Healthy Environments Partnership: Lean & Green in Motown

健康环境合作伙伴：精益

• 批准号: 7220797
• 负责人: AMY J SCHULZ
• 金额: $ 2.27万
• 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/7220797
• 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） 肥胖是十大死因（心血管疾病、糖尿病、饮食癌症和中风）中四种的主要危险因素，在美国，肥胖的患病率在过去 20 年中急剧上升。 在经济资源匮乏的社区，建筑环境的某些方面可能不太有利于体育活动和健康饮食，使居民面临不成比例的风险。 肥胖和合并症日益严重的健康负担凸显了需要确定建筑环境影响健康的有效措施，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实现这两个目标。 具体来说，拟议的举措是： 1) 评估评估建筑环境特征的五种方法（可达性测量、测绘、邻里特征类型、观察和居民感知）的独立和集体科学贡献，以了解这些方法建筑环境影响底特律非裔美国人、西班牙裔和白人居民与肥胖及相关合并症相关的行为和生物因素； 2) 制定并实施多层次、多地点干预措施的其他组成部分，其中包括对建筑环境的修改，并以持续的社会和行为方法为基础，以促进底特律东部、西北和西南部的体育活动和获得健康食品； 3) 进行纵向分析，评估建筑环境改造的独立和累积影响，单独或与多层次、多地点的社会、信息和行为方法相结合，以促进非洲裔美国人、西班牙裔美国人和西班牙裔美国人的身体活动和获得健康食品。底特律东部、西北部和西南部的白人居民； 4) 向社区成员以及地方、区域和国家决策者传播有关建筑环境变化以及与行为和社会干预措施相结合的肥胖和相关合并症的行为和生物指标的影响的知识。