Collaboration for a Healthy Community

描述（由申请人提供）：健康社区合作华盛顿州亚基马山谷的社区健康促进中心是社区合作伙伴和弗雷德哈钦森癌症研究中心的合作项目。该中心及其社区咨询委员会（CAB）开展了许多项目，以改善山谷中拉美裔人的健康状况；最值得注意的是，我们专注于癌症意识和筛查，糖尿病意识，预防和干预，以及农场工人儿童的农药暴露。在过去的两次CAB会议上，CAB成员对西班牙裔年轻人中肥胖的发生率表示沮丧，并表示有兴趣为解决这一问题写一笔拨款。已经确定了导致儿童肥胖率上升的各种因素。大多数青少年和儿童缺乏每日高质量的身体活动

DESCRIPTION (provided by applicant): Collaboration for a Healthy Community The Center for Community Health Promotion in the Yakima Valley of Washington State is a collaboration of community partners and the Fred Hutchinson Cancer Research Center. The Center and its Community Advisory Board (CAB) has undertaken many projects to improve the health of Hispanics in the Valley; most notably, we have focused on cancer awareness and screening, diabetes awareness, prevention, and intervention, and pesticide exposure among children of farm workers. In the past two CAB meetings, the CAB members have expressed dismay at the incidence of obesity among Hispanic youth and have expressed interest in writing a grant to combat the problem. A variety of factors have been identified which contribute to the increase in obesity rates in children. Most adolescents and children lack daily, quality physical activity both in schools and in free time. Other risk factors for obesity include limited access to healthy affordable foods, and a greater availability of high-energy-dense foods and sugary drinks; the latter are the largest source of added sugar and an important contributor of calories in the diets of children in the United States. In response to RFA MD-12-006, the CAB met to discuss a proposal to fight the obesity problem in the Valley. In discussing how to plan and implement a project, the CAB came up with a number of components that will be pursued in this proposed project. First, the focus will be on diet/nutrition and physical activity. Secondly, involving schols and other organizations (e.g., churches) the group wishes to address policy changes. Thirdly, the group wishes to use evidence-based communication messages to inform the community (parents and youth alike) of healthy eating and healthy physical activity. During the three-year infrastructure building period, the CAB will conduct a needs assessment, identify potential pilots, and evaluate the outcomes of the pilot. This will prepare the group for Phase II, the large-scale trial implementation phase. RELEVANCE (See instructions): In this collaboration between organizations and residents of the Yakima Valley in Washington State, we will develop a community infrastructure to address youth obesity. In the first three years, we will conduct pilot projects to assess the feasibility o a full-scale project in Phase II.