Community Child Health Network: Baltimore

社区儿童健康网络：巴尔的摩

• 批准号: 7683937
• 负责人: MAXINE VANCE
• 金额: $ 48.49万
• 依托单位: BALTIMORE CITY HEALTHY START, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-15 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7683937
• 关键词: African American; Area; Asthma; Baltimore; Behavioral; Birth; Child; Child Development; Child Language; Child health care; Cities; Cognitive; Cohort Studies; Communities; Community Networks; Community Outreach; Community Participation; Conceptions; County; Data Analyses; Development; Disease; District of Columbia; Economic Factors; Enrollment; Etiology; Exposure to; Family; Fathers; Fetal Growth Retardation; Fostering; Future; Growth; Health Services Accessibility; Health behavior; Healthcare; Hispanics; Intervention Studies; Language; Language Development; Life; Longitudinal Studies; Los Angeles; Low income; Maps; Measurement; Measures; Mediating; Mental Health; Monitor; Mothers; Multiple Pregnancy; Nature; Neighborhoods; North Carolina; Not Hispanic or Latino; Outcome; Outcomes Research; Overweight; Parenting behavior; Parents; Pathway interactions; Perinatal; Phase; Pregnancy; Pregnancy Interval; Pregnancy Outcome; Pregnancy Trimesters; Premature Birth; Preventive Intervention; Research; Research Design; Research Methodology; Research Personnel; Respiratory physiology; Risk; Risk Factors; Role; Rural; Science; Services; Site; Specific qualifier value; Specificity; Strategic Planning; Stress; Testing; Time; Universities; allostatic load; base; cohort; community based participatory research; community living; design; early childhood; early onset; experience; fetal programming; health disparity; improved; innovation; insight; multidisciplinary; postnatal; pregnant; premature; prenatal; programs; psychosocial; racial and ethnic; racial and ethnic disparities; racism; resilience; social; suburb; systemic intervention; theories

The Community Child Health Network (CCHN) Phase II research proposes to: (1) advance understanding of the combined biomedical, social, behavioral, and environmental influences on the course of prenatal development, pregnancy outcome, and early child development, particularly in physical growth, respiratory function, and language development. CCHN proposes a 5-site, longitudinal study of 2 integrated cohorts: a Birth Cohort Study of 5250 families (1050 per site) followed by a Subsequent Birth Study (38% of mothers expected to have a subsequent livebirth). These studies focus on the role of stress and allostatic load, as moderated by resilience and supports, on pregnancy outcome, fetal programming, and child development outcomes of prematurity/intrauterine growth restriction, overweight, asthma, and language and cognitive development; and (2) to develop and document active community participation in all phases of the study through community based participatory research (CBPR) in the community-academic partnerships (CAPs). The findings are intended to advance theory about the etiology and impact of health disparities related to pregnancy and early childhood outcomes, as well as inform the design of future preventive interventions. Innovative features include: 1) focus on the inter- and pre-conception period; 2) combining biomedical and psychosocial indicators and outcomes within an integrated conceptual framework; 3) multidisciplinary measures of resilience and supports as well as risks; 4) including fathers as integral to both pregnancy and child health outcomes; and 5) a participatory research partnership of the community and university at local sites and the national network. CCHN: Baltimore is comprised of the community-based Baltimore City Healthy Start, Inc. and academic partners from Johns Hopkins University and the University of Toronto. The strengths of CCHN: Baltimore include extensive experience and expertise in community outreach, CBPR, Concept Mapping, stress and allostatic load, resilience and support, preterm birth, racial-ethnic disparities in perinatal outcomes, and research methodologies including study design, measurements and data analyses. CCHN: Baltimore will enroll and follow 1050 families (70% African-American, 10% Hispanic, 20% non- Hispanic White; and 80% poor and near-poor) residing in selected areas of Baltimore City.

社区儿童健康网络（CCHN）II期研究提出：（1）提前了解 生物医学，社会，行为和环境的组合对产前的影响 发育，妊娠结局和早期儿童发育，尤其是身体成长，呼吸道 功能和语言发展。 CCHN提出了2个综合队列的5个站点的纵向研究：A 对5250个家庭（每个站点1050）的出生队列研究，然后进行随后的出生研究（38％的母亲 预计将有一个随后的Livebirth）。这些研究集中于压力和同性载荷的作用， 由韧性和支持，妊娠结局，胎儿编程和儿童发展的主持 早产的结果/宫内生长限制，超重，哮喘以及语言和认知 发展; （2）在研究的各个阶段发展和记录积极的社区参与 通过基于社区的参与性研究（CBPR）在社区学术伙伴关系（CAPS）中。 这些发现旨在推进有关与健康差异有关的病因和影响的理论 怀孕和幼儿结局，并为未来的预防干预措施设计。 创新特征包括：1）关注概念和概念前时期； 2）结合生物医学和 综合概念框架内的社会心理指标和结果； 3）多学科 韧性和支持的措施以及风险； 4）包括父亲是怀孕和 儿童健康结果； 5）在当地社区和大学的参与研究合作伙伴关系 网站和国家网络。 CCHN：巴尔的摩由基于社区的巴尔的摩市组成 Healthy Start，Inc。和Johns Hopkins大学和多伦多大学的学术合作伙伴。这 CCHN的优势：巴尔的摩包括社区外展方面的丰富经验和专业知识，CBPR， 概念映射，压力和同层负荷，韧性和支持，早产，种族与种族差异 围产期结果和研究方法，包括研究设计，测量和数据分析。 CCHN：巴尔的摩将参加并关注1050个家庭（70％的非裔美国人，10％西班牙裔，20％非 - 西班牙裔白色；居住在巴尔的摩市选定地区的80％贫困和近日）。