Southwest Center for Community Health Promotion

亚利桑那州中国西南社区健康促进中心(SWCCHP)是唯一一家主要在美墨边境开展工作并专注于服务不足的多种族社区的中国机构。 我们的中国员工与这些社区的Parmer保持着长期的合作关系。该地区的社会环境背景使其成为解决基于社区的参与性研究(CBPR)中显著健康差距的独特领域。本研究以CBPR干预研究为重点。它的健康优先事项是健康差距，主要是糖尿病，重点还放在这些社区的前驱疾病和共同发病率(即肥胖、抑郁、营养和体力活动)上。这些数据基于区域和地方需求评估以及地方、区域和国家卫生统计数据(特别是与拉美裔有关的统计数据)。他们是与我们的地区和当地社区咨询委员会(CAB)、社区成员和卫生部门合作选出的。这项研究是在 在中华人民共和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“变革推动者”方法和培育社区能力--社会资本。该方案的重点是改变患者(N=300-400)、他们的家庭(N=150-200个家庭，2.5个参与者)和社区群体(N=300-500)的体力活动和饮食，并针对这些行为改变环境和政策。生物、人体测量和行为变化被测试为中间结果。因此，在未来五年内，中国将与其出租车和社区合作伙伴合作，进行和评估这项CBPR，实施和 评估参与性社区联盟以及我们的地方和地区CAB对政策变化和行为干预的可持续性的影响，并制定、实施和评估通过慢性病预防和控制活动和倡导扩大社区卫生工作者(CHW)的范围和影响的方法，分析结果并传播成功的干预内容。此外，中国将主要对社区卫生工作者和社区成员进行培训和教育。

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.