While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
The Robert Wood Johnson Foundation, through its Pioneer Portfolio, has awarded Kaiser Permanente $8.6 million to develop one of the world’s largest and most diverse repositories of genetic, environmental and health data. Scientists will use the repository—known as a “biobank”—as part of a comprehensive research initiative to conduct groundbreaking work to establish the genetic and environmental factors that influence common diseases such as heart disease, cancer, diabetes, high blood pressure, Alzheimer’s and asthma, among others.
The grant will help Kaiser Permanente’s Northern California Division of Research to gather, store and protect the biobank’s first 200,000 samples of DNA, and build a secure database with relevant health and environmental information. The goal of the Robert Wood Johnson Foundation and Kaiser Permanente is to expand the biobank to 500,000 samples by 2012, offering a population-based database with enough statistical power to identify even subtle effects of environmental and genetic factors in less common health conditions such as mental health disorders or autoimmune diseases.
Researchers also will make use of detailed environmental information on air quality, exposure to toxins and even aspects of the social and built environment, such as neighborhoods that lack sidewalks or safe parks. Grant funding also is being used to develop the policies and procedures that will enable this unique database to be accessible to researchers worldwide.
“The more we know about the causes of disease, the greater our ability to provide more effective treatment and, ultimately to prevent disease from occurring,” says Catherine Schaefer, Ph.D., director of Kaiser Permanente’s Research Program on Genes, Environment and Health (RPGEH) which encompasses the biobank. The Kaiser Permanente RPGEH will develop and maintain the data repository.
Research findings from the database might be used to tailor medication to an individual patient and prescribe lifestyle changes that could prevent life-threatening diseases, Schaefer added. It also could help researchers conduct population-based studies designed to better understand genetic and nongenetic factors that affect the severity or recurrence of common diseases, such as cancer or diabetes. Such studies will make excellent use of the database’s longitudinal electronic medical records, and can help tailor tests and treatments to reduce disease severity and recurrence.
Projects slated to start using the database in 2009 include:
“The unequaled size and power of this biorepository will drive research that can dramatically improve the health and health care of millions of Americans,” says Risa Lavizzo-Mourey, M.D., M.B.A., president and CEO of the Robert Wood Johnson Foundation. “We are proud to help establish this as a premier resource for the nation that can significantly advance medical knowledge and treatments.”
Kenneth Olden, Ph.D., Sc.D., L.H.D., founding dean of the School of Public Health, Hunter College, City University of New York and former director of the National Institute of Environmental Health Sciences, says that the RPGEH database is one of the first to include environmental and genetic information collected from a broad array of populations, representative of the nation’s diversity.
"The diversity of the database makes it a unique resource," Olden says. “The findings from studies in this program can be readily applied to the population in the United States.”
Some critics of biobanks have expressed concern that if genetic information became public it could lead to discrimination and other negative consequences. A new federal law prohibits discrimination based on genetic factors, and the new repository will have additional layers of protection built in to protect the privacy and security of participants’ genetic and health information. All biorepository data and DNA samples are de-identified and stored in secure locations with limited authorized access. Biorepository data including genetic information will not be entered into electronic medical records for individual patients. Comprehensive procedures will protect privacy and researchers must go through a rigorous approval process in order to use the database.
Schaefer directs RPGEH along with Neil J. Risch, Ph.D., a renowned statistical geneticist and director of the University of California San Francisco Institute for Human Genetics. The biobank project is based in the 3.3-million member Kaiser Permanente Medical Care Plan in Northern California. More information about the data repository and Kaiser Permanente’s RPGEH can be found at http://www.dor.kaiser.org/studies/rpgeh.
About the Robert Wood Johnson Foundation
The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation's largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. The Foundation's Pioneer Portfolio supports innovative ideas and projects that may lead to important breakthroughs in health and health care. Projects in the Pioneer Portfolio are future-oriented and look beyond conventional thinking to explore solutions at the cutting edge of health and health care. When it comes to helping Americans lead healthier lives and get the care they need, the Foundation expects to make a difference in your lifetime.
About Kaiser Permanente
Kaiser Permanente is America's leading integrated health plan. Founded in 1945, the program is headquartered in Oakland, Calif. Kaiser Permanente serves 8.7 million members in nine states and the District of Columbia. Today it encompasses Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals and their subsidiaries, and the Permanente Medical Groups. The Kaiser Permanente Division of Research in Oakland, Calif., conducts, publishes, and disseminates epidemiologic and health services research to improve the health and medical care of Kaiser Permanente members and the society at large. It seeks to understand the determinants of illness and well-being and to improve the quality and cost-effectiveness of health care. Currently, the center's 400-plus staff is working on more than 250 epidemiological and health services research projects. For more information, visit www.dor.kaiser.org.
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
Recent studies have demonstrated a connection between low-socioeconomic status and poor health in children. This study builds upon previous ...
This study examined the impact that race has on the prevalence of self-reported diabetes for Hispanic and non-Hispanic people. Data from the...
In this article, the authors consider the social, structural and symbolic effects of the recent and rapid spread of legal gambling in the Un...
Immigrants and their children are one of the fastest growing components of the U.S. population. One in five Americans under the age of 18 is...
Most studies investigating links between social capital and health have relied on work by Robert Putnam who conceptualized social capital as...
The present article considered cardiovascular patients' adherence to physicians' medication recommendations. Nonadherence was defined as fol...
This study examined the prevalence of attention-deficit/hyperactivity disorder (ADHD) among children in the United States. Also of interest ...
The current article explored risk factors for iron deficiency for toddlers in the United States with a focus on Hispanic toddlers. Data from...
The research presented in this article compared the density and concentration of pro-tobacco media messages in African-American and White ma...
This article describes efforts to use information on influenza burden and vaccine efficacy to estimate how influenza vaccine recommendations...