Growing UIp Healthy in East Harlem (CBPR)

东哈莱姆区健康发展 UIP (CBPR)

• 批准号: 6960218
• 负责人: Mary S Wolff
• 金额: $ 15.85万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-07 至 2008-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6960218
• 关键词: African American; Hispanic Americans; body physical characteristic; child (0-11); clinical research; consumer product; diet; diphosphonate; disease /disorder proneness /risk; environmental contamination; environmental exposure; exercise; human subject; lifestyle; longitudinal human study; nutrient intake activity; nutrition related tag; obesity; outcomes research; phenols; phthalates; phytoestrogens; plastics; public health; recreation; socioenvironment; urban area; urinalysis

Description (provided by applicant): Exposure Assessment of Environmental Factors in the Urban Built Environment of East Harlem, NY. Childhood obesity has become epidemic in the U.S., especially among African-American and Latino children. East Harlem, a predominantly minority community, has the highest prevalence of obesity of any neighborhood in NYC. East Harlem community leaders, who advise the Mount Sinai Children's Environmental Health Center, including members of the East Harlem Community Health Committee, the Boriken Neighborhood Health Center and Settlement Health, have recommended that childhood obesity in East Harlem become a major Center priority. Environmental factors are increasingly acknowledged to influence development of overweight and obesity. Leaders in East Harlem have identified a series of environmental factors unique to the urban built environment that appear to be barriers to healthy lifestyles and promoters of childhood obesity. These include, paucity of play-spaces, concerns about safety, lack of fresh foods and limited opportunities for youth activities. To assess and characterize these factors, this proposed CBPR project will study structural features of the urban built environment of East Harlem with particular attention to, 1) accessibility of parks and recreational areas; 2) opportunities and spaces for physical activity; 3) safety; 4) neighborhood aesthetics; and 5) accessibility to healthy foods. The investigators also plan to examine children's exposures to contemporary-use synthetic EDs (chemicals that may alter endocrine function) in the built environment, in particular, phthalates, bisphenol A, and phytoestrogens. Recent national surveys conducted by the CDC found that residues of EDs are present almost universally in Americans, but that there exist significant disparities in body burdens by age, sex, race and ethnicity with highest levels found in children and in minorities. Sources of ED exposure appear to include diet, personal care products and plastics. The investigators plan to assess children's biological levels and environmental sources of ED exposure in the urban built environment of East Harlem, NY. This project will continue a tradition in the Center of strong partnership with the East Harlem community.

描述（由申请人提供）：纽约东哈莱姆城市建筑环境中环境因素的暴露评估。儿童肥胖症在美国已成为流行病，尤其是在非裔美国人和拉丁裔儿童中。东哈莱姆区是一个以少数族裔为主的社区，其肥胖率是纽约市所有社区中最高的。为西奈山儿童环境健康中心提供咨询的东哈莱姆社区领导人，包括东哈莱姆社区健康委员会、博里肯邻里健康中心和定居点健康中心的成员，建议将东哈莱姆区的儿童肥胖问题作为中心的主要优先事项。人们越来越认识到环境因素会影响超重和肥胖的发生。东哈莱姆区的领导人发现了一系列城市建筑环境特有的环境因素，这些因素似乎是健康生活方式的障碍和儿童肥胖的促进因素。这些问题包括游乐空间匮乏、安全问题、缺乏新鲜食品以及青少年活动机会有限。为了评估和表征这些因素，拟议的 CBPR 项目将研究东哈林区城市建筑环境的结构特征，特别关注：1）公园和休闲区的可达性； 2）身体活动的机会和空间； 3）安全； 4）邻里美学； 5) 获得健康食品。研究人员还计划检查儿童在建筑环境中接触现代合成 ED（可能改变内分泌功能的化学物质）的情况，特别是邻苯二甲酸盐、双酚 A 和植物雌激素。最近的国家 CDC 进行的调查发现，ED 残留几乎普遍存在于 美国人，但不同年龄、性别、种族和民族的身体负担存在显着差异，其中儿童和少数族裔的水平最高。 ED 暴露来源似乎包括饮食、个人护理产品和塑料。研究人员计划评估纽约州东哈莱姆区城市建筑环境中儿童的生物水平和 ED 暴露的环境来源。该项目将延续中心与东哈莱姆社区强有力的合作伙伴关系的传统。