We Will Not be Moved: the Black Church Health Movement, 1900-1935

描述（由申请人提供）：在20世纪世纪的过程中，美国医学和公共卫生在管理疾病和改善大多数美国人的生活质量方面取得了重大进展和成就。尽管取得了这些进展，但与非少数族裔相比，非裔美国人的死亡率仍然较高，疾病负担过重。虽然许多因素被认为是造成卫生不平等的原因，但系统性不平等的历史经验与患者不良结局之间似乎存在联系。迄今为止，历史上的不平等形式与非裔美国人疾病之间的关系一直没有得到充分研究，也没有得到充分理解，留下了几个悬而未决的关键问题：1）非洲裔美国人的疾病增加是因为他们天生不同还是因为他们在社会上不平等，2）如果非裔美国人在历史上被禁止通过医院等传统机构接受护理，那么当地的基层组织是如何动员起来的？并参与应对其社区健康挑战的战略？使用社会历史的方法，本研究旨在回答这些问题，探索社会，文化和政治影响的方式影响死亡率的非裔美国人感染结核病在费城，1900年至1935年。这项研究还将研究当地非裔美国人社区，特别是当地教会的健康危机，其会众的反应。这项研究的结果将有助于扩大我们对社区机构作用的理解。这种了解将有助于为地方组织和参与健康差异研究的研究人员之间建立伙伴关系奠定基础。非裔美国人之间的健康差异导致健康状况较差，死亡率过高，生活质量较差。与当地教会等社区机构的伙伴关系对于有兴趣将研究结果转化为实践的健康差异研究人员至关重要。这项研究的创新之处在于强调提供关于健康差距如何出现的基础知识，健康行动主义发展的方式，以及社区协调居民健康服务的手段。影响公众健康的努力必须开始在地方一级，这项研究的结果为学者提供了一个机会，了解当地非洲裔美国人社区的丰富遗产，从而超越绝望的赋权。

DESCRIPTION (provided by applicant): Over the course of the 20th century American medicine and public health have witnessed significant advances and achievements in managing illness and improving quality of life for most Americans. Despite these advances, African Americans continue to experience higher mortality rates and an excess burden of illness as compared to their non-minority counterparts. While many factors are believed to create health inequities, a linkage appears to exist between the historic experience of systemic inequality and poor patient outcomes. To date, the relationship between forms of historic inequality and illness in African Americans has been understudied and poorly understood leaving unanswered several critical questions: 1) Did African Americans experience increased illness because they were innately different or because they were kept socially unequal and 2) If African Americans were historically prohibited from receiving care through traditional institutions such as hospitals how did local grass roots organizations mobilize and engage in strategies to meet the health challenges of their communities? Using social historical methodology, this research seeks to answer these questions by exploring the way social, cultural and political influences impacted mortality rates of African Americans infected with Tuberculosis in Philadelphia, 1900-1935. This study will also examine the response of the local African American community, specifically the local church to the health crisis of its congregants. The results of this study will help broaden our understanding of the role of community institutions. This understanding will assist in creating a foundation upon which partnerships between local organizations and researchers involved in health disparities research may be established. Health disparities among African Americans result in poorer health outcomes, excess mortality, and poorer quality of life. Partnerships with community institutions such as the local church are critical to health disparities researchers interested in translating research findings into practice. The innovation in this research is the emphasis on providing foundational knowledge on how health disparities emerge, the way in which health activism develops, and the means through which communities coordinate health services for their residents. Efforts to impact the public's health must begin at the local level, the results of this research offer scholars an opportunity to understand the rich legacy of activism in the local African American community thereby, moving beyond despair to empowerment.