula博士 (NHH)将共同指导修订后的计划，提供生物医学和行为学方面的补充专业知识 科学。NHH，T3MP，癌症中心和营养，心理，公共卫生系， 和社会福利在大学参加修订的夏威夷-MHRT培训计划。每年，5名本科生和5名 博士前实习生将接受MHRT培训，因为这是全国NH/PP流失率最高的地方 教育渠道。培训包括：1)春季学期课程，涵盖研究的基本原则； 2)与华盛顿大学以及国内和国际导师合作开发研究项目；3)参加为期8天的 关于健康差距的旅行前讲习班；4)开展研究(本科生和毕业生10-12 几周；博士前1至2个学期)在4个国家或3个国际地点之一；5)分析结果和 在旅行后研讨会上解释数据；6)创建“E Ho‘oulu haumana”(夏威夷语中“Emerging”的意思 学生“)，面向家人、朋友和教职员工的研究成果的公开展示；以及7)继续 进行研究并接受职业发展方面的指导，直至毕业及以后。实习生 将有机会从事对社区重要的与文化相关的项目；例如， 在马绍尔群岛移民社区进行糖尿病预防研究 阿肯色大学；2)华盛顿大学美籍印第安人女性的肥胖预防；3) 西雅图与华盛顿州立大学合作，对高血压进行NH/PP生活干预；4)预防 吸烟与关岛大学癌症患病率的关系；5)关岛大学变性人妇女的健康问题 泰国红十字会；6)以社区为基础的倡议，以应对埃博拉疫情在泰国的大学 利比里亚；以及7)喀麦隆农村地区孕妇的产前护理。博士前学生将 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学生的数量，他们接受的研究包括 思想、文化和人才的多样性，同时调整他们的研究，使其具有社区和文化敏感性。

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.