Obesity and Environmental Factors: Implications for Urban Planning

说明(申请人提供)：肥胖是美国第二大可预防的死亡原因，这主要是由于肥胖在心血管疾病、糖尿病和癌症等疾病中的有害作用。居住在弗吉尼亚州纽波特纽斯的70%(70%)的人超重或肥胖，这一比例超过了相应的州和国家百分比。不足为奇的是，纽波特纽斯低收入非裔美国人社区与肥胖(下呼吸道疾病、糖尿病和冠心病)相关的慢性病发病率和死亡率超过了该州的平均水平。这一系列会议的具体目的是：i)保持学术-社区伙伴关系，以减少弗吉尼亚州纽波特纽斯市的肥胖风险和健康差距；ii)在纽波特-纽斯社区-学术伙伴关系(NCAP)和有兴趣和目的使用基于社区的参与性研究(CBPR)方法的社区组织之间达成谅解备忘录，研究肥胖风险、健康差距和城市规划；Iii)开展外联工作，以确定社区在减少弗吉尼亚州纽波特纽斯市肥胖症和健康差距方面所关注的领域，以及iv)制定长期、协作的CBPR议程，以减少肥胖症风险和健康差距，重点放在社区确定的关键领域的教育上。我们将使用CBPR方法来应用疾控中心的政策、制度和环境变化模型，目标是减少肥胖风险和健康差距。我们成立了NCAP，这是社区更新环境行动(CARE)联盟和婴儿和儿童健康联盟(BINCH)之间的伙伴关系。它有一个执行委员会和一个咨询委员会。NCAP的使命是“创建一个更健康的城市社区”。NCAP将举办一系列的“机会”会议和社区论坛。“机遇”会议将通过向不同的、 有关的社区界别。此外，NCAP将与弗吉尼亚州的专业协会合作，举办一系列论坛，征求社区对肥胖问题的意见，并传播有关肥胖风险、相关健康影响和预防策略的信息。此外，我们将通过我们的研究议程和未来的拨款申请来维持这种伙伴关系。我们预计，NCAP将为城市发展和规划提出战略性建议，以通过政策、制度和环境变化来缩小健康差距。

DESCRIPTION (provided by applicant): Obesity is the second leading cause of preventable death in the United States largely due to its detrimental role in diseases such as cardiovascular disease, diabetes, and cancer. Seventy percent (70%) of persons living in Newport News, Virginia are overweight or obese, which exceeds corresponding state and nation percentages. Not unexpectedly, rates of chronic disease associated with obesity (lower respiratory disease, diabetes, and coronary disease) and the death rates among residents of low-income, African-American communities in Newport News exceed state averages. The specific aims of this conference series are to i) sustain an academic-community partnership to reduce obesity risk and health disparities in the City of Newport News, Virginia; ii) develop Memorandum of Understandings between the Newport-News Community-Academic Partnership (NCAP) and community organizations that have an interest and a purpose in using a community- based participatory research (CBPR) approach on obesity risk, health disparities, and urban planning; iii) engage in outreach efforts to identify the communities' perceived areas of interest in reducin obesity and health disparities in the City of Newport News, Virginia, and iv) develop a long-term, collaborative CBPR agenda to reduce obesity risk and health disparities, with emphasis being placed on education in the key areas that the community identifies. We will use the CBPR approach to employ the CDC's Policy, System and Environmental Change model, with the goal of reducing obesity risk and health disparities. We have formed the NCAP, a partnership between the Community Action for a Renewed Environment (CARE) Coalition and the Consortium for Infant and Child Health (CINCH). It has an Executive Committee and an Advisory Board. The mission of the NCAP is "Creating a Healthier Urban Community." The NCAP will conduct a series of "opportunities" meetings and community forums. The "opportunities" meetings will build interest in the partnership by introducing the NCAP to various, relevant community sectors. Also, the NCAP will partner with professional associations in Virginia to host a series of forums that will solicit community views on the obesity problem and disseminate information about obesity risk, associated health impacts, and prevention strategies. Furthermore, we will sustain the partnership through our research agenda and future grant applications. We anticipate that the NCAP will propose strategic suggestions to the City for urban development and planning to reduce health disparities via policy, system, and environmental changes.