IMPROVING OUTCOMES IN US LATINO CHILDREN

改善美国拉丁裔儿童的学习成果

• 批准号: 6752881
• 负责人: Marielena Lara
• 金额: $ 12.66万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-01 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6752881
• 关键词: Hispanic Americans; Mexican Americans; Puerto Rican; adolescence (12-20); asthma; child (0-11); clinical research; emergency health services; health care quality; health care service evaluation; health care service utilization; health insurance; health services research tag; human data; outcomes research; racial /ethnic difference; socioeconomics; urban area

I am applying for this 5-year K08 Mentored Clinical Scientist Development Award to support and facilitate my development as a health services researcher and speed my transition to an independent investigator. This award will allow me to complete my training in health services methods and provide me with the protected time to assure my publication and grant-making productivity during a pivotal period. I have begun to establish myself as a minority researcher concerned with disparities in health care delivery and outcomes in children through work in 3 areas: 1) analyzing access and quality of care barriers associated with higher asthma morbidity in poor and minority children with asthma; (2) improving survey methods for evaluating morbidity and risk factors associated with asthma, paying particular attention to challenges posed by English/Spanish bilingualism and by the need to incorporate perspectives of both parents and child, and (3) reviewing the existing literature regarding differences in asthma morbidity among Latino children with asthma. Founded on this work and with the guidance of my mentors, Dr. Robert Brook and Dr. Harold Morgenstern, I will continue to develop a research career whose long-term goal is to improve health outcomes and quality of life in Latino children with asthma through evidence-based health care and community- based interventions. The short-term objectives of this 5-year career development award are to: 1) obtain additional formal training in quality of care, statistical, study design, and epidemiological methods, 2) complete a period of supervised experience in analyses of existing datasets to enhance my analytic skills and increase my publication record, 3) submit at least 2 R01 applications to carry out the next phase of my investigations, and 4) continue to develop the community-based and research infrastructure necessary for my research. The specific aims of my intended R01 funded research include to: 1) develop and evaluate a combined health care and school community-based intervention to ensure access to high-quality primary care for Latino and other children with asthma, and 2) identify the factors, such as differences in primary care health care use and socio-demographic risks, that are associated with variations in asthma prevalence and morbidity among US children of Puerto Rican, Mexican, Cuban, and other Latino heritage.

我正在申请这个为期 5 年的 K08 指导临床科学家发展奖，以支持和促进我作为卫生服务研究员的发展，并加快我向独立研究者的过渡。 该奖项将使我能够完成卫生服务方法方面的培训，并为我提供受保护的时间，以确保我在关键时期的出版和资助生产力。 我已开始将自己定位为少数族裔研究员，通过以下三个领域的工作关注儿童医疗保健提供和结果的差异：1）分析与贫困和少数民族哮喘儿童较高的哮喘发病率相关的护理获取和质量障碍； (2) 改进评估哮喘相关发病率和危险因素的调查方法，特别关注英语/西班牙语双语带来的挑战以及纳入父母和儿童观点的需要，以及 (3) 回顾有关差异的现有文献拉丁裔哮喘儿童的哮喘发病率。 基于这项工作，并在我的导师 Robert Brook 博士和 Harold Morgenstern 博士的指导下，我将继续发展研究事业，其长期目标是通过以下方式改善拉丁裔哮喘儿童的健康结果和生活质量：基于证据的医疗保健和基于社区的干预措施。这个为期 5 年的职业发展奖的短期目标是：1) 获得护理质量、统计、研究设计和流行病学方法方面的额外正式培训，2) 完成一段对现有数据集分析的监督经验，以提高我的分析技能并增加我的发表记录，3）提交至少 2 份 R01 申请以进行下一阶段的调查，以及 4）继续开发我的研究所需的基于社区的研究基础设施。 我打算进行的 R01 资助研究的具体目标包括：1) 制定和评估基于医疗保健和学校社区的综合干预措施，以确保拉丁裔和其他哮喘儿童获得高质量的初级保健，2) 确定影响因素，例如初级保健医疗保健使用和社会人口风险的差异，这些差异与波多黎各、墨西哥、古巴和其他拉丁美洲裔美国儿童哮喘患病率和发病率的差异有关。

项目成果

Heterogeneity of childhood asthma among Hispanic children: Puerto Rican children bear a disproportionate burden.

西班牙裔儿童儿童哮喘的异质性：波多黎各儿童承受着不成比例的负担。

• 发表时间: 2006-01
• 影响因子: 8
• 作者: Lara, Marielena;Akinbami, Lara;Flores, Glenn;Morgenstern, Hal
• 通讯作者: Morgenstern, Hal

Reducing inequities among children with asthma in the island of Puerto Rico: experiences of a community-based, trans-sectoral effort.

减少波多黎各岛哮喘儿童的不平等：以社区为基础的跨部门努力的经验。

• 发表时间: 2009
• 影响因子: 1.4
• 作者: Lara, Marielena;Valencia, Gilberto Ramos;Gavillan, Jesus A Gonzalez Gavillan;Reyes, Beatriz Morales;Arabia, Carmen;Malpica, Fernando Lopez;Freytes, Dharma M;Rodriguez;Chinman, Matthew
• 通讯作者: Chinman, Matthew

Is more better? The impact of implementing more interventions for hypertension control in a practice facilitation study for small- and medium-sized practices.

越多越好吗？

• 发表时间: 2023-11
• 影响因子: 2.7
• 作者: Ross, Samuel M;Wang, Andrew;Anthony, Lauren;Persell, Stephen D;Yu, Jingzhi;Kho, Abel N
• 通讯作者: Kho, Abel N

Improving childhood asthma outcomes in the United States: a blueprint for policy action.

改善美国儿童哮喘结果：政策行动蓝图。

• 发表时间: 2002-05
• 影响因子: 8
• 作者: Lara, Marielena;Rosenbaum, Sara;Rachelefsky, Gary;Nicholas, Will;Morton, Sally C;Emont, Seth;Branch, Marian;Genovese, Barbara;Vaiana, Mary E;Smith, Vernon;Wheeler, Lani;Platts;Clark, Noreen;Lurie, Nicole;Weiss, Kevin B
• 通讯作者: Weiss, Kevin B

Measuring health status and quality of life for US children: relationship to race, ethnicity, and income status.

衡量美国儿童的健康状况和生活质量：与种族、民族和收入状况的关系。

• 发表时间: 2004-07
• 作者: Olson, Lynn M;Lara, Marielena;Pat Frintner, Mary
• 通讯作者: Pat Frintner, Mary