Disparities in Injuries and Access to Injury Prevention

伤害和伤害预防方面的差异

基本信息

批准号：
7525317
负责人：
JOYCE C PRESSLEY
金额：
$ 12.34万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/7525317
关键词：
Accidental Injury Accidents Address Adolescent Adult Age Area Attention Caring Cause of Death Centers for Disease Control and Prevention (U.S.)Cerebrovascular Disorders Child Childhood Injury Collaborations Communities Coupled Data Data Analyses Dimensions Disabled Persons Disadvantaged Elderly Evaluation Research Event Expenditure Foundations Funding General Population Grant Head Health Health Services Accessibility Healthcare Healthy People 2010 Heart Diseases Hispanics Home environment Hospitals Infant Injury Institute of Medicine (U.S.)Intervention Journals Left Life Life Expectancy Longevity Malignant Neoplasms Measures Medical Medical Surveillance Minority Monitor Morbidity - disease rate New York City Operative Surgical Procedures Outcome Peer Review Population Prevention Primary Prevention Public Health Publishing Randomized Controlled Trials Range Rate Rehabilitation therapy Report (document)Research Research Infrastructure Role Safety Secondary Prevention Severities Site Stream Structure Trauma United States Urban Health Wood material World Health Organization age group base community intervention comparative design disability ethnic difference falls hazard health care service utilization health disparity injury prevention interest member mortality neglect prevent programs racial and ethnic disparities social socioeconomics success tertiary prevention years of life lost

项目摘要

Injuries, unintentional and intentional, contribute significantly to ethnic disparities in morbidity, disability and life expectancy. In Harlem childhood injuries occur at twice the national rate. Unintentional injuries are the third leading cause of death in Hispanics and the fourth in blacks--preceded only by heart disease, cancer, and cerebrovascular disease (blacks). In addition, unintentional injuries are a leading cause of years of potential life lost (YPLL) (CDC 2002). Yet the leading role of injuries, both in morbidity and mortality in the general population and as a major dimension of racial and ethnic disparities, has not received full recognition. Inadequate attention to ethnic disparities left Healthy People 2010 (DHHS 2000) with insufficient information to set targets for reduction of ethnic disparities in many injury areas. Both intentional and unintentional injuries have been shown to have a modifiable component when well-focused interventions are implemented in a minority community. Through the efforts of the Co-PI, Dr. Barbara Barlow and others, focused, community-based interventions were put into place that lowered injury rates by 40%-50%. Using funding from the Robert Wood Johnson Foundation, the success of this program has been nationalized. The program now operates sites in 7 of 10 trauma regions covering the mainland United States. As Chief of Surgery at Harlem Hospital, Dr. Barlow has observed the need to expand these efforts to adults and the elderly. The focus of the Injury/Disability Prevention Core is to facilitate the study of racial and ethnic disparities in injuries and injury prevention across all age groups. Specific aims are to: (1) promote research on disparities in access to programs and capabilities to prevent injury and disability among infants, children, adolescents, and elderly to characterize health disparities in injury; (2) expand monitoring of injury surveillance and disparities in health care access to potentially disability-reducing treatments for adult and elderly populations in northern Manhattan; and (3) develop research in collaboration with northern Manhattan organizations to identify potential interventions to reduce injury disparities through primary, secondary, and tertiary prevention of falls, the most prevalent nonfatal injury.

伤害，无意和故意的，对发病率，残疾和预期寿命的种族差异做出了重大贡献。在哈林地区，儿童伤害是全国率的两倍。无意的伤害是西班牙裔中的第三大死亡原因，是黑人的第四名 - 仅由心脏病，癌症和脑血管疾病（黑人）预言。此外，意外伤害是损失多年潜在生命的主要原因（YPLL）（CDC 2002）。然而，受伤的主要作用，无论是在普通人群的发病和死亡率中，还是种族和种族差异的主要方面，尚未得到完全认可。对种族差异的关注不足，使2010年健康人（DHHS 2000）没有足够的信息来设定许多伤害地区种族差异的目标。当少数族裔社区实施良好的干预措施时，有意和无意的伤害都具有可修改的组成部分。通过Co-Pi的努力，芭芭拉·巴洛（Barbara Barlow）博士和其他人的重点，基于社区的干预措施被降低了40％-50％。利用罗伯特·伍德·约翰逊基金会（Robert Wood Johnson Foundation）的资金，该计划的成功已被国有化。该计划现在在涵盖美国大陆的10个创伤地区中的7个中运营地点。作为哈林的手术负责人医院，巴洛博士观察到有必要将这些努力扩展到成年人和老年人。伤害/残疾预防核心的重点是促进所有年龄段的伤害和预防伤害的种族和种族差异的研究。具体目的是：（1）促进对访问计划的差异的研究以及预防婴儿，儿童，青少年和老年人伤害和残疾的能力的研究，以表征受伤的健康差异；（2）扩大对曼哈顿北部成人和老年人口潜在减少残疾治疗的医疗保健的伤害监测和医疗保健差异的监测；（3）与曼哈顿北部组织合作开发研究，以确定潜在的干预措施，以减少跌倒，最普遍的非致命伤害，以减少损伤差异。