Child Health Equity Research Program for Post-doctoral Trainees.

博士后培训生儿童健康公平研究计划。

• 批准号: 10617386
• 负责人: Tumaini Rucker Coker
• 金额: $ 32.28万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10617386
• 关键词: Child health equity; Postdoctoral Fellow; Research; programs

U.S. children are increasingly from non-majority racial/ethnic backgrounds; these are the groups at highest risk for health inequities, and by 2045, the U.S. population will be “majority minority”. Children in lower socioeconomic status (SES) families have poorer access to health care, resulting in greater risk of chronic diseases as adults. The major adult chronic diseases affect 1 in 3 adults and account for more than 75% of US health care spending. The major childhood determinants of adult disease are distinctly societal and nonmedical: poverty, poor education, unhealthy social and physical environments, and unhealthy lifestyles options. However, the current U.S. biomedical workforce lacks scientists trained to address child health inequities and lacks diversity in the workforce to better engage underserved minority populations in research. To fill these gaps, we propose the Child Health Equity Research Program for Post-doctoral Trainees (CHERPP-T), a mentored, research project-based training program that provides didactic training in rigorous health services and clinical research methodologies, experiential research training, career development, opportunities for community-academic partnerships, and a long-term network of mentors, collaborators, and partners. The program will focus heavily on recruiting trainees from underrepresented racial/ethnic minority groups (URM) by leveraging existing relationships with predoctoral and early career URM pipeline programs for academic pediatricians. Health equity research will be defined as work that aims to improve or examine outcomes for four main health disparity populations defined in the NIMHD Framework (race/ethnicity, low SES, rural, sexual/gender minority). Doctoral level trainees will develop an independent research career focused on achieving health equity across multiple domains and levels of influence on health, and acquire skills to improve health outcomes at the level of the individual, family/organization, community, and population. We request two trainees in year one and four trainees in subsequent years (two 1st year and two 2nd year fellows). The Specific Aims are to: 1. Recruit outstanding URM fellows from a national applicant pool with attention to diversity in clinical and academic backgrounds, socioeconomic status, race/ethnicity and gender; 2. Equip fellows with a strong background in health equity research methodology and research skills; 3. Support fellows in completion of an impactful, rigorous research project; and 4. Establish and maintain a supportive and collaborative network of mentors for fellows. CHERPP-T's long term impact will be to increase URMs who are independently funded scientists in child health fields, and by nature of their focus on child health equity and health disparities, CHERPP-T will also lead to an increase in the numbers of underserved children, youth, and families enrolled and engaged in biomedical research. These two key program impacts will in turn contribute greatly to reducing inequities in child health.

美国儿童越来越多地来自非多数种族/民族背景；这些群体是最高的群体； 健康不平等的风险，到 2045 年，美国人口中的“少数族裔儿童将占多数”。 失业状态（SES）家庭获得医疗保健的机会较差，导致患慢性病的风险更大 成年人的主要慢性疾病影响三分之一的成年人，占美国人口的 75% 以上。 儿童期成人疾病的主要决定因素显然是社会和卫生保健支出。 非医疗：贫困、教育水平低下、不健康的社会和自然环境以及不健康的生活方式 然而，目前美国生物医学劳动力缺乏经过培训来解决儿童健康问题的科学家。 劳动力不平等和缺乏多样性，无法更好地让服务不足的少数群体参与研究。 为了填补这些空白，我们提出了博士后培训生儿童健康公平研究计划 (CHERPP-T)，一个基于研究项目的指导培训计划，提供严格的教学培训 卫生服务和临床研究方法、体验式研究培训、职业发展、 社区与学术伙伴关系的机会，以及导师、合作者和专家的长期网络 该计划将重点关注从代表性不足的少数族裔中招募学员。 通过利用与博士前和早期职业 URM 管道项目的现有关系来建立团队 (URM) 对于学术儿科医生来说，健康公平研究将被定义为旨在改进或检查的工作。 NIMHD 框架中定义的四个主要健康差异人群的结果（种族/族裔、低社会经济地位、 农村、性少数/性别少数）博士级学员将发展专注于的独立研究职业。 跨多个领域和对健康的影响程度实现健康，并获得改善的技能 个人、家庭/组织、社区和人口层面的健康结果 我们要求两个。 第一年的学员和随后几年的四名学员（两名第一年研究员和两名第二年研究员）。 具体目标是： 1. 从全国申请人库中招募优秀的 URM 研究员，注重临床和临床领域的多样性 学术背景、社会经济地位、种族/民族和性别； 2. 为研究员提供深厚的健康公平研究方法和研究技能背景； 3. 支持研究员完成有影响力、严谨的研究项目； 4. 建立并维持一个为研究员提供支持和协作的导师网络。 CHEPP-T 的长期影响将是增加由儿童领域独立科学家资助的 URM 健康领域，由于其关注儿童健康公平和健康差异的性质，CHERP-T 也将引领 增加注册和从事生物医学领域服务不足的儿童、青少年和家庭的数量 这两项关键计划的影响反过来将大大有助于减少儿童健康方面的不平等。

项目成果

Racial and Ethnic Differences in Chlamydia and Gonorrhea Testing Locations Among Medicaid-Insured Youth.

医疗补助保险青年中衣原体和淋病检测地点的种族和民族差异。

• 发表时间: 2024-02
• 作者: Douglas, Claudia M;Ahrens, Kym;Dombrowski, Julia C;Rodean, Jonathan;Coker, Tumaini R
• 通讯作者: Coker, Tumaini R