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一项全面的、以社区为基础的联盟,旨在解决宾夕法尼亚州阿勒格尼县慢性病中的种族差异:REACH。

A Comprehensive, Community-Based Coalition to Address Racial Disparities in Chronic Disease: REACH in Allegheny County, Pennsylvania.

出版信息

Prog Community Health Partnersh. 2023;17(3):465-476.

PMID:37934444
Abstract

BACKGROUND

Funded by the Centers for Disease Control and Prevention Racial and Ethnic Approaches to Community Health Initiative, Live Well Allegheny: Lifting Wellness for African Americans (LWA) in Allegheny County, Pennsylvania, aims to enhance health equity by addressing chronic disease in six African American communities via three key strategies: nutrition, physical activity, and community-clinical linkages.

OBJECTIVES

This manuscript describes the coalition's partnership dynamics and evaluation methods with a focus on nutrition strategies.

METHODS

We have a network of committed partners implementing the strategies and we are evaluating our efforts using community asset mapping, county population-based survey data, qualitative process interviews, focus groups, and program performance measures.

RESULTS

The LWA coalition is the culmination of years of partnership building, which allows for more targeted activities related to health equity in the region. Thus far, the LWA coalition is thriving. The network of committed and talented partners in the nutrition strategy (healthy nutrition standards, food systems, and breastfeeding) reached 22 sites and more than 46,000 people during the first 2 years of the project. Process interviews conducted as part of the evaluation identified challenges and successes of implementation, and development of the coalition.

CONCLUSIONS

This comprehensive evaluation approach supports formative processes, evaluation metrics, and prolonged sustainability plans of this community-based coalition.

摘要

背景

由疾病控制与预防中心种族和民族社区卫生倡议资助,宾夕法尼亚州阿勒格尼县的“活力阿勒格尼:提升非裔美国人健康(LWA)”旨在通过三种关键策略来解决六个非裔美国人社区的慢性疾病,从而增强健康公平:营养、身体活动和社区-临床联系。

目的

本文档描述了联盟的伙伴关系动态和评估方法,重点是营养策略。

方法

我们有一个由坚定的合作伙伴组成的网络来实施这些策略,我们正在使用社区资产映射、县人口普查数据、定性过程访谈、焦点小组和计划绩效措施来评估我们的努力。

结果

LWA 联盟是多年伙伴关系建设的结晶,这使得该地区能够开展更多针对健康公平的有针对性的活动。到目前为止,LWA 联盟蓬勃发展。在项目的头两年,营养战略(健康营养标准、食品系统和母乳喂养)的坚定而有才华的合作伙伴网络已经覆盖了 22 个地点,超过 46000 人。作为评估的一部分进行的过程访谈确定了实施和联盟发展的挑战和成功。

结论

这种综合评估方法支持了这个基于社区的联盟的形成过程、评估指标和长期可持续性计划。

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