This Competitive renewal application for the Center for Native and Pacific Health Disparities Research (CNPHDR or Center;P20 MD 000173) seeks 5 years of additional funding to develop a new paradigm for advancing the science of health disparities research using community engagement and empowerment to eliminate health disparities and the promotion of health equity. Our scientific theme will remain cardiometabolic health disparities among our priority populations of Native (Alaska Native, Native Hawaiians, New Zealand Maori) and Pacific Peoples (Pacific Islanders, Micronesians, Filipinos). The major focus of research investigation will include clinical, health services, interventional and translational research designs. The Center consists of 4 Cores (Research, Training and Education, Community Engagement and Administrative) and 2 Research Subprojects. Sub-project #1:
Aims to examine racial/ethnic differences in the prevalence and cost of preventable hospitalizations due to heart disease and diabetes and to use this health administrative data to pilot test a hospital-based intervention to prevent re-hospitalization. Sub-Project #2:
Aims to characterize the prevalence of intracerebral hemorrhage (ICH) and associated risk factors in the largest stroke center in the State. Initial results will then be used to inform a randomized contro trial to test a patient navigator program to improve prognosis and health related quality of life and post-stroke depression. The success of the overall CNPHDR hinges on the success of the individual cores to meet the OVERALL AIMS as follows:
Aim#1 : Design and implement health and health care disparities research studies of high impact to our priority populations.
Aim#2 : Build and train a diverse scientific workforce to actively participate in the health disparities research enterprise.
Aim#3 : Advance community engagement research approaches to strengthen participation of diverse communities in the research process and to empower communities to take action towards meaningful improvement in their own health and wellness.
Aim#4 : Integrate and centralize Native and Pacific Peoples health disparities research for the purpose of developing a new interdisciplinary science aimed at the elimination of health disparities and the promotion of health equity. The Center's proposal has many strengths: 1) It's organizational infrastructure is innovative in its approach to embrace community empowerment and engagement as the means to engender community participation in the research process and to build trust. 2) It's unique contribution to understanding cardiometabolic health disparities in 3 Native populations in the Pacific region. 3) Its commitment to build and train a diverse scientific workforce. 4) Its focus to synergize resources to stimulate a new paradigm of interdisciplinary health disparities science. 5) To prepare and empower our diverse Native and Pacific People communities to take ownership of their own health and wellness.

Public Health Relevance

Heart disease, obesity, and diabetes effect Native Hawaiians, Alaska Native, Pacific Peoples (Pacific Islanders, Micronesian and Filipinos), and New Zealand (NZ) Maoris more than other populations. This proposal will provide resources for research studies, training and educating scientists and community partners, and will work on reducing these diseases.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
2P20MD000173-11
Application #
8263493
Study Section
Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Tabor, Derrick C
Project Start
2002-09-30
Project End
2017-10-31
Budget Start
2012-12-20
Budget End
2013-10-31
Support Year
11
Fiscal Year
2013
Total Cost
$1,331,273
Indirect Cost
$367,482
Name
University of Hawaii
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
965088057
City
Honolulu
State
HI
Country
United States
Zip Code
96822
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Tan, Candace; Haumea, Stacy; Juarez, Deborah Taira et al. (2014) A descriptive study of Marshallese and Chuukese patients with diabetes in Hawai'i. Hawaii J Med Public Health 73:168-71
Townsend, Claire; Takishima-Lacasa, Julie Y; Latner, Janet D et al. (2014) Ethnic and gender differences in ideal body size and related attitudes among Asians, Native Hawaiians, and Whites. Hawaii J Med Public Health 73:236-43
Juarez, Deborah T; Tan, Candace; Davis, James W et al. (2014) Using quantile regression to assess disparities in medication adherence. Am J Health Behav 38:53-62
Baumhofer, Nicole K; Rothfus, Nani; Yoshimura, Sheryl et al. (2014) Developing a multicultural nutrition education tool: Pacific Island food models. J Nutr Educ Behav 46:451-3
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Usagawa, T; Look, M; de Silva, M et al. (2014) Metabolic equivalent determination in the cultural dance of hula. Int J Sports Med 35:399-402
Davis, James; Chavez, Benjamin; Juarez, Deborah T (2014) Adjustments to diabetes medications in response to increases in hemoglobin a1c: an epidemiologic study. Ann Pharmacother 48:41-7

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