The RCMI Program in Health Disparities Research at Meharry Medical College (Supplement)

摘要 本补充申请（PA-18-591）是为了响应NOT-MD-20-019而提交的， 关于少数群体妇女健康的知识，这将有助于更好地了解生物、 行为和社会经济因素导致这些妇女及其家庭的健康差异， COVID-19的年龄。梅哈里妇女健康研究中心（CWHR）正在提议建立一个伙伴关系， 与基督教女青年会（YWCA）合作，消除COVID-19的社会障碍 在美国进行测试-TEST-US研究，以进行基督教女青年会的社区参与研究项目 在应对COVID-19期间为服务对象提供服务。Meharry/YWCA伙伴关系将提供试点数据， 一项更大规模的多年纵向队列研究。考虑到基督教女青年会在美国为220万个家庭提供服务， (204地点），更大的多地点研究将有助于告知全国的广泛影响， 在不同人群中流行。TEST-US试点和队列研究将与 基督教女青年会的工作人员和受托人与社区咨询委员会已经建立在我们的研究 少数民族机构中心（RCMI）社区参与研究核心。这种结构将使共享 管理数据，并确保将调查结果传播给所服务的各个社区。的 本补充申请的具体目的是1）设计一个社区参与的研究项目 研究种族/民族歧视对少数民族妇女及其家庭COVID-19检测的影响; 及2）调查种族/民族歧视如何影响少数族裔接受COVID-19检测 在纳什维尔和埃尔帕索接受基督教女青年会服务的妇女及其家庭。TEST-US研究是 创新之处在于，目前还没有社区参与的研究项目来解决如何获得 COVID-19检测受少数种族/族裔妇女生活在资源有限的社区的影响。 通过研究基督教女青年会在中南部和得克萨斯-墨西哥边境服务的不同家庭，我们 将提高我们对那些导致妇女健康状况巨大差异的因素的理解， 在COVID-19大流行期间，有色人种及其家人面临的问题。这项研究的结果将提供初步的 这些不同社区的数据，然后提供一个路线图， 在未来的研究中，全国基督教女青年会的网站。我们的研究结果将有助于制定战略和干预措施 同时告知政策，可以消除痛苦，发病率和死亡率，这是由于独特的 对有色人种社区的影响

ABSTRACT This supplemental application (PA-18-591) is submitted in response to NOT-MD-20-019 to create a wealth of knowledge regarding minority women’s health that will contribute to a better understanding of the biological, behavioral, and socio-economic factors contributing to these women’s and their family’s health disparities in the age of COVID-19. The Meharry Center for Women’s Health Research (CWHR) is proposing a partnership with the Young Women’s Christian Association (YWCA), Towards Ending Societal barriers to COVID-19 Testing in the United States- the TEST-US study, to conduct a community engaged research project of YWCA service recipients during the response to COVID-19. The Meharry/YWCA partnership will provide pilot data for a larger multiyear longitudinal cohort study. Given the 2.2 million families served by the YWCA across the USA (204 locations), the larger multisite study will aid in informing the nation about the broad impact of the pandemic on diverse populations. The TEST-US pilot and cohort study will be conducted in collaboration with YWCA staff and trustees in combination with a community advisory board already established in our Research Centers in Minority Institutions (RCMI) community engaged research core. This structure will enable shared governance of data and ensure that findings are disseminated to the respective communities served. The specific aims of this supplemental application are 1) To design a community engaged research project examining the impact of racial/ethnic discrimination on COVID-19 testing in minority women and their families; and 2) To investigate how racial/ethnic discrimination affects access to COVID-19 testing among minority women and their families receiving services from the YWCA in Nashville and El Paso. The TEST-US study is innovative in that there are no existing community engaged research projects addressing how access to COVID-19 testing is affected by living in resource-restricted communities among racial/ethnic minority women. By studying the diverse families served by the YWCA, in the mid-south and on the Texas-Mexico border, we will improve our understanding of those factors that contribute to the tremendous health disparities that women of color and their families face during the COVID-19 pandemic. Results from this study will provide preliminary data on these disparate communities and then provide a road map to expand geographic representation among YWCA sites nationally in a future study. Our findings will aid in developing strategies and interventions while informing policy that may eliminate the distress, morbidity, and mortality that has resulted from the unique impact off the pandemic on communities of color.