My Mommy and Me_ A Head Start at Reducing Health Disparities

描述（由申请人提供）：非西班牙裔黑人，特别是那些生活在南方腹地农村的黑人，不成比例地受到与肥胖和健康生活方式行为（饮食，体育活动）相关的无数慢性疾病的影响，包括癌症， 2型糖尿病、高血压和心血管疾病。越来越多的证据表明，从童年到成年，身体质量指数（BMI）和不健康的行为一直到晚年慢性病的增加。这一点尤其突出，因为三分之一的低收入儿童在五岁生日前超重或肥胖。因此，需要针对最脆弱群体采取早期干预措施。妈妈和我：减少健康差距的领先优势是伯明翰亚拉巴马大学和萨姆特县机会公司之间的合作伙伴关系。这将利用社区为基础的预防性研究（CBPR）计划和试点健康促进干预非洲裔美国儿童入学的头开始在农村亚拉巴马和他们的家庭。这项研究的目的是：（1）建立和维持学术-社区伙伴关系，以帮助减少亚拉巴马黑带的健康差距;（2）确定社区资产、需求和机会，以确定与社区相关的干预措施，减少该地区的健康差距;（3）实施和评估与减少该地区健康差距相关的试点干预措施;及（4）传播研究结果，评估学术界与社区合作的力量、试验性干预的结果，以及社区对支持全面随机试验的持续兴趣。 减少健康差距的选定干预措施。相关性（参见说明）：越来越多的证据表明，从童年到成年，身体质量指数（BMI）和不健康的行为一直到晚年慢性病的增加。对高危儿童进行早期干预（例如，低收入、非裔美国人、农村居民）可能会减缓或逆转这一人群中慢性病的发展轨迹。

DESCRIPTION (provided by applicant): Non-Hispanic blacks, particularly those living in the rural Deep South, are disproportionately impacted by a myriad of chronic medical conditions associated with obesity and healthy lifestyle behaviors (diet, physical activity) including cancer, type 2 diabetes, hypertension, and cardiovascular disease. Mounting evidence has tracked body mass index (BMI) and unhealthy behaviors from childhood to adulthood to increasing chronic disease later in life. This is particularly salient as 1 in 3 low-income children are overweight or obese before their 5th birthday. As such, early interventions targeting the most vulnerable groups are needed. My Mommy and Me: A Head Start at Reducing Health Disparities is a collaborative partnership between the University of Alabama at Birmingham and Sumter County Opportunity, Inc. that will utilize Community-Based Participatory Research (CBPR) to plan and pilot a health promotion intervention for African American children enrolled in Head Start in rural Alabama and their families. The aims of the study are: (1) establish and maintain an academic-community partnership to help reduce health disparities in the Black Belt of Alabama; (2) identify community assets, needs, and opportunities in order to identify a community-relevant intervention to reduce health disparities in the region; (3) implement and evaluate a pilot intervention relevant to reductions in health disparities in the region; and (4) disseminate study findings and assess the strength of the academic- community partnership, pilot intervention findings, and continued community interest to support a full randomized trial of the selected intervention to reduce health disparities. RELEVANCE (See instructions): Mounting evidence has tracked body mass index (BMI) and unhealthy behaviors from childhood to adulthood to increasing chronic disease later in life. Early intervention with children at highest risk (e.g., low-income, African American, rural residents) may slow or reverse the trajectory of chronic disease in this population.