Southern California Center for Chronic Health Disparities in Latino Children and Families

南加州拉丁裔儿童和家庭慢性健康差异中心

• 批准号: 10825371
• 负责人: Michael Isaac Goran
• 金额: $ 41.78万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-24 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10825371
• 关键词: Acceleration; Address; Affect; Age; Air Pollution; Biometry; Birth; California; Cardiometabolic Disease; Chemical Exposure; Child; Chronic; Chronic Disease; Clinical; Collaborations; Communication; Communities; Complex; County; Data; Data Analyses; Development; Diet; Disparity; Dyslipidemias; Eating Behavior; Economic Factors; Education; Elderly; Ensure; Environment; Evaluation; Factor Analysis; Family; Foundations; Funding; Generations; Goals; Government; Health; Health Disparities Research; Health Food; Home; Household; Individual; Intervention; Language; Latino; Latino Population; Lead; Leadership; Life; Life Cycle Stages; Los Angeles; Mentors; Methods; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Parents; Pediatric Hospitals; Physical activity; Pilot Projects; Policies; Population; Prevalence; Prevention; Process; Research; Research Personnel; Resources; Risk Reduction; Science; Support System; Technical Expertise; Testing; Underrepresented Populations; Universities; career; clinical efficacy; cohort; community engagement; cost; cultural values; data harmonization; data management; data sharing; design; disease disparity; disorder risk; early-life nutrition; efficacy evaluation; environmental intervention; health disparity; innovation; intergenerational; literacy; multidisciplinary; non-alcoholic fatty liver disease; nutrition; obesity treatment; programs; randomized, clinical trials; response; social; social determinants; social factors; success; synergism; telehealth; transmission process; treatment program; voucher

Obesity and related chronic diseases, type 2 diabetes, non-alcoholic fatty liver disease, and dyslipidemia continue to increase in the U.S., and Latinos are disproportionally affected. These disparities begin in early life, occur within families, and are driven by multi-level factors, including individual (diet, eating behaviors), social (cultural values, economic factors), and environmental (access to healthy foods, chemical exposures such as air pollution). These factors interact to affect Latino health but are rarely studied in a holistic manner. Our overarching goal is to understand how these multi-level factors contribute to multiple chronic disease disparities in Latinos across the life course, and to develop and evaluate family-based, culturally sensitive solutions. We propose to accomplish this ambitious goal by establishing the Southern California Center for Chronic Health Disparities in Latino Families and Children (SCC-CHDLFC), a coalition of academic, clinical, government, and community stakeholders across the region that is home to 10.8 million Latinos representing 45.2% of the population. The Center is led by Drs. Goran (Children’s Hospital Los Angeles; CHLA) and Baezconde-Garbanati (Univ. of Southern California; USC), who provide complementary expertise in Latino health disparities research. The Administrative Core provides leadership, oversight, communication, and evaluation to strengthen and build collaboration, accelerate research, and drive innovation to ensure Center success and impact. Project 1 (led by Dr. Goran, CHLA) utilizes an ongoing birth-cohort to examine how early-life nutrition, environment, and social factors affect chronic disease risk by age 5y, and how these factors affect response to family-based interventions in Projects 2 and 3. Project 2 (led by Dr. Boutelle, UC San Diego) tests a parent-only intervention for treatment of obesity and chronic disease risk in Latino children. The intervention, designed to address cultural issues relevant to Latino families, is delivered by telehealth to parents only, increasing dissemination potential. Project 3 (led by Dr. Cohen, Kaiser Permanente) examines the efficacy of an affordable grocery delivery program (at a cost not exceeding SNAP dollars), in conjunction with culturally appropriate meal planning, on chronic disease risk reduction in Latino multi-generation households. We will support synergy and collaboration across these projects and build the research enterprise through Center Cores. The Methods & Data Sub-Core led by Dr. Espinoza (CHLA) will provide expertise in assessment of diet, social, environmental, and geospatial factors, and data analysis and management, to support data harmonization and sharing. The Investigator Development Core led by Drs. Spruijt-Metz and de la Haye (USC) and Elder (San Diego State Univ.) will establish a mentoring network and pilot study program to support early-stage or underrepresented researchers, while also promoting team science. The Community Engagement Core led by Drs. Kipke (CHLA) and Baezconde-Garbanati (USC) engages the community in the research process via bi-directional interaction with the overall goal to accelerate the impact of Center findings on the Latino community to mitigate chronic disease risk across the region.

肥胖及相关慢性疾病、2型糖尿病、非酒精性脂肪肝和血脂异常