Community-Academic Partnership to Address Health Dispairties in New Orleans

描述(申请人提供)：基于社区的参与性研究项目的主要目标是解决新奥尔良下九区社区确定的健康的具体社会决定因素，如获得医疗保健、疾病预防、饮食/营养、身体活动和影响健康状况的环境因素。该项目建立在该社区以前通过为期一年的过程制定的社区健康战略计划的基础上。学术和社区伙伴关系将包括来自三个团体的代表：a)来自参与社区战略规划进程的四个基层组织的社区合作伙伴(其中一个已被确定为社区联络)；b)由路易斯安那州立大学健康科学中心资助的五个科学合作伙伴，他们在健康差异的行为和分子/基因决定因素方面具有专业知识；以及c)慈善女儿健康中心，这是一个联邦合格的健康中心，为新奥尔良的多个地点的患者提供服务，其中一个(其圣塞西利亚地点)位于第九区。该伙伴关系包括社区参与、健康促进和疾病预防、社区健康评估、获得初级保健和方案评估等领域的专业知识。1：与路易斯安那州立大学健康科学中心、社区组织和圣塞西利亚慈善之女健康中心的代表建立和保持学术-社区伙伴关系。具体目标2：在第二年和第三年进行社区驱动的需求评估，以确定需要解决的需求，并设计三种基于社区的干预措施。具体目标3.设计三个CBPF？干预措施以社区为导向的需求评估为依据，并遵循以社区为中心的医疗之家方法和2020年健康人框架概述的原则，以研究健康的决定因素。具体目标4.在伙伴关系确定的三个领域进行三项试点研究，其中可能包括妇女健康和癌症预防、健身和疾病预防以及社区参与，以通过疗养院改善健康和福祉。 相关性：这个项目之所以重要，是因为它解决了一个重要问题，即在一个高度贫困和健康状况不佳的社区中存在的健康差距问题。该项目将有助于改善路易斯安那州的健康差距，路易斯安那州的慢性病和贫困指数是全国最高的州之一。

DESCRIPTION (provided by applicant): The primary objective of the Community-Based Participatory Research project is to address specific social determinants of health identified by the Lower Ninth Ward community in New Orleans, such as access to health care, disease prevention, diet/nutrition, physical activity, and environmental factors that influence health status. The project builds on the Strategic Plan for Community Wellness previously developed by this community through a one-year process. The academic-community partnership will include representation from three groups: a) community partners from four grass roots organizations that participated in the community strategic planning process (one of whom has been identified as the Community Liaison); b) five scientific partners who are funded researchers from Louisiana State University Health Sciences Center with expertise in behavioral and molecular/genetic determinants of health disparities; and c) Daughters of Charity Health Center, a Federally Qualified Health Center (FQHC) serving patients at multiple locations in New Orleans, one of which (its St Cecilia site) is located in the Ninth Ward. The Partnership encompasses expertise in the areas of community engagement, health promotion and disease prevention, neighborhood health assessment, access to primary care, and program evaluation. 1: To establish and sustain an academic-community partnership with representatives from LSU Health Sciences Center, partnering community-based organizations and Daughters of Charity Health Center - St Cecilia. Specific Aim 2: To conduct a community-driven needs assessment to inform the choice of needs to be addressed and design three community-based interventions during years two and three. Specific Aim 3. To design three CBPF? interventions informed by the community-driven needs assessment and guided by the principles outlined by the Community-Centered Medical Home approach and the Healthy People 2020 framework for researching determinants of health. Specific Aim 4. To conduct three pilot studies in three areas determined by the Partnership which may include, for example: women's health and cancer prevention, fitness and disease prevention, and community involvement to improve health and well-being through the medical home. RELEVANCE: This project is relevant because it addresses an important problem, i.e., health disparities in a community that is highly underserved and suffers from high levels of poverty and poor health. The project would contribute to ameliorating health disparities in Louisiana, a state with one of the highest indexes of chronic diseases and poverty in the nation.