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EXPORT Health In September, 2002, the Center for Minority
Health was awarded a $6 million grant from the National Center on
Minority Health and Health Disparities, a new Center within the National
Institutes of Health. Project EXPORT (Excellence in Partnerships for
Community Outreach, and Research on Disparities in Health and Training)
provides funding for the establishment of a Center of Excellence to
address and ultimately eliminate racial and ethnic health disparities.
The Center for Minority Health calls its Center for Excellence EXPORT
Health. EXPORT Health provides a mechanism by which the University
of Pittsburgh, through its Graduate School of Public Healths
Center for Minority Health, can strengthen its research and training
infrastructure for the study and elimination of minority health disparities.
For 10 years, the Center for Minority Health has embodied the philosophy
of creating academic and community partnerships to solve health problems
for minorities. EXPORT Health works by uniting academic scholars,
and public, private and community organizations to focus on key disparity
areas in minority health.
Minority health disparities are a complex, multi-faceted problem
that cannot be solved in one quick stroke. EXPORT Health is divided
into components, or Cores, each of which attacks a separate
aspect of the problem of minority health disparities. These Cores,
and their missions, are shown below:
- Administrative Core
- The goals of the Administrative Core are to coordinate and ensure
quality control over all EXPORT Health activities, provide administrative
support and fiscal management for all cores and pilot projects,
promote and monitor progress in the dissemination of research
findings, and to provide infrastructure support for faculty career
development and resources for new investigators in the field of
minority health disparities.
- Shared Resource Core
- The major goals for the Shared Resource Core are to provide
an infrastructure that assures consistent, high quality research
for all studies carried out through the EXPORT Center, serve as
a resource for selecting and developing measures appropriate for
studying the health of minority populations and community capacity,
and to provide methodological consultation and training to EXPORT
investigators, trainees and community partners. We believe that
EXPORT Health must provide consultation with study design experts
who can help EXPORT investigators develop reliable, valid measures,
protocols and experiments. We want to provide quality assurance
for all data collected for EXPORT studies.
- Community Outreach
& Dissemination - The primary goal of the Community Outreach
and Information Dissemination (COID) Core is to build upon the
existing infrastructure within the Center for Minority Health
in order to integrate the EXPORT Center into existing CMH activities
and into the local community as a resource for disease prevention
and health promotion. The COID Core is at the juncture of the
Center for Minority Healths academic and social service
missions and is also the conduit for EXPORT Healths work
to increase community-based participatory research. We believe
that we must provide a model of public health research, partnership
and collaboration to effectively eliminate minority health disparities.
- Pilot Projects & Feasibility
Studies - The primary goal for the Pilot Core is to develop
the capacity for community-based participatory research studies
that address minority health and health disparities in an ethical,
innovative, scientifically sound and community-focused manner.
We believe that we will help foster more community-based research
on minority health disparities if we give seed money
to young investigators for initial, exploratory studies in this
field.
- Training Core -
The primary goal for the Training Core is to increase the number
of African Americans and Latinos who pursue careers in the Health
Sciences and become successful members of the academic research
community. We believe that increasing the number of minority researchers
can help eliminate racial and ethnic health disparities.
- Minority Health &
Health Disparity Education - The primary goal of this core
is to increase the capacity of health sciences students and medical
residents to address minority health and health disparities in
a culturally competent and scientifically sound manner. We believe
that we have to inform medical and scientific trainees about the
existence of minority health disparities to engage them in the
fight to end these disparities. We also believe that we have to
educate medical trainees on how to deliver culturally competent
health information and healthcare to minority patients.
Research Cores The primary goal of the Research Cores
is to carry out direct research in four of the identified high-priority
minority health disparity areas. The Research Cores are detailed
below:
- HIV/AIDS Prevention Research
- The HIV/AIDS Core aims to reduce HIV infections and associated
morbidity and mortality by increasing access to HIV primary and
secondary prevention among those at risk of HIV in the Allegheny
County African-American community.
- Immunization & Pneumonia
Research - The Immunization and Pneumonia Disparities Core
aims to analyze the cause of disparities in immunizations and
pneumonia processes of care and to foster research on interventions
to eliminate them. Other aims include increasing the number of
minority researchers addressing disparities in immunizations and
antibiotic treatments for pneumonia and educating providers serving
disadvantaged populations about immunizations and vaccine-preventable
diseases.
- Physical Activity &
Obesity Prevention Research - The Physical Activity and Obesity
Prevention Core aims to develop a package of assessment tools
and intervention materials that can be utilized in a health promotion
and disease prevention program in local African American communities.
Another aim of this core is to examine and identify the most culturally
sensitive, appropriate assessment tools and intervention materials
for use in African American communities.
- Cancer Screening &
Management - The Cancer Screening and Management Core
The overall goal of the Cancer Core is to increase the participation
of African-Americans in cancer screening and management services
and to broaden community-based activities that are directed towards
eliminating disparities and equalizing the uneven burden of cancer
in our society. The aim is to develop and enhance dissemination
of information and increase research capacity by using a stress
reduction model.
In summary, EXPORT Health works to expand capacity within Pittsburgh
by building community trust, translating research results into interventions
and best practices, by training a new cadre of researchers capable
of working successfully with partners from minority communities,
and by enhancing the skills and resources of community partners.
EXPORT Health is a comprehensive, capacity-building Center that
works through collaborative partnerships to bring resourcescommunity
organizations, academic scholars, cutting-edge research, culturally
competent interventions, and health disparities educationto
bear on the elimination of minority health disparities.
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