Inequities in African American Environmental Contexts for Obesity Prevention

说明(申请人提供)：针对PA-08-149，本R13申请请求支持一个科学研讨会，该研讨会的重点是非裔美国人肥胖的环境决定因素中的社会不公平现象，可通过社区参与性研究(CBPR)加以解决。利益的不平等与非裔美国人社区提供和推广不健康的食品和饮料以及相对缺乏安全和负担得起的体育活动的选择有关。这一重点直接针对国家卫生研究院消除肥胖和心血管疾病方面的种族/民族差异的战略目标。研讨会将在非裔美国人肥胖合作研究网络(AACORN)的赞助下举行。AACORN将全国的学者、研究人员和社区研究伙伴联系在一起，努力提高研究的质量、数量和有效的翻译，以解决非裔美国人社区的体重问题。所请求的支助将支付一次为期两天半的国家讲习班的部分费用，邀请100人参加。框架和内容将通过社会正义的视角来处理非裔美国人社区的肥胖预防问题。目标是：1)广泛了解影响非裔美国人的环境不平等问题如何通过政策、社区行动和社会变革在与肥胖直接相关的其他问题上得到成功解决；2)确定最近或目前在解决非裔美国人食品和活动环境中的不平等问题方面取得的成功或有希望的工作进展；3)突出当前的研究，记录和了解社区对食品和饮料营销做法中不平等的看法以及解决这些不平等问题的战略；4)起草改善非裔美国人食品和身体活动环境的示范愿景和研究/行动计划；以及5)启动与国家和地方非裔美国人社区利益攸关方一起实施这一行动计划的进程。本次研讨会将邀请来自公共卫生、营养和食品研究、运动科学、公共政策、社区发展、市场营销、经济学和其他领域的学者和培训学者以及社区合作伙伴和政策制定者参加。在2004年、2006年和2008年举行的前三次AACORN国家受邀讲习班的成功经验和经验教训的基础上，该网络将在2010年利用一种新的讲习班形式：将实施对话会议模式，以确定优先事项并为话语和智力交流创造空间。研讨会成果将通过互联网、学术期刊和其他渠道传播。非洲裔美国人社区在获得和推广健康与不健康食品和饮料以及获得安全和负担得起的体育活动选择方面的不平等现象是有据可查的。这些不平等限制了消除与肥胖有关的健康差距的能力。将不同的学者、社区伙伴和政策制定者聚集在一起的科学研讨会可以产生研究和行动战略，以解决这些不平等问题。

DESCRIPTION (provided by applicant): In response to PA-08-149, this R13 application requests support for a scientific workshop focusing on social inequities in environmental determinants of obesity in African Americans that can be addressed through community-based participatory research (CBPR). The inequities of interest relate to the well-documented excess availability and promotion of unhealthful vs. more healthful foods and beverages and relative lack of access to safe and affordable options for physical activity in African American communities. This focus directly addresses NIH strategic goals for elimination of racial/ethnic disparities in obesity and cardiovascular diseases. The workshop will be convened under the auspices of the African American Collaborative Obesity Research Network (AACORN). AACORN links scholars, researchers and community-based research partners nationally in efforts to increase the quality, quantity, and effective translation of research to address weight issues in African American communities. The requested support would cover partial costs of a 2 1/2 day national workshop with 100 invited participants. Framing and content will approach the issue of obesity prevention in African American communities through a social justice lens. Objectives are to: 1) obtain a broad overview of how environmental inequities affecting African Americans have been successfully addressed through policy, community action, and social change, on issues other than those directly related to obesity; 2) identify recent or current successes or promising work-in-progress in addressing inequities in the food and activity environments of African Americans; 3) highlight current research documenting and understanding community perceptions of inequities in food and beverage marketing practices and strategies for addressing them; 4) draft a model vision and research/action plan for improving food and physical activity environments of African Americans; and 5) initiate a process for implementing this action plan with national and local African American community stakeholders. This workshop will engage academic scholars and scholars- in-training from public health, nutrition and food studies, exercise science, public policy, community development, marketing, economics, and other fields as well as community partners and policy makers. Building on successes and lessons learned from the three previous AACORN national invited workshops, held in 2004, 2006, and 2008, the Network will utilize a new workshop format in 2010: a dialogical conference model will be implemented in order to prioritize and create spaces for discourse and intellectual exchange. Workshop outcomes will be disseminated through the internet, academic journals, and other channels. Inequities in the availability and promotion of healthful vs. unhealthful foods and beverages and in access to safe and affordable options for physical activity in African American communities are well-documented. These inequities limit the ability to eliminate health disparities related to obesity. A scientific workshop that brings together diverse scholars, community partners, and policy makers can generate research and action strategies to address these inequities.