Accountable Communities: Healthy Together

描述（由申请人提供）：佐治亚州立大学提议通过带头开展一项长期社区参与性研究（CBPR）倡议，以解决其在亚特兰大城市促进健康的使命，该倡议旨在减少第五社区规划单位（NPU-V）居民所经历的健康差距和相关的社会、经济和环境决定因素。NPU-V由亚特兰大市区5个相邻社区的15,800名居民组成。根据2004年NPU-V居民收集和报告的数据，这种差异的证据已经存在。佐治亚州立大学的合作伙伴包括NPU-V的领导和居民，黑人妇女健康中心（位于该地区），南侧医疗中心（位于该地区），富尔顿县卫生与健康部和亚特兰大地区卫生论坛。这项研究将通过佐治亚州立大学公共卫生研究所进行指导，该研究所是一个多学科研究和培训机构，与该大学的所有六个学院合作，并直接向教务长报告。这项研究工作的具体目标是：

DESCRIPTION (provided by applicant): Georgia State University proposes to address its mission of promoting health in urban Atlanta by taking the leadership in undertaking a long-range community-based participatory research (CBPR) initiative aimed at reducing the health disparities and the associated social, economic and environmental determinants experienced by the residents of Neighborhood Planning Unit V (NPU-V). NPU-V consists of 15,800 residents in 5 contiguous neighborhoods in urban Atlanta. Evidence of the disparities already exists based on data gathered and reported by the residents of NPU-V in 2004. Georgia State's partners include the leadership and residents of NPU-V, Center for Black Women's Wellness (located in the area), Southside Medical Center (located in the area), Fulton County Department of Health and Wellness, and Atlanta Regional Health Forum. This Research will be directed through the Institute of Public Health at Georgia State, which is a multi-disciplinary research and training institute working with all six colleges of the university and reporting directly to the provost. The specific aims for this research effort are to: * Engage community residents through community health forums designed to (1) strengthen community involvement and participation, (2) publicly assess relevant health related information including existing social, economic, demographic and health data, graphic depictions from Photovoice, and documented concerns expressed by community residents, (3) based on partnership consensus, identity, prioritize, and select for intervention the specific health disparities (and their relevant determinants), and (4) collectively develop a comprehensive intervention strategy designed to migrate the health disparities identified. * Train residents of NPU-V as community health workers (CHWs) in a range of community health promotion skills, including Photovoice, which will be used to complement existing community specific data gathered by residents. * Establish and implement a system to enable the ongoing monitoring and evaluation of the intervention strategy and the overall CBPR process. A critical additional assessment feature will include the measurement of extant levels of organizational social capital throughout the project to detect the effects of planned efforts to strengthen social capital. * In parallel with the specific proximal health disparity intervention, undertake and document a longer range strategy to address distal social and economic issues, wherein community residents assume the leadership for proposing specific actions to promote specific actions to promote community transformation. Based on community input these might include: (1) enhancing employment opportunities, (2) improving housing through neighborhood renewal without tax increases on current residents, and (3) promoting economic developments.