We Will Not be Moved: the Black Church Health Movement, 1900-1935

我们不会被感动：黑人教会健康运动，1900-1935

• 批准号: 7274427
• 负责人: JACQUELINE MARGO BROOKS CARTHON
• 金额: $ 3.04万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-10-01 至 2009-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7274427
• 关键词: Will; Moved; Black; Church; Health

DESCRIPTION (provided by applicant): Over the course of the 20th century American medicine and public health have witnessed significant advances and achievements in managing illness and improving quality of life for most Americans. Despite these advances, African Americans continue to experience higher mortality rates and an excess burden of illness as compared to their non-minority counterparts. While many factors are believed to create health inequities, a linkage appears to exist between the historic experience of systemic inequality and poor patient outcomes. To date, the relationship between forms of historic inequality and illness in African Americans has been understudied and poorly understood leaving unanswered several critical questions: 1) Did African Americans experience increased illness because they were innately different or because they were kept socially unequal and 2) If African Americans were historically prohibited from receiving care through traditional institutions such as hospitals how did local grass roots organizations mobilize and engage in strategies to meet the health challenges of their communities? Using social historical methodology, this research seeks to answer these questions by exploring the way social, cultural and political influences impacted mortality rates of African Americans infected with Tuberculosis in Philadelphia, 1900-1935. This study will also examine the response of the local African American community, specifically the local church to the health crisis of its congregants. The results of this study will help broaden our understanding of the role of community institutions. This understanding will assist in creating a foundation upon which partnerships between local organizations and researchers involved in health disparities research may be established. Health disparities among African Americans result in poorer health outcomes, excess mortality, and poorer quality of life. Partnerships with community institutions such as the local church are critical to health disparities researchers interested in translating research findings into practice. The innovation in this research is the emphasis on providing foundational knowledge on how health disparities emerge, the way in which health activism develops, and the means through which communities coordinate health services for their residents. Efforts to impact the public's health must begin at the local level, the results of this research offer scholars an opportunity to understand the rich legacy of activism in the local African American community thereby, moving beyond despair to empowerment.

描述（由申请人提供）：在20世纪的过程中，美国医学和公共卫生在控制疾病和改善大多数美国人的生活质量方面取得了重大进展和成就。尽管取得了这些进步，但与非少数族裔相比，非洲裔美国人的死亡率和疾病负担仍然较高。虽然许多因素被认为造成卫生不平等，但在系统性不平等的历史经验与患者预后不良之间似乎存在联系。迄今为止，历史上的不平等形式与非裔美国人的疾病之间的关系一直没有得到充分的研究，也没有得到充分的理解，留下了几个关键问题：1)非裔美国人患病增加是因为他们天生与众不同还是因为他们在社会上一直不平等？ 2)如果非裔美国人在历史上被禁止通过医院等传统机构接受治疗，当地基层组织是如何动员和参与应对社区健康挑战的战略的？利用社会历史方法，本研究试图通过探索社会、文化和政治影响如何影响1900-1935年费城非裔美国人感染结核病的死亡率来回答这些问题。本研究还将考察当地非裔美国人社区，特别是当地教会对其会众健康危机的反应。这项研究的结果将有助于拓宽我们对社区机构角色的理解。这种理解将有助于建立一个基础，在这个基础上，参与健康差异研究的地方组织和研究人员可以建立伙伴关系。非裔美国人之间的健康差异导致较差的健康结果、过高的死亡率和较差的生活质量。与当地教会等社区机构建立伙伴关系对于有兴趣将研究成果转化为实践的健康差异研究人员至关重要。这项研究的创新之处在于强调提供有关健康差异如何出现、健康行动主义发展的方式以及社区为其居民协调卫生服务的手段的基础知识。影响公众健康的努力必须从地方层面开始，这项研究的结果为学者们提供了一个机会，让他们了解当地非裔美国人社区激进主义的丰富遗产，从而从绝望走向赋权。