Capacity-oriented approaches to food security, diet quality, and cardiovascular disease risk among Hispanics/Latinos

项目摘要/总结 NHLBI-K 01指导研究科学家申请的首要目标 发展奖是提供一个培训和研究计划，这将有助于候选人， 博士阿曼达C.麦克莱恩，发展成为一个独立的研究人员使用队列和临床 促进美国西班牙裔/拉丁裔人营养和心血管健康公平性的试验 使用资本导向的方法。一组在心脏代谢健康方面经验丰富的导师， 基于社区和面向能力的干预措施、流行病学和饮食评估 方法将补充和指导候选人的全面培训计划。 尽管很大一部分人表现出心血管疾病（CVD）的危险因素， 经历粮食不安全，美国西班牙裔/拉丁裔显示出较低的心血管死亡率， 这可能表明保护健康和饮食的现有资本（例如资产），尽管有限 证据是存在的因此，本研究的目的是（1）确定社会，物质，人力资源， 与低收入人群的粮食安全和更健康的饮食质量相关的文化资本 美国西班牙裔/拉丁裔成年人，以及这些合并来源与CVD风险的关系 （2）使用目标1的结果和形成性定性分析， 研究，以改善饮食质量的西班牙裔/拉丁美洲人在圣地亚哥，加利福尼亚州，通过加强 食物及饮食相关的资本及财政司司长;及（3）评估一项 试点干预措施，旨在通过加强与食品和饮食有关的 资本和FS低收入，西班牙裔/拉丁美洲成年人在圣地亚哥，加利福尼亚州。目标1的数据将 来自国家西班牙裔社区健康研究的两项辅助研究 拉丁裔。目标2和3的数据将来自社区利益攸关方组织和低- 收入，西班牙裔/拉丁美洲裔成年人招募的形成混合方法和试点研究在圣 圣地亚哥，加利福尼亚州，在圣伊西德罗健康中心的格雷戈里塔拉韦拉博士的支持下。 根据这些研究目标，建议的项目包括三个职业生涯 候选人的发展和培训领域：（1）完善高级定量技能 分析多个和不同的社会经济和文化预测变量的利益;（2） 制定并推广试点干预措施，将其纳入现有社区，或 医疗保健计划;（3）建立候选人作为一个合作和特殊的 研究者、领导者和导师。这个K 01项目将通过扩大我们的 理解资本和能力导向的方法在促进饮食和营养方面的作用 美国西班牙裔/拉丁裔的心血管健康公平性。

PROJECT ABSTRACT/SUMMARY The overarching goal of this application for a NHLBI-K01 Mentored Research Scientist Development Award is to provide a training and research program that will help the candidate, Dr. Amanda C. McClain, to develop into an independent researcher using cohorts and clinical trials to promote nutrition and cardiovascular health equity among U.S. Hispanics/Latinos using capital-oriented approaches. A team of experienced mentors in cardiometabolic health, community-based and capacity-oriented interventions, epidemiology, and diet assessment methodologies will complement and guide the candidate’s comprehensive training plan. Despite a large proportion exhibiting cardiovascular disease (CVD) risk factors and experiencing food insecurity, U.S. Hispanics/Latinos demonstrate low cardiovascular mortality, which may indicate existing capital (e.g. assets) protecting health and diet, though limited evidence exists. Thus, this research aims to (1) identify sources of social, material, human, and cultural capital associated with food security (FS) and healthier diet quality among low-income U.S. Hispanic/Latino adults, and the relationship of these combined sources with CVD risk markers; (2) develop a pilot intervention, using findings from Aim 1 and formative qualitative research, to improve diet quality among Hispanics/Latinos in San Diego, CA by strengthening food- and diet-related capital and FS; and (3) evaluate the feasibility and short-term efficacy of a pilot intervention aimed at improving diet quality through strengthening food- and diet-related capital and FS among low-income, Hispanic/Latino adults in San Diego, CA. Data for Aim 1 will be from two ancillary studies from the national Hispanic Community Health Study/Study of Latinos. Data for Aims 2 and 3 will be from community stakeholder organizations and low- income, Hispanic/Latino adults recruited for formative mixed method and pilot studies in San Diego, CA, with support from Dr. Gregory Talavera at the San Ysidro Health Center. In accordance with these research aims, the proposed project consists of three career development and training areas for the candidate: (1) refine skills in advanced quantitative analysis with multiple and diverse socioeconomic and cultural predictor variables of interest; (2) develop and disseminate a pilot intervention, integrated into an existing community or healthcare program; and (3) establish the candidate as a collaborative and exceptional researcher, leader, and mentor. This K01 project will impact public health by expanding our understanding of the role of capital and capacity-oriented approaches in promoting diet and cardiovascular health equity among U.S. Hispanics/Latinos.