A Community Academic Partnership to Prevent Obesity in Mexican-American Immigrant Families

预防墨西哥裔美国移民家庭肥胖的社区学术合作伙伴关系

• 批准号: 9001766
• 负责人: Karen Therese D'Alonzo
• 金额: $ 2.8万
• 依托单位: RUTGERS THE STATE UNIV OF NJ NEWARK
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-07 至 2018-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9001766
• 关键词: Acculturation; Address; Adult; Advisory Committees; American; Area; Awareness; Behavioral; Biological; Cardiovascular Diseases; Cause of Death; Cessation of life; Child; Childhood; Chronic; Cities; Collaborations; Communities; Community Health; Community Outreach; Community Practice; Development; Diabetes Mellitus; Diagnosis; Dietary Practices; Disease; Education; Educational workshop; Environment; Etiology; Event; Exposure to; Family; Food; Generations; Health; Health Personnel; Health education; Hispanics; Home environment; Immigrant; Immigration; Indigenous; Individual; Intervention; Knowledge; Latino; Learning; Life; Life Cycle Stages; Literature; Metabolic syndrome; Methods; Mexican; Mexican Americans; Modeling; New Brunswick; New Jersey; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Nutritional; Obesity; Onset of illness; Overweight; Perception; Perinatal; Physical activity; Population; Prevalence; Prevention Measures; Preventive; Preventive Intervention; Public Health; Recording of previous events; Research Personnel; Resources; Risk; Risk Factors; Series; Social Conditions; Stress; Subgroup; Target Populations; Time; Underserved Population; United States National Institutes of Health; Universities; Vulnerable Populations; Weight Gain; Woman; Work; base; biopsychosocial; cardiovascular disorder risk; design; early childhood; experience; grandchild; health disparity; healthy weight; high risk; improved; meetings; member; obesity management; obesity risk; outreach; pandemic disease; prevent; programs; psychologic; psychosocial; public health relevance; skills; social; symposium; therapy design; trend

 DESCRIPTION (provided by applicant): Obesity is now the leading cause of preventable death in the US and has been strongly associated with 3 of the top 10 causes of death. Although weight gain is common following immigration, Mexican-Americans (the largest subgroup of Hispanic immigrants) have a disparate prevalence of overweight and obesity (78.8%), as compared to 66.7% for non-Hispanic Whites, and the risk of excess weight increases exponentially with the amount of time living in the US. Literature suggests the cardioprotective mechanisms often referred to as components of the "Hispanic paradox" largely disappear by the 2nd and 3rd generation of Mexican-Americans. Thus, the risk for obesogenic diseases such as cardiovascular disease (CVD) and Type 2 diabetes mellitus (DM) among the children and grandchildren of immigrants meets or exceeds that of US born non-Hispanics. The city of New Brunswick, NJ is home to both the flagship campus of Rutgers, The State University of New Jersey (RU) and a growing population of Mexican immigrants. Following a period of unprecedented migration in the 2000s, it is currently estimated that 40-50% of the full-time residents of New Brunswick are immigrant families from the poorest Mexican states, especially Oaxaca. Rates of overweight and obesity among Mexican immigrants and their families in New Brunswick are high, often higher than the national average. Community residents, health care providers and academicians working in New Brunswick all agree that obesity and the escalating risk for CVD and T2DM are the biggest public health threats to the community in general and to Mexican immigrant families in particular. This proposal represents the efforts of Rutgers University Greater New Brunswick Community Health Collaborative and the Health Task Force of New Brunswick Tomorrow (NBT), a community coalition of over 30 individual and community members, to develop a comprehensive academic community partnership to reduce the excess risk of obesity among Mexican immigrants in New Brunswick. The proposal is informed by a syndemic perspective to the management of obesity, which acknowledges the interaction of various biopsychosocial factors and social conditions to impact community health concerns such as obesity. Accordingly, the proposal emphasizes a life course approach to obesity, since it has been demonstrated that the presence of adverse biological, psychological and social childhood events can increase the risk of obesity among children and adults. The proposal is informed by and builds on a history of successful academic- community collaborations in New Brunswick among underserved populations. Objectives of the proposal are: 1)To develop the knowledge and skills in CBPR methods of the scholars and community stakeholder groups through co-planning and convening a series of conferences and workshops that facilitate bi-directional learning of methods of mutual engagement through CBPR methods over a 3-year period; 2) To examine community-defined causes and correlates of obesity among Mexican-Americans and barriers to accessing preventive/health protective resources, including intra-personal, inter-personal, and contextual resources and incorporate "community wisdom" into study plans and intervention designs; and 3) to identify and implement community-defined priorities for preventive interventions that can address obesogenic factors unique to the target population. To achieve these objectives, a series of formal academic/community sessions, Community Advisory Board meetings, townhall style charlas, and skill building workshops are planned over the three year period, stressing the use of co-learning strategies, a Communities of Practice model and popular education approaches. The end result of this project will be the development and submission of an R03 application for a community partnered intervention to reduce obesity among Mexican immigrant families.

