This proposal represents a continuation and further development of of our existing NCMHD P60 Center of Excellence, the Columbia Center for the Health of Urban Minorities (CHUM). Building on the successful efforts of CHUM's first three years, we propose to develop CHUM into a multidisciplinary center of excellence tightly focused on research in the NCMHD priority areas of cardiovascular disease and diabetes. We plan to conduct three research projects aimed at generating new knowledge for improving minority health among Carribean Latinos. The first project is a randomized controlled trial (RCT) in poorly controlled Latino diabetics to examine the effectiveness of a community based Community Health Worker intervention at improving glycemic control and includes blood pressure and cholesterol as secondary outcomes. The second project is a prospective study examining the long-term consequences of poor glycemic control on cognitive function among diabetics. The third project, also an RCT, will evaluate the effectiveness of a community-based comprehensive therapeutic lifestyle intervention that includes group sessions and motivational interviewing on blood pressure control. The proposal includes an adminstrative and research core providing the requisite administrative, methodological, statistical and data management infrastructure to carry out these three thematically linked research projects. All three projects will be conducted in our local community and the Planning Council established in the 1st phase of CHUM will continue to serve as the formal venue for community input into the overall direction, shape and execution of the CHUM project. Further, both RCTs build on the community partnerships established by CHUM's Community core and include community based organizations as integral members of the research. Lastly, through CHUM's established partnerships and successful efforts at obtaining support from other sources, CHUM will continue to provide training opportunities for junior faculty, post-doctoral trainees, fellows and undergraduate students.

Public Health Relevance

Diabetes and heart disease are major health problems in the Hispanic community. One research project will examine consequences of poorly controlled diabetes on memory, and two will examine innovative community based interventions to better control these diseases among Latinos.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Comprehensive Center (P60)
Project #
Application #
Study Section
Special Emphasis Panel (ZMD1-MR (08))
Program Officer
Rajapakse, Nishadi
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Columbia University (N.Y.)
Internal Medicine/Medicine
Schools of Medicine
New York
United States
Zip Code
Reitz, Christiane; Guzman, Vanessa A; Narkhede, Atul et al. (2017) Relation of Dysglycemia to Structural Brain Changes in a Multiethnic Elderly Cohort. J Am Geriatr Soc 65:277-285
Cortés, Yamnia I; Arcia, Adriana; Kearney, Joan et al. (2017) Urban-Dwelling Community Members' Views on Biomedical Research Engagement. Qual Health Res 27:130-137
March, Dana; Williams, Jasmine; Wells, Shayla et al. (2015) Discrimination and Depression among Urban Hispanics with Poorly Controlled Diabetes. Ethn Dis 25:130-7
Lucero, Robert J; Kearney, Joan; Cortes, Yamnia et al. (2015) Benefits and Risks in Secondary Use of Digitized Clinical Data: Views of Community Members Living in a Predominantly Ethnic Minority Urban Neighborhood. AJOB Empir Bioeth 6:12-22
Luchsinger, José A; Tipiani, Dante; Torres-Patiño, Gabriela et al. (2015) Characteristics and mental health of Hispanic dementia caregivers in New York City. Am J Alzheimers Dis Other Demen 30:584-90
Luchsinger, José A; Cabral, Rafi; Eimicke, Joseph P et al. (2015) Glycemia, Diabetes Status, and Cognition in Hispanic Adults Aged 55-64 Years. Psychosom Med 77:653-63
Luchsinger, José A; Lehtisalo, Jenni; Lindström, Jaana et al. (2015) Cognition in the Finnish diabetes prevention study. Diabetes Res Clin Pract 108:e63-6
Cabassa, Leopoldo J; Stefancic, Ana; O'Hara, Kathleen et al. (2015) Peer-led healthy lifestyle program in supportive housing: study protocol for a randomized controlled trial. Trials 16:388
Palmas, Walter; Findley, Sally E; Teresi, Jeanne et al. (2015) Response to comment on Palmas et al. Results of the Northern Manhattan Diabetes Community Outreach Project: a randomized trial studying a community health worker intervention to improve diabetes care in Hispanic adults. Diabetes Care 2014;37:963-969. Diabetes Care 38:e59
Gu, Yian; Honig, Lawrence S; Schupf, Nicole et al. (2015) Mediterranean diet and leukocyte telomere length in a multi-ethnic elderly population. Age (Dordr) 37:24

Showing the most recent 10 out of 92 publications