Faith, Farming, the Future: A church-based program addressing health disparities

信仰、农业、未来：解决健康差异的教会计划

• 批准号: 8147752
• 负责人: ALICE S AMMERMAN
• 金额: $ 18.01万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8147752
• 关键词: Active Learning; Address; African American; Age; Agriculture; Attitude; Belief; Businesses; Chickens; Child; Chronic Disease; Church; Cognitive; Communities; Consumption; Daughter; Development; Diet; Discrimination; Eating; Economic Development; Economics; Employment Opportunities; Entrepreneurship; Environment; Ethics; Excision; Face; Farming environment; Feeling hopeless; Food; Forms Controls; Future; Generations; Health Food; Health behavior outcomes; Heart Diseases; Home environment; Housing; Intake; Intervention; Knowledge; Leadership; Left; Life; Malignant Neoplasms; Marketing; Meat; Mentors; North Carolina; Obesity; Occupations; Participant; Personal Satisfaction; Pharmaceutical Preparations; Physical activity; Plants; Poverty; Prevention; Prevention program; Process; Recording of previous events; Research Personnel; Resources; Restaurants; Risk Factors; Rural; Sales; Sample Size; Solutions; Son; System; Tobacco; Training; Travel; Trust; Wages; Work; Youth; base; community based participatory research; control trial; empowerment; experience; farmer; fast food; fruits and vegetables; gang; good diet; group intervention; health disparity; high risk; improved; interest; mental development; next generation; nutrition; obesity in children; operation; organizational structure; prevention service; primary outcome; programs; public health relevance; secondary outcome; self esteem; skills; social; socioeconomics; urban area

DESCRIPTION (provided by applicant): Rural Black youth face a future with high rates of chronic disease compounded by limited access to prevention programs and services. As in urban areas, the underlying socio-economic environment of poverty and disempowerment perpetuate health disparities in rural settings, yet the opportunities for employment are few. Ironically, children of farmers who grew up eating homegrown produce often leave their rural homes for urban jobs in fast food restaurants or low wage, high-risk meat processing plants. Getting youth involved in farming is viewed as a way to build a strong work ethic, promote physical and cognitive development, and as a protective factor to keep children from drug and gang involvement. Rebuilding the local food system is an enormous task, but one that may have significant pay off in addressing many health disparities and social determinants. The burgeoning interest in local and sustainable food systems is opening the door for rural economic development and increased access to healthy, affordable food. Because churches remain one of the most viable rural organizations in the Black community, we propose a community-based participatory research effort to explore rebuilding local food economies. We will work collaboratively with four rural Black churches (two intervention and two delayed intervention control), forming a youth action team of church mentors and youth to conduct an assessment of the food system. The results will be used to 1) identify critical challenges to accessing healthy food and physical activity; 2) develop 5 church-based intervention teams using training and experiential learning related to food systems, nutrition, physical activity, entrepreneurship, and empowerment; and 3) use a controlled trial to compare the effects of the church-based intervention on the primary outcome (increased fruit and vegetable consumption), and on the secondary outcomes of attitudes about nutrition, health, food systems and perceived control. This pilot will allow us to determine the expected effect size to inform the sample size needed for a larger study. Our findings will help researchers and the community better understand whether local food systems work can be used as a vehicle to target risk factors (diet) for chronic disease and address broader issues of health disparities. PUBLIC HEALTH RELEVANCE: We propose a church-academic partnership to develop and pilot an intervention for North Carolina church- based youth focused on the local food system as a way to promote a healthier diet and physical activity, while building skills that will enable youth to improve their economic well-being. Using rural food systems as a way to target health disparities will benefit both researchers and community partners by helping to better understand whether food systems skill-building can be used to reduce risk factors for chronic disease.

描述（由申请人提供）：农村黑人青年面临着一个慢性病发病率高的未来，加上获得预防计划和服务的机会有限。与城市地区一样，贫穷和丧失权能的基本社会经济环境使农村地区的健康差距长期存在，但就业机会很少。具有讽刺意味的是，吃着自家农产品长大的农民的孩子经常离开农村，在快餐店或低工资、高风险的肉类加工厂工作。让年轻人参与农业被视为建立强烈的职业道德，促进身体和认知发展的一种方式，并被视为使儿童远离毒品和帮派的保护因素。重建地方粮食系统是一项艰巨的任务，但在解决许多健康差距和社会决定因素方面可能会有很大的回报。对地方和可持续粮食系统的兴趣日益增长，为农村经济发展和增加获得健康、负担得起的粮食的机会打开了大门。由于教会仍然是黑人社区最可行的农村组织之一，我们提出了一个以社区为基础的参与式研究工作，探索重建当地的粮食经济。我们将与四个农村黑人教会（两个干预和两个延迟干预控制）合作，组成一个由教会导师和青年组成的青年行动小组，对粮食系统进行评估。研究结果将用于：1）确定获得健康食品和体育活动的关键挑战; 2）利用与食品系统、营养、体育活动、创业和赋权有关的培训和经验学习，建立5个基于教会的干预团队;使用对照试验比较基于教会的干预对主要结局的影响（增加水果和蔬菜消费），以及对营养、健康、食品系统和感知控制的态度的次要结果。该试点将使我们能够确定预期的效应量，以告知更大研究所需的样本量。我们的研究结果将帮助研究人员和社区更好地了解当地食品系统的工作是否可以用作针对慢性病风险因素（饮食）的工具，并解决更广泛的健康差异问题。 公共卫生关系：我们建议建立教会-学术伙伴关系，为北卡罗来纳州教会青年制定和试行一项干预措施，重点关注当地食品系统，以此促进更健康的饮食和体育活动，同时培养技能，使青年能够改善他们的经济福祉。利用农村粮食系统作为一种针对健康差距的方法，将有助于更好地了解粮食系统技能建设是否可用于减少慢性病的风险因素，从而使研究人员和社区合作伙伴受益。