Healthy Learning, Healthy Living Healthy Lives
健康学习,健康生活,健康生活
基本信息
- 批准号:8500641
- 负责人:
- 金额:$ 34.38万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2013
- 资助国家:美国
- 起止时间:2013-01-01 至 2015-11-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdultAfricaAfrican AmericanAmericanAmericasAsthmaCensusesChildChild health careChildhoodChronicCommunitiesCommunity SurveysComorbidityCongenital AbnormalityDataDevelopmentDiabetes MellitusDiseaseFamilyFocus GroupsGeneticGoldHealthHome environmentHousingIncomeIndividualInjuryInterventionIntervention StudiesLearningLifeLiteratureLow Birth Weight InfantLung diseasesMapsMeasuresMental HealthMethodsMorbidity - disease rateNeighborhoodsObesityOutcomeParticipantPersonal SatisfactionPhenotypePoliciesPremature BirthPrevalenceProcessProgram EvaluationPsychosocial StressRaceRecruitment ActivityResearchResearch PersonnelResourcesRosaSchoolsSocial WelfareSocial WorkSocioeconomic StatusSourceSubstance abuse problemUniversitiesViolenceWorkWritingYouthbasecaucasian Americancommunity based participatory researchdesigndisabilityeffective interventionexperiencehealth disparityinfant deathmembermortalityphysical abusephysical conditioningpreventprogramssocialsocial health determinants
项目摘要
DESCRIPTION (provided by applicant): Compared to white Americans, African Americans live sicker and die younger. Although the magnitudes of racial socioeconomic status (SES) disparities in morbidity and mortality are often largest among adults, they often begin in childhood. In fact, past research reveals that, "[racial disparities in U.S. child disease prevalene rates have been observed for obesity, asthma, diabetes, preterm birth, infant death, mental health, birth defects, physical abuse, injury, low birth weight, all-cause mortality, and disabilit." Accordingly, efforts to eliminate race and SES disparities in health among adults should begin with efforts to prevent and intervene in health disparities among children. America's most prevalent chronic pediatric health condition is asthma. Asthma is also a significant source of race and SES disparities in health, and a correlate, cause and/or consequence of disparities in children's psychosocial stress exposures, academic outcomes, physical living conditions, and other structural, environmental and social factors. The proposed Healthy Living, Healthy Learning, Healthy Lives (HL3) Project equitably engages community and academic partners in an effort to investigate, ameliorate and ultimately eliminate, disparities in children's health, wih a particular focus on asthma, its correlates, consequences and co-morbidities. The Specific Aims of the project are as follows: 1) to strengthen and expand the health focus of an existing community-based participatory research (CBPR) partnership. 2) To use the HL3 CBPR partnership to plan and implement a multi-level (individual, family, school, neighborhood, policy) community assessment. 3) To use the results of the community assessment (Aim 2) to plan a multi-level pilot CBPR intervention. 4) To use the intervention plan (Aim 3) to implement a multi-level pilot CBPR intervention study. 5) To evaluate the process and outcomes of the HL3 Project's three-year intervention planning process.
RELEVANCE: To strengthen and expand an existing community-based participatory research (CBPR) partnership, and to use this partnership to refine the social determinants of health conceptual framework and design, implement and evaluate a multi-level (individual, family, school, neighborhood, policy) community assessment and intervention plan with an initial focus on asthma, its correlates, consequences and co-morbidities.
描述(由申请人提供):与美国白人相比,非洲裔美国人活得更重,死得更早。虽然种族社会经济地位(SES)在发病率和死亡率方面的差异在成人中往往最大,但这种差异往往始于儿童时期。事实上,过去的研究表明,“在肥胖、哮喘、糖尿病、早产、婴儿死亡、精神健康、出生缺陷、身体虐待、伤害、低出生体重、全因死亡率和残疾方面,美国儿童疾病患病率的种族差异已经被观察到。”因此,消除成人健康方面的种族和社会经济地位差异的努力应从预防和干预儿童健康差异的努力开始。美国最常见的儿童慢性疾病是哮喘。哮喘也是种族和社会地位差异的重要来源,也是儿童心理社会压力暴露、学业成绩、身体生活条件和其他结构、环境和社会因素差异的相关原因和/或后果。拟议的健康生活、健康学习、健康生活(HL3)项目公平地吸引社区和学术伙伴参与,努力调查、改善并最终消除儿童健康方面的差距,特别关注哮喘及其相关因素、后果和合并症。该项目的具体目标如下:1)加强和扩大现有社区参与性研究伙伴关系的保健重点。2)利用HL3 CBPR伙伴关系规划和实施多层次(个人、家庭、学校、邻里、政策)社区评估。3)利用社区评估结果(目标2)规划多层次CBPR干预试点。4)利用干预计划(目标3)实施多层次CBPR干预试点研究。5)评估HL3项目三年干预规划过程的过程和结果。
项目成果
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