Addressing Systemic Barriers Impacting Health in CHC Communities

解决影响 CHC 社区健康的系统性障碍

• 批准号: 10781469
• 负责人: Andrea Caracostis
• 金额: $ 112.37万
• 依托单位: ASIAN AMERICAN HEALTH COALITION/HOUSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-21 至 2028-09-20
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10781469
• 关键词: Address; Area; Asian Americans; Awareness; Behavior; Black race; Chest; Child; Clinic; Communication; Communities; Disparity population; Ensure; Environment; Equity; Evidence based intervention; Family; Food; Health; Height; Hispanic; Individual; Inequity; Intention; Intervention; Lasers; Learning; Longevity; Measurement; Measures; Methodological Studies; Methodology; Mission; Nutritional; Outcome; Pacific Islander; Personal Satisfaction; Persons; Phase; Policies; Population; Prejudice; Preparation; Process; Process Assessment; Research; Research Methodology; Resistance; Sea; Secure; Source; Texas; Theory of Change; United States Department of Agriculture; Universities; Work; children of color; community engagement; community involvement; community transmission; ethnic diversity; experience; food insecurity; health disparity; health equity; health inequalities; improved; innovation; insight; marginalization; member; pandemic disease; programs; racial diversity; systemic barrier; tool

ComPASS: Community-Led, Health Equity Structural Intervention Initiative (OT2): Texas HOPE: Together Dissolving Food Insecurity Structural Barriers Abstract The Asian American Health Coalition of the Greater Houston Area dba HOPE Clinic and our partners share the mission of health and wellbeing equity for everyone without prejudice. In our proposal, “Texas HOPE: Together Dissolving Food Insecurity Structural Barriers,” we declare our commitment to ending food insecurity, an intractable harm endured by our most vulnerable and marginalized families and individuals. In our study region, Texas’ greater Houston area, approximately 695,310 individuals endure food insecurity, including 1 in 5 children. Food insecurity disproportionally impacts disadvantaged groups, who represent 80% of the population in our areas: 45% Hispanic, 23.5% Black, and 12.2% Asian American or Pacific Islander. Using an authentic community engagement participatory process, we will establish a CHESI Collaborative of partners and use the Precede Proceed approach to plan and develop our structural intervention CHESI study. Together, will we engage stakeholders and those with lived experience to provide their perspectives and insight on food insecurity structural barriers, complete a community assessment, and consider interventions. Concurrently, the CHESI Collaborative will devise a sustainability plan that will ensure the intervention persists. With our local HERA, we will compile multisource evidence, examine intervention options, and identify health and wellbeing measures most influenced by food insecurity. The CHESI Collaborative will again reach out to our community, garnering input on the draft intervention and implementation plan. Community involvement will provide pivotal insight on considerations and potential challenges for the successful rollout of the intervention. In preparation for Phase 2, HERA will devise a rigorous research methodology that best suits the intervention.

ComPASS：社区主导的健康公平结构干预倡议（OT2）： 德克萨斯州希望：共同消除粮食不安全的结构性障碍 摘要 大休斯敦地区亚裔美国人健康联盟dba HOPE诊所和我们的 合作伙伴的共同使命是不带偏见地为每个人提供健康和福祉公平。在我们 提案，“得克萨斯州的希望：共同消除粮食不安全的结构性障碍，”我们宣布，我们的 承诺结束粮食不安全，这是我们最脆弱和最贫穷的国家所遭受的一种难以解决的伤害， 被边缘化的家庭和个人。在我们的研究区域，德克萨斯州的大休斯顿地区， 约有695 310人面临粮食无保障，其中包括五分之一的儿童。食品 不安全对占人口80%的弱势群体造成了严重影响 在我们的地区：45%的西班牙裔，23.5%的黑人，12.2%的亚裔或太平洋岛民。使用 真正的社区参与参与过程，我们将建立一个CHESI协作 合作伙伴，并使用先行进行的方法来规划和发展我们的结构 CHESI干预研究。我们将共同吸引利益相关者和那些有实际经验的人 就粮食不安全的结构性障碍提供观点和见解，请填写一份 社区评估，并考虑干预措施。与此同时，CHESI合作将 制定一个可持续性计划，以确保干预措施持续下去。与我们当地的HERA，我们将 汇编多方面证据，检查干预方案，并确定健康和福祉 受粮食不安全影响最大的措施。CHESI协作将再次联系我们的 社区，收集关于干预和实施计划草案的意见。社区 参与将提供关键的洞察力的考虑和潜在的挑战， 成功实施干预措施。在第二阶段的准备工作中，HERA将制定一个严格的 最适合干预的研究方法。