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.

有色人种社区因慢性病死亡的比例要高得多，这是预料之中的。 美国存在有据可查的健康不平等现象，原因是几个世纪以来对医疗保健的投资不足造成的。 要开始解决经济危机期间投资不足的问题，需要具有成本效益的、低成本的方式。 它还需要社区参与以确保吸收和可持续性。 我们建议开展以社区为重点的研究，吸收不同群体的祖先知识 有色人种社区通过跨部门合作，多层次努力解决日益扩大的健康差距。 我们变革性的“回收自然”项目的总体目标是减少生长健康 通过检查黑人、原住民和有色人种 (BIPOC) 社区的差异 这些措施旨在减少过渡时期的压力。 BIPOC，以防止他们成年后患上慢性疾病。 疾病与通过包括皮质醇在内的生物过程产生的压力有关 事实上，包括我们在内的多个研究小组正在开展研究。 自己发现，有色人种群体中端粒的侵蚀速度加快，这可能是由于种族主义和种族歧视造成的。 歧视会增加长期压力并限制获得健康问题社会决定因素（例如， 因此，我们的目标是通过增加获得这些东西的机会来减少内在压力。 可以被视为健康的社会决定因素——在公园里公平地进行体育活动。 拟议的工作以国家少数民族健康和健康差异研究所 (NIMHD) 为基础 研究框架，并通过学术界和社区研究人员之间的强有力的合作伙伴关系得以实现， 公共和私人户外专家以及政府领导人聚集在一起扩展工作。 2013 年，该倡议源于社区的行动呼吁。 从历史上看，该组织旨在让青少年参与健康和康复活动。 关系，目前领导“La Cultura Cura”（文化治愈）活动，以吸引 BIPOC 青年参与（通过 种族/族裔姐妹倡议）与自然建立健康和治愈的关系，这与自然相一致。 与户外专家合作，加大 BIPOC 社区公园参观力度，并通过研究 因此，拟议工作的一个关键创新是社区优先， 由内部人员实施和测试自然治愈干预的跨部门、多层次方法 研究人员致力于构建可持续的系统变革。 他们致力于研究四种不同文化的社区。 社区（黑人、拉丁裔、菲律宾人和太平洋岛民）测试系统变革的想法并将其制度化 作为健康公平变革性研究的一部分。