Research Program and Administrative Center

研究计划和行政中心

• 批准号: 7570255
• 负责人: Judith E.N. Albino
• 金额: $ 58.52万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-24 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7570255
• 关键词: Abbreviations; Address; Alaska Native; American Indian and Alaska Native; American Indians; Americas; Appendix; Area; Attention; Behavioral; Buffaloes; Charge; Choctaw Nation of Oklahoma; Colorado; Communities; Community Relations; Comorbidity; Dental Schools; Dental caries; Development; Diabetes Mellitus; Disease; Education; Ensure; Funding; Future; General Population; Glossary; Goals; Head Start Program; Health; Health Policy; Health Sciences; Health Services; Health Status; Indigenous; Individual; Information Dissemination; Institution; Intervention; Intervention Studies; Investigation; Lead; Life Expectancy; Link; Longevity; Malignant Neoplasms; Medicine; Mentorship; Mission; Morbidity - disease rate; Navajo; Numbers; Oral; Oral health; Pattern; Periodontal Diseases; Pneumonia; Policies; Population; Public Health Schools; Range; Recruitment Activity; Research; Research Personnel; Research Training; Reservations; Resources; Risk Factors; Services; South Dakota; Structure; Students; System; Teton Sioux Indian; Training; Tribes; Tuberculosis; United States Indian Health Service; Universities; Vision; Work; base; career; college; community based participatory research; community organizations; design; edentulism; experience; health administration; health disparity; improved; medical schools; mortality; next generation; oral infection; programs; research and development; response; social; tribal college

A. DESCRIPTION OF THE CENTER OVERALL A.1 STRUCTURE AND FOCUS. In response to RFA DE-08-008, the American Indian/Alaska Native Programs (AIANP) within the School of Medicine (SOM) and the School of Dental Medicine (SODM) at the University of Colorado at Denver and Health Sciences Center (UCDHSC), with our collaborating partner, the University at Buffalo SODM, propose a Center for Research to Reduce Disparities in Oral Health (CRRDOH), to be funded by the NIDCR as a Cooperative Research Center (U54). Other higher education institutions with which we have established relationships focused on recruiting students for potential careers in oral health disparities research include Fort Lewis College, which has a mandate to serve American Indian and Alaska (AI/AN) students; and several tribal colleges, including Sinte Gleska University on the Rosebud Reservation in South Dakota, Oglala Lakota College at Pine Ridge, and Dine College of the Navajo Nation. The Pine Ridge Department of Health Administration and the Pine Ridge Indian Health Service (IHS) Unit have worked with us to develop Research Component 1 (RC1). The Albuquerque Area Service Unit of the IHS will participate in RC2; the Talihina Service Unit (Oklahoma/Choctaw Nation) may also take part. The Navajo Nation Departments of Dine Education and Head Start are expected to participate in RC3. The Colorado School of Public Health Initiative, which includes programs offered jointly by the University of Colorado, Colorado State University, and the University of Northern Colorado, will work with us as well, particularly in the development of new training and career opportunities. Note: Please see Appendix RPAC-1 for abbreviations used in this application. Although disparities exist for other groups, the poor health status of AI/ANs is unparalleled in many respects. Life expectancy is almost 6 years less than for the general population and both morbidity and mortality are higher for a broad range of diseases and health problems, including diabetes, tuberculosis, pneumonia, and some forms of cancer.1 Oral infections (caries and periodontal disease) and their sequelae, such as edentulism, also are significantly higher among AI/ANs than among the general population.2 As evidence builds to substantiate a link between oral health status and systemic health conditions¿e.g., periodontal disease and diabetes, the seriousness of these disparities is compounded. The center proposed here will be known as the Center for Native Oral Health Research (CNOHR) and will focus on oral health disparities among AI/AN populations. (The term "American Indian and Alaska Native" or "AI/AN" will refer in this application to those who trace their origins to the indigenous peoples of the continental US; "Native" is used synonymously with AI/AN. See Appendix RPAC-1 for glossary of abbreviations.) The initial program of research will address the 2 most common oral infections, caries and periodontal disease, and will do so within the context of salient patterns of comorbidities, or oral-systemic connections. Special attention will be given to behavioral and social factors that influence and constitute risk factors for oral health across the lifespan. To ensure the development of culturally sensitive interventions that will be accepted and promoted by AI/AN communities, tribes and communities that have been invited to participate in intervention studies have been, and will continue to be, engaged in planning and dissemination of those interventions. In addition to building on the current research base to develop and conduct interdisciplinary intervention research that will lead to changes in health care policies, practices, and ultimately oral health, CNOHR will develop training opportunities, with the goal of cultivating a self-sustaining critical mass of scholars who are prepared to address the disparities identified here. CNOHR also offers the experience and commitment necessary to develop the enduring community relations and support essential for working in the sometimes politically charged context of research with tribal and other AI/AN communities/organizations. Finally, CNOHR will serve as a national resource to encourage and support collaborative research, research training, information dissemination, and technical assistance to the larger AI/AN oral health community. By extending opportunities for research development and support to other health disparities investigators, CNOHR will enhance capacity for research dedicated to improving the oral health of America's First Peoples.

