Addressing Systemic Barriers Impacting Health in CHC Communities

解决影响 CHC 社区健康的系统性障碍

• 批准号: 10781469
• 负责人: Andrea Caracostis
• 金额: $ 112.37万
• 依托单位: ASIAN AMERICAN HEALTH COALITION/HOUSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-21 至 2028-09-20
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10781469
• 关键词: Address; Area; Asian Americans; Awareness; Behavior; Black race; Chest; Child; Clinic; Communication; Communities; Disparity population; Ensure; Environment; Equity; Evidence based intervention; Family; Food; Health; Height; Hispanic; Individual; Inequity; Intention; Intervention; Lasers; Learning; Longevity; Measurement; Measures; Methodological Studies; Methodology; Mission; Nutritional; Outcome; Pacific Islander; Personal Satisfaction; Persons; Phase; Policies; Population; Prejudice; Preparation; Process; Process Assessment; Research; Research Methodology; Resistance; Sea; Secure; Source; Texas; Theory of Change; United States Department of Agriculture; Universities; Work; children of color; community engagement; community involvement; community transmission; ethnic diversity; experience; food insecurity; health disparity; health equity; health inequalities; improved; innovation; insight; marginalization; member; pandemic disease; programs; racial diversity; systemic barrier; tool

ComPASS: Community-Led, Health Equity Structural Intervention Initiative (OT2): Texas HOPE: Together Dissolving Food Insecurity Structural Barriers Abstract The Asian American Health Coalition of the Greater Houston Area dba HOPE Clinic and our partners share the mission of health and wellbeing equity for everyone without prejudice. In our proposal, “Texas HOPE: Together Dissolving Food Insecurity Structural Barriers,” we declare our commitment to ending food insecurity, an intractable harm endured by our most vulnerable and marginalized families and individuals. In our study region, Texas’ greater Houston area, approximately 695,310 individuals endure food insecurity, including 1 in 5 children. Food insecurity disproportionally impacts disadvantaged groups, who represent 80% of the population in our areas: 45% Hispanic, 23.5% Black, and 12.2% Asian American or Pacific Islander. Using an authentic community engagement participatory process, we will establish a CHESI Collaborative of partners and use the Precede Proceed approach to plan and develop our structural intervention CHESI study. Together, will we engage stakeholders and those with lived experience to provide their perspectives and insight on food insecurity structural barriers, complete a community assessment, and consider interventions. Concurrently, the CHESI Collaborative will devise a sustainability plan that will ensure the intervention persists. With our local HERA, we will compile multisource evidence, examine intervention options, and identify health and wellbeing measures most influenced by food insecurity. The CHESI Collaborative will again reach out to our community, garnering input on the draft intervention and implementation plan. Community involvement will provide pivotal insight on considerations and potential challenges for the successful rollout of the intervention. In preparation for Phase 2, HERA will devise a rigorous research methodology that best suits the intervention.

指南针：社区主导的健康公平结构干预计划（OT2）： 德克萨斯希望：消除食物不安全感结构性障碍 抽象的 大休斯顿地区的亚裔美国人卫生联盟DBA希望诊所和我们 合作伙伴为每个人分享健康和福利公平的使命。在我们的 提案，“德克萨斯希望：共同消除粮食不安全的结构性障碍”，我们宣布 致力于消除粮食不安全感的承诺，这是我们最脆弱和最脆弱和 边缘化的家庭和个人。在我们的研究区，德克萨斯州的大休斯顿地区， 大约有695,310个人忍受了粮食不安全，其中包括五分之一的儿童。食物 不安全感不成比例地影响弱势群体，他们占80％的人口 在我们地区：45％的西班牙裔，黑色23.5％和12.2％的亚裔岛民或太平洋岛民。使用一个 真实的社区参与参与过程，我们将建立Chesi合作 合作伙伴并使用先前的进展方法来计划和发展我们的结构 干预切西研究。我们会一起吸引利益相关者和具有现场经验的人 为了提供他们对粮食不安全结构障碍的看法和见解，请完成 社区评估并考虑干预措施。同时，Chesi合作将 制定一项可持续性计划，以确保干预措施持续下去。与我们当地的Hera一起，我们将 编译多源证据，检查干预选择并确定健康和福祉 受粮食不安全影响最大的措施。 Chesi合作将再次与我们联系 社区，获得有关干预和实施计划草案的意见。社区 参与将为考虑因素和潜在挑战提供关键的见解 成功推出干预措施。为了准备第二阶段，赫拉将设计严格 最适合干预的研究方法。