Healthy Learning, Healthy Living Healthy Lives

描述（由申请人提供）：与白色美国人相比，非洲裔美国人生活得更好，死得更早。虽然发病率和死亡率方面的种族社会经济地位差异在成年人中往往最大，但这种差异往往开始于儿童时期。事实上，过去的研究表明，“[美国]儿童疾病患病率的种族差异已被观察到肥胖，哮喘，糖尿病，早产，婴儿死亡，心理健康，出生缺陷，身体虐待，伤害，低出生体重，全因死亡率和残疾。“因此，消除成年人健康方面的种族和社会经济地位差异的努力，开始时应努力预防和干预儿童健康方面的差异。美国最普遍的慢性儿科健康状况是哮喘。哮喘也是健康方面种族和社会经济地位差异的重要来源，也是儿童心理社会压力暴露、学业成绩、身体生活条件和其他结构、环境和社会因素差异的相关因素、原因和/或后果。拟议的健康生活，健康学习，健康生活（HL 3）项目公平地参与社区和学术合作伙伴，努力调查，改善并最终消除儿童健康方面的差距，特别关注哮喘及其相关因素，后果和合并症。该项目的具体目标如下：1）加强和扩大现有的社区参与性研究伙伴关系的健康重点。2)利用HL 3 CBPR伙伴关系计划和实施多层次（个人，家庭，学校，邻里，政策）社区评估。3)利用社区评估（目标2）的结果来规划多层次的CBPR试点干预。4)使用干预计划（目标3）实施多水平CBPR干预研究试点。5)评估HL 3项目三年干预计划过程的过程和结果。 相关性：加强和扩大现有的基于社区的参与性研究（CBPR）伙伴关系，并利用这种伙伴关系来完善健康概念框架的社会决定因素，并设计，实施和评估多层次（个人，家庭，学校，邻里，政策）社区评估和干预计划，最初重点是哮喘，其相关因素，后果和合并症。

DESCRIPTION (provided by applicant): Compared to white Americans, African Americans live sicker and die younger. Although the magnitudes of racial socioeconomic status (SES) disparities in morbidity and mortality are often largest among adults, they often begin in childhood. In fact, past research reveals that, "[racial disparities in U.S. child disease prevalene rates have been observed for obesity, asthma, diabetes, preterm birth, infant death, mental health, birth defects, physical abuse, injury, low birth weight, all-cause mortality, and disabilit." Accordingly, efforts to eliminate race and SES disparities in health among adults should begin with efforts to prevent and intervene in health disparities among children. America's most prevalent chronic pediatric health condition is asthma. Asthma is also a significant source of race and SES disparities in health, and a correlate, cause and/or consequence of disparities in children's psychosocial stress exposures, academic outcomes, physical living conditions, and other structural, environmental and social factors. The proposed Healthy Living, Healthy Learning, Healthy Lives (HL3) Project equitably engages community and academic partners in an effort to investigate, ameliorate and ultimately eliminate, disparities in children's health, wih a particular focus on asthma, its correlates, consequences and co-morbidities. The Specific Aims of the project are as follows: 1) to strengthen and expand the health focus of an existing community-based participatory research (CBPR) partnership. 2) To use the HL3 CBPR partnership to plan and implement a multi-level (individual, family, school, neighborhood, policy) community assessment. 3) To use the results of the community assessment (Aim 2) to plan a multi-level pilot CBPR intervention. 4) To use the intervention plan (Aim 3) to implement a multi-level pilot CBPR intervention study. 5) To evaluate the process and outcomes of the HL3 Project's three-year intervention planning process. RELEVANCE: To strengthen and expand an existing community-based participatory research (CBPR) partnership, and to use this partnership to refine the social determinants of health conceptual framework and design, implement and evaluate a multi-level (individual, family, school, neighborhood, policy) community assessment and intervention plan with an initial focus on asthma, its correlates, consequences and co-morbidities.