Examining Anti-Racist Healing in Nature to Protect Telomeres of Transitional Age BIPOC for Health Equity.

检查自然界的反种族主义治疗以保护过渡时代的端粒 BIPOC 实现健康公平。

• 批准号: 10414504
• 负责人: Leticia Maria MARQUEZ-MAGANA
• 金额: $ 104.51万
• 依托单位: SAN FRANCISCO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-23 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10414504
• 关键词: Address; Adult; Age; Behavior; Biological; Biological Markers; Biological Process; Biomedical Research; Black, Indigenous, People of Color; Cell Aging; Cessation of life; Chronic Disease; Chronic stress; Cities; Collaborations; Color; Communities; Conscious; County; Data; Development; Discrimination; Disease; Economics; Education; Elements; Employment; Ensure; Environment; Goals; Government; Growth; Guidelines; Health; Housing; Hydrocortisone; Institutes; Intervention; Knowledge; Latinx; Length; Life; Life Cycle Stages; Link; Measurement; Nature; Outcome; Pacific Island Americans; Participant; Personal Satisfaction; Physical activity; Policies; Population; Primary Prevention; Privatization; Process; Public Health; Public Sector; Publishing; Recommendation; Recovery; Research; Research Personnel; Resources; Risk; San Francisco; Science; Screening procedure; Secondary Prevention; Sister; Specialist; Stress; Students; System; Teenagers; Telomere Shortening; Testing; Uncertainty; United States; Visit; Vitelliform macular dystrophy; Walking; Work; Youth; anti-racism; base; community based participatory research; community engagement; coping; cost effective; disease disparity; disorder risk; efficacy evaluation; evidence base; experience; healing; health disparity; health equity; health inequalities; improved; innovation; insight; intervention cost; member; microaggression; minority health; outreach; pandemic disease; peace; premature; prevent; preventive intervention; psychosocial; racial and ethnic; racism; recruit; social health determinants; stress reduction; synergism; telomere; tool; underserved community; uptake; young adult

Deaths from chronic diseases are disproportionately higher in communities of color. This is expected given the well-documented health inequities in the United States caused by centuries-old underinvestment in their wellness. To begin to redress this underinvestment during an economic crisis requires cost-effective, low- resource interventions. It also requires community engagement to ensure uptake and sustainability. Therefore, we propose to undertake community-prioritized research that will engage ancestral knowledges from different communities of color in a multilevel effort to address growing health disparities via intersectoral collaborations. The overall goal of our transformative Reclaiming Nature project is to reduce growing health disparities in Black, Indigenous, and People of Color (BIPOC) communities through examination of culturally-appropriate interventions. These are aimed at reducing embodied stress in transitional-age BIPOC so as to prevent their development of chronic diseases as adults. The development of chronic diseases has been linked to the embodiment of stress through biological processes that include cortisol dysregulation and telomere erosion. In fact, emerging research from several research groups, including our own, finds that erosion of telomere in communities of color is accelerated. This is likely due to racism and discrimination that increase chronic stress and limits access to the social determinants of health (e.g., employment, education, housing). We thus aim to reduce embodied stress through increased access to what can be considered a social determinant of health – equitable access to physical activity in public parks. The proposed work is grounded by the National Institute of Minority Health and Health Disparities (NIMHD) Research Framework, and is enabled by strong partnerships between academic and community researchers, public and private outdoor specialists, and government leaders. They are brought together to extend the work of the Roadmap to Peace initiative. In 2013 this initiative was borne out of a community call to action following the shooting deaths of several Latinx teens. Historically it has aimed to engage youth in healthy and healing relationships, and currently leads “La Cultura Cura” (Culture Heals) efforts to engage BIPOC youth (through racial/ethnic sister initiatives) in healthy and healing relationships with, and within, nature. This aligns with the efforts of partnering outdoor specialists to increase park visits by BIPOC communities, and with the research focus for the proposed work. Thus, a key innovation of the proposed work is a community-prioritized, intersectoral, multilevel approach for implementing and testing a healing intervention in nature by insider researchers committed to building sustainable systems change. The insider researchers come from the communities being recruited to the intervention. They are committed to examining the culture of four different communities (Black, Latinx, Pilipinx, and Pacific Islander) to test and institutionalize ideas for systems change as part of transformative research for health equity.

在有色人种社区，慢性病死亡率高得不成比例。这是预料之中的， 在美国，由于几个世纪以来对医疗保健的投资不足， 健康要开始纠正经济危机期间的这种投资不足，就需要成本效益高、低成本的 资源干预。它还需要社区参与，以确保吸收和可持续性。因此，我们认为， 我们建议进行社区优先的研究，这将涉及来自不同国家的祖传知识， 通过跨部门合作，在多层面努力解决日益增长的健康差距的有色人种社区。 我们变革性的“重塑自然”项目的总体目标是减少日益增长的健康状况 黑人，土著和有色人种（BIPOC）社区的差异，通过检查 适当的文化干预。这些都是为了减少过渡年龄的体现压力 BIPOC，以防止他们在成年后患上慢性病。发生慢性 疾病已经通过包括皮质醇在内的生物过程与压力的体现联系起来 调节异常和端粒侵蚀。事实上，几个研究小组的新兴研究，包括我们的 Own发现，在有色人种群体中，端粒的侵蚀速度加快。这可能是由于种族主义和 增加慢性压力和限制获得健康的社会决定因素的歧视（例如， 就业、教育、住房）。因此，我们的目标是通过增加获得 可被视为健康的社会决定因素-公平地在公园进行体育活动。的 拟议的工作是由国家少数民族健康和健康差异研究所（NIMHD） 研究框架，并通过学术和社区研究人员之间的强有力的伙伴关系， 公共和私人户外专家以及政府领导人。他们聚集在一起， 和平路线图倡议。2013年，这一倡议是根据社区的行动呼吁提出的， 几名拉丁裔青少年被枪杀从历史上看，它的目标是让年轻人参与健康和康复 关系，目前领导“La Cultura Cura”（文化愈合）努力吸引BIPOC青年（通过 种族/族裔姐妹倡议）与自然和自然内的健康和愈合关系。这与 努力与户外专家合作，增加BIPOC社区的公园访问量，并与研究 为拟议工作的重点。因此，拟议工作的一个关键创新是社区优先， 采取跨部门、多层次的方法，实施和测试内部人员的康复干预措施 研究人员致力于建立可持续的系统变化。内部研究人员来自 社区被招募参与干预。他们致力于研究四种不同的文化， 社区（黑人、拉丁裔、菲律宾裔和太平洋岛民），以测试和制度化系统变革的想法 作为健康公平变革研究的一部分。