Child Health Equity Research Program for Post-doctoral Trainees.

美国儿童越来越多地来自非多数种族/民族背景；这些是最高的群体 健康不平等的风险，到2045年，美国人口将成为“占多数的少数”。下层的孩子们 社会经济地位(SES)家庭获得医疗保健的机会较差，导致患慢性病的风险更大 作为成年人的疾病。主要的成人慢性病影响着三分之一的成年人，占美国75%以上 医疗保健支出。儿童时期成人疾病的主要决定因素是明显的社会因素和 非医疗：贫困、教育水平低、不健康的社会和自然环境以及不健康的生活方式 选择。然而，目前美国的生物医学劳动力缺乏训练有素的科学家来解决儿童健康问题 劳动力不平等和缺乏多样性，无法更好地让未得到充分服务的少数群体参与研究。 为了填补这些空白，我们提出了针对博士后实习生的儿童健康公平研究计划 (CHERPP-T)，这是一个有指导的、基于研究项目的培训计划，提供严格的教学培训 卫生服务和临床研究方法、体验式研究培训、职业发展、 社区-学术伙伴关系的机会，以及由导师、合作者和 合伙人。该计划将主要侧重于从代表性不足的种族/少数民族中招募实习生。 通过利用与博士前和职业生涯早期URM渠道计划的现有关系，实现群体(URM) 专为学术儿科医生准备的。健康公平研究将被定义为旨在改善或检查 NIMHD框架中定义的四个主要健康差距人群的结果(种族/族裔、低社会经济地位、 农村、性/性别少数群体)。博士级实习生将发展独立的研究生涯，专注于 在多个领域和对健康的影响程度上实现健康公平，并获得改进的技能 个人、家庭/组织、社区和人口层面的健康结果。我们要两个 一年级学员和四年级学员(两名一年级学员和两名二年级学员)。 具体目标是： 1.从国家申请者库中招募优秀的URM研究员，同时关注临床和 学术背景、社会经济地位、种族/族裔和性别； 2.使研究员具备健康公平研究方法和研究技能方面的强大背景； 3.支持研究员完成有影响力、严谨的研究项目；以及 4.为研究员建立和维持一个支持性和协作性导师网络。 CHERPP-T的长期影响将是增加由儿童科学家独立资助的URM 由于关注儿童健康公平和健康差距的性质，CHERPP-T也将领导 到注册和从事生物医学的儿童、青年和家庭的数量增加 研究。这两个关键的项目影响反过来又将大大有助于减少儿童健康方面的不平等。

U.S. children are increasingly from non-majority racial/ethnic backgrounds; these are the groups at highest risk for health inequities, and by 2045, the U.S. population will be “majority minority”. Children in lower socioeconomic status (SES) families have poorer access to health care, resulting in greater risk of chronic diseases as adults. The major adult chronic diseases affect 1 in 3 adults and account for more than 75% of US health care spending. The major childhood determinants of adult disease are distinctly societal and nonmedical: poverty, poor education, unhealthy social and physical environments, and unhealthy lifestyles options. However, the current U.S. biomedical workforce lacks scientists trained to address child health inequities and lacks diversity in the workforce to better engage underserved minority populations in research. To fill these gaps, we propose the Child Health Equity Research Program for Post-doctoral Trainees (CHERPP-T), a mentored, research project-based training program that provides didactic training in rigorous health services and clinical research methodologies, experiential research training, career development, opportunities for community-academic partnerships, and a long-term network of mentors, collaborators, and partners. The program will focus heavily on recruiting trainees from underrepresented racial/ethnic minority groups (URM) by leveraging existing relationships with predoctoral and early career URM pipeline programs for academic pediatricians. Health equity research will be defined as work that aims to improve or examine outcomes for four main health disparity populations defined in the NIMHD Framework (race/ethnicity, low SES, rural, sexual/gender minority). Doctoral level trainees will develop an independent research career focused on achieving health equity across multiple domains and levels of influence on health, and acquire skills to improve health outcomes at the level of the individual, family/organization, community, and population. We request two trainees in year one and four trainees in subsequent years (two 1st year and two 2nd year fellows). The Specific Aims are to: 1. Recruit outstanding URM fellows from a national applicant pool with attention to diversity in clinical and academic backgrounds, socioeconomic status, race/ethnicity and gender; 2. Equip fellows with a strong background in health equity research methodology and research skills; 3. Support fellows in completion of an impactful, rigorous research project; and 4. Establish and maintain a supportive and collaborative network of mentors for fellows. CHERPP-T's long term impact will be to increase URMs who are independently funded scientists in child health fields, and by nature of their focus on child health equity and health disparities, CHERPP-T will also lead to an increase in the numbers of underserved children, youth, and families enrolled and engaged in biomedical research. These two key program impacts will in turn contribute greatly to reducing inequities in child health.