Examining Anti-Racist Healing in Nature to Protect Telomeres of Transitional Age BIPOC for Health Equity.

检查自然界的反种族主义治疗以保护过渡时代的端粒 BIPOC 实现健康公平。

• 批准号: 10792339
• 负责人: Leticia Maria MARQUEZ-MAGANA
• 金额: $ 38.73万
• 依托单位: SAN FRANCISCO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-08 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10792339
• 关键词: Acceleration; Address; Adult; Age; Biological Process; Black race; Black, Indigenous, People of Color; Cessation of life; Chronic Disease; Chronic stress; Collaborations; Color; Communities; Development; Discrimination; Economics; Education; Employment; Ensure; Ethnic Origin; Goals; Government; Growth; Health Disparities Research; Housing; Hydrocortisone; Institutionalization; Intervention; Knowledge; Latinx; Link; National Institute on Minority Health and Health Disparities; Nature; Pacific Islander; Physical activity; Privatization; Race; Research; Research Personnel; Research Priority; Resources; Sister; Specialist; Stress; System; Teenagers; Testing; United States; Visit; Work; Youth; anti-racism; children of color; community engagement; cost effective; healing; health disparity; health equity; health inequalities; innovation; intervention cost; peace; prevent; racism; recruit; social health determinants; stress reduction; telomere; tool; uptake; young adult

Deaths from chronic diseases are disproportionately higher in communities of color. This is expected given the well-documented health inequities in the United States caused by centuries-old underinvestment in their wellness. To begin to redress this underinvestment during an economic crisis requires cost-effective, low- resource interventions. It also requires community engagement to ensure uptake and sustainability. Therefore, we propose to undertake community-prioritized research that will engage ancestral knowledges from different communities of color in a multilevel effort to address growing health disparities via intersectoral collaborations. The overall goal of our transformative Reclaiming Nature project is to reduce growing health disparities in Black, Indigenous, and People of Color (BIPOC) communities through examination of culturally-appropriate interventions. These are aimed at reducing embodied stress in transitional-age BIPOC so as to prevent their development of chronic diseases as adults. The development of chronic diseases has been linked to the embodiment of stress through biological processes that include cortisol dysregulation and telomere erosion. In fact, emerging research from several research groups, including our own, finds that erosion of telomere in communities of color is accelerated. This is likely due to racism and discrimination that increase chronic stress and limits access to the social determinants of health (e.g., employment, education, housing). We thus aim to reduce embodied stress through increased access to what can be considered a social determinant of health – equitable access to physical activity in public parks. The proposed work is grounded by the National Institute of Minority Health and Health Disparities (NIMHD) Research Framework, and is enabled by strong partnerships between academic and community researchers, public and private outdoor specialists, and government leaders. They are brought together to extend the work of the Roadmap to Peace initiative. In 2013 this initiative was borne out of a community call to action following the shooting deaths of several Latinx teens. Historically it has aimed to engage youth in healthy and healing relationships, and currently leads “La Cultura Cura” (Culture Heals) efforts to engage BIPOC youth (through racial/ethnic sister initiatives) in healthy and healing relationships with, and within, nature. This aligns with the efforts of partnering outdoor specialists to increase park visits by BIPOC communities, and with the research focus for the proposed work. Thus, a key innovation of the proposed work is a community-prioritized, intersectoral, multilevel approach for implementing and testing a healing intervention in nature by insider researchers committed to building sustainable systems change. The insider researchers come from the communities being recruited to the intervention. They are committed to examining the culture of four different communities (Black, Latinx, Pilipinx, and Pacific Islander) to test and institutionalize ideas for systems change as part of transformative research for health equity.

在有色社区中，慢性疾病的死亡人数不成比例地更高。考虑到这是预期的 美国有据可查的健康不平等，由其数百年历史的不足造成 健康。为了开始在经济危机期间纠正这种投资不足需要成本效益，低 - 资源干预。它还需要社区参与以确保吸收和可持续性。所以， 我们建议进行社区优先的研究，以吸引来自不同的祖先知识 有色人种在多层次的努力中通过部门间的合作来解决不断增长的健康分布。 我们变革性回收自然项目的总体目标是减少健康状况 黑色，土著和有色人种（BIPOC）社区的差异通过检查 具有文化的干预措施。这些旨在减少过渡时代的体现应力 BIPOC，以防止其成年人的慢性疾病发展。慢性的发展 通过包括皮质醇的生物学过程，疾病与压力的实施有关 失调和端粒侵蚀。实际上，来自包括我们的几个研究小组的新兴研究 自己的，发现在有色社区中触及端粒的侵蚀得到了加速。这可能是由于种族主义和 增加慢性压力并限制对健康社会决定者的歧视（例如， 就业，教育，住房）。因此，我们旨在通过增加对什么的机会来减轻体现的压力 可以被认为是健康的社会决定因素 - 公共公园中公平的体育锻炼。这 拟议的工作是由国家少数民族健康与健康差异研究所（NIMHD）扎根的 研究框架，由学术和社区研究人员之间的牢固伙伴关系启用 公共和私人户外专家以及政府领导人。他们聚集在一起扩大工作 路线图与和平计划。 2013年，该倡议源于社区呼吁行动之后 几名拉丁裔青少年的射击死亡。从历史上看，它旨在让青年参与健康和康复 人际关系，目前领导“ La Cultura Cura”（文化治愈）努力与Bipoc青年参与 种族/族裔姐妹倡议）与自然和内部的健康和康复关系。这与 合作户外专家为增加Bipoc社区的公园访问和研究的努力 专注于拟议的工作。这是拟议工作的关键创新是一个社区优先的， 内部人员实施和测试自然治愈干预的多层次层间方法 致力于建立可持续系统变化的研究人员。内部研究人员来自 社区被招募参加干预。他们致力于研究四种不同的文化 社区（黑色，拉丁裔，皮利宾和太平洋岛民）测试和制度化系统的想法变化 作为卫生公平研究变革性研究的一部分。