SAN DIEGO LATINO RESEARCH CENTER OF EXCELLENCE: PARTNERSHIP TO REDUCE CVDDISPARITIES IN LATINOSThe San Diego Latino Research Center of Excellence is a tri-lateral collaboration that seeks to promoteand expedite research that improves diabetes and cardiovascular disease outcomes in low-income Latinosliving in the border region of San Diego. San Diego State University (SDSU) and the University of California,San Diego (UCSD) represent two large research intensive universities, one with a school of public health andthe other with a school of medicine but both with experience and interest in community based research andtraining. The San Ysidro Health Center (SYHC) is a large, predominantly Latino-serving community healthcenter that provides services to disadvantaged patients and also has a research center. SYHC is mandated bythe Health Resources and Service Administration (HRSA) to engage in the Federal Initiative called the HealthDisparities Collaborative (HOC). The HOC uses the methodology of the Planned Care Model and the Model forImprovement in the context of Community Oriented Primary Care to make a positive difference in the lives ofhundreds of thousands of Americans (BPCHC, 2006).The San Diego Latino Research Center of Excellence proposes to focus on the disparities in diabetes andcardiovascular disease (CVD) and its associated bio-behavioral risk factors experienced by low-income Latinosliving in the San Diego border region. The main research plan proposes a randomized clinical trial evaluatingthe efficacy of 2 culturally appropriate methods for applying the National Cholesterol Education Program(NCEP, 2001) and the American Diabetes Association (ADA, 2001) guidelines. The focus of the interventionmethods includes strategies that patient self management, delivery system design, clinical information systemsand decision support, all key elements of the HDC Planned Care Model. Innovations include the use ofbilingual Community Health Workers, environmental assessments for barriers to adherence, culturallyappropriatebehavioral strategies based on a theoretical model and the use of carotid intimal medial thickness(CIMT) as the primary outcome in a predominantly Latino cohort. Integrated into the intervention researchdesign is the capacity for CVD cross-sectional studies, for example, identification of genetic risk factors andgene-environment interactions specific to the Latino population, nested case-control studies and banked serumto attract new investigators and expand the scientific capacity of the proposal.The training core plan proposes a training program that focuses on the existing training programs and thestrengths of each partner. SDSU and UCSD will supply the training and mentoring in research methods forminority investigators interested in CVD disparities research and non-minority investigators interested in healthdisparities. The SYHC will provide the population of focus and the setting for disparities research and theclinicians with intimate knowledge of the Latino community.
| Castañeda, Sheila F; Rosenbaum, René P; Holscher, Jessica T et al. (2015) Cardiovascular disease risk factors among Latino migrant and seasonal farmworkers. J Agromedicine 20:95-104 |
| Camacho, Álvaro; González, Patricia; Castañeda, Sheila F et al. (2015) Improvement in Depressive Symptoms Among Hispanic/Latinos Receiving a Culturally Tailored IMPACT and Problem-Solving Intervention in a Community Health Center. Community Ment Health J 51:385-92 |
| Medeiros, Elizabeth A; Castañeda, Sheila F; Gonzalez, Patricia et al. (2015) Health-Related Quality of Life Among Cancer Survivors Attending Support Groups. J Cancer Educ 30:421-7 |
| Gonzalez, Patricia; Castañeda, Sheila F; Dale, Jennifer et al. (2014) Spiritual well-being and depressive symptoms among cancer survivors. Support Care Cancer 22:2393-400 |
| Gallo, Linda C; Shivpuri, Smriti; Gonzalez, Patricia et al. (2013) Socioeconomic status and stress in Mexican-American women: a multi-method perspective. J Behav Med 36:379-88 |
| Gallo, Linda C; Fortmann, Addie L; de Los Monteros, Karla Espinosa et al. (2012) Individual and neighborhood socioeconomic status and inflammation in Mexican American women: what is the role of obesity? Psychosom Med 74:535-42 |
| Gallo, Linda C; Fortmann, Addie L; Roesch, Scott C et al. (2012) Socioeconomic status, psychosocial resources and risk, and cardiometabolic risk in Mexican-American women. Health Psychol 31:334-42 |
| Castañeda, Sheila F; Holscher, Jessica; Mumman, Manpreet K et al. (2012) Dimensions of community and organizational readiness for change. Prog Community Health Partnersh 6:219-26 |
| Castañeda, Sheila F; Rosenbaum, Rene Perez; Gonzalez, Patricia et al. (2012) Breast and cervical cancer screening among rural midwestern latina migrant and seasonal farmworkers. J Prim Care Community Health 3:104-10 |
| Salgado, Hugo; Castañeda, Sheila F; Talavera, Gregory A et al. (2012) The role of social support and acculturative stress in health-related quality of life among day laborers in Northern San Diego. J Immigr Minor Health 14:379-85 |
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