The Maya Angelou Center for Health Equity

玛雅安杰卢健康公平中心

• 批准号: 8519557
• 负责人: Ronny A Bell
• 金额: $ 120.77万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-08-01 至 2017-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8519557
• 关键词: Address; Adopted; Advocate; Affect; African American; American; Area; Cause of Death; Climate; Clinic; Commit; Communities; Community Healthcare; Controlled Study; County; Development; Diabetes Mellitus; Diabetes prevention; Disease; Effectiveness; Faculty; Glare; Goals; Health Sciences; Hispanics; Institutes; Intention; Intervention; Intervention Studies; Knowledge; Latino; Leadership; Life Style; Mentors; Minority; Minority Groups; Mission; Modeling; Non-Insulin-Dependent Diabetes Mellitus; North Carolina; Participant; Policies; Population; Prediabetes syndrome; Prevalence; Primary Prevention; Public Health; Publishing; Recruitment Activity; Request for Applications; Research; Research Activity; Research Personnel; Research Project Grants; Risk Factors; Scientist; Secondary Prevention; Structure; Training; Translating; Translational Research; Translations; Underrepresented Minority; United States; Vision; base; design; diabetes control; disability; evidence base; experience; forest; health disparity; health equity; high risk; improved; minority health; mortality; post intervention; programs; racial and ethnic; research study; success; translational approach

Diabetes mellitus is a leading cause of death and disability in the United States (US). Recent estimates published in 2011 indicate that about 26 million Americans have diabetes, or about 8.3% of the US population. An additional 79 million Americans have pre-diabetes, placing them at high risk for developing type 2 diabetes. The public health burden of diabetes is even more pronounced in most racial and ethnic minority groups. The prevalence of type 2 diabetes and its associated complications, including mortality, are higher for African Americans and Hispanics, the largest racial/ethnic minority groups in North Carolina and the US. Despite the successes seen in national diabetes prevention and control studies, there is a glaring lack of understanding in the ways in which the findings of these and other studies can be adequately implemented and adopted in "real world" settings to provide benefit to the populations that are most vulnerable to this common and costly disease. The recent emphasis on community-based and translational research at the federal level, especially "T4" research, which emphasizes the translation of scientific knowledge to impact the community, can be a key aspect to addressing these disparities. This approach requires a concerted effort between scientists adequately trained in conducting culturally appropriate research and representatives within the community. For the proposed COE, the Maya Angelou Center for Health Equity will develop and implement a multi-pronged approach with the overall focus on translating evidence-based, lifestyle strategies to eliminate health disparities In diabetes prevention and control. The MACHE COE will achieve the following aims pertinent to the overall goal of translating lifestyle approaches for eliminating diabetes disparities: (1) Design and conduct two community-based intervention studies focusing on diabetes prevention and control.

糖尿病是美国（美国）的死亡和残疾的主要原因。 2011年发表的最新估计表明，约有2600万美国人患有糖尿病，约占美国人口的8.3％。另外7900万美国人患有糖尿病前，使他们患2型糖尿病的风险很高。在大多数种族和族裔群体中，糖尿病的公共卫生负担更加明显。对于非洲裔美国人和西班牙裔，2型糖尿病的患病率及其相关并发症（包括死亡率）较高，这是北卡罗来纳州和美国最大的种族/族裔少数群体。尽管在全国糖尿病预防和控制研究中取得了成功，但在“现实世界”环境中可以充分实施和采用这些研究结果的方式缺乏理解，以便为最容易受到这种常见和昂贵疾病的人群提供好处。最近对联邦一级基于社区和转化的研究的重视，尤其是“ T4”研究，强调了科学知识影响社区的翻译，这可能是解决这些差异的关键方面。这种方法需要经过适当培训的科学家之间的一致努力，以进行文化适当的研究与社区内的代表。对于拟议的COE，Maya Angelou卫生公平中心将开发和实施一种多管齐下的方法，总体着重于翻译基于证据的生活方式策略，以消除预防和控制糖尿病的健康差异。 MACHE COE将实现以下目标，该目标与翻译生活方式方法的总体目标有关，以消除糖尿病差异：（1）设计和进行两项侧重于糖尿病预防和控制的基于社区的干预研究。