Block-by-Block: The Humboldt Park Campaign Against Diabetes

描述(由申请人提供)：美国2型糖尿病的日益流行已被很好地记录下来。在芝加哥西北部的洪堡公园附近，调查人员与社区组织合作，设计并进行了卫生需求评估。在这项调查中，21%的波多黎各成年人报告他们被诊断出患有糖尿病；这一发现得到了随后对死亡证明数据的分析的支持。当调查人员与社区居民和当地组织分享这些结果时，人们压倒性地、广泛地呼吁采取行动。随后的工作队和社区论坛导致制定了一项解决这一问题的计划。逐个街区-洪堡公园抗击糖尿病运动以社区力量为基础，增加糖尿病的早期发现，并让整个社区参与到加强糖尿病患者自我管理的努力中。我们的社区和学术合作伙伴关系提出了一种社区参与的方法，以减轻糖尿病对生活在洪堡公园72个街区的1.3万名成年人的影响，洪堡公园是芝加哥西北侧附近一个医疗服务不足的地区。拉什大学医学中心和两个以社区为基础的组织(洪堡公园健康社区和波多黎各文化中心)将开发和提供多层次的社区干预，使用媒体宣传活动、社区参与和“糖尿病区队长”的个人自我管理培训。社区居民担任糖尿病街区负责人，将进行家庭糖尿病筛查，然后让邻居参与促进糖尿病自我管理的活动。这种方法旨在支持居民改变目标社区内的文化，将糖尿病作为社区的优先事项，并解决文化和社会环境，以支持更健康的生活方式。研究结果将包括在两年内平均降低血红蛋白A1c 0.5，改善自我管理行为的比率，以及新诊断的糖尿病病例增加25%。这项研究结果的设计、实施和传播的所有方面都将采用基于社区的参与性研究方法。公共卫生相关性：这项研究将使我们能够开发和评估一种方法，以减少医疗服务不足的市中心社区糖尿病健康结果的差异。通过确定可由社区成员自己与卫生专业人员合作实施的战略，结果将为其他因糖尿病等慢性病而失去多年寿命的社区所做的努力提供参考。

DESCRIPTION (provided by applicant): The growing prevalence of Type 2 diabetes in the US has been well documented. In the Humboldt Park neighborhood on Chicago's near northwest side, investigators worked with community organizations to design and conduct a health needs assessment. In this survey, 21% of Puerto Rican adults reported that they had been diagnosed with diabetes; this finding was supported by subsequent analysis of death certificate data. When the investigators shared these results with community residents and local organizations, there was an overwhelming and broad-based call for action. A subsequent task force and community forum led to development of a plan to address the problem. Block-by-Block - The Humboldt Park Campaign against Diabetes builds on community strengths to increase the early detection of diabetes and involves an entire neighborhood in efforts to enhance self-management by those with the disease. Our community-academic partnership proposes a neighborhood engagement approach to ameliorating the impact of diabetes on the lives of 13,000 adults living in a 72 block section of the Humboldt Park neighborhood, a medically underserved area on the near northwest side of the city of Chicago. Rush University Medical Center and two community based organizations (the Humboldt Park Community of Wellness and the Puerto Rican Cultural Center) will develop and deliver a multi-level community intervention using a media campaign, community engagement, and individual self- management training by a "Diabetes Block Captain". Neighborhood residents working as Diabetes Block Captains will conduct household screenings for diabetes and then will engage their neighbors in activities that promote diabetes self-management. This approach seeks to support residents in changing the culture within the target community, to make diabetes a neighborhood priority, and to address the cultural and social environment to support healthier lifestyles. Study outcomes will include an average reduction in Hemoglobin A1c of 0.5 over two years, improved rates of self-management behaviors, and a 25% increase in new cases of diabetes diagnosed. All aspects of the design, implementation, and dissemination of findings of this study, will be conducted using Community Based Participatory Research methodology. PUBLIC HEALTH RELEVANCE: This study will allow us to develop and evaluate an approach to reducing diabetes health outcomes disparities in a medically underserved inner city community. By identifying strategies that can be implemented by community members themselves in collaboration with health professionals, the results will inform efforts by other communities that suffer excess years of life lost from chronic diseases such as diabetes.