Beyond SABOR: A Border Embedded Health Promotion

描述(由申请人提供)：德克萨斯州最南端的下格兰德河谷(LRGV)为从生态角度检查少数民族人口的健康差距提供了独特的环境。该地区的种族构成以墨西哥裔美国人为主，这一人口占该地区居民的88%以上。这也是德克萨斯州最贫穷的地区，失业率最高，年收入中位数最低。LRGV不成比例地受到不良健康结果的影响，是全国糖尿病和肥胖率最高的人群之一。 这份由德克萨斯大学泛美分校(UTPA)老龄化与健康中心(Coah)提交的申请建立在社区内的优势和资源以及长期建立的社区关系的基础上，这些社区关系有助于在LRGV(一个身份认同社区)内实施一系列计划和研究，提出了六个具体目标：1.正式组织一个社区积极健康联盟，承诺通过共同的愿景解决共同的健康问题，认识到需要：a)进行广泛的宣传，b)带来背景变化，以及c)在积极资助的时期后保持自身；2.采用焦点小组方法，探讨影响成年LRGV墨西哥裔美国人的身体活动和饮食习惯的多层次(个人、家庭和社区)因素，特别强调当地的理论和情况；3.规划干预方法；4.进行多层次社区干预试点；5.对试点干预措施进行形成性和实质性评估，特别强调评估其在整个社区的有效性和成本；6.估计适当设计和推动社区干预措施所需的参数，以评估干预措施的有效性。

DESCRIPTION (provided by applicant): The Lower Rio Grande Valley (LRGV) southernmost region of Texas presents a unique environment for examining health disparities in an ethnic minority population from an ecological perspective. The ethnic composition of the region is majority Mexican American with this population accounting for well over 88% of the area's residents. This is also Texas' poorest region with the highest rate of unemployment and lowest median annual income. The LRGV is disproportionately affected by poor health outcomes with one of the highest prevalence rates of diabetes and obesity nationally. This submittal from the Center on Aging and Health (CoAH) at The University of Texas Pan American (UTPA) builds on strengths and resources within the community and long established community relationships that have been instrumental in implementing a broad array of programs and research within the LRGV, a community of identity, Six Specific Aims are proposed: 1. To formally organize a community pro-active health coalition with a commitment to meeting shared health concerns through a common vision that recognizes the need: a) to have a wide outreach, b) bring about contextual changes, and c) sustain itself beyond the period of active funding; 2. To employ focus group methodologies to explore multi level (individual, family and community) factors influencing physical activity and dietary habits of the adult LRGV Mexican American population with special emphasis on local theories and situations; 3. Plan the intervention methodology; 4. Conduct a pilot multi level community-based intervention; 5. Conduct a formative and substantive evaluation of the pilot intervention with special emphasis on assessing its community wide effectiveness and cost; 6. Estimate parameters required to properly design and power a community intervention to assess the effectiveness of the intervention.