The healthy community neighborhood initiative: Rationale and design

Arleen F. Brown, D'Ann M. Morris, Katherine L. Kahn, Ibrahima C. Sankaré, Keyonna M. King, Roberto Vargas, Aziza Lucas-Wright, Loretta F. Jones, Astrea Flowers, Felica U. Jones, Rachelle Bross, Dennishia Banner, Homero E. Del Pino, Orwilda L. Pitts, Lujia Zhang, Courtney Porter, Sigrid K. Madrigal, Stefanie D. Vassar, Sitaram Vangala, Li Jung LiangArturo B. Martinez, Keith C. Norris

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objective: To describe the design and rationale of the Healthy Community Neighborhood Initiative (HCNI), a multicomponent study to understand and document health risk and resources in a low-income and minority community. Design: A community-partnered participatory research project. Setting: A low-income, biethnic African American and Latino neighborhood in South Los Angeles. Participants: Adult community residents aged >18 years. Main Outcome Measures: Household survