GROWTH ENHANCEMENT FOR MEXICAN AMERICAN CHILDREN

生长缺陷是一种复杂的儿童健康现象，如果不是 纠正，可能会导致发育迟缓，认知缺陷， 和较小的宪法规模。生长发育不足的近端原因 营养不良，但营养不良的原因因人而异 孩子和家人。多学科中生长缺陷的治疗， 三级保健诊所已被证明在改善病情方面是有效的 生长缺陷的症状。业外社区工作者或社区的家访 保健护士在纠正生长发育方面也被证明是有效的。 缺乏症。然而，这两种模式都很昂贵，而且可能 并不是所有社区都可以使用。尚未确定的是 治疗社区生长缺陷的最有效方法 环境，所有社区都可以使用。基于社区的战略 瞄准增长不足，特别是在墨西哥裔美国人 社区，是预防长期增长不足及其 相关后遗症。如健康状况目标所示， 墨西哥裔美国儿童面临着特别大的成长风险 不足和伴随的问题，但干预措施没有重点 在这群人身上。此外，还需要专门的干预措施 这群人在文化上是合适的。基于初步的 学习和经验，建议的项目将测试一个创新的 这种模式将减少生长缺陷和伴随而来的发病率。 这项研究将提供一个易于访问的、适合文化的 通过以社区为基础的WIC诊所对墨西哥裔美国人进行干预 有生长缺陷的儿童。从这个过程中学到的知识 项目，一个治疗墨西哥人生长缺陷的模型- 可以建立可以广泛传播的美国人口 在全国范围内的WIC诊所。

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.