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.

ComPASS：社区主导的健康公平结构干预计划 (OT2)： 德克萨斯州希望：共同消除粮食不安全的结构性障碍 抽象的 大休斯顿地区亚裔美国人健康联盟 dba HOPE 诊所和我们的 合作伙伴在不存在偏见的情况下共同承担为每个人提供健康和福祉的公平使命。 提案“德克萨斯希望：共同消除粮食不安全结构性障碍”，我们宣布我们的 致力于结束粮食不安全，这是我们最脆弱和最脆弱群体所遭受的棘手伤害 在我们的研究地区，德克萨斯州大休斯顿地区，边缘化的家庭和个人， 大约 695,310 人面临粮食不安全，其中包括五分之一的儿童。 不安全状况对占人口 80% 的弱势群体造成不成比例的影响 在我们的地区：45% 是西班牙裔，23.5% 是黑人，12.2% 是亚裔美国人或太平洋岛民。 真正的社区参与参与过程，我们将建立一个 CHESI Collaborative 合作伙伴并使用 Precede Proceed 方法来规划和开发我们的结构 我们将共同让利益相关者和有生活经验的人参与干预 CHESI 研究。 提供他们对粮食不安全结构性障碍的观点和见解，完成一份 同时，CHESI 合作组织将进行社区评估并考虑干预措施。 我们将与当地的 HERA 一起制定可持续发展计划，确保干预措施持续下去。 汇编多源证据、检查干预方案并确定健康和福祉 CHESI 合作组织将再次联系我们。 社区，收集有关干预措施草案和实施计划的意见。 参与将提供关于考虑因素和潜在挑战的重要见解 为了准备第二阶段，HERA 将制定严格的干预措施。 最适合干预的研究方法。