Core F: Community Engagement Core

核心 F：社区参与核心

• 批准号: 8649391
• 负责人: Philip M Brown
• 金额: $ 15.04万
• 依托单位: NORTHEASTERN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-12 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8649391
• 关键词: Accounting; Advisory Committees; Advocacy; Affect; Area; Attention; Back; Birth Rate; Child; Child Development; Clinic; Cohort Studies; Collaborations; Communication; Communication Research; Communities; Community Health; Community Health Centers; Development; Discipline of obstetrics; Early Intervention; Environmental Health; Environmental Pollution; Epidemic; Epidemiology; Ethics; Exposure to; Family; Focus Groups; Foundations; Funding; Hazardous Chemicals; Hazardous Waste Sites; Health; Health Care Costs; Health Promotion; Healthcare; Intervention; Investigation; Knowledge; Learning; Live Birth; Malawi; Marshal; Methods; Mission; Modeling; Needs Assessment; Nursing Staff; Participant; Pathway interactions; Pregnant Women; Premature Birth; Premature Infant; Prevention; Prevention education; Process; Provider; Public Health; Puerto Rico; Reporting; Research; Research Infrastructure; Research Personnel; Research Project Grants; Research Proposals; Research Training; Resource Development; Resources; Risk; Sampling; Services; Site; Social Work; Solvents; Training; Trust; Woman; Women' s Group; Work; base; cohort; community based participatory research; community organizations; early childhood; experience; human subject; improved; innovation; interest; intervention program; landfill; meetings; phthalates; prevent; remediation; social; stem; superfund site; systems research

PROJECT SUMMARY In Puerto Rico, the preterm birth rate is 17.7% of live births. At 50% above the U.S. average, it is the highest rate of any U.S. jurisdiction, below only Malawi (18.1%) globally. Puerto Rico also has 16 active Superfund sites and 200+ hazardous waste sites. Our investigations suggest that the increase in preterm birth rates in Puerto Rico cannot be explained by changes in obstetric practices and that there is sufficient evidence that exposure to hazardous chemicals contributes to preterm birth. Risk of exposure to contamination is high as many of these sites are unlined landfills that overlie karst aquifers. These aquifers present highly susceptible pathways for exposure to contamination and in fact there is extensive evidence of groundwater contamination. Established in 2010, the Puerto Rico Testsite for Exploring Contamination Threats Center (PROTECT) uses a holistic system of research, training and stakeholder engagement to study the fate, transport, exposure, health impact and remediation of contaminants, with particular attention to chlorinated solvents and phthalates commonly found at Superfund sites, as both suspect and model agents in the high preterm birth rates in Puerto Rico. PROTECT's new Community Engagement Core (Core F) will leverage the infrastructure and relationships developed in the center's first three years of funding through the Human Subjects and Sampling Core (Core C) and its research projects to serve as the main vehicle for interaction with community stakeholders in Puerto Rico. PROTECT's approach emphasizes bidirectional engagement with two groups of stakeholders: 1) women participating in the PROTECT study cohort (480 women as of March 2013); and 2) the broader group of residents in the areas where PROTECT's groundwater study is being conducted. Core C has established strong relationships with study participants as well as with service providers and a wide range of relevant community social actors, including staff and clinicians at community health centers and private clinics, social work and nursing staff, and community groups. Building on this foundation, Core F will develop a strong bidirectional communication strategy that will emphasize report-back of research findings to stakeholders, informed by stakeholders' priorities, needs and concerns. Core F will also focus on capacity-building for participants and their community organizations, and the development of resources for early childhood development through intervention supports for preterm children born to the participants. Core F activities will help provide appropriate ethical communication to participants via an innovative report-back process, enable participants to be more fully included in the research process, improve study recruitment and retention rates, offer lay perspectives and information, build capacity of participants and their community organizations, and lay the groundwork for additional community-based participatory research proposals.

项目总结 在波多黎各，早产率占活产儿的17.7%。这比美国平均水平高出50%，是最高的 这一比率是美国所有司法管辖区中最低的，全球仅低于马拉维(18.1%)。波多黎各也有16个活跃的超级基金 场址和200多个危险废物场址。我们的调查表明，中国早产率的增加 波多黎各不能用产科做法的改变来解释，而且有足够的证据表明 接触危险化学品会导致早产。暴露在污染中的风险很高，因为 这些地点中有许多是覆盖在岩溶含水层之上的无衬砌的垃圾填埋场。这些含水层极易受影响。 这是接触污染的途径之一，事实上，有大量证据表明地下水受到了污染。 波多黎各污染威胁探测中心(Protected)成立于2010年，使用 研究、培训和利益相关者参与的整体系统，以研究命运、运输、接触、健康 污染物的影响和补救，特别注意氯化溶剂和邻苯二甲酸盐 通常出现在超级基金网站，作为可疑和模范代理人在高 波多黎各的早产率 里科。 Protect的新社区参与核心(核心F)将利用基础设施和关系 在该中心通过人类受试者和抽样核心(核心C)获得资金的头三年内开发的 及其研究项目作为与波多黎各社区利益攸关方互动的主要工具 里科。Prote的方法强调与两组利益攸关方的双向接触：1)妇女 参加保护研究队列(截至2013年3月，有480名妇女)；和2)更广泛的 正在进行保护地下水研究的地区的居民。核心C已经建立 与研究参与者以及服务提供商和广泛的相关 社区社会行为者，包括社区卫生中心和私人诊所的工作人员和临床医生，社会 工作和护理人员，以及社区团体。在此基础上，Core F将发展出强大的 双向沟通战略，强调向利益相关者报告研究成果； 了解利益相关者的优先事项、需求和关切。核心F还将侧重于以下方面的能力建设 参与者及其社区组织，以及幼儿资源的开发 通过为参与者所生的早产儿提供干预支持来发展。核心F活动将 通过创新的报告流程帮助为参与者提供适当的道德沟通，实现 参与者将更充分地参与研究进程，提高研究人员的招聘和保留率， 提供广泛的观点和信息，建设参与者及其社区组织的能力，并 为其他以社区为基础的参与性研究提案奠定基础。