Growing UIp Healthy in East Harlem (CBPR)

描述（由申请方提供）：纽约州东哈莱姆城市建筑环境中环境因素的暴露评估。儿童肥胖症在美国已经成为一种流行病，尤其是在非洲裔和拉丁裔儿童中。东哈莱姆是一个以少数族裔为主的社区，在纽约市的任何社区中肥胖率最高。东哈莱姆社区领导人，谁建议西奈山儿童环境卫生中心，包括东哈莱姆社区卫生委员会的成员，Boriken邻里卫生中心和定居健康，建议儿童肥胖在东哈莱姆成为一个主要的中心优先事项。环境因素越来越多地被认为会影响超重和肥胖的发展。东哈莱姆的领导人已经确定了一系列城市建筑环境所特有的环境因素，这些因素似乎是健康生活方式的障碍和儿童肥胖的促进者。这些问题包括缺乏游戏空间、安全问题、缺乏新鲜食物和青年活动机会有限。为了评估和描述这些因素，该CBPR项目将研究东哈莱姆城市建成环境的结构特征，特别关注：1）公园和娱乐区的可达性; 2）体育活动的机会和空间; 3）安全性; 4）邻里美学; 5）健康食品的可达性。研究人员还计划检查儿童在建筑环境中接触当代使用的合成ED（可能改变内分泌功能的化学物质），特别是邻苯二甲酸酯，双酚A和植物雌激素。近期国家 疾病预防控制中心进行的调查发现，ED的残留物几乎普遍存在于 美国人，但在年龄，性别，种族和民族方面存在着显著的身体负担差异，在儿童和少数民族中发现最高水平。艾德暴露的来源似乎包括饮食、个人护理产品和塑料。调查人员计划评估儿童的生物水平和艾德暴露在纽约东哈莱姆城市建筑环境中的环境来源。该项目将延续中心与东哈莱姆社区建立强有力伙伴关系的传统。

Description (provided by applicant): Exposure Assessment of Environmental Factors in the Urban Built Environment of East Harlem, NY. Childhood obesity has become epidemic in the U.S., especially among African-American and Latino children. East Harlem, a predominantly minority community, has the highest prevalence of obesity of any neighborhood in NYC. East Harlem community leaders, who advise the Mount Sinai Children's Environmental Health Center, including members of the East Harlem Community Health Committee, the Boriken Neighborhood Health Center and Settlement Health, have recommended that childhood obesity in East Harlem become a major Center priority. Environmental factors are increasingly acknowledged to influence development of overweight and obesity. Leaders in East Harlem have identified a series of environmental factors unique to the urban built environment that appear to be barriers to healthy lifestyles and promoters of childhood obesity. These include, paucity of play-spaces, concerns about safety, lack of fresh foods and limited opportunities for youth activities. To assess and characterize these factors, this proposed CBPR project will study structural features of the urban built environment of East Harlem with particular attention to, 1) accessibility of parks and recreational areas; 2) opportunities and spaces for physical activity; 3) safety; 4) neighborhood aesthetics; and 5) accessibility to healthy foods. The investigators also plan to examine children's exposures to contemporary-use synthetic EDs (chemicals that may alter endocrine function) in the built environment, in particular, phthalates, bisphenol A, and phytoestrogens. Recent national surveys conducted by the CDC found that residues of EDs are present almost universally in Americans, but that there exist significant disparities in body burdens by age, sex, race and ethnicity with highest levels found in children and in minorities. Sources of ED exposure appear to include diet, personal care products and plastics. The investigators plan to assess children's biological levels and environmental sources of ED exposure in the urban built environment of East Harlem, NY. This project will continue a tradition in the Center of strong partnership with the East Harlem community.