Men on the Move: Growing Communities

描述（由申请人提供）：背景。心血管疾病（CVD）是密苏里州佩米斯科特县的主要死亡原因。十多年来，我们的社区学术合作伙伴关系一直在共同努力，我们已经从关注心脏健康的个人决定因素转变为认识个人、环境和社会决定因素（例如，信息、技能和获取）的贡献，经济因素)协同作用，造成各种危险健康行为的高发率和随后的健康问题，包括减少水果和蔬菜的消费以及心血管疾病。[1-5]我们的试点项目“移动中的男性”（Men on the Move）将重点放在男性身上，不仅是因为他们的心血管疾病发病率极高，还因为我们确定，他们需要培养自己的技能和能力，以便在创造有益健康的变化方面发挥领导作用。来自“移动中的男性”的数据强调，我们社区的许多非裔美国男性没有食用推荐的水果和蔬菜。在很大程度上，这是由于个人和社区层面因素的结合，例如销售水果和蔬菜的社区网点有限，现有网点的产品选择有限，以及缺乏关于如何改善消费的知识和技能。

DESCRIPTION (provided by applicant): Background. Cardiovascular disease (CVD) is the leading cause of death in Pemiscot County, MO. Over the more than ten years our community-academic partnership has been working together we have moved from focusing on individual determinants of heart health to recognizing the contributions of individual, environmental, and social determinants (e.g., information, skills, and access, economic factors) that act synergistically to create these high rates of a variety of risky health behaviors and subsequent health problems including reduced consumption of fruits and vegetables and cardiovascular disease. [1-5] Our pilot project, Men on the Move, focused on men not only because of their extraordinarily high rates CVD but also because it was determined that they need to build their skills and abilities to take on leadership roles in creating healthful changes. Data from Men on the Move highlighted that many African American men in our community do not consume the recommended servings of fruits and vegetables. To a large extent, this is due to a combination of individual and community level factors, such as limited community outlets that sell fruits and vegetables, limited produce selection at existing outlets, and lack of knowledge and skills regarding how to improve consumption.