Addressing Social and Behavioral Determinants of Health

解决健康的社会和行为决定因素

• 批准号: 10285667
• 负责人: JEFFREY KULLGREN
• 金额: $ 6.97万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-06 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10285667
• 关键词: Address; Age; Behavior; Behavioral; Behavioral Sciences; Collaborations; Community Healthcare; Diabetes Mellitus; Diabetes prevention; Diet; Discrimination; Economics; Environment; Evaluation; Faculty; Foundations; Health; Health behavior; Individual; Intervention; Intervention Studies; Knowledge; Learning; Measurement; Measures; Mediator of activation protein; Medical; Michigan; Morbidity - disease rate; Outcome; Physical activity; Play; Positioning Attribute; Prevention; Public Health; Research; Research Personnel; Self Management; Structural Racism; System; Translational Research; Work; behavior change; behavior influence; behavioral economics; care seeking; career; cultural competence; disparity elimination; disparity reduction; experience; health care settings; health disparity populations; health equity promotion; improved; improved outcome; innovation; insight; medication compliance; mortality disparity; multidisciplinary; next generation; novel; patient population; psychosocial; social; social health determinants; treatment disparity

Project Summary/Abstract – Addressing Social and Behavioral Determinants of Health Core Social determinants of health (SDOHs), defined as the conditions in the environments in which people are born, live, learn, work, play, worship, and age, are major drivers of diabetes-related morbidity, mortality, and disparities. Health behaviors such as care-seeking decisions, medication adherence, self management, diet, and physical activity are also key factors that influence diabetes-related outcomes. In addition, these behavioral factors can be important mediators of the deleterious effects of SDOHs on diabetes-related outcomes, limiting the real world impact of medical and public health advances in diabetes prevention and treatment and further contributing to population health disparities. Despite growing recognition of the importance of socio-ecological, economic, and behavioral influences on the prevention and treatment of diabetes, and their contribution to inequities in diabetes-related outcomes, much remains unknown about the most effective ways to address these influences to improve outcomes and eliminate disparities. Closing this gap in knowledge will require cross-disciplinary expertise in a broad range of social and behavioral determinants of health, experience with and access to strong cross-sector partnerships, and dissemination of novel research to key stakeholders who can implement, sustain, and disseminate findings. The Addressing Social and Behavioral Determinants of Health Core will catalyze state-of-the-art approaches to address socio- ecological, economic, and behavioral determinants of health in order to eliminate inequities in diabetes prevention and treatment. The Core will support Center investigators and trainees with measuring and intervening on social and behavioral determinants of health among diverse patient populations in a range of community and health care settings. This Core will have a particular focus on developing novel interventions that screen for and modify SDOHs, leverage insights from behavioral economics and other behavioral science frameworks, support culturally competent behavior change among diverse patient populations, and address the health consequences of individual, interpersonal, and structural racism. This Core has four Specific Aims: Aim 1. Support state-of-the-art translational research to address socio-ecological, economic, and behavioral determinants of health in order to eliminate inequities in diabetes prevention and treatment. Aim 2. Integrate rigorous measurement of socio-ecological, economic, and behavioral determinants of health into translational diabetes research. Aim 3. Catalyze new collaborations to address socio-ecological, economic, and behavioral determinants of health in translational diabetes research. Aim 4. Develop early career investigators who will measure and target socio-ecological, economic, and behavioral determinants of health in translational diabetes research. Our multidisciplinary focus, breadth, and depth of expertise in the social and behavioral determinants of health in this Core position us well to catalyze a pipeline of innovative diabetes translational research to improve outcomes and ameliorate the conditions that result in diabetes disparities.

项目摘要/摘要 - 解决健康核心核心核心核心核心核心核心核心核心的社会和行为决定因素 健康的社会决定因素（SDOHS），被定义为人们的环境中的条件 出生，生活，学习，工作，玩耍，崇拜和年龄是糖尿病相关，死亡率的主要驱动力 差异。 体育活动也是影响糖尿病相关结果的关键因素 行为因素可能是SDOHS对糖尿病相关的有害影响的重要介体 成果，限制糖尿病医学和公共卫生进展的现实世界的影响 尽管对您的认可越来越大 社会生态，经济和行为对预防和治疗的影响 糖尿病及其对与糖尿病相关结果不平等的贡献，关于 解决这些影响以改善结果和消除差异的最有效方法。 知识差距将需要广泛的社会和行为上的跨学科专业知识 健康的决定因素，具有强大的跨部门合作伙伴关系的经验和获得的决定因素以及传播 可以实施，维持和传播发现的主要利益相关者的新研究 健康核心ZE最新核心的社会和行为决定因素，以解决社会 - 健康的生态，经济和行为决定因素，以消除糖尿病的不平等现象 预防和治疗。 在各种患者人群中，介入健康的行为决定因素 社区和医疗保健环境。 该屏幕和修改SDOHS，利用行为经济学和其他行为科学的见解 框架，支持不同人群之间具有文化胜任的行为变化，并解决 个人，内部和结构性种族主义的健康后果。 目标1。支持最先进的转化研究来解决社会生态学和行为 健康的决定因素，以消除预防糖尿病和治疗的不平等 对健康的社会生态，经济和行为决定因素进行了严格的测量 糖尿病研究。 转化糖尿病研究中的健康决定因素。 衡量和靶向转化糖尿病中健康状况的社会生态，经济和行为决定因素 研究。 核心位置的健康用来催化创新的糖尿病转化研究管道 改善结果并改善导致糖尿病差异的条件。