P20MD019799

Catalyst (Community Climate Health Equity Research Center) - Summary.

Historically marginalized U.S. communities have inequitably high risks of experiencing climate-induced health impacts.

The primary care safety net community health centers (CHCs) serving these populations are uniquely positioned to prepare for and mitigate these impacts, as CHCs are trusted, culturally competent care providers in their communities and have expertise in reducing health disparities.

To intervene successfully, CHCs need to be equipped with evidence on: (1) how extreme climate events impact health outcomes in CHC populations (which differ substantially from those in other care settings); and (2) what interventions CHCs can enact to effectively prepare for and mitigate these impacts.

The Community Catalyst (Community Climate Health Equity Research Center) (CCHRC) will provide this evidence and the proposed planning process will prepare the CCHRC to do so as follows.

Our administrative core will assemble a transdisciplinary team of experts in climate and health, health equity, social risks and related interventions, intervention development and implementation/dissemination, health policy, community-engaged research, and primary care in CHCs.

The administrative core will also create the data infrastructure needed to study climate-induced health impacts in CHC populations by linking existing, robust, geocoded research-ready electronic health record data from the OCHIN practice-based research network (>1,700 CHC clinic sites in 36 states) with existing granular data on extreme heat events and air quality created by Harvard’s Confluence Project.

Our research program core will use this dataset in novel analyses to identify how extreme heat and poor air quality impact hypertension and asthma incidence and exacerbation in CHC patients, and the effect modifiers of these impacts.

Our community engagement core will convene a learning community of researchers and diverse representatives from CHCs (leaders, staff, patients) and other relevant community-based organizations (e.g., public health departments, environmental non-profits).

In a multidirectional, iterative process, this CCHRC learning community will identify: (1) interventions that have potential to mitigate patterns of climate-induced health impacts in CHC populations, and (2) the research needed to generate evidence on such interventions’ effectiveness.

The CCHRC will then be prepared to immediately begin conducting research that is led by community-researcher partnerships and designed to address community-identified evidence needs on how CHCs can prepare for and mitigate climate-induced health impacts in their populations.

Ochin

TO SUPPORT BASIC, CLINICAL, SOCIAL, AND BEHAVIORAL RESEARCH, PROMOTE RESEARCH INFRASTRUCTURE AND TRAINING, FOSTER EMERGING PROGRAMS, DISSEMINATE INFORMATION, AND REACH OUT TO MINORITY AND OTHER HEALTH DISPARITY COMMUNITIES. THE NATIONAL INSTITUTE ON MINORITY HEALTH AND HEALTH DISPARITIES (NIMHD) HAS ESTABLISHED PROGRAMS TO PURSUE THESE GOALS: (1) THE CENTERS OF EXCELLENCE PROGRAM PROMOTES RESEARCH TO IMPROVE MINORITY HEALTH AND/OR REDUCE AND ELIMINATE HEALTH DISPARITIES, BUILDS RESEARCH CAPACITY FOR MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH IN ACADEMIC INSTITUTIONS, ENCOURAGES PARTICIPATION OF HEALTH DISPARITY GROUPS AND COMMUNITIES IN BIOMEDICAL AND BEHAVIORAL RESEARCH AND PREVENTION AND INTERVENTION ACTIVITIES, AND BRINGS TOGETHER INVESTIGATORS FROM RELEVANT DISCIPLINES IN A MANNER THAT WILL ENHANCE AND EXTEND THE EFFECTIVENESS OF THEIR RESEARCH, (2) NIMHD RESEARCH ENDOWMENT PROGRAM BUILDS RESEARCH CAPACITY AND INFRASTRUCTURE AT ELIGIBLE NIMHD CENTERS OF EXCELLENCE OR ELIGIBLE SECTION 736 HEALTH PROFESSIONS SCHOOLS (42 U.S.C. 293) TO FACILITATE MINORITY HEALTH AND OTHER HEALTH DISPARITIES RESEARCH TO CLOSE THE DISPARITY GAP IN THE BURDEN OF ILLNESS AND DEATH EXPERIENCED BY RACIAL AND ETHNIC MINORITY AMERICANS AND OTHER HEALTH DISPARITY POPULATIONS, PROMOTES A DIVERSE AND STRONG SCIENTIFIC, TECHNOLOGICAL AND ENGINEERING WORKFORCE, AND EMPHASIZES THE RECRUITMENT AND RETENTION OF UNDERREPRESENTED MINORITIES AND OTHER SOCIO-ECONOMICALLY DISADVANTAGED POPULATIONS IN THE FIELDS OF BIOMEDICAL AND BEHAVIORAL RESEARCH AND OTHER AREAS OF THE SCIENTIFIC WORKFORCE, (3) THE CENTERS OF EXCELLENCE ON ENVIRONMENTAL HEALTH DISPARITIES RESEARCH TO STIMULATE BASIC AND APPLIED RESEARCH ON ENVIRONMENTAL HEALTH DISPARITIES, (4) MINORITY HEALTH AND HEALTH DISPARITIES INTERNATIONAL RESEARCH TRAINING PROGRAM (MHIRT) AWARDS ENABLE U.S. INSTITUTIONS TO TAILOR SHORT-TERM BASIC SCIENCE, BIOMEDICAL AND BEHAVIORAL MENTORED STUDENT INTERNATIONAL RESEARCH TRAINING OPPORTUNITIES TO ADDRESS GLOBAL ISSUES RELATED TO UNDERSTANDING, REDUCING, AND ELIMINATING HEALTH DISPARITIES, (5) SMALL BUSINESS INNOVATION RESEARCH (SBIR) PROGRAM INCREASES PRIVATE SECTOR COMMERCIALIZATION OF INNOVATIONS DERIVED FROM FEDERAL RESEARCH AND DEVELOPMENT, ENCOURAGES SMALL BUSINESS PARTICIPATION IN FEDERAL RESEARCH AND DEVELOPMENT, AND FOSTERS AND ENCOURAGES PARTICIPATION OF SOCIALLY AND ECONOMICALLY DISADVANTAGED SMALL BUSINESS CONCERNS AND WOMEN-OWNED SMALL BUSINESS CONCERNS IN TECHNOLOGICAL INNOVATION, (6) SMALL BUSINESS TECHNOLOGY TRANSFER (STTR) PROGRAM STIMULATES AND FOSTERS SCIENTIFIC AND TECHNOLOGICAL INNOVATION THROUGH COOPERATIVE RESEARCH DEVELOPMENT CARRIED OUT BETWEEN SMALL BUSINESS CONCERNS AND RESEARCH INSTITUTIONS, FOSTERS TECHNOLOGY TRANSFER BETWEEN SMALL BUSINESS CONCERNS AND RESEARCH INSTITUTIONS, INCREASES PRIVATE SECTOR COMMERCIALIZATION OF INNOVATIONS DERIVED FROM FEDERAL RESEARCH AND DEVELOPMENT, AND FOSTERS AND ENCOURAGES PARTICIPATION OF SOCIALLY AND ECONOMICALLY DISADVANTAG

93.113 - Environmental Health

National Institute for Minority Health and Health Disparities (NIMHD) [HHS - NIH]

National Institute of Environmental Health Sciences (NIEHS) [HHS - NIH]

Portland, Oregon 972015187 United States

Single Zip Code

Exploratory Grants for Climate Change and Health Research Center Development (P20 Clinical Trial Optional) (RFA-ES-23-007)