A.总体描述中心的描述 A.1结构和重点。为了回应RFA DE-08-008，美洲印第安人/阿拉斯加本地计划 （AIANP）在医学院（SOM）和大学的牙科医学学院（SODM） 丹佛和健康科学中心（UCDHSC）的科罗拉多州，我们的合作伙伴，大学 布法罗·索德（Buffalo Sodm NIDCR作为合作研究中心（U54）。我们拥有的其他高等教育机构 建立的关系着重于招募学生在口腔健康差异研究中的潜在职业 包括刘易斯堡学院，该学院的任务是为美洲印第安人和阿拉斯加（AI/AN）学生提供服务；和 奥格拉拉南达科他州的玫瑰花蕾保留地上的几所部落学院，包括Sinte Gleska University Pine Ridge的Lakota College和Navajo Nation的Dine College。派恩里奇卫生部 行政和派恩里奇印度卫生服务（IHS）部门已与我们合作开发研究 组件1（RC1）。 IHS的Albuquerque地区服务部门将参加RC2； Talihina服务 单位（俄克拉荷马州/乔克托国家）也可能参加。纳瓦霍民族教育部门 预计将参加RC3。科罗拉多州公共卫生倡议，其中包括 科罗拉多大学，科罗拉多州立大学和北方大学共同提供的计划 科罗拉多州也将与我们合作，尤其是在开发新的培训和职业机会方面。 注意：有关此应用程序中使用的缩写，请参阅附录RPAC-1。 尽管其他群体存在差异，但在许多方面，AI/ANS的健康状况差是无与伦比的。 预期寿命几乎比普通人群少6年，发病率和死亡率都更高 对于各种疾病和健康问题，包括糖尿病，结核病，肺炎和某些形式 癌症1口腔感染（龋齿和牙周疾病）及其后遗症，例如社论，也是 AI/ANS之间的明显高于一般人口。2随着证据的建立来证实联系 口腔健康状况与系统健康状况之间 这些分布的严重性变得更加复杂。 这里提议的中心将被称为本地口腔健康研究中心（CNOHR），将 专注于AI/A/A人群之间的口腔健康差异。 （“美洲印第安人和阿拉斯加本地人”一词或 “ AI/AN”将在此应用中将其起源追踪到持续的土著人民的人提到 我们; “本机”与AI/AN同义。有关缩写的词汇表，请参见附录RPAC-1。 研究计划将解决两种最常见的口腔感染，龋齿和牙周疾病，并将 在合并症或口腔系统连接的显着模式的背景下进行。特别注意 将属于影响和构成整个整个口腔健康风险因素的行为和社会因素 寿命。确保将接受和推广的文化敏感干预措施的发展 由AI/A/A的社区，已邀请参加干预研究的部落和社区 已经并且将继续进行这些干预措施的计划和传播。 除了建立当前的研究基础以开发和进行跨学科干预 将导致医疗保健政策，实践和最终口腔健康的研究，CNOHR将 开发培训机会，目的是培养自我维持的临界群众 准备解决此处确定的分布。 CNOHR还提供经验和承诺 建立持久的社区关系和对有时工作至关重要的支持必不可少的 与部落和其他人工智能/社区/组织有关的政治研究背景。最后，Cnohr Will 作为鼓励和支持协作研究，研究培训，信息的国家资源 向更大的AI/AN口腔健康社区的传播和技术援助。通过扩大机会 研究开发和对其他健康分配调查人员的支持，CNOHR将增强能力 致力于改善美国第一民族口腔健康的研究。