Nuestro Futoro Saludable: The JP Partnership for Healthy Caribbean Latino Youth

描述（由申请人提供）：通过以社区为基础的参与性研究伙伴关系，我们将计划、发展、实施、评估和传播一项干预措施，以解决马萨诸塞州波士顿市牙买加平原附近加勒比拉丁裔人口的健康差距问题。该项目的具体目标是：(1)建立一个社区咨询委员会，指导制定、实施和传播一种适合文化和社区的干预措施。(2)确保社区需求、咨询委员会建议和指导委员会的决定和行动一致。(3)我们会a)确定具体的疾病/慢性状况，作为干预的基础；b)确定建筑环境的适当方面，作为干预的目标；(4)我们将a)设计和试点测试一种社区层面的特定疾病干预措施，以解决建筑环境中的不足之处并最大限度地发挥现有优势，和/或减轻建筑环境对健康的直接和/或间接影响；b)对干预措施进行过程和结果评估；c)传播研究结果并开展一项全面的干预试验。拉丁美洲人现在是，将来也将是美国最大的少数民族。在加勒比东北部，拉丁美洲人（波多黎各人和多米尼加人）是拉丁美洲人口中最大的一部分。由于人口结构年轻，拉丁裔儿童/青年是一个优先年龄组。通过解决造成拉丁裔儿童和青年早期和终身健康差距的原因，就有可能为儿童提供有利于健康的生活环境和社会条件，从而创造通向健康的途径，而不是差距。该项目意义重大，因为：(1)它是一项针对拉丁裔人口中尚未被充分了解的亚人群的组内干预研究项目；(2)该项目是独一无二的，因为它汇集了不同群体的社区利益相关者；(3)主要人员以有色人种为主，以不同背景的双语拉丁裔女性为主；(4)该项目引入了两位新的色彩研究者。

DESCRIPTION (provided by applicant): Through a community-based participatory research partnership, we will plan for, develop, implement, evaluate and disseminate an intervention to address health disparities in the Caribbean Latino population in the Jamaica Plain neighborhood of Boston, Massachusetts. The Specific Aims of this project are: (1) To establish a community advisory board to guide the development, implementation and dissemination of an intervention that is culturally appropriate and community specific. (2) Assure that community needs, advisory board recommendations, and steering committee decisions and actions are aligned. (3) We will a) determine the specific disease/chronic condition to serve as the basis for intervention and b) identify appropriate aspects of the built environment to be targeted by the intervention; and (4) We will a) design and pilot test a community-level disease-specific intervention to address deficiencies and maximize any existing advantages in the built environment, and/or to mitigate the direct and/or indirect effects of the built environment on health, b) conduct both a process and outcome evaluation of the intervention, and c) disseminate findings and develop a full intervention trial. Latinos are and will remain the country's largest minority group well into the future. In the northeast Caribbean Latinos (Puerto Ricans and Dominicans) represent the largest segment of the Latino population. Because of the youthfulness of the demographic, Latino children/youth are a priority age group. By addressing the causes of health disparities among Latino children and youth early and life, it is possible to provide children with living environments and social conditions conducive to good health, which can create pathways to health as opposed to disparities. This project is significant because, (1) it is a within-group intervention research project targeting a not well-understood sub-population of the Latino demographic; (2) the project is unique because it brings together a diverse group of community stakeholders; (3) key personnel are primarily people of color, with a majority of bilingual Latina women of varying backgrounds; and (4) the project introduces two new investigators of color. RELEVANCE (See instructions): Characteristics of the built environment can create/sustain health disparities, hence tackling them requires interventions to address macro-level factors that influence health. By addressing the causes of health disparities among Latino children/youth early and life, it is possible to create living environments and social conditions conducive to good health, which can create pathways to health as opposed to disparities.