CBPR to improve African American environments for youth obesity prevention

描述（由申请人提供）：本U13申请在儿童、青少年和成人肥胖的广泛关注领域响应NICHD PAR-09-092。鉴于非洲裔美国儿童和青年，特别是女性的肥胖率增长趋势比平均水平更陡，而且肥胖率很高，因此迫切需要对非洲裔美国儿童和青年，特别是女性的肥胖症产生影响的干预措施。肥胖研究的领域在这里被定义为包括在环境和个人水平上的食物、体力活动和体重控制的决定因素，以及它们与肥胖和相关发病率和死亡率的关系。这个广泛的领域与一系列潜在的社区问题和优先事项有着内在的联系。将设计活动，以确定社区对解决与肥胖有关的差距感兴趣的领域，特别注重青年的参与。这些活动将在非裔美国人肥胖症合作研究网络（AACORN）的名义下进行，该网络是一个设在宾夕法尼亚州费城宾夕法尼亚大学的国家组织。本申请中要求的资金将用于支持青年和成年社区成员参与规划和实施2010年和2012年两次以社区为重点的国家讲习班，反映社区在与预防儿童肥胖症有关的社会变革活动方面的优先事项。具体目标是：（1）实施创造性的新方法，使青年伙伴能够分享他们的观点，更加知情，并确定与饮食、体育活动和体重有关的问题的优先事项;（2）设立一个咨询委员会，促进青年和成年社区成员与学术研究人员就这些重点领域的问题和优先事项进行对话; 3）通过谅解备忘录确定并参与至少一个以青年为重点的社区组织，作为基于社区的参与性研究（CBPR）合作伙伴; 4）与社区合作伙伴和咨询委员会，计划并实施AACORN 2010年和2012年研讨会的具体组成部分，该研讨会将为联合社区和学术研究人员提供能力建设，并建立为规划长期的交叉学习和CBPR活动奠定基础。 公共卫生相关性：需要增加非裔美国人社区成员和组织的直接参与，以产生内源性的解决肥胖和相关的健康和生活质量问题是巨大的。鉴于肥胖患病率的上升幅度高于平均水平，迫切需要对非洲裔美国儿童和青年，特别是女性的肥胖症产生影响的干预措施。

DESCRIPTION (provided by applicant): This U13 application responds to NICHD PAR-09-092 in the broad focus area of child, adolescent, and adult obesity. Interventions that impact upon obesity in African American children and youth, especially females, are critically needed given the steeper than average trajectory of increase and high obesity prevalence in African American children and youth, especially females. The domain of obesity research is defined here to include determinants of food, physical activity, and weight control at both environmental and individual levels and their relationships to obesity and related morbidity and mortality. This broad domain has intrinsic connections to a spectrum of potential community issues and priorities. Activities will be designed to identify the community's perceived areas of interest for addressing disparities related to obesity, with a particular focus on youth engagement. These activities will be undertaken under the rubric of the African American Collaborative Obesity Research Network (AACORN), a national organization based at the University of Pennsylvania, Philadelphia, PA. Funds requested in this application would support engagement of youth and adult community members in planning and implementing two community-focused, national workshops, in 2010 and 2012, reflecting community priorities for social change activities related to childhood obesity prevention. Specific aims are to: 1) Implement creative new methods of enabling youth partners to share their perspectives, become more informed, and identify priorities about issues related to eating, physical activity, and body weight; 2) Create an advisory board that will stimulate dialogue among youth and adult community members and academic researchers about issues and priorities in these focus areas; 3)Identify and engage, through a memorandum of understanding, at least one youth focused, community organization as a community based participatory research (CBPR) partner; 4) With community partners and the advisory board, plan and implement a specific component of AACORN's 2010 and 2012 workshops that will provide for conjoint community and academic researcher capacity building and establish a foundation for planning longer term cross-learning and CBPR activities. PUBLIC HEALTH RELEVANCE: The need to increase the direct involvement of African American community members and organizations in the generation of endogenous solutions to obesity and related health and quality of life issues is great. Interventions that impact upon obesity in African American children and youth, especially females, are critically needed given a steeper than average rise in obesity prevalence.