Examining Anti-Racist Healing in Nature to Protect Telomeres of Transitional Age BIPOC for Health Equity.

在有色人种社区，慢性病的死亡率高得不成比例。这在意料之中，因为 几个世纪以来，由于对其投资不足，美国出现了有据可查的健康不平等现象 身体健康。在经济危机期间开始纠正这种投资不足需要具有成本效益的、低成本的- 资源干预。它还需要社区参与，以确保接受和可持续发展。因此， 我们建议进行社区优先的研究，吸收来自不同国家的祖先的知识 多层次努力，通过跨部门合作解决日益扩大的健康差距问题。 我们变革性的自然复垦项目的总体目标是减少不断增长的健康 黑人、土著和有色人种(BIPOC)社区的差异 文化上适当的干预措施。这些措施旨在减少过渡时期的内在性压力。 BIPOC，以防止他们成年后患上慢性病。慢性阻塞性肺疾病的发展 疾病通过包括皮质醇在内的生物过程与压力的体现有关 调节失调和端粒侵蚀。事实上，来自几个研究小组的新研究，包括我们的 发现有色人种群落中端粒的侵蚀加速。这很可能是由于种族主义和 增加慢性压力并限制获得健康的社会决定因素的歧视(例如， 就业、教育、住房)。因此，我们的目标是通过增加获得什么来减少体现的压力 可以被认为是健康的一个社会决定因素--在公园里公平地进行身体活动。这个 拟议的工作由国家少数民族健康和健康差距研究所(NIMHD)建立 研究框架，并得到学术和社区研究人员之间强有力的合作伙伴关系的支持， 公共和私人户外专家以及政府领导人。他们被召集在一起，以扩展工作 和平路线图倡议的一部分。2013年，这一倡议是由以下社区呼吁采取行动的结果 枪杀了几个拉丁裔青少年。从历史上看，它的目标是让年轻人参与到健康和康复中来 关系，并目前领导“文化疗愈”(文化疗愈)工作，以吸引BIPOC青年(通过 种族/民族姐妹倡议)在与自然和在自然内部的健康和治愈关系方面。这与 与户外专家合作，增加BIPOC社区的公园参观人数，并与研究人员合作 将重点放在拟议的工作上。因此，拟议工作的一个关键创新是社区优先， 跨部门、多层次的方法，用于实施和测试由内部人员进行的自然界的治愈干预 研究人员致力于建立可持续的系统变革。内部研究人员来自 被招募到干预中的社区。他们致力于研究四种不同的文化 社区(Black、Latinx、Pilipinx和Pacific Islander)测试系统更改的想法并将其制度化 作为卫生公平变革性研究的一部分。

Deaths from chronic diseases are disproportionately higher in communities of color. This is expected given the well-documented health inequities in the United States caused by centuries-old underinvestment in their wellness. To begin to redress this underinvestment during an economic crisis requires cost-effective, low- resource interventions. It also requires community engagement to ensure uptake and sustainability. Therefore, we propose to undertake community-prioritized research that will engage ancestral knowledges from different communities of color in a multilevel effort to address growing health disparities via intersectoral collaborations. The overall goal of our transformative Reclaiming Nature project is to reduce growing health disparities in Black, Indigenous, and People of Color (BIPOC) communities through examination of culturally-appropriate interventions. These are aimed at reducing embodied stress in transitional-age BIPOC so as to prevent their development of chronic diseases as adults. The development of chronic diseases has been linked to the embodiment of stress through biological processes that include cortisol dysregulation and telomere erosion. In fact, emerging research from several research groups, including our own, finds that erosion of telomere in communities of color is accelerated. This is likely due to racism and discrimination that increase chronic stress and limits access to the social determinants of health (e.g., employment, education, housing). We thus aim to reduce embodied stress through increased access to what can be considered a social determinant of health – equitable access to physical activity in public parks. The proposed work is grounded by the National Institute of Minority Health and Health Disparities (NIMHD) Research Framework, and is enabled by strong partnerships between academic and community researchers, public and private outdoor specialists, and government leaders. They are brought together to extend the work of the Roadmap to Peace initiative. In 2013 this initiative was borne out of a community call to action following the shooting deaths of several Latinx teens. Historically it has aimed to engage youth in healthy and healing relationships, and currently leads “La Cultura Cura” (Culture Heals) efforts to engage BIPOC youth (through racial/ethnic sister initiatives) in healthy and healing relationships with, and within, nature. This aligns with the efforts of partnering outdoor specialists to increase park visits by BIPOC communities, and with the research focus for the proposed work. Thus, a key innovation of the proposed work is a community-prioritized, intersectoral, multilevel approach for implementing and testing a healing intervention in nature by insider researchers committed to building sustainable systems change. The insider researchers come from the communities being recruited to the intervention. They are committed to examining the culture of four different communities (Black, Latinx, Pilipinx, and Pacific Islander) to test and institutionalize ideas for systems change as part of transformative research for health equity.