AIM Goals of the P20 Teamwork in Research and Intervention to Alleviate Disparities (TRIAD-2) Center of Excellence In Health Disparities Research continuation are to strengthen and expand our capacity to conduct family based clinical trial intervention studies, train health disparity researchers, engage the community In research, health literacy, and science education, and achieve outcomes that are translatable and transferable to, by, and for the community to reduce HIV/AIDS, diabetes, and related risk factors among African Americans, Hispanics, rural and low-Income populations in North Carolina and the nation. APPROACH We will conduct two new family based intervention studies;add formal Responsible Conduct of Research and Social Determinants training;implement new Spanish language health research education;conduct new health literacy education and evaluation;and implement new middle school student and teacher science education. Study 1 is a risky sex HIV prevention intervention with African American girls and moms. Study 2 is a lay directed intervention for Hispanic diabetics and family members. Synergistic, interdisciplinary teams will work across Administrative, Research, Research Training and Community Engagement and Outreach Dissemination Cores. NEED North Carolina and its central area specifically, have experienced great population growth (top ten states) and increased minority populations (now 34.9%, up 37% since 2000) with resulting increases in health disparities. African Americans constitute 28% of the central NC population;Hispanics have increased >500% in two decades. NC always has been the """"""""buckle"""""""" of the stroke belt, and now has been designated a """"""""diabetes hot spot"""""""" (lAF, March, 2011). Also, HIV rates and risks among young African American girls are alarming (NCHS, 2011). Social determinants are major factors influencing these disparities, as poverty, lack of health coverage, and low educational attainment is very high among minorities. Disparity populations'health failed to meet many 2010 national and state targets/objectives, and is worse than new national [HP2020] and state [Healthy Carolinians 2020] targets for HIV/AIDS, diabetes, and related risk factors. Thus, this is an ideal natural laboratory for disparities research.

Public Health Relevance

This continuing center will conduct family based, community engaged health research, training, health literacy and science education activities focused on reducing health disparities, with emphasis on prevention, of HIV, diabetes complications and related risks.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Exploratory Grants (P20)
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Special Emphasis Panel (ZMD1)
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Zhang, Xinzhi
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University of North Carolina Greensboro
Schools of Nursing
United States
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Davis, Leslie L (2017) A Qualitative Study of Symptom Experiences of Women With Acute Coronary Syndrome. J Cardiovasc Nurs 32:488-495
Amirehsani, Karen A; Hu, Jie; Wallace, Debra C et al. (2017) US Healthcare Experiences of Hispanic Patients with Diabetes and Family Members: A Qualitative Analysis. J Community Health Nurs 34:126-135
Bartlett, Robin; Wright, Tiffany; Olarinde, Tia et al. (2017) Schools as Sites for Recruiting Participants and Implementing Research. J Community Health Nurs 34:80-88
Massengale, Kelley E; Morrison, Sharon D; Sudha, S (2016) Community Health Advocate-Identified Enablers of HIV Testing for Latina Immigrant Women. AIDS Educ Prev 28:325-40
Hu, Jie; Amirehsani, Karen A; Wallace, Debra C et al. (2016) A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members. Diabetes Educ 42:299-314
Davis, Leslie L; McCoy, Thomas P; Riegel, Barbara et al. (2016) Congruence of the Medical Record and Subject Interview on Time of Symptom Onset in Patients Diagnosed With Acute Coronary Syndrome. Dimens Crit Care Nurs 35:332-338
Reed, Elizabeth; Erausquin, J T; Groves, Allison K et al. (2016) Client-perpetrated and husband-perpetrated violence among female sex workers in Andhra Pradesh, India: HIV/STI risk across personal and work contexts. Sex Transm Infect 92:424-9
Brown, Natasha A; Smith, Katherine Clegg; Thornton, Rachel L J et al. (2015) Gathering perspectives on extended family influence on African American children's physical activity. J Health Dispar Res Pract 8:10-24
Sudha, S; Morrison, Sharon; Thomas, Emma H et al. (2015) ¿Qué te parece?: Pretesting an HIV Testing Enablers Assessment Instrument Among Hispanic/Latino Immigrant Women. Hisp Health Care Int 13:131-9
Ivanov, L Louise; Wallace, Debra C; Hernández, Christina et al. (2015) Diabetes risks and health literacy in southern African American and Latino women. J Community Health Nurs 32:12-23

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