Men on the Move: Growing Communities

描述（由申请人提供）：背景。心血管疾病（CVD）是密苏里州Pemiscot县的主要死亡原因。十多年来，我们的社区-学术伙伴关系一直在共同努力，我们已经从关注心脏健康的个人决定因素转变为认识到个人，环境和社会决定因素的贡献（例如，信息、技能和获取途径、经济因素），这些因素协同作用，造成各种危险健康行为的高发生率和随后的健康问题，包括减少水果和蔬菜的消费以及心血管疾病。[1-5]我们的试点项目“行动中的男人”专注于男性，不仅因为他们的CVD率非常高，而且因为他们需要建立自己的技能和能力，以承担创造健康变化的领导角色。来自“移动中的男性”的数据强调，我们社区中的许多非洲裔美国男性不食用推荐的水果和蔬菜。在很大程度上，这是由于个人和社区两级因素的综合作用，如销售水果和蔬菜的社区网点有限，现有网点的农产品选择有限，以及缺乏如何改善消费的知识和技能。

DESCRIPTION (provided by applicant): Background. Cardiovascular disease (CVD) is the leading cause of death in Pemiscot County, MO. Over the more than ten years our community-academic partnership has been working together we have moved from focusing on individual determinants of heart health to recognizing the contributions of individual, environmental, and social determinants (e.g., information, skills, and access, economic factors) that act synergistically to create these high rates of a variety of risky health behaviors and subsequent health problems including reduced consumption of fruits and vegetables and cardiovascular disease. [1-5] Our pilot project, Men on the Move, focused on men not only because of their extraordinarily high rates CVD but also because it was determined that they need to build their skills and abilities to take on leadership roles in creating healthful changes. Data from Men on the Move highlighted that many African American men in our community do not consume the recommended servings of fruits and vegetables. To a large extent, this is due to a combination of individual and community level factors, such as limited community outlets that sell fruits and vegetables, limited produce selection at existing outlets, and lack of knowledge and skills regarding how to improve consumption.