Persistent and pronounced differences in health by race/ethnicity exist for multiple health outcomes. Despite repeated documentation of these disparities, there is still substantial debate on the driving forces behind them. There is a growing sense that current approaches to understanding these disparities which often attempt to fragment the problem into distinct social and biological components are insufficient, not only from the point of view of scientific understanding but also from the point of view on identifying the most effective strategies to eliminate disparities in the real world. Understanding health disparities will require integration of social and biological factors as well as consideration not only of individual characteristics but also characteristics of the multiple contexts in which individuals live and work. The overarching goal of the Michigan Center for Integrative Approaches to Health Disparities (CIAHD) is to promote and support research that comprehensively integrates social and biological factors within a multilevel framework in understanding the determinants of minority health and health disparities. This overarching goal will be achieved through a set of interrelated Aims: (1) To advance scientific understanding of how the interrelation of social and biologic factors contributes to health in minority populations and health disparities with a specific focus on cardiovascular risk.(2) To continue to nurture a mutually beneficial partnership between the University of Michigan and the Jackson Heart Study in order to further advance research, training, and community engagement/outreach within our multilevel integrated framework. (3) To establish and formalize a comprehensive set of research education/ training and community engagement/outreach activities explicitly linked to and synergistic with the research components and the Jackson Heart Study collaboration. (4) To maintain a forum that wilt integrates ongoing minority health and health disparities research broadly at the University of Michigan and at our partner institutions in Jackson. This proposed continuation expands on the findings and lessons of our very successful prior funding period to encompass a set of integrated research, training and community activities in the context of the U of M -Jackson Heart Study partnership.

Public Health Relevance

Elimination health disparities will require approaches that recognize their multilevel causes. Identifying these causes requires interdisciplinary approaches that integrate social and biological factors and that bridge across research, training, and community engagement. Through its activities CIAHD will enhance our understanding of cardiovascular health disparities and our ability to intervene to eliminate them.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Comprehensive Center (P60)
Project #
5P60MD002249-07
Application #
8536363
Study Section
Special Emphasis Panel (ZMD1-RN (02))
Program Officer
Castille, Dorothy M
Project Start
2007-09-01
Project End
2017-08-31
Budget Start
2013-09-01
Budget End
2014-08-31
Support Year
7
Fiscal Year
2013
Total Cost
$1,167,652
Indirect Cost
$343,403
Name
University of Michigan Ann Arbor
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Redmond, Nicole; Booth 3rd, John N; Tanner, Rikki M et al. (2016) Prevalence of Masked Hypertension and Its Association With Subclinical Cardiovascular Disease in African Americans: Results From the Jackson Heart Study. J Am Heart Assoc 5:e002284
Concha, Jeannie Belinda; Mayer, Sallie D; Mezuk, Briana R et al. (2016) Diabetes Causation Beliefs Among Spanish-Speaking Patients. Diabetes Educ 42:116-25
Ford, Cassandra D; Sims, Mario; Higginbotham, John C et al. (2016) Psychosocial Factors Are Associated With Blood Pressure Progression Among African Americans in the Jackson Heart Study. Am J Hypertens 29:913-24
Booth 3rd, John N; Diaz, Keith M; Seals, Samantha R et al. (2016) Masked Hypertension and Cardiovascular Disease Events in a Prospective Cohort of Blacks: The Jackson Heart Study. Hypertension 68:501-10
Baek, Jonggyu; Sánchez, Brisa N; Berrocal, Veronica J et al. (2016) Distributed Lag Models: Examining Associations Between the Built Environment and Health. Epidemiology 27:116-24
Lacey, Krim K; Mouzon, Dawne M; Govia, Ishtar O et al. (2016) Substance Abuse Among Blacks Across the Diaspora. Subst Use Misuse 51:1147-58
Diez Roux, Ana V; Mujahid, Mahasin S; Hirsch, Jana A et al. (2016) The Impact of Neighborhoods on CV Risk. Glob Heart 11:353-363
Barber, Sharrelle; Hickson, DeMarc A; Kawachi, Ichiro et al. (2016) Double-jeopardy: The joint impact of neighborhood disadvantage and low social cohesion on cumulative risk of disease among African American men and women in the Jackson Heart Study. Soc Sci Med 153:107-15
Hudson, Darrell L; Neighbors, Harold W; Geronimus, Arline T et al. (2016) Racial Discrimination, John Henryism, and Depression Among African Americans. J Black Psychol 42:221-243
Johnson, Dayna A; Lisabeth, Lynda; Hickson, DeMarc et al. (2016) The Social Patterning of Sleep in African Americans: Associations of Socioeconomic Position and Neighborhood Characteristics with Sleep in the Jackson Heart Study. Sleep 39:1749-59

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