Lewis Katz School of Medicine, Temple University, 3440 North Broad Street, Kresge East, Room 211, Philadelphia, PA, 19140, USA.
Lewis Katz School of Medicine, Temple University, 3440 North Broad Street, Kresge East, Room 245, Philadelphia, PA, 19140, USA.
Int J Public Health. 2019 Sep;64(7):1107-1115. doi: 10.1007/s00038-019-01267-4. Epub 2019 Jun 20.
Many academic medical centers are positioned amidst disadvantaged urban neighborhoods in which healthcare services are underutilized, participation in research studies is low, and need for health improvement is vast. The goal of Temple Health: Block-by-Block (THB) is to establish a sustainable cohort of Philadelphia residents engaged in individual and community health improvement through health research.
Recruitment of a population-based sample from 11 Philadelphia zip codes began in August 2015. The cornerstone of the project is the in-home, biannual assessment of each subject.
The first-year goal of 1000 enrolled subjects was met. Greater than 90% of subjects represent minority racial or ethnic groups; average age is 46 years; 65% of subjects have a high school education or less. A high burden of health conditions exists including obesity (54%), smoking (41%), hypertension (44%), and diabetes (17.8%).
THB provides a research infrastructure to promote community participation in a health improvement initiative from which future translational research, health education and preventive services will emanate. The launch of this cohort study has provided extensive lessons regarding urban community-based research and health promotion initiatives.
许多学术医学中心都位于医疗服务利用率低、参与研究活动率低、需要改善健康的弱势城市社区中。Temple Health: Block-by-Block（THB）的目标是通过健康研究，建立一个可持续的、参与个人和社区健康改善的费城居民群体。
从 2015 年 8 月开始，从费城的 11 个邮政编码中招募了一个基于人群的样本。该项目的基石是对每个受试者进行家庭式、每半年一次的评估。
第一年的 1000 名入组受试者目标已经实现。超过 90%的受试者是少数族裔；平均年龄为 46 岁；65%的受试者有高中或以下学历。存在着大量的健康状况，包括肥胖（54%）、吸烟（41%）、高血压（44%）和糖尿病（17.8%）。
THB 提供了一个研究基础设施，以促进社区参与健康改善计划，未来的转化研究、健康教育和预防服务将由此产生。该队列研究的启动提供了关于城市社区为基础的研究和健康促进计划的广泛经验。
