Community Partnerships for Child Safety

描述（由申请人提供）：提供健康安全的家园和减少伤害是我们国家公共卫生目标的一部分。获得安全产品和有关伤害预防的知识以及不合格的邻里条件是资源贫乏社区面临的儿童安全的重大障碍。该提案是对2006年5月提交的提案的修改。我们寻求通过建立正在进行的社区工作来预防东巴尔的摩的伤害：a)约翰霍普金斯关怀（儿童安全）移动资源中心；b)巴尔的摩市消防局邻里扫荡；c)社区卫生中心社区卫生工作者外展方案；d)环境司法委员会学术界伙伴关系。我们将展示社区清扫、流动安全中心和社区卫生工作者（CHWs）对安全和健康的影响。在清扫期间，消防检查员挨家挨户地提供免费的烟雾报警器，识别家庭和社区的火灾和安全隐患，并报告危险以进行补救。我们将通过与卫生保健工作者合作和设立CARES流动安全中心来加强这些扫毒工作。该中心是一个40英尺高的车辆，有有趣的互动教育展览，将为家庭提供额外的低成本安全产品。我们将把接受这些增强扫描的社区与接受消防部门标准扫描的社区进行比较。评估设计包括在扫荡开始前和结束后对随机分配的参与社区中随机选择的住户进行调查。我们还将在挨家挨户扫扫时招募家庭队列，以收集基线和随访数据。我们将用对家庭和社区火灾和安全隐患的观察以及急诊室就诊数据来补充关于安全知识、信念和行为的自我报告数据。我们将使用定性研究方法来评估合作伙伴在研究发展、拟议干预措施的实施和结果传播方面的作用和影响。结果将由我们的社区伙伴组织和通过学术文献广泛传播。研究结果将提供关于减少受伤方面的健康差异的新知识，并有助于利用社区伙伴关系促进低收入城市环境中的儿童和家庭回家。公共卫生相关性：该项目涉及社区伙伴关系，以促进低收入城市家庭的消防和生命安全。我们将由消防部门人员和社区卫生工作者以及一个流动安全中心进行挨家挨户的游说。评估将检查该计划对安全知识、行为和儿童伤害风险的影响。我们还将确定如何最好地与社区伙伴合作实施儿童安全项目。

DESCRIPTION (provided by applicant): Providing healthy and safe homes and reducing injuries are included in our nation's public health objectives. Access to safety products and knowledge about injury prevention, as well as substandard neighborhood conditions are significant barriers to child safety faced by resource poor communities. This proposal is a revision of one submitted in May, 2006. We seek to prevent injuries in East Baltimore by building on ongoing community work: a) Johns Hopkins CARES (Children ARE Safe) mobile resource center; b) Baltimore City Fire Department neighborhood sweeps; c) Center for Community Health community health worker outreach program; and d) Environmental Justice Board academic-community partnership. We will demonstrate the impact of neighborhood sweeps, the mobile safety center, and community health workers (CHWs) on safety and health. During sweeps, fire inspectors go door-to-door providing free smoke alarms, identifying fire and safety hazards in the home and in the neighborhood, and reporting hazards for remediation. We will enhance these sweeps by working with CHWs and making the CARES mobile safety center available. The center is a 40-foot vehicle with fun, interactive educational exhibits, which will offer families additional low cost safety products. We will compare communities receiving these enhanced sweeps to communities that receive the fire departments standard sweeps. The evaluation design includes surveying randomly selected households in the randomly assigned participating communities before the sweeps begin and after they conclude. We will also enroll cohorts of families at the time of the door-to-door sweeps to collect baseline and follow -up data. We will supplement self-reported data on safety knowledge, beliefs, and behaviors with observations of home and neighborhood fire and safety hazards and data on emergency department visits. We will use qualitative research methods to assess the roles and impacts of the partners on development of the study, implementation of the proposed interventions, and dissemination of results. Results will be widely disseminated by our community partner organizations and through the scholarly literature. Results will contribute new knowledge about reducing health disparities in injury and the utility of community partnerships for promoting home for children and families living in low income, urban environments. PUBLIC HEALTH RELEVANCE: This project involves a community partnership to promote fire and life safety among low income urban families. We will use door to door canvassing by fire department personnel and community health workers along with a mobile safety center. The evaluation will examine the impact of the program on safety knowledge, behaviors, and children's injury risk. We will also identify how best to work with community partners to implement child safety programs.