Southwest Center for Community Health Promotion

亚利桑那州的PRC，西南社区健康促进中心（SWCCHP），是唯一一个主要沿着美国-墨西哥边境，重点是服务不足的多民族社区。 我们的中国员工与该等社区的合伙人有长期合作关系。的;该地区的社会环境背景使其成为一个独特的领域，以解决基于社区的参与性研究（CBPR）中的重大健康差距。本PRC侧重于CBPR干预研究。其健康优先事项是这些社区的健康差距，主要是糖尿病，同时也关注糖尿病的前兆和并发症（即肥胖症、抑郁症、营养和体育活动）。这些方案是根据区域和地方需求评估以及地方、区域和国家卫生统计数据（特别是与西班牙裔有关的统计数据）制定的。他们是与我们的区域和地方社区咨询委员会（CAB）和社区成员以及卫生部门合作选出的。这项研究是在 在中国国家和地方逻辑模型的框架内，在行为和环境变化的概念框架内，包括"变革代理人变革"方法和培养社区能力-社会资本。该计划的重点是改变患者（N = 300 - 400），他们的家庭（N = 150 - 200个家庭，2.5名参与者）和社区团体（N = 300 - 500）的身体活动和饮食，以及针对这些行为的环境和政策变化。生物学、人体测量学和行为变化作为中间结果进行测试。因此，在未来五年内，中国将与其CAB和社区合作伙伴合作，开展和评估CBPR，实施和 评估参与式社区联盟和我们的地方和区域CAB对政策变化和行为干预的可持续性的影响，并制定，实施和评估方法，以通过慢性病预防和控制活动和宣传，分析结果和传播成功的干预措施，提高社区卫生工作者（CHW）的范围和影响。此外，中国将主要参与社区工作者和社区成员的培训和教育。

The Arizona PRC, the Southwest Center for Community Health Promotion (SWCCHP), is the only PRC that works primarily along the U.S.-Mexico border and that focuses on underserved, multi-ethnic communities. Our PRC staff have long-term collaborative relationships with parmers in these communities. The; socioenvironmental context of this region makes it a unique area in which to address significant health disparities in community based participatory research (CBPR). This PRC focuses on CBPR intervention research. Its health priorities are health disparities, primarily diabetes, with a focus also on its precursors and co-morbidity (namely obesity, depression, nutrition, and physical activity), in these communities. These are based on regional and local needs assessments and on local, regional and national health statistics (especially those related to Hispanics). They were chosen in collaboration with our Regional and Local Community Advisory Boards (CABs) and community members, and health departments. This research is conducted within the framework of the PRC national and local logic models and within the conceptual framework of behavioral and environmental change, including the "change agents change" approach and the fostering of community capacity-social capital. The program focuses on making changes in physical activity and diet in patients (N=300-400), their families (N= 150-200 families @ 2.5 participants), and in community groups (N=300 - 500), and environmental and policy changes targeting these behaviors. Biological, anthropometric, and behavioral changes are tested as intermediate outcomes. Thus, during the next five years, the PRC in collaboration with its CABs and community partners will conduct and evaluate this CBPR, implement and evaluate the impact of participatory community coalitions and our local and regional CABs on policy change and the sustainability of behavioral interventions, and develop, implement, and evaluate methods to enhance the scope and impact of community health workers (CHWs) through chronic disease prevention and control activities and advocacy, analyzes results and disseminates the successful intervention components. Further, the PRC will engage in training and education primarily of CHWs and community members.