INTER-CAMBIO: Community-Academic Meetings to Bridge Initiatives in Obesity

描述：肥胖已被描述为一种全国性的流行病，并与许多负面健康结果相关，包括慢性病（如心脏病、高血压、中风、2型糖尿病和某些癌症）的发病率升高、医疗保健成本升高、生活质量下降和过早死亡的风险增加。西班牙裔受肥胖的影响尤为严重，与非西班牙裔白人相比，他们肥胖的风险高出21%。解决与肥胖相关的健康差异的一种方法是在学术机构和基于社区的卫生组织之间建立有意义的伙伴关系，使用一种称为基于社区的参与性研究（CBPR）的方法。目的：在西北大学（NU）的临床医生和研究人员与芝加哥西班牙裔健康联盟（CHHC）之间建立CBPR合作伙伴关系，CHHC是一个由600多个当地卫生和社会服务机构和社区组织组成的团体，其使命是促进芝加哥大都市西班牙裔社区的健康行为，预防慢性病和健康差异。这一伙伴关系将共同解决西班牙裔社区之间的种族健康差异，因为它涉及到慢性压力以及在越来越多地参与预防肥胖和促进健康行为的背景下相关的文化和环境因素。研究设计：我们将形成一个合作研究联盟，参与能力建设、学习和专业发展，并通过外展和教育吸引西班牙裔社区。在第一年，我们将成立一个顾问委员会，召开一个社区启动会议，在北大和CHHC之间形成谅解备忘录，并举办社区论坛进行宣传和推广。在第二年，我们将继续举行季度咨询委员会会议和社区论坛。我们还将与第二个以社区为基础的组织Salud Latina制定谅解备忘录。在第三年，我们将继续举行季度咨询委员会会议和社区论坛。我们还将撰写并提交一份拨款提案，以在我们发展中的联盟内部建设能力，加强网络和基础设施，促进社区参与的研究，这些研究不仅发生在社区，而且涉及社区；在西班牙裔社区促进健康和预防肥胖方面开展初步工作。相关性：这项工作将通过更好地了解慢性压力的作用，促进理解和社区学术一致的战略和行动计划，以预防和减少西班牙裔社区的肥胖。

DESCRIPTION: Obesity has been described as a national epidemic and is associated with a number of negative health outcomes, including higher rates of chronic disease (e.g., heart disease, hypertension, stroke, type 2 diabetes, and certain cancers), elevated health-care costs, decreased quality of life, and greater risk of premature death. Hispanics are disproportionally affected by obesity, having a 21% greater risk of being obese compared to non-Hispanic whites. One way to address obesity-related health disparities is through the creation of meaningful partnerships between academic institutions and community-based health organizations using an approach called community based participatory research (CBPR). OBJECTIVE: To establish a CBPR partnership between Northwestern University (NU) clinicians and researchers and the Chicago Hispanic Health Coalition (CHHC), a group of over 600 local health and social service agencies and community based organizations whose mission is to promote healthy behavior and prevent chronic disease and health disparities in the Hispanic communities of metropolitan Chicago. This partnership will jointly address racial health disparities among the Hispanic community as it relates to chronic stress and related cultural and environmental factors in the context of increasing engagement in obesity prevention and health promotion behaviors. STUDY DESIGN: We will form a collaborative research alliance, participate in capacity building, learning and professional development, and engage the Hispanic community through outreach and education. In Year 1, we will develop an advisory board, convene a community kickoff meeting, form a memorandum of understanding (MOU) between NU and CHHC, and host community forums for dissemination and outreach. In year 2 we will continue to have quarterly advisory board meetings and community forums. We will also develop an MOU with a second community based organization, Salud Latina. In year 3 we will continue quarterly advisory board meetings and community forums. We will also write and submit a grant proposal to build capacity within our developing alliance, enhance networks and infrastructure that will promote community-engaged research that not only takes place in the community, but involves the community; and foster preliminary work in health promotion and obesity prevention in the Hispanic community. RELEVANCE: This work will advance understanding and community-academic aligned strategies and action plans to prevent and reduce obesity among the Hispanic community through better understanding the role of chronic stress.