Community-Academic Partnership to Address Health Dispairties in New Orleans

描述（由申请人提供）：基于社区的参与性研究项目的主要目标是解决新奥尔良下九区社区确定的健康的具体社会决定因素，例如获得医疗保健、疾病预防、饮食/营养、体育活动和影响健康状况的环境因素。该项目建立在社区健康战略计划的基础上，该计划之前由该社区通过一年的过程制定。学术界与社区的合作伙伴关系将包括来自三个小组的代表：a)参与社区战略规划过程的四个基层组织的社区合作伙伴（其中一个已被确定为社区联络人）；(b) 5名科学伙伴，他们是路易斯安那州立大学健康科学中心资助的研究人员，具有健康差异的行为和分子/遗传决定因素方面的专业知识；慈善女儿保健中心，这是一个联邦合格的保健中心，在新奥尔良的多个地点为病人提供服务，其中一个（其圣塞西莉亚地点）位于第九病房。该伙伴关系包括社区参与、健康促进和疾病预防、社区健康评估、获得初级保健和规划评估等领域的专业知识。1：与路易斯安那州立大学健康科学中心、合作社区组织和圣塞西莉亚慈善女儿健康中心的代表建立和维持学术社区伙伴关系。具体目标2：开展社区驱动的需求评估，为选择需要解决的需求提供信息，并在第2年和第3年设计3项社区干预措施。具体目标3。设计三个CBPF？以社区驱动的需求评估为依据，以社区为中心的医疗之家方法和研究健康决定因素的2020年健康人框架概述的原则为指导，采取干预措施。具体目标在伙伴关系确定的三个领域开展三项试点研究，其中可能包括：妇女健康和预防癌症、健身和预防疾病、社区参与，通过医疗之家改善健康和福祉。

DESCRIPTION (provided by applicant): The primary objective of the Community-Based Participatory Research project is to address specific social determinants of health identified by the Lower Ninth Ward community in New Orleans, such as access to health care, disease prevention, diet/nutrition, physical activity, and environmental factors that influence health status. The project builds on the Strategic Plan for Community Wellness previously developed by this community through a one-year process. The academic-community partnership will include representation from three groups: a) community partners from four grass roots organizations that participated in the community strategic planning process (one of whom has been identified as the Community Liaison); b) five scientific partners who are funded researchers from Louisiana State University Health Sciences Center with expertise in behavioral and molecular/genetic determinants of health disparities; and c) Daughters of Charity Health Center, a Federally Qualified Health Center (FQHC) serving patients at multiple locations in New Orleans, one of which (its St Cecilia site) is located in the Ninth Ward. The Partnership encompasses expertise in the areas of community engagement, health promotion and disease prevention, neighborhood health assessment, access to primary care, and program evaluation. 1: To establish and sustain an academic-community partnership with representatives from LSU Health Sciences Center, partnering community-based organizations and Daughters of Charity Health Center - St Cecilia. Specific Aim 2: To conduct a community-driven needs assessment to inform the choice of needs to be addressed and design three community-based interventions during years two and three. Specific Aim 3. To design three CBPF? interventions informed by the community-driven needs assessment and guided by the principles outlined by the Community-Centered Medical Home approach and the Healthy People 2020 framework for researching determinants of health. Specific Aim 4. To conduct three pilot studies in three areas determined by the Partnership which may include, for example: women's health and cancer prevention, fitness and disease prevention, and community involvement to improve health and well-being through the medical home. RELEVANCE: This project is relevant because it addresses an important problem, i.e., health disparities in a community that is highly underserved and suffers from high levels of poverty and poor health. The project would contribute to ameliorating health disparities in Louisiana, a state with one of the highest indexes of chronic diseases and poverty in the nation.