Accountable Communities: Healthy Together

描述（由申请人提供）：格鲁吉亚州立大学建议通过领导开展一项长期的以社区为基础的参与性研究（CBPR）倡议，旨在减少健康差距和社区规划单位V（NPU-V）居民所经历的相关社会，经济和环境决定因素，来解决其促进亚特兰大城市健康的使命。NPU-V由亚特兰大市区5个相邻社区的15，800名居民组成。根据2004年NPU-V居民收集和报告的数据，已经存在这种差异的证据。格鲁吉亚州的合作伙伴包括NPU-V的领导层和居民、黑人妇女健康中心（位于该地区）、南边医疗中心（位于该地区）、富尔顿县卫生和健康部以及亚特兰大地区卫生论坛。这项研究将通过公共卫生研究所在格鲁吉亚国家，这是一个多学科的研究和培训机构与大学的所有六个学院的工作，并直接向教务长。这项研究工作的具体目标是： * 通过社区卫生论坛吸引社区居民，旨在（1）加强社区参与和参与，（2）公开评估相关的健康相关信息，包括现有的社会，经济，人口和健康数据，来自Photovoice的图形提示，以及社区居民表达的记录问题，（3）基于伙伴关系共识，身份，优先顺序，选择具体的健康差距（及其相关决定因素）进行干预，以及（4）共同制定一项旨在消除已查明的健康差距的综合干预战略。 * 培训NPU-V的居民作为社区卫生工作者（CHW），掌握一系列社区健康促进技能，包括Photovoice，这将用于补充居民收集的现有社区特定数据。 * 建立和实施一个系统，以便对干预战略和整个CBPR过程进行持续监测和评估。一个重要的额外评估功能将包括测量整个项目中组织社会资本的现有水平，以检测计划中加强社会资本的努力的效果。 * 与具体的近端健康差距干预措施同时，开展并记录一项更长期的战略，以解决远端社会和经济问题，其中社区居民承担领导责任，提出具体行动，以促进具体行动，促进社区转型。根据社区的投入，这些措施可能包括：（1）增加就业机会，（2）通过社区更新改善住房，而不增加现有居民的税收，（3）促进经济发展。

DESCRIPTION (provided by applicant): Georgia State University proposes to address its mission of promoting health in urban Atlanta by taking the leadership in undertaking a long-range community-based participatory research (CBPR) initiative aimed at reducing the health disparities and the associated social, economic and environmental determinants experienced by the residents of Neighborhood Planning Unit V (NPU-V). NPU-V consists of 15,800 residents in 5 contiguous neighborhoods in urban Atlanta. Evidence of the disparities already exists based on data gathered and reported by the residents of NPU-V in 2004. Georgia State's partners include the leadership and residents of NPU-V, Center for Black Women's Wellness (located in the area), Southside Medical Center (located in the area), Fulton County Department of Health and Wellness, and Atlanta Regional Health Forum. This Research will be directed through the Institute of Public Health at Georgia State, which is a multi-disciplinary research and training institute working with all six colleges of the university and reporting directly to the provost. The specific aims for this research effort are to: * Engage community residents through community health forums designed to (1) strengthen community involvement and participation, (2) publicly assess relevant health related information including existing social, economic, demographic and health data, graphic depictions from Photovoice, and documented concerns expressed by community residents, (3) based on partnership consensus, identity, prioritize, and select for intervention the specific health disparities (and their relevant determinants), and (4) collectively develop a comprehensive intervention strategy designed to migrate the health disparities identified. * Train residents of NPU-V as community health workers (CHWs) in a range of community health promotion skills, including Photovoice, which will be used to complement existing community specific data gathered by residents. * Establish and implement a system to enable the ongoing monitoring and evaluation of the intervention strategy and the overall CBPR process. A critical additional assessment feature will include the measurement of extant levels of organizational social capital throughout the project to detect the effects of planned efforts to strengthen social capital. * In parallel with the specific proximal health disparity intervention, undertake and document a longer range strategy to address distal social and economic issues, wherein community residents assume the leadership for proposing specific actions to promote specific actions to promote community transformation. Based on community input these might include: (1) enhancing employment opportunities, (2) improving housing through neighborhood renewal without tax increases on current residents, and (3) promoting economic developments.