Community Action to Promote Healthy Environments

摘要 拟议的促进健康环境社区行动(CA-PHE)建立在15个以上的基础上，并大大扩展 相关合作伙伴多年以社区为基础的参与性研究，以了解和解决空气污染问题 和底特律的健康。具体地说，CA-PHE将使社区、学术和公共卫生实践伙伴参与研究 这将最终导致制定和实施减少暴露在空气中的公共卫生行动计划 污染物，减轻对健康的不利影响，并提供额外的健康和环境效益。CA-Phe将 增加对暴露在空气污染中的影响因素和健康影响的知识，将研究结果转化为公众 卫生行动计划，并实施运动、干预措施和政策，以减少污染物暴露和减轻不利影响 对健康的影响。它将改善处于不成比例风险的脆弱社区的健康结果和生活质量 心血管和呼吸系统疾病。拟议的项目有五个具体目标： 具体目标1：加强、支持和提高社区、学术和实践伙伴的能力 CA-PHE有效地合作，并就空气科学进行有效地指导、理解和交流 污染和人类健康；以及CA-PHE指导委员会监督并积极参与所有 拟议的研究转化为行动项目的各个方面。 具体目标2：查明与不利健康后果有关的污染源，并审查减轻这些污染源的战略 结果。将研究的战略将包括使用植物缓冲区来减少污染源的影响。 (例如，工业、高速公路)到被占领地区(例如，住宅、学校)，这是一种创新和广泛适用的方法， 许多共同利益(例如，减少噪音、热降温、流域保护、娱乐)。 具体目标3.制定多层次、综合和科学知情的公共卫生行动计划，旨在减少 减少接触污染物并减轻其对健康的不利影响。该计划将以合作的方式制定，具有吸引力 具有广泛专长(例如，社区组织、规划、政策、公共卫生、商业)以进行评估的个人 现有证据，并就减少空气污染的短期、中期和长期战略提出建议 暴露及其对健康的负面影响。 具体目标4：制定和执行旨在促进采用和 实施公共卫生行动计划，减少暴露和对健康的不利影响。我们将作出努力 由社区、实践和学术合作伙伴协作，旨在让社区居民、规划者、 社区和商界领袖，以及公共卫生和其他地方决策者。 具体目标5：对制定公共卫生行动计划的过程和结果进行评估，评估 作为执行该计划一部分而开展的运动、干预措施和政策的效力和影响；以及 评估影响这些行动战略成功的因素。

ABSTRACT The proposed Community Action to Promote Healthy Environments (CA-PHE) builds on, and substantially extends, over 15 years of community-based participatory research by the involved partners to understand and address issues of air pollution and health in Detroit. Specifically, CA-PHE will engage community, academic and public health practice partners in research that will culminate in the development and implementation of a public health action plan that reduces exposure to air pollutants, mitigates adverse health effects, and provides additional health and environmental benefits. CA-PHE will increase knowledge about factors influencing exposure to air pollution and health effects, translate findings into a public health action plan, and implement campaigns, interventions and policies to reduce pollutant exposure and mitigate adverse health impacts. It will improve health outcomes and quality of life in vulnerable communities disproportionately at risk for cardiovascular and respiratory disease. The proposed project has five specific aims: Specific Aim 1: Strengthen, support and enhance the capacity of the community, academic and practice partners engaged in CA-PHE to work effectively together, and to conduct, understand and communicate effectively about the science of air pollution and human health; and of the CA-PHE Steering Committee to provide oversight for, and be actively engaged in, all aspects of the proposed research to action project. Specific Aim 2: Identify pollutant sources associated with adverse health outcomes, and examine strategies to mitigate these outcomes. Strategies to be examined will include the use of vegetative buffers to reduce impacts from pollutant sources (e.g., industry, highways) to occupied areas (e.g., residences, schools), an innovative and broadly applicable approach with many co-benefits (e.g., noise reduction, thermal cooling, watershed protection, recreation). Specific Aim 3. Develop a multilevel, integrated and scientifically informed public health action plan designed to reduce pollutant exposures and to mitigate their adverse health effects. The plan will be developed collaboratively, engaging individuals with a wide range of expertise (e.g., community organizing, planning, policy, public health, business) to evaluate existing evidence and to develop recommendations for short-, mid- and long- term strategies that reduce air pollution exposure and its negative effects on health. Specific Aim 4: Develop and implement campaigns, interventions and policies designed to promote the adoption and implementation of the public health action plan to reduce exposure and adverse effects on health. Efforts will be undertaken collaboratively by community, practice and academic partners, and designed to engage community residents, planners, community and business leaders, as well as public health and other local decision makers. Specific Aim 5: Conduct process and outcome evaluation of the development of the public health action plan, assess the effectiveness and impact of campaigns, interventions and policies carried out as part of the implementation of that plan, and assess the factors that influence the success of these action strategies.