Community Partnerships for Child Safety

说明(申请人提供)：提供健康安全的住房和减少伤害是我国的公共卫生目标。获得安全产品和预防伤害的知识，以及不符合标准的社区条件，是资源匮乏社区面临的儿童安全的重大障碍。这份提案是对2006年5月提交的提案的修订。我们寻求通过在巴尔的摩东部开展以下社区工作来预防伤害：a)约翰霍普金斯关怀中心(儿童安全)流动资源中心；b)巴尔的摩市消防局社区清扫；c)社区卫生中心社区卫生工作者外展计划；d)环境司法委员会学术与社区合作。我们将演示社区清扫、流动安全中心和社区卫生工作者(CHW)对安全和健康的影响。在清扫期间，消防检查员挨家挨户提供免费的烟雾警报，识别家中和附近的火灾和安全隐患，并报告危险以进行补救。我们将通过与CHW合作并提供CARE流动安全中心来加强这些清理工作。该中心是一辆40英尺长的车辆，带有有趣的互动教育展品，将为家庭提供额外的低成本安全产品。我们将比较接受这些强化清扫的社区和接受消防部门标准清扫的社区。评估设计包括在清扫开始前和清扫结束后对随机分配的参与社区中随机选择的家庭进行调查。我们还将在挨家挨户的扫荡时登记家庭队列，以收集基线和后续数据。我们将补充自我报告的安全知识、信念和行为数据，以及对家庭和社区火灾和安全隐患的观察和急诊科就诊数据。我们将使用定性研究方法来评估合作伙伴在研究的开展、拟议干预措施的实施和成果传播方面的作用和影响。结果将通过我们的社区伙伴组织和学术文献广泛传播。这些成果将有助于减少伤害方面的健康差距，以及社区伙伴关系在促进生活在低收入城市环境中的儿童和家庭的家园方面的效用。公共卫生相关性：该项目涉及一个社区伙伴关系，以促进低收入城市家庭的火灾和生命安全。我们将由消防部门人员和社区卫生工作者挨家挨户进行拉票，并设立流动安全中心。评估将检查该计划对安全知识、行为和儿童伤害风险的影响。我们还将确定如何最好地与社区合作伙伴合作实施儿童安全计划。

DESCRIPTION (provided by applicant): Providing healthy and safe homes and reducing injuries are included in our nation's public health objectives. Access to safety products and knowledge about injury prevention, as well as substandard neighborhood conditions are significant barriers to child safety faced by resource poor communities. This proposal is a revision of one submitted in May, 2006. We seek to prevent injuries in East Baltimore by building on ongoing community work: a) Johns Hopkins CARES (Children ARE Safe) mobile resource center; b) Baltimore City Fire Department neighborhood sweeps; c) Center for Community Health community health worker outreach program; and d) Environmental Justice Board academic-community partnership. We will demonstrate the impact of neighborhood sweeps, the mobile safety center, and community health workers (CHWs) on safety and health. During sweeps, fire inspectors go door-to-door providing free smoke alarms, identifying fire and safety hazards in the home and in the neighborhood, and reporting hazards for remediation. We will enhance these sweeps by working with CHWs and making the CARES mobile safety center available. The center is a 40-foot vehicle with fun, interactive educational exhibits, which will offer families additional low cost safety products. We will compare communities receiving these enhanced sweeps to communities that receive the fire departments standard sweeps. The evaluation design includes surveying randomly selected households in the randomly assigned participating communities before the sweeps begin and after they conclude. We will also enroll cohorts of families at the time of the door-to-door sweeps to collect baseline and follow -up data. We will supplement self-reported data on safety knowledge, beliefs, and behaviors with observations of home and neighborhood fire and safety hazards and data on emergency department visits. We will use qualitative research methods to assess the roles and impacts of the partners on development of the study, implementation of the proposed interventions, and dissemination of results. Results will be widely disseminated by our community partner organizations and through the scholarly literature. Results will contribute new knowledge about reducing health disparities in injury and the utility of community partnerships for promoting home for children and families living in low income, urban environments. PUBLIC HEALTH RELEVANCE: This project involves a community partnership to promote fire and life safety among low income urban families. We will use door to door canvassing by fire department personnel and community health workers along with a mobile safety center. The evaluation will examine the impact of the program on safety knowledge, behaviors, and children's injury risk. We will also identify how best to work with community partners to implement child safety programs.