The Center for American Indian and Alaska Native Health Disparities (CAIANHD) is organized into 4 Cores:an Administrative Core (Core A), a Research Core (Core B), a Community Outreach and Dissemination Core(Core C), and a Native Investigator Training Core (Core D). Jack Goldberg, Ph.D., Research Professor ofEpidemiology leads the Research Core. Dr. Goldberg is a senior epidemiologist with more than 20 years ofprofessional experience in the design and conduct of observational and experimental studies. For the pastdecade he has worked closely with Dr. Spero M. Manson, the Principal Investigator and Director, CAIANHD,on studies involving AI/AN populations. The Research Core houses 4 full research projects and 7 pilotresearch projects. These projects address virtually all of the 9 DHHS special emphasis areas in thehealth disparities initiative as described by the NCMHD Project EXPORT RFA.Specifically, this core plans and carries out an interdisciplinary, culturally grounded, problem-orientedresearch program of major scientific and programmatic importance to the health status and functioning ofAI/ANs. During the proposed renewal period, the 4 full research projects will focus on: 1) impact of loss ofMedicaid insurance on patient outcomes and survival among low income American Indians and Alaska Nativesdiagnosed with cancer in Washington state, led by Scott Ramsey, M.D., Ph.D. ;2) traditional healing fordiabetes and CVD, led by Spero Manson, Ph.D.; 3) treatment for depression in primary care, led by DeniseDillard, Ph.D.; and 4) exercise for obesity, diabetes and CVD reduction, led by Glen Duncan, Ph.D.The 7 pilot research projects will emphasize: 1) assessment of liver disease in the Shoalwater Bay tribeof Washington state, led by Kris Kowdley, M.D.; 2) extending trauma focused intervention development todiverse American Indian communities, led by Douglas Zatzick, M.D.; 3) investigating physician implicit andexplicit attitudes and stereotypes and the delivery of health care to Al children, led by Janice Sabin, Ph.D.,M.S.W.; 4) preventing early childhood caries and improving nutrition of American Indian children, led by JoanO'Connell, Ph.D.; 5) factors affecting myocardial infarction outcomes on the reservation, led by Jeff Henderson,M.D.; 6) communicating risk information to American Indians with diabetes, led by Donna LaVallie, Ph.D.; and7) health promotion for American Indian cancer survivors, led by Debra L. Friedman, MDThe research projects housed within this core are informed and subsequently linked by a dynamic multilevelconceptual framework of health disparities. We are especially interested in how broadly definedenvironmental, social, and behavioral factors can induce, reinforce, and sustain desired change andultimately reduce health disparities.
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