GROWTH ENHANCEMENT FOR MEXICAN AMERICAN CHILDREN

促进墨西哥裔美国儿童的成长

• 批准号: 2807473
• 负责人: ELIZABETH A. REIFSNIDER
• 金额: $ 10.02万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-08-01 至 2003-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2807473
• 关键词: Mexican Americans; child behavior; child physical development; clinical research; community health services; culture; developmental nutrition; disease /disorder prevention /control; health care model; health services research tag; human subject; longitudinal human study; low socioeconomic status; malnutrition; nursing intervention; nutrition education; nutrition related tag; outcomes research; parent offspring interaction; pediatrics; preschool child (1-5); public health nursing

Growth deficiency is a complex child health phenomenon that, if not corrected, can contribute to developmental delay, cognitive deficits, and small constitutional size. The proximal cause of growth deficiency is malnutrition, but the cause for the malnutrition varies with each child and family. Treatment for growth deficiency in multidisciplinary, tertiary-care clinics has been shown to be effective in the amelioration of growth deficiency. Home visits by lay community workers or community health nurses have also been shown to be effective in correcting growth deficiency. However, both of these modalities are expensive, and may not be available to all communities. What has not been determined is the most effective way to treat growth deficiency in a community setting, available to all communities. Community-based strategies targeting growth deficiency, especially in the Mexican-American community, are needed to prevent long-term growth deficiency and its associated sequela. As shown by the Health Status Objectives for the Nation, Mexican-American children are at particular risk for growth deficiency and concomitant problems but interventions have not focused on this population. Moreover, specialized interventions are needed for this population that are culturally appropriate. Based on preliminary studies and experience, the proposed project will test an innovative model that will reduce growth deficiency and concomitant morbidity. This study will provide an easily-accessed, culturally-appropriate intervention through community-based WIC clinics to Mexican-American children with growth deficiency. With the knowledge gained from this project, a model for the treatment of growth deficiency in a Mexican- American population can be established that can be widely disseminated in WIC clinics nationwide.

生长缺陷是一种复杂的儿童健康现象，如果没有 纠正，可能会导致发育迟缓，认知缺陷， 宪法规模小。 生长缺陷的近因 是营养不良，但营养不良的原因各不相同， 孩子和家庭。 多学科治疗生长缺陷， 三级保健诊所已被证明是有效的改善 生长缺陷。 由非专业社区工作者或社区进行家访 保健护士也被证明是有效的纠正增长 缺陷 然而，这两种模式都是昂贵的，并且可能 并不适用于所有社区。 尚未确定的是， 在一个社区里治疗生长缺陷的最有效的方法 设置，提供给所有社区。社区战略 针对生长缺陷，特别是墨西哥裔美国人， 社区，需要防止长期增长不足， 相关后遗症。如健康状况目标所示， 墨西哥裔美国儿童面临特别的成长风险 缺陷和伴随的问题，但干预措施没有重点 在这个人口。 此外，还需要采取专门干预措施， 这些人在文化上是合适的。 根据初步 研究和经验，拟议的项目将测试一个创新的 该模型将减少生长缺陷和伴随的发病率。 这项研究将提供一个易于获取、文化上合适的 通过以社区为基础的WIC诊所对墨西哥裔美国人进行干预 生长缺陷的儿童。 从这件事中获得的知识 项目，一个模型，用于治疗生长不足，在墨西哥- 美国人口可以建立，可以广泛传播 在全国的WIC诊所里