The Taxi Network

描述（由申请人提供）：美国有超过230，000名出租车司机，纽约市有42，000名出租车司机，其中84%是移民。出租车司机健康状况不佳的风险很大，心血管疾病（CVD）增加，癌症风险重叠，由于压力，饮食，久坐的生活方式，环境暴露和医疗保健服务差。出租车司机群体虽然面临巨大的健康风险，但也有显著的资产来促进司机的健康。社区网络具有传播减少健康风险信息和战略的潜力。该出租车网络提案的总体目标是建立一个强大的基于社区的参与性研究（CBPR）基础设施，利用出租车司机社区的许多资产，努力消除这一大型风险群体的健康差距。具体目标包括：1.与纽约市的大型出租车司机社区一起开发一个强大，持久，流畅的CBPR计划，由社区和科研合作伙伴共同领导，并有一个活跃的出租车CAB（社区咨询/行动委员会）以及咨询和指导委员会，以建立一个共同学习、共享资源和传播外联、教育、服务提供、研究和政策行动项目的平台，来改善这个高危社区的心血管健康。2.与出租车CAB合作，使用焦点小组，主要知情人访谈，问卷调查，社会网络分析和资源映射的混合方法，对出租车司机社区的健康相关优先事项，需求和资产进行详细分析，以及潜在的干预点和方法。3.设计和试行CBPR CVD风险降低计步器运动研究，以反映出租车司机社区的独特情况，并利用他们的社交网络和机场等待地段的机会之窗等资产。出租车网络是通过与社区的持续迭代过程开发的，并建立在这一领域广泛的初步工作基础上。 相关性（参见说明）：这个出租车网络CBPR计划有可能显著改变纽约市、全国和全球不断增长的高危出租车司机群体的医疗保健提供和心血管疾病预防活动的模式。

DESCRIPTION (provided by applicant): There are over 230,000 taxi drivers in the U.S. and 42,000 in New York City (NYC), where 84% are immigrant. Taxi drivers are at great risk for poor health, with increased cardiovascular disease (CVD) and overlapping cancer risk, due to stress, diet, sedentary lifestyle, environmental exposures, and poor health care access. The taxi driver community, while facing tremendous health risk, also has notable assets to facilitate the health of its drivers. Community networks have the potential to disseminate health risk reduction information and strategies. The overall goal of this Taxi Network proposal is to create a robust community- based participatory research (CBPR) infrastructure that taps into the many assets of the taxi driver community, to work towards the elimination of health disparities in this large a-risk group. The specific aims include: 1. To develop a robust, enduring, fluid CBPR program with the large NYC taxi driver community, co- led by community and scientific research partners, with an active Taxi CAB (Community Advisory/Action Board), and Advisory and Steering Committees, to create a platform for co-learning, sharing resources and dissemination of outreach, education, service delivery, research, and policy action projects, to improve the cardiovascular health of this large at-risk community. 2. To work with the Taxi CAB to use a mixed methods approach of focus groups, key informant interviews, questionnaires, social network analysis, and resource mapping to conduct a detailed analysis of the health-related priorities, needs and assets of the taxi driver community, and the potential points and methods of intervention. 3.To design and pilot a CBPR CVD risk reduction pedometer exercise study, tailored to reflect the unique circumstances of the taxi driver community and capitalizing on assets such as their social networks and the window of opportunity of the airport holding lot. Taxi Network has been developed through an ongoing, iterative process with the community, and builds upon extensive preliminary work in this area. RELEVANCE (See instructions): This Taxi Network CBPR program has the potential to significantly change the paradigm of health care delivery and cardiovascular disease prevention activities for the large, growing at-risk taxi driver population in NYC, across the nation, and globally.