Academic-Community Partnership to Reduce Health Disparities in Infant Mortality

学术界与社区合作减少婴儿死亡率的健康差异

• 批准号: 8458415
• 负责人: Charles Devine
• 金额: $ 2.98万
• 依托单位: SHENANDOAH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-26 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8458415
• 关键词: Address; Affinity; Agreement; Area; Birth; Caring; Cessation of life; Cities; Communities; Community Outreach; County; Educational workshop; Fostering; Future; Goals; Group Interviews; Health; Health Resources; Health Status; Health education; Healthy People 2010; Infant; Infant Health; Infant Mortality; Institution; Intervention; Interview; Medical; Methods; Mission; Outcome; Perception; Process; Public Health; Public Health Practice; Publishing; Research Project Grants; Resource Sharing; Resources; Rural; Schedule; Structure; Transcend; Trust; United States Dept. of Health and Human Services; Universities; Virginia; Work; base; community based participatory research; community organizations; experience; health disparity; health organization; improved; innovation; interest; medically underserved; member; peer; population health; public health priorities; racial and ethnic; racial and ethnic disparities; socioeconomics; statistics

DESCRIPTION (provided by applicant): Among the most important population health indicators is the infant mortality rate (IMR) as a reflection of Virginia's overall health status ad access to quality medical care. Virginia has historically had higher IMRs than the national average (VDH Health Statistics 2012) and substantial racial/ethnic disparities remain between Black and White infants (14.4 and 6.1 deaths per 1,000 births for Blacks and Whites, respectively 2002-2006; VDH Health Statistics 2012) and across socioeconomic and rural/urban gradients. The use of community-based participatory research (CBPR) in public health is increasingly recognized as an integral part of effecting change at the community level. We propose to use innovative methods and published best practices to form a community coalition comprised of an academic institution, Shenandoah University (SU), a local health department (Lord Fairfax Health District (LFHD) of the Virginia Department of Health (VDH)), organizations with a mission in improving the health and interests of the relevant communities, trusted community members, and peer leaders of traditionally underrepresented communities to develop a collaborative, equitable partnership whose mission is to begin a dialogue on effective methods of community outreach and community perceptions of infant mortality. We have strategically chosen to focus our efforts on three regions within LFHD: Winchester city (WC), Frederick county (FC), and Page county (PC), representing residents residing in a diverse socioeconomic urban setting (WC), a medically underserved rural setting (PC), and a partially rural, medically underserved, region nearest the University (FC). The activities of the coalition will help community organizations determine best practices in addressing infant mortality in varying community contexts; request assistance; share resources; and in doing so, develop a collective culture to address infant mortality. One outcome of the coalition will be workshops to provide health education to communities in LFHD. This collaborative coalition will also have an Advisory Board whose overarching goal will be maintaining the ongoing interactive community coalition that transcends the tasks of this academic-community partnership project. This newly formed coalition and advisory board will culminate in a memorandum of understanding between SU (grantee institution), VDH LFHD, community organizations and trusted community members for the purpose of carrying out a CBPR project to address health disparities in infant mortality in the local region. There is currently a great need to use community-based methods to address a long-standing public health problem, infant mortality, where substantial health disparities persist and for which there are no current collaborative community partnerships in this region. PUBLIC HEALTH RELEVANCE: This project is a clear example of public health practice at work. The overarching goal is to develop a community-based coalition for developing a collaborative capacity for addressing two national public health priorities, reducing infant mortality and eliminating health disparities, as evidenced by their inclusion in the U.S. Department of Health and Human Services Healthy People 2010 and 2020 objectives. Furthermore, the equitable involvement of academics, community-based organizations and community members in developing interventions for public health is critical to fostering healthy communities.

描述（由申请人提供）：最重要的人口健康指标之一是婴儿死亡率（IMR），它反映了弗吉尼亚州的整体健康状况和获得优质医疗服务的情况。弗吉尼亚州的 IMR 历来高于全国平均水平（VDH 健康统计数据 2012），黑人和白人婴儿之间仍然存在巨大的种族/民族差异（2002-2006 年，黑人和白人每 1,000 名新生儿中分别有 14.4 例和 6.1 例死亡；VDH 健康统计数据 2012 年） ）并跨越社会经济和农村/城市梯度。在公共卫生领域使用基于社区的参与性研究（CBPR）越来越被认为是在社区层面实现变革的一个组成部分。我们建议使用创新方法和已发布的最佳实践来组建一个社区联盟，该联盟由学术机构谢南多厄大学 (SU)、当地卫生部门（弗吉尼亚卫生部 (VDH) 的费尔法克斯勋爵卫生区 (LFHD)）、以改善相关社区、值得信赖的社区成员和传统上代表性不足社区的同行领袖的健康和利益为使命的组织，以发展一种协作、公平的伙伴关系，其使命是就社区外展的有效方法和社区对社区的看法展开对话婴儿死亡率。我们战略性地选择将工作重点放在 LFHD 内的三个地区：温彻斯特市 (WC)、弗雷德里克县 (FC) 和佩吉县 (PC)，代表居住在多元化社会经济城市环境 (WC)、医疗服务不足的农村地区的居民环境（PC），以及距离大学最近的部分农村、医疗服务不足的地区（FC）。该联盟的活动将帮助社区组织确定解决不同社区环境中婴儿死亡率的最佳做法；请求帮助；共享资源；并在此过程中发展一种集体文化来解决婴儿死亡率问题。该联盟的成果之一是举办研讨会，向 LFHD 社区提供健康教育。该合作联盟还将设立一个咨询委员会，其总体目标是维持持续的互动社区联盟，该联盟超越了该学术社区合作项目的任务。这个新成立的联盟和咨询委员会最终将在 SU（受资助机构）、VDH LFHD、社区组织和值得信赖的社区成员之间达成一份谅解备忘录，旨在开展 CBPR 项目，解决婴儿死亡率方面的健康差异。 当地区域。目前非常需要使用基于社区的方法来解决长期存在的公共卫生问题，即婴儿死亡率，因为该问题仍然存在巨大的健康差距 目前该地区还没有社区合作伙伴关系。 公共卫生相关性：该项目是公共卫生实践在工作中的一个明显例子。总体目标是建立一个以社区为基础的联盟，以发展协作能力，解决两个国家公共卫生优先事项，即降低婴儿死亡率和消除健康差距，这一点已被纳入美国卫生与公共服务部 2010 年健康人口和2020 年目标。此外，学术界、社区组织和社区成员公平参与制定公共卫生干预措施对于培育健康社区至关重要。