Community Action to Promote Healthy Environments

拟议的社区行动，以促进健康的环境（CA-PHE）的基础上，并大大扩展，超过15年的社区参与性研究，由参与合作伙伴了解和解决空气污染和健康问题在底特律。具体而言，CA-PHE将参与社区，学术和公共卫生实践合作伙伴的研究，最终制定和实施公共卫生行动计划，减少暴露于空气污染物，减轻对健康的不利影响，并提供额外的健康和环境效益。CA-PHE将增加有关影响空气污染暴露和健康影响的因素的知识，将调查结果转化为公共卫生行动计划，并实施运动，干预措施和政策，以减少污染物暴露和减轻对健康的不利影响。它将改善易患心血管和呼吸道疾病的脆弱社区的健康结果和生活质量。具体目标1：加强、支持和提高参与CA-PHE的社区、学术和实践伙伴的能力，使他们能够有效地共同工作，并有效地开展、理解和交流空气污染和人类健康科学;和CA-PHE指导委员会，监督并积极参与拟议的研究行动项目的所有方面。具体目标2：确定与不利健康结果相关的污染物来源，并审查减轻这些结果的战略。需要审查的战略将包括利用植物缓冲区来减少污染源的影响（例如，工业、高速公路）到被占领的地区（例如，住宅，学校），这是一种具有许多共同利益的创新和广泛适用的方法（例如，降噪、热冷却、分水岭保护、娱乐）。具体目标3。制定一个多层次、综合和有科学依据的公共卫生行动计划，以减少污染物暴露并减轻其对健康的不利影响。该计划将协同制定，让具有广泛专业知识的个人参与（例如，社区组织，规划，政策，公共卫生，商业），以评估现有的证据，并制定建议的短期，中期和长期战略，以减少空气污染暴露及其对健康的负面影响。具体目标4：制定和实施旨在促进通过和实施公共卫生行动计划的运动、干预措施和政策，以减少接触和对健康的不利影响。社区，实践和学术合作伙伴将共同努力，旨在吸引社区居民，规划师，社区和商界领袖以及公共卫生和其他地方决策者。具体目标五：对制定公共卫生行动计划的过程和结果进行评价，评估作为执行该计划的一部分而开展的运动、干预措施和政策的有效性和影响，并评估影响这些行动战略成功的因素。

DESCRIPTION (provided by applicant): The proposed Community Action to Promote Healthy Environments (CA-PHE) builds on, and substantially extends, over 15 years of community-based participatory research by the involved partners to understand and address issues of air pollution and health in Detroit. Specifically, CA-PHE will engage community, academic and public health practice partners in research that will culminate in the development and implementation of a public health action plan that reduces exposure to air pollutants, mitigates adverse health effects, and provides additional health and environmental benefits. CA-PHE will increase knowledge about factors influencing exposure to air pollution and health effects, translate findings into a public health action plan, and implement campaigns, interventions and policies to reduce pollutant exposure and mitigate adverse health impacts. It will improve health outcomes and quality of life in vulnerable communities disproportionately at risk for cardiovascular and respiratory disease. The proposed project has five specific aims: Specific Aim 1: Strengthen, support and enhance the capacity of the community, academic and practice partners engaged in CA-PHE to work effectively together, and to conduct, understand and communicate effectively about the science of air pollution and human health; and of the CA-PHE Steering Committee to provide oversight for, and be actively engaged in, all aspects of the proposed research to action project. Specific Aim 2: Identify pollutant sources associated with adverse health outcomes, and examine strategies to mitigate these outcomes. Strategies to be examined will include the use of vegetative buffers to reduce impacts from pollutant sources (e.g., industry, highways) to occupied areas (e.g., residences, schools), an innovative and broadly applicable approach with many co-benefits (e.g., noise reduction, thermal cooling, watershed protection, recreation). Specific Aim 3. Develop a multilevel, integrated and scientifically informed public health action plan designed to reduce pollutant exposures and to mitigate their adverse health effects. The plan will be developed collaboratively, engaging individuals with a wide range of expertise (e.g., community organizing, planning, policy, public health, business) to evaluate existing evidence and to develop recommendations for short-, mid- and long- term strategies that reduce air pollution exposure and its negative effects on health. Specific Aim 4: Develop and implement campaigns, interventions and policies designed to promote the adoption and implementation of the public health action plan to reduce exposure and adverse effects on health. Efforts will be undertaken collaboratively by community, practice and academic partners, and designed to engage community residents, planners, community and business leaders, as well as public health and other local decision makers. Specific Aim 5: Conduct process and outcome evaluation of the development of the public health action plan, assess the effectiveness and impact of campaigns, interventions and policies carried out as part of the implementation of that plan, and assess the factors that influence the success of these action strategies.