Community Engagement/Outreach Core

慢性病在少数种族和族裔青年和青年人中呈上升趋势。与种族/民族和社会经济地位相关的患病率差异持续存在或正在扩大（1）。风险因素和早发性疾病集中在青年人身上，这开始表现为慢性病并发症（中风、截肢、肾衰竭、心力衰竭等）发生率方面令人深感不安的差异。在中年人中。此外，越来越多的证据表明，母亲中慢性病风险因素的比例较高，如肥胖和葡萄糖耐受不良/糖尿病前期，可能导致“生物学”， ”在子宫内编程“，导致下一代患慢性病的风险更高。这种社会流行病学 这一现象对当前和未来的物理、社会和 受影响人群的心理健康。它影响到他们的经济生产力，以及他们的福祉。 家庭和社区。它还阻碍了打破消极的生活轨迹的努力， 健康状况不佳的不利条件和歧视。

Chronic diseases are on the rise among racial and ethnic minority youth and young adults. Prevalence disparities related to race/ethnicity and socioeconomic status persist or are widening(1). The concentration of risk factors and early onset conditions in young people are beginning to manifest as profoundly disturbing disparities in the rates of complications of chronic disease (stroke, amputation, kidney failure, heart failure,etc.) among middle-aged people. In addition, there is growing evidence that higher rates of chronic disease risk factors among mothers, such as obesity and glucose intolerance/pre-diabetes, may lead to "biologic programming" in utero, resulting in higher risks of chronic diseases in the next generation. This socioepidemiologic phenomenon has significant implications for the current and future physical, social, and emotional health of the affected populations. It affects their economic productivity, and the well-being of their families and communities. It also thwarts efforts to break negative life-course trajectories that relate disadvantage and discrimination to poor health.