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Core F: Community Engagement Core

核心 F：社区参与核心

基本信息

批准号：
9033903
负责人：
Philip M Brown
金额：
$ 12.76万
依托单位：
NORTHEASTERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-04-12 至
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/9033903
关键词：
Accounting Advisory Committees Advocacy Affect Area Attention Back Birth Rate Child Child Development Clinic Cohort Studies Collaborations Communication Communication Research Communities Community Health Community Health Centers Development Discipline of obstetrics Early Intervention Environmental Health Environmental Pollution Epidemic Epidemiology Ethics Exposure to Family Focus Groups Foundations Funding Hazardous Chemicals Hazardous Waste Sites Health Health Care Costs Health Promotion Healthcare Intervention Investigation Knowledge Learning Live Birth Malawi Marshal Methods Mission Modeling Needs Assessment Nursing Staff Participant Pathway interactions Pregnant Women Premature Birth Premature Infant Prevention Prevention education Process Provider Public Health Puerto Rico Reporting Research Research Infrastructure Research Personnel Research Project Grants Research Proposals Research Training Resource Development Resources Risk Sampling Services Site Social Work Solvents Team Process Training Trust Woman Women&apos s Group Work base cohort community based participatory research community organizations early childhood experience human subject improved innovation interest intervention program landfill meetings phthalates prevent remediation retention rate social stem superfund site systems research

项目摘要

PROJECT SUMMARY In Puerto Rico, the preterm birth rate is 17.7% of live births. At 50% above the U.S. average, it is the highest rate of any U.S. jurisdiction, below only Malawi (18.1%) globally. Puerto Rico also has 16 active Superfund sites and 200+ hazardous waste sites. Our investigations suggest that the increase in preterm birth rates in Puerto Rico cannot be explained by changes in obstetric practices and that there is sufficient evidence that exposure to hazardous chemicals contributes to preterm birth. Risk of exposure to contamination is high as many of these sites are unlined landfills that overlie karst aquifers. These aquifers present highly susceptible pathways for exposure to contamination and in fact there is extensive evidence of groundwater contamination. Established in 2010, the Puerto Rico Testsite for Exploring Contamination Threats Center (PROTECT) uses a holistic system of research, training and stakeholder engagement to study the fate, transport, exposure, health impact and remediation of contaminants, with particular attention to chlorinated solvents and phthalates commonly found at Superfund sites, as both suspect and model agents in the high preterm birth rates in Puerto Rico. PROTECT's new Community Engagement Core (Core F) will leverage the infrastructure and relationships developed in the center's first three years of funding through the Human Subjects and Sampling Core (Core C) and its research projects to serve as the main vehicle for interaction with community stakeholders in Puerto Rico. PROTECT's approach emphasizes bidirectional engagement with two groups of stakeholders: 1) women participating in the PROTECT study cohort (480 women as of March 2013); and 2) the broader group of residents in the areas where PROTECT's groundwater study is being conducted. Core C has established strong relationships with study participants as well as with service providers and a wide range of relevant community social actors, including staff and clinicians at community health centers and private clinics, social work and nursing staff, and community groups. Building on this foundation, Core F will develop a strong bidirectional communication strategy that will emphasize report-back of research findings to stakeholders, informed by stakeholders' priorities, needs and concerns. Core F will also focus on capacity-building for participants and their community organizations, and the development of resources for early childhood development through intervention supports for preterm children born to the participants. Core F activities will help provide appropriate ethical communication to participants via an innovative report-back process, enable participants to be more fully included in the research process, improve study recruitment and retention rates, offer lay perspectives and information, build capacity of participants and their community organizations, and lay the groundwork for additional community-based participatory research proposals.

项目总结