Core F: Community Engagement Core

核心 F：社区参与核心

• 批准号: 8884310
• 负责人: Philip M Brown
• 金额: $ 0.1万
• 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/8884310
• 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.

项目摘要 在波多黎各，早产率是活产的17.7％。高于美国平均水平的50％，是最高的 任何美国管辖权的率，仅低于马拉维（全球18.1％）。波多黎各还拥有16个主动超级基金 站点和200多个危险废物站点。我们的调查表明，早产率的提高 波多黎各不能用产科实践的变化来解释，并且有足够的证据表明 暴露于危险化学物质会导致早产。暴露于污染的风险很高，因为 这些地点中有许多是覆盖喀斯特含水层的无衬里垃圾填埋场。这些含水层呈现高度敏感的 暴露于污染的途径，实际上有广泛的地下水污染证据。 建立于2010年，用于探索污染威胁中心（Protect）的波多黎各测试地使用 研究，培训和利益相关者参与的整体系统，以研究命运，运输，曝光，健康 污染物的影响和修复，特别注意氯化溶剂和邻苯二甲酸盐 通常在超级基金站点发现，因为可疑和模型代理 波多黎各的早产 Rico。 保护的新社区参与核心（核心F）将利用基础架构和人际关系 通过人类受试者和采样核心（核心C）在中心的头三年资金中开发 其研究项目是与波多黎各社区利益相关者互动的主要工具 Rico。保护的方法强调与两组利益相关者的双向交往：1）妇女 参加保护研究队列（截至2013年3月，有480名妇女）； 2）更广泛的群体 正在进行保护地下水研究的地区的居民。 C核心已建立 与研究参与者以及服务提供商以及广泛相关的牢固关系 社区社会演员，包括社区卫生中心和私人诊所的员工和临床医生，社会 工作和护理人员以及社区团体。在这个基础的基础上，核心F将发展强大 双向交流策略将强调对利益相关者的研究结果的支持， 由利益相关者的优先事项，需求和疑虑所告知。核心F还将集中于能力建设 参与者及其社区组织，以及幼儿期的资源的发展 通过干预支持参与者所生的早产儿。核心活动将 帮助通过创新的报告过程向参与者提供适当的道德沟通，启用 参与者将更全面地包括在研究过程中，提高研究招聘和保留率， 提供外行观点和信息，参与者及其社区组织的能力，并进行 基于社区的参与性研究建议的基础。