EXPLORATORY CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

EXPLORATORY CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES IN SMALLER CITIES. UNIVERSITY AT ALBANY, STATE UNIVERSITY OF NEW YORK

The Health Disparities Challenge Minority Health Challenges in Small Cities Differ from Those in Big Cities Solutions May Differ from those Used in Big Cities. Less Visibility Minority Communities Have Less Political Leverage Upstate New York Less Demand OUTCOME: Less Access to Wealth Minority Communities Are Less Healthy & Less Well Served

Premise of CEMHD • Focus on Minorities and underserved populations in Smaller Cities of Upstate New York • Most research on the causes of health disparities has focused on populations in large cities and programs to reduce disparities characteristically are launched in large cities. • Suspect that problems found in large cities differ from those in the smaller ones; the appropriate solutions would differ as well. • However, little is known about the distinct causes of poorer health among minorities in smaller cities, and how to eliminate those factors thereby improving health and reducing disparities.

Community Based Participatory Research Principle • Research and intervention concerning minority health disparities should involve communities as partners. • Partnership research involves • • • collaboration in defining problems, setting priorities, conducting research, implementing interventions to reduce health disparities, disseminating results to benefit the larger communities of minority groups and academics across the country.

Brief History of CEMHD • 2004 September: Award of $1. 25 over 3 yrs. through NCMHD’s EXPORT program (EXcellence in Partnerships for Community Outreach, Research on Health Disparities and Training). • 2005: UAlbany establishes research center, “Center for the Elimination of Minority Health Disparities. ” • 2009 May: Award of P-20 funding for “Exploratory Center on Minority Health and Health Disparities in Smaller Cities” of $6, 820, 730 through NIMHD’s Centers of Excellence program. • 2016 April : NIH awards S-21 Endowment award “The Endowment for Community-Based Health Disparities Research and Training” $10, 000 over 5 years. • 2016 August: P-20 Co. E ends after 3 years of no-cost extensions.

The Endowment for Community-Based Health Disparities Research and Training The NIH/NIMHD Grant # S 21 MD 010692 PD/PI (Dr. Wheeler / Dr. Schell) March 2016

9 Program Objectives: 1. Recruit & Graduate 10 Ph. D HD Fellows (20171) 2. Hire Endowed Chair (2019/20201) 3. Magnet Program-Diverse Faculty Recruitment (2017 4) 4. Train faculty Researchers (20161) 5. Develop New Curricula/Graduate Program (2017 -191) 6. Establish Epigenetics Course and Laboratory (20162) 7. Strengthen Community Task Forces (20173) 8. President Speaker Series (20161) 9. Train DFs in Operations of a Task Force (20171) Endowment & UAlbany Funded 2 Endowment & External Grant Funded 1 3 UAlbany Funded 4 Endowment Funded

#1. Health Disparities Ph. D. Fellowships 10 Health Disparities Ph. D Endowed Fellowships 10 8 6 4 2 0 2017 2018 2019 2020 2021

The Health Disparities Fellows: 2017 and 2018 Cohorts: A Jumpstart. Clockwise from upper left: Kaydian Reid, School of Public Health Melissa Noel, School of Criminal Justice Hnin Wai Lwin Myo, School of Public Health Katheryn Roberson, School of Education Wayne Lawrence, School of Public Health Erica Tyler, College of Arts & Sciences Yajaira Cabrera Tineo, School of Education

The 2018 Health Disparities Fellows Simon Stewart, MPH. , Director, Center for Civic Engagement, Upstate Medical University Ola Kalu, Doctoral Student, Department of Sociology,

Some Recent Accomplishments of the Fellows • Reid, Kaydian S. , Sekhobo, Jackson P. , Gantner, Leigh A. , Holbrook, Mary. Ellen K. , Allsopp, Marie. , Whalen, Linda B. , & Koren-Roth, Amy. April 2018. A mixed-method evaluation of the New York State Eat Well Play Hard Community Projects: Building local capacity for sustainable childhood obesity prevention. Evaluation and Program Planning. 67, 79– 8. • Jin YN, Zhang WJ, Cai XY, Li MS, Lawrence WR, Wang SY, Mai DM, Du YY, Luo DH, Mo HY. The Characteristics and Survival Outcomes in Patients Aged 70 Years and Older with Nasopharyngeal Carcinoma in the Intensity-Modulated Radiotherapy Era. Cancer Research and Treatment. PMID: 29409313 (in press) • Lawrence WR, Yang M, Lin S, Wang SQ, Liu Y, Ma H, Chen DH, Yang BY, Zeng XW, Hu LW, Dong GH. Pet Exposure In Utero and Postnatal Decreases the Effects of Air Pollutants on Hypertension in Children: A Large Population Based Cohort Study. Environmental Pollution. 2018 July; 177 -185. PMID: 29554565 • Lu Y, Lin S, Lawrence, WR, Lin Z, Gurzau E. Evidence from SINPHONIE project: Impact of Home Environmental Exposures on Respiratory Health among School-age Children in Romania. Science of the Total Environment. 2018 April 15; 621: 75 -84. PMID: 29175623 • Zeng J, Zhang X, Yang J, Bao J, Xiang H, Dear K, Liu, Q Lin S, Lawrence WR, Lin A, Huang C. 2017. Humidity may Modify the Relationship between Temperature and Cardiovascular Mortality in Zhejiang Province, China. International Journal of Environmental Research and Public Health. 14(11). PMID: 29135955 • Bao WW, Qian ZM, Geiger SD, Liu E, Liu Y, Wang SQ, Lawrence WR, Yang BY, Hu LW, Zeng XW, Dong GH. 2017. Gender-specific Associations between Serum Isomers of Perfluoroalkyl Substances and Blood Pressure among Chinese: Isomers of C 8 Health Project in China. Science of the Total Environment. 607 -608: 1304 -1312. PMID: 28738507 • Lin S, Lawrence WR, Lin Z, Francois M, Neamtiu IA, Lin Q, Csobod E, Gurzau ES. Teacher Respiratory Health Symptoms in Relation to Home and School Environment. International Archives of Occupational and Environmental Health. 2017 Nov; 90(8): 725 -739. PMID: 28600748 • Ertl, M. M. , Dillon, F. R. , Cabrera Tineo, Y. A. , Verile, M. , Jurkowski, J. M. , & De La Rosa, M. (2017). Social and cultural factors related to sexual risk behaviors during initial months in US among Latina young adult immigrants. AIDS Care. 2017 Aug 28: 1 -8. doi: 10. 1080/09540121. 2017. 1368442. • Roberson, K. R. , Pieterse, A. , Martin, C. , O'Neil, J. , Taylor, B. , Sutton, O. and Carter, R. 2018. Validation of the Race-Based Traumatic Stress Symptom Scale. Annual Convention of the American Psychological Association, San Francisco, CA. • Tyler, E. E. , Straight, B. and Hilton, C. 2018 Adolescent diet and nutritional deficiencies in Samburu pastoralists of Kenya. Annual Meetings of the Human Biology Association, Austin, TX, Other Achievements Y. Cabrera Tineo, 2017 APA Division 50 Poster Award –First Place 2017 National Institute on Alcohol Abuse and Alcoholism (NIAAA) R 13 -funded Travel Award W. Lawrence 2017 Visiting Scholar, Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou, China 2017 – Present MCH Student Fellow, Improving Pregnancy Outcomes Committee, Maternal and Child Health Section, American Public Health Association