Researchers have been measuring and describing health disparities in the United States for well over a century. Despite this, persistent health disparities continue and translate into lost lives every day in the City of Chicago as well as in cities across the country. In Chicago alone, if the mortality rate for blacks was the same as for whites, then 4,000 fewer black people would die each year. The Rush Center for Urban Health Equity is based upon the principle that continued documentation of avoidable deaths and disabilities from these disparities in observational studies is insufficient Instead;the Center is dedicated to preventing them through the conduct of rigorous behavioral clinical trials, in partnership with communities. The Center has convened an interdisciplinary group of medical and social science investigators and community residents who have a shared vision, values, and passion.
We aim to find ways to promote changes, all the way from policy to biology, to eliminate the health disparities affecting the residents of America's cities, in particular those who are low-income persons of color. Recognizing that populations at excess risk of cardiopulmonary disease are often characterized by high degrees of traumatic experience and life stress, the Center's mission is to integrate the management of stress and trauma into multi-level interventions that will reduce health disparities in cardio metabolic risk and cardiopulmonary disease. The long-term objectives for the Center are to 1) Develop and integrate rigorous clinical trial methodology into disparities-focused behavioral clinical trials;2) Test innovative multi-level interventions across the lifespan from children to the elderly;3) Empower inner-city communities to become active participants in the design and conduct of interventions to improve their health;and 4) Provide training opportunities for promising individuals from underrepresented and underserved communities to pursue careers in transdisciplinary research on health disparities. The Center's location, situated in the middle of communities of extreme poverty, its interdisciplinary research team, its expertise in behavioral clinical trials and community based participatory research, its broad educational programs, and the Rush culture of clinical and research collaboration combine to create a powerful site for the development and testing of interventions to reverse disparities. Funding is now sought to bring these resources together to establish a unique center of excellence in health disparities interventions.

Public Health Relevance

Cardiovascular health disparities have persisted or worsened in the past two decades, despite efforts to narrow the gap. The Rush Center will conduct robust, multi-level controlled trials, based within undersen/ed communities, which are aimed at reducing disparities at all levels, from policy to biology. The Center will also place a priority on training the next generation researchers interested in disparities interventions who will aspire to a level of influence that goes well beyond the cun-ent state-of-the-art.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Specialized Center (P50)
Project #
5P50HL105189-04
Application #
8458600
Study Section
Special Emphasis Panel (ZCA1-SRLB-3 (J1))
Program Officer
Kaufmann, Peter G
Project Start
2010-07-15
Project End
2015-03-31
Budget Start
2013-04-01
Budget End
2014-03-31
Support Year
4
Fiscal Year
2013
Total Cost
$2,236,336
Indirect Cost
$722,555
Name
Rush University Medical Center
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
068610245
City
Chicago
State
IL
Country
United States
Zip Code
60612
Pappalardo, Andrea A; Karavolos, Kelly; Martin, Molly A (2016) What Really Happens in the Home: The Medication Environment of Urban, Minority Youth. J Allergy Clin Immunol Pract :
Martin, Molly A; Rothschild, Steven K; Lynch, Elizabeth et al. (2016) Addressing asthma and obesity in children with community health workers: proof-of-concept intervention development. BMC Pediatr 16:198
Taylor-Clift, April; Holmgreen, Lucie; Hobfoll, Stevan E et al. (2016) Traumatic stress and cardiopulmonary disease burden among low-income, urban heart failure patients. J Affect Disord 190:227-34
Doukky, Rami; Mangla, Ashvarya; Ibrahim, Zeina et al. (2016) Impact of Physical Inactivity on Mortality in Patients With Heart Failure. Am J Cardiol 117:1135-43
Taylor-Clift, April; Hobfoll, Stevan E; Gerhart, James I et al. (2016) Posttraumatic stress and depression: potential pathways to disease burden among heart failure patients. Anxiety Stress Coping 29:139-52
Smith, Caren E; Fullerton, Stephanie M; Dookeran, Keith A et al. (2016) Using Genetic Technologies To Reduce, Rather Than Widen, Health Disparities. Health Aff (Millwood) 35:1367-73
Mosnaim, Giselle S; Pappalardo, Andrea A; Resnick, Scott E et al. (2016) Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review. J Allergy Clin Immunol Pract 4:130-41
Doukky, Rami; Avery, Elizabeth; Mangla, Ashvarya et al. (2016) Impact of Dietary Sodium Restriction on Heart Failure Outcomes. JACC Heart Fail 4:24-35
Golden, Sherita Hill; Ferketich, Amy; Boyington, Josephine et al. (2015) Transdisciplinary cardiovascular and cancer health disparities training: experiences of the centers for population health and health disparities. Am J Public Health 105 Suppl 3:S395-402
Hobfoll, Stevan E; Stevens, Natalie R; Zalta, Alyson K (2015) Expanding the Science of Resilience: Conserving Resources in the Aid of Adaptation. Psychol Inq 26:174-180

Showing the most recent 10 out of 24 publications