Partnerships for Diabetes Related Disparties in Hawaii

夏威夷糖尿病相关政党的合作伙伴关系

• 批准号: 6950398
• 负责人: HELAINE E. RESNICK
• 金额: $ 42.69万
• 依托单位: MEDSTAR HEALTH RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6950398
• 关键词: Hawaiian; clinical research; diabetes mellitus; human subject

DESCRIPTION (provided by applicant): MedStar Research Institute (MRI) is the partnering institution of the University of Hawaii on Project EXPORT. The overall purpose of our joint application is to address health disparities among Native Hawaiians (NHs) and Pacific Peoples (PP; including Pacific Islanders and Filipinos) in Hawaii. Among NHs, the indigenous people of Hawaii, high rates of obesity and diabetes compared to the U.S. national rates are well known. In accordance with these trends, rates of cardiovascular disease (CVD) among NHs have been on the rise while rates in the general U.S. population have been decreasing. Despite the considerable burden of chronic disease among NHs, there is relatively little published data on the health of this population and even less is known about other Pacific Peoples (PPs). The sparse literature available on NH health disparities contrasts with the fact that several research projects focused on this topic have been initiated over the last 15 years. Part of the reason for the relative lack of published data on NH health is due to the fact that the State of Hawaii does not have a coordinated effort or critical mass of researchers and research infrastructures to (1) make use of its existing data resources on NH health and PPs, (2) support the growth of new research activities on health disparities among NHs or PPs or (3) promote the professional development of new investigators and research professionals. As a partner to the University of Hawaii in Project EXPORT, MRI will have three roles: (1) Provide statistical and data management support; (2) design and implement the Molokai Native Hawaiian Heart Health Study and (3) design and implement culturally appropriate clinical training programs for investigators, allied health professionals and community members. This partnership is based on MRIs experience conducting clinical research in American Indians (AI) and Alaska Natives (AN), populations with strikingly similar health profiles as NHs and PPs (obesity, diabetes and CVD). A partnership between the University of Hawaii and MRI in promoting research in NH and PP health through Project EXPORT will (1) address key deficiencies in research infrastructures that currently exist in Hawaii, and (2) provide MRI with an opportunity to extend its research experience in AI and AN to similar studies in a NH population. The mutually beneficial nature of this partnership will ensure that the goals of this center grant are achieved. This partnership will also form the groundwork for future opportunities to examine common correlates of health disparities among native populations in the U.S. that share similar inequities in health status.

描述（由申请人提供）：MedStar 研究所 (MRI) 是夏威夷大学 EXPORT 项目的合作机构。我们联合申请的总体目的是解决夏威夷原住民 (NH) 和太平洋人民 (PP；包括太平洋岛民和菲律宾人) 之间的健康差异。在夏威夷原住民中，与美国全国相比，肥胖和糖尿病的发病率很高，这是众所周知的。根据这些趋势，非居民的心血管疾病 (CVD) 发病率一直在上升，而美国普通人群的心血管疾病 (CVD) 发病率却在下降。尽管非居民的慢性病负担相当大，但有关该人群健康状况的公开数据相对较少，对其他太平洋人民 (PP) 的了解更是少之又少。关于新罕布什尔州健康差异的文献很少，与过去 15 年启动的几个针对这一主题的研究项目形成鲜明对比。 NH 健康方面公布的数据相对缺乏的部分原因是夏威夷州没有协调一致的努力或足够数量的研究人员和研究基础设施来 (1) 利用其现有的数据资源来NH 健康和 PP，(2) 支持关于 NH 或 PP 之间健康差异的新研究活动的发展，或 (3) 促进新研究者和研究专业人员的专业发展。作为夏威夷大学 EXPORT 项目的合作伙伴，MRI 将发挥三个作用：（1）提供统计和数据管理支持； (2) 设计和实施摩洛凯岛夏威夷原住民心脏健康研究；(3) 为研究人员、专职医疗专业人员和社区成员设计和实施适合文化的临床培训计划。此次合作基于 MRI 在美洲印第安人 (AI) 和阿拉斯加原住民 (AN) 中进行临床研究的经验，这些人群的健康状况与 NH 和 PP（肥胖、糖尿病和 CVD）惊人相似。夏威夷大学和 MRI 之间通过项目 EXPORT 促进 NH 和 PP 健康研究的合作伙伴关系将 (1) 解决夏威夷目前存在的研究基础设施的关键缺陷，以及 (2) 为 MRI 提供扩展其研究经验的机会AI 和 AN 中的研究与 NH 人群中的类似研究相似。这种伙伴关系的互利性质将确保该中心赠款的目标得以实现。这种伙伴关系还将为未来有机会研究健康状况相似的美国原住民之间健康差异的共同相关性奠定基础。