A Multi-Ethnic Faith and Public Health Partnership to Reduce Health Disparities

多民族信仰和公共卫生伙伴关系，以减少健康差异

• 批准号: 8795608
• 负责人: Kathryn Pitkin Derose
• 金额: $ 43.75万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2017-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8795608
• 关键词: AIDS/HIV problem; Accident and Emergency department; Address; Affect; African American; Caring; Church; Clinic; Collaborations; Colorectal; Communication; Communities; Community Health; Community Health Centers; Community Participation; Complex; Consensus; Development; Diabetes Mellitus; Evidence based intervention; Exercise; Feedback; Goals; Grant; HIV; HIV diagnosis; Health; Health Personnel; Health Priorities; Health Promotion; Health Resources; Health Services; High Prevalence; Home environment; Incidence; Inequality; Insurance Coverage; Intervention; Intervention Studies; Knowledge; Latina; Latino; Lead; Leadership; Learning; Los Angeles; Malignant Neoplasms; Medical; Mental Health; Minority; Morbidity - disease rate; Neighborhoods; Obesity; Outcome; Participant; Patients; Physicians; Play; Preventive; Principal Investigator; Process; Public Health; Recording of previous events; Recruitment Activity; Religion and Spirituality; Research; Research Infrastructure; Research Personnel; Resources; Role; Services; Solutions; Source; Staging; Techniques; Testing; Visit; Visual; Woman; Work; aged; authority; base; behavior change; cardiovascular health; care seeking; design; disorder prevention; expectation; experience; health disparity; health inequalities; health organization; improved; influenza virus vaccine; innovation; lens; malignant breast neoplasm; metropolitan; mortality; novel; nutrition; physical conditioning; population health; prevention service; programs; public health research; racial and ethnic; screening; shared decision making; skills; smoking cessation; social; socioeconomic disadvantage; tool; urban area

DESCRIPTION (provided by applicant): Congregational involvement has been promoted as a way to help reduce health disparities among African Americans and Latinos in the U.S; however, the multifaceted health needs found in many urban areas, as well as the complex set of factors leading to health inequalities, mean that broad and sustainable, multi- ethnic, multi-denominational faith and health partnerships are needed. The goal of this project is to build a network of African-American and Latino congregational leaders, public health partners, and researchers to jointly reduce disparities in South Los Angeles (LA). The specific aims of the project are: 1) Develop a sustainable faith and public health partnership to build capacity to address health disparities experienced by Latinos and African Americans; 2) Jointly develop an intervention to leverage congregational and public health resources toward the goal of reducing disparities in outcomes for Latinos and African Americans for an identified health condition; 3) Pilot test the feasibility and acceptability of the intervention among African American and Latino congregations. The specific health condition and intervention strategy used will be defined by a Steering Committee composed of key denominational and inter-denominational associations and public health entities serving South Los Angeles, together with researchers at the RAND Corporation and its primary community partner, Los Angeles Metropolitan Churches (LAM); based on initial input, the focus will likely be on one of three health issues: cancer, obesity, or HIV. The study will be collaborative throughout all stages, and we will develop strategies to strengthen the partnership's capacity to address health disparities beyond the focus on this initial condition. The partnership is innovative in bringing together religious, public health, and research organizations to address health disparities jointly and in using novel techniques for soliciting community input. Further, it emphasizes mutual capacity building and sustainability so that researchers are better able to design and evaluate interventions; congregations gain knowledge about community health issues and skills in conducting health programs; and public health practitioners contribute to and learn from the development of best practices in promoting community health. RELEVANCE: This will be the first multi-ethnic, multi-denominational faith and public health research partnership that aims to reduce health disparities in an on-going and interactive fashion and using novel techniques to obtain community input. This effort will lead to an in-depth understanding of diverse faith community perspectives on health disparities and the potential for addressing them through congregation-based programming.

描述（由申请人提供）：公理会的参与已被推广为一种帮助减少美国非洲裔美国人和拉丁美洲人之间健康差距的方式;然而，在许多城市地区发现的多方面健康需求，以及导致健康不平等的一系列复杂因素，意味着需要广泛和可持续的，多种族，多民族的信仰和健康伙伴关系。该项目的目标是建立一个由非洲裔美国人和拉丁裔公理领袖、公共卫生合作伙伴和研究人员组成的网络，共同减少南洛杉矶（LA）的差距。该项目的具体目标是：1）发展可持续的信仰和公共卫生伙伴关系，以建设能力，解决拉丁美洲人和非洲裔美国人所经历的健康差距; 2）联合制定干预措施，利用教会和公共卫生资源，实现减少拉丁美洲人和非洲裔美国人在确定的健康状况方面的结果差距的目标; 3）在非裔美国人和拉丁裔教会中进行干预的可行性和可接受性的试点测试。具体的健康状况和使用的干预策略将由指导委员会确定，该委员会由主要的国家和国家间协会以及服务于南洛杉矶的公共卫生实体组成，并与兰德公司及其主要社区合作伙伴洛杉矶大都会教会（LAM）的研究人员一起;根据最初的投入，重点可能是三个健康问题之一：癌症、肥胖或 艾滋病。这项研究的所有阶段都将是合作性的，我们将制定战略，加强伙伴关系的能力，以解决卫生差距，而不仅仅是关注这一初始条件。该伙伴关系在将宗教、公共卫生和 研究组织共同解决健康差距问题，并使用新技术征求社区意见。此外，它强调相互的能力建设和可持续性，使研究人员能够更好地设计和评估干预措施;会众获得有关社区卫生问题的知识和开展卫生方案的技能;公共卫生从业人员有助于促进社区卫生的最佳做法的发展并从中学习。 相关性：这将是第一个多种族，多民族信仰和公共卫生研究伙伴关系，旨在以持续和互动的方式减少健康差距，并使用新技术获得社区投入。这一努力将导致深入了解不同信仰社区对健康差距的看法，以及通过以教会为基础的方案拟订来解决这些问题的潜力。