Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model.
Social and physical environments and disparities in risk for cardiovascular disease: the healthy environments partnership conceptual model.
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DOI：
10.1289/ehp.7913
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发表时间：
2005-12
影响因子：
10.4
通讯作者：
Lepkowski J
中科院分区：
文献类型：
--
作者：
Schulz AJ;Kannan S;Dvonch JT;Israel BA;Allen A 3rd;James SA;House JS;Lepkowski J
健康环境伙伴关系(HEP)是一项以社区为基础的参与性研究努力，调查密歇根州底特律三个地区的非西班牙裔黑人、非西班牙裔白人和西班牙裔居民心血管疾病风险的变化，以及社会和物理环境对这些变化的影响。HEP成立于2000年10月，是国家环境健康科学研究所健康差异倡议的一部分，隶属于底特律社区-学术城市研究中心。这项研究是在一个概念模型的指导下进行的，该模型认为基于种族的居住隔离以及相关的贫困和财富集中是影响心血管风险的多个、更准确的预测因素的基本因素。在该模型中，物理和社会环境被确定为调节基本因素和更接近的因素之间的关系的中间因素，例如最终影响心血管风险的拟人化和生理学指标的体力活动和饮食习惯。研究设计和数据收集方法是由社区组织、卫生服务组织和学术机构的研究团队共同开发和实施的。这些努力包括收集和分析3年期间的空气颗粒物；人口普查和行政数据；邻里观察核对清单数据，以评估物理和社会环境的各个方面；家庭调查数据，包括感知的压力源、获得社会支持的机会和健康相关行为的信息；以及作为心血管健康指标的人体测量学、生物标志物和自我报告数据。通过这些合作努力，HEP寻求帮助理解造成种族和社会经济健康不平等的因素，并为底特律消除这些差异的努力奠定基础。
The Healthy Environments Partnership (HEP) is a community-based participatory research effort investigating variations in cardiovascular disease risk, and the contributions of social and physical environments to those variations, among non-Hispanic black, non-Hispanic white, and Hispanic residents in three areas of Detroit, Michigan. Initiated in October 2000 as a part of the National Institute of Environmental Health Sciences’ Health Disparities Initiative, HEP is affiliated with the Detroit Community–Academic Urban Research Center. The study is guided by a conceptual model that considers race-based residential segregation and associated concentrations of poverty and wealth to be fundamental factors influencing multiple, more proximate predictors of cardiovascular risk. Within this model, physical and social environments are identified as intermediate factors that mediate relationships between fundamental factors and more proximate factors such as physical activity and dietary practices that ultimately influence anthropomorphic and physiologic indicators of cardiovascular risk. The study design and data collection methods were jointly developed and implemented by a research team based in community-based organizations, health service organizations, and academic institutions. These efforts include collecting and analyzing airborne particulate matter over a 3-year period; census and administrative data; neighborhood observation checklist data to assess aspects of the physical and social environment; household survey data including information on perceived stressors, access to social support, and health-related behaviors; and anthropometric, biomarker, and self-report data as indicators of cardiovascular health. Through these collaborative efforts, HEP seeks to contribute to an understanding of factors that contribute to racial and socioeconomic health inequities, and develop a foundation for efforts to eliminate these disparities in Detroit.
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影响因子：
--
作者：
Crespo, CJ;Keteyian, SJ;Sempos, CT
通讯作者：
Sempos, CT
影响因子：
12.7
作者：
Diez-Roux, AV;Northridge, ME;Shea, S
通讯作者：
Shea, S
影响因子：
3.3
作者：
Cacioppo, JT;Hawkley, LC;Berntson, GG
通讯作者：
Berntson, GG
影响因子：
5
作者：
BLOCK, G;HARTMAN, AM;GARDNER, L
通讯作者：
GARDNER, L
影响因子：
5
作者：
BLOCK, G;COYLE, LM;SCOPPA, SM
通讯作者：
SCOPPA, SM