Community Child Health Network: Baltimore

社区儿童健康网络：巴尔的摩

• 批准号: 7151113
• 负责人: MAXINE VANCE
• 金额: $ 49.26万
• 依托单位: BALTIMORE CITY HEALTHY START, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-15 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7151113
• 关键词: African American; Area; Asthma; Baltimore; Behavioral; Birth; Child; Child Development; Child Language; Child health care; Cities; Cognitive; Cohort Studies; Communities; Community Health Networks; Community Outreach; Community Participation; Conceptions; County; Data Analyses; Development; Disease; District of Columbia; Economic Factors; Enrollment; Etiology; Exposure to; Family; Fathers; Fetal Growth Retardation; Fostering; Future; Growth; Health behavior; Healthcare; Hispanics; Intervention Studies; Language; Language Development; Life; Live Birth; Longitudinal Studies; Los Angeles; Low income; Maps; Measurement; Measures; Mediating; Mental Health; Monitor; Mothers; Multiple Pregnancy; Nature; Neighborhoods; North Carolina; Not Hispanic or Latino; Outcome; Outcomes Research; Overweight; Parenting behavior; Parents; Pathway interactions; Patient currently pregnant; Perinatal; Phase; Pregnancy; Pregnancy Interval; Pregnancy Outcome; Pregnancy Trimesters; Premature Birth; Prematurity of fetus; Preventive Intervention; Research; Research Design; Research Methodology; Research Personnel; Respiratory physiology; Risk; Risk Factors; Role; Rural; Science; Services; Site; Specific qualifier value; Specificity; Strategic Planning; Stress; Testing; Thinking; Time; Universities; allostatic load; base; cohort; community based participatory research; community living; concept; design; early childhood; early onset; experience; fetal programming; health disparity; improved; innovation; insight; multidisciplinary; postnatal; prenatal; programs; psychosocial; racial and ethnic; racial and ethnic disparities; racism; resilience; social; systemic intervention; theories

DESCRIPTION (provided by applicant): The Community Child Health Network (CCHN) Phase II research proposes to: (1) advance understanding of the combined biomedical, social, behavioral, and environmental influences on the course of prenatal development, pregnancy outcome, and early child development, particularly in physical growth, respiratory function, and language development. CCHN proposes a 5-site, longitudinal study of 2 integrated cohorts: a Birth Cohort Study of 5250 families (1050 per site) followed by a Subsequent Birth Study (38 percent of mothers expected to have a subsequent live birth). These studies focus on the role of stress and allostatic load, as moderated by resilience and supports, on pregnancy outcome, fetal programming, and child development outcomes of prematurity/intrauterine growth restriction, overweight, asthma, and language and cognitive development; and (2) to develop and document active community participation in all phases of the study through community based participatory research (CBPR) in the community-academic partnerships (CAPs). The findings are intended to advance theory about the etiology and impact of health disparities related to pregnancy and early childhood outcomes, as well as inform the design of future preventive interventions. Innovative features include: 1) focus on the inter- and pre-conception period; 2) combining biomedical and psychosocial indicators and outcomes within an integrated conceptual framework; 3) multidisciplinary measures of resilience and supports as well as risks; 4) including fathers as integral to both pregnancy and child health outcomes; and 5) a participatory research partnership of the community and university at local sites and the national network. CCHN: Baltimore is comprised of the community-based Baltimore City Healthy Start, Inc. and academic partners from Johns Hopkins University and the University of Toronto. The strengths of CCHN: Baltimore include extensive experience and expertise in community outreach, CBPR, Concept Mapping, stress and allostatic load, resilience and support, preterm birth, racial-ethnic disparities in perinatal outcomes, and research methodologies including study design, measurements and data analyses. CCHN: Baltimore will enroll and follow 1050 families (70 percent African-American, 10 percent Hispanic, 20 percent non- Hispanic White; and 80 percent poor and near-poor) residing in selected areas of Baltimore City.

描述（由申请人提供）：社区儿童健康网络（CCHN）第二阶段研究提出：（1）提前了解生物医学，社会，行为和环境的组合对产前发展，妊娠结局和早期儿童发展的影响，尤其是在身体成长，呼吸功能和语言发展方面。 CCHN提出了2个综合队列的5个站点的纵向研究：一项针对5250个家庭的出生队列研究（每个站点1050个），然后进行随后的出生研究（预计有38％的母亲预计将有后期出生）。这些研究着重于应激和同性载荷的作用，这是由于韧性和支持，对怀孕结果，胎儿编程以及早产的儿童发展结果的主持/宫内内生长限制，超重，哮喘以及语言和认知发展； （2）通过基于社区的参与性研究（CBPR）在社区学术伙伴关系（CAPS）中开发和记录研究社区的各个阶段。这些发现旨在推进有关与怀孕和幼儿结局有关的健康差异的病因和影响的理论，并为未来的预防干预措施设计。创新特征包括：1）关注概念和概念前时期； 2）将生物医学和社会心理指标和结果结合在一个综合的概念框架中； 3）弹性和支持的多学科措施以及风险； 4）包括父亲，是怀孕和儿童健康成果不可或缺的一部分； 5）社区和大学在本地网站和国家网络的参与研究合作伙伴关系。 CCHN：巴尔的摩由社区的巴尔的摩市健康起步公司和约翰·霍普金斯大学和多伦多大学的学术合作伙伴组成。 CCHN：巴尔的摩的优势包括社区外展，CBPR，概念映射，压力和同性恋负载，韧性和支持，早产，围产期成果中的种族种族差异以及包括研究设计，测量和数据分析在内的研究方法中的丰富经验和专业知识。 CCHN：巴尔的摩将居住在巴尔的摩市选定地区的1050个家庭（70％的非裔美国人，10％的西班牙裔，20％的非西班牙裔白人和80％的贫穷和近贫困）。