 描述（由适用提供）：肥胖症现在是美国可预防死亡的主要原因，并且与前十名死亡原因中的3个密切相关。尽管移民后体重增加是普遍的，但墨西哥裔美国人（西班牙裔移民的最大亚组）的超重和肥胖症患病率（78.8％）（78.8％），而非西班牙裔白人的66.7％，而超重的风险则增加了我们在我们中的时间的指数增加。文献表明，墨西哥裔美国人第二代和第三代人在很大程度上消失了“西班牙裔悖论”的心脏保护机制。这就是肥胖疾病（例如心血管疾病（CVD）和2型糖尿病（DM）的风险，移民的儿童和孙子遇到或超过了我们出生的非西班牙裔。新泽西州新不伦瑞克省市是罗格斯（Rutgers）旗舰校园，新泽西州立大学（RU）和墨西哥移民越来越多的人。在2000年代的前所未有的移民时期之后，目前估计有40％至50％的新不伦瑞克省的全职居民是来自墨西哥最贫穷国家的移民家庭，尤其是瓦哈卡州。墨西哥移民及其家人在新不伦瑞克省的超重和肥胖率很高，通常高于全国平均水平。在新不伦瑞克省工作的社区居民，卫生保健提供者和院士都同意，肥胖和CVD和T2DM的升级风险是对整个社区的最大公共卫生威胁，尤其是对墨西哥移民家庭。该提案代表了罗格斯大学大型新不伦瑞克社区健康合作伙伴和新不伦瑞克省明天的卫生工作组的努力，新不伦瑞克省明天（NBT）是一个由30多名个人和社区成员组成的社区联盟，以建立全面的学术社区合作伙伴关系，以减少新墨西哥移民在新brunswick墨西哥移民中肥胖的过剩风险。该提案是通过对肥胖管理的综合观点来告知的，该观点承认各种生物心理社会因素和社会状况的相互作用，以影响社区健康问题，例如肥胖。根据该提议强调了肥胖的生命过程，因为已经证明，先进的生物学，心理和社会儿童事件的存在可以增加儿童和成人的肥胖风险。该提案是由新不伦瑞克省在服务不足的人口中成功的学术社区合作的历史来告知的。该提案的目标是：1）通过共同计划和召集一系列的会议和讲习班来发展学者和社区利益相关者群体中CBPR方法的知识和技能，从而在三年内通过CBPR方法促进互动方法的双向学习； 2）检查墨西哥裔美国人之间的社区定义原因和肥胖相关性，以及获得预防/健康保护资源的障碍，包括个人内部，个人际和上下文资源，并将“社区智慧”纳入研究计划和干预设计中； 3）识别和实施社区定义的优先级，以解决可以解决目标人群独有的肥胖因素的预防干预措施。为了实现这些目标，计划在三年内计划使用一系列正式的学术/社区会议，社区咨询委员会会议，联排别墅风格的Charlas和技能建设研讨会，强调使用共同学习策略，实践模型和受欢迎的教育方法的使用。该项目的最终结果将是开发和提交R03申请，以减少墨西哥移民家庭中肥胖症的社区合作干预措施。