Community-Academic Partnership to Address Health Dispairties in New Orleans

描述（由申请人提供）：以社区为基础的前瞻性研究项目的主要目标是解决由新奥尔良下九区社区确定的健康的特定社会决定因素，如获得医疗保健，疾病预防，饮食/营养，体育活动和影响健康状况的环境因素。该项目建立在该社区以前通过一年进程制定的《社区健康战略计划》的基础上。学术界与社区的伙伴关系将包括来自三个群体的代表：a）来自四个参与社区战略规划进程的基层组织的社区伙伴B）五名科学伙伴，他们是路易斯安那州立大学健康科学中心资助的研究人员，具有健康差异的行为和分子/遗传决定因素方面的专业知识;和c）慈善健康中心的女儿，一个联邦合格的健康中心（CIMHC）在新奥尔良的多个地点为病人服务，其中一个（其圣塞西莉亚网站）位于第九区。该伙伴关系包括社区参与，健康促进和疾病预防，邻里健康评估，获得初级保健和方案评估等领域的专业知识。一曰：建立和维持与路易斯安那州立大学健康科学中心的代表学术社区合作伙伴关系，与社区组织和慈善健康中心的女儿-圣塞西莉亚合作。具体目标二：进行一次社区驱动的需求评估，为选择需要满足的需求提供信息，并在第二年和第三年设计三项基于社区的干预措施。具体目标3。设计三个CBPF？该计划将根据社区驱动的需求评估制定干预措施，并以社区为中心的医疗之家方法和2020年健康人框架所概述的原则为指导，以研究健康的决定因素。具体目标4。在伙伴关系确定的三个领域开展三项试点研究，例如：妇女健康和癌症预防、健身和疾病预防以及社区参与通过医疗之家改善健康和福祉。 相关性：该项目具有相关性，因为它解决了一个重要问题，即，在一个服务严重不足、高度贫困和健康状况不佳的社区中，健康差距很大。该项目将有助于改善路易斯安那州的健康差距，该州是全国慢性病和贫困指数最高的州之一。

DESCRIPTION (provided by applicant): The primary objective of the Community-Based Participatory Research project is to address specific social determinants of health identified by the Lower Ninth Ward community in New Orleans, such as access to health care, disease prevention, diet/nutrition, physical activity, and environmental factors that influence health status. The project builds on the Strategic Plan for Community Wellness previously developed by this community through a one-year process. The academic-community partnership will include representation from three groups: a) community partners from four grass roots organizations that participated in the community strategic planning process (one of whom has been identified as the Community Liaison); b) five scientific partners who are funded researchers from Louisiana State University Health Sciences Center with expertise in behavioral and molecular/genetic determinants of health disparities; and c) Daughters of Charity Health Center, a Federally Qualified Health Center (FQHC) serving patients at multiple locations in New Orleans, one of which (its St Cecilia site) is located in the Ninth Ward. The Partnership encompasses expertise in the areas of community engagement, health promotion and disease prevention, neighborhood health assessment, access to primary care, and program evaluation. 1: To establish and sustain an academic-community partnership with representatives from LSU Health Sciences Center, partnering community-based organizations and Daughters of Charity Health Center - St Cecilia. Specific Aim 2: To conduct a community-driven needs assessment to inform the choice of needs to be addressed and design three community-based interventions during years two and three. Specific Aim 3. To design three CBPF? interventions informed by the community-driven needs assessment and guided by the principles outlined by the Community-Centered Medical Home approach and the Healthy People 2020 framework for researching determinants of health. Specific Aim 4. To conduct three pilot studies in three areas determined by the Partnership which may include, for example: women's health and cancer prevention, fitness and disease prevention, and community involvement to improve health and well-being through the medical home. RELEVANCE: This project is relevant because it addresses an important problem, i.e., health disparities in a community that is highly underserved and suffers from high levels of poverty and poor health. The project would contribute to ameliorating health disparities in Louisiana, a state with one of the highest indexes of chronic diseases and poverty in the nation.