Healthy Environments Partnership: Lean & Green in Motown

健康环境合作伙伴：精益

• 批准号: 7001802
• 负责人: AMY J SCHULZ
• 金额: $ 63.29万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-19 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7001802
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; blood pressure; body physical activity; cholesterol; clinical research; community planning; comorbidity; epidemiology; geographic site; glucose; health behavior; health disparity; human subject; information dissemination; longitudinal human study; nutrient intake activity; obesity; perception; socioenvironment

DESCRIPTION (provided by applicant) The prevalence of obesity, a major risk factor for four of the ten leading causes of death (cardiovascular disease, diabetes, dietary cancers, and stroke), has risen dramatically over the past 20 years in the United States. In neighborhoods with few economic resources, aspects of the built environment may be less conducive to physical activity and healthy diets, placing residents disproportionately at risk. The growing health burden of obesity and co-morbidities highlight the need to identify effective measures of the means by which the built environment influences health, as well as effective interventions to create healthier environments. The longitudinal study proposed here will contribute to both of these goals. Specifically, the proposed initiative is to: 1) Assess independent and collective scientific contributions of five methods of assessing characteristics of the built environment (measures of accessibility; mapping; typologies of neighborhood characteristics; observation; and residents' perceptions) for understanding the means by which the built environment influences behavioral and biological factors associated with obesity and related co-morbidities among African American, Hispanic and white residents of Detroit; 2) Develop and implement additional components of a multilevel, multi-site intervention that incorporates modifications of the built environment and that builds on ongoing social and behavioral approaches to promote physical activity and access to healthy foods in eastside, northwest and southwest Detroit; 3) Conduct longitudinal analyses to evaluate the independent and cumulative effects of modifications of the built environment, alone and in conjunction with multilevel, multi-site social, informational and behavioral approaches to promote physical activity and access to healthy foods among African American, Hispanic and white residents of eastside, northwest and southwest Detroit; and 4) Disseminate knowledge gained about the implications of changes in the built environment alone, and in conjunction with behavioral and social interventions, for behavioral and biological indicators of obesity and related co-morbidities to community members and to local, regional and national decision makers.

描述（由申请人提供） 在过去20年中，肥胖症的患病率是十种主要死亡原因中的四个（心血管疾病，糖尿病，饮食癌和中风）的主要危险因素，在过去的20年中在美国急剧上升。 在几乎没有经济资源的社区中，建筑环境的各个方面可能不太有利于体育锻炼和健康饮食，使居民面临不成比例的风险。 肥胖和合并症的健康负担不断增长，这凸显了确定建筑环境影响健康的手段的有效措施的必要性以及创造更健康环境的有效干预措施。 这里提出的纵向研究将有助于这两个目标。 具体而言，拟议的计划是：1）评估五种评估建筑环境特征的独立和集体科学贡献（可访问性的度量；映射；邻里特征的类型；观察和居民的类型论；以及居民的看法；以及居民的感知），以理解建筑环境环境和居民与肥胖和相关居民居住的行为和相关居民的居民和非洲人的居民和居住的居民和居民的居民和白人的居民和美国裔美国人的居民和居住的妇女及其在他人中的居住。 2）开发和实施多个多站点干预的其他组成部分，该组件结合了建筑环境的修改，并建立在正在进行的社会和行为方法的基础上，以促进体育锻炼并获得东区，西北和西南底特律的健康食品； 3）进行纵向分析，以评估单独的以及与多层次，多层社会，信息和行为方法的独立和累积效应，并结合多层次的社会，信息和行为方法，以促进非裔美国人，西班牙裔和西班牙裔和西北居民，西北和西南底特律的非洲裔美国人，西班牙裔和白人居民之间的健康食品； 4）传播有关仅建筑环境变化的含义，以及与行为和社会干预措施的含义有关的知识，这些知识是肥胖和相关的合并症的行为和生物学指标，对社区成员以及地方，地区和国家决策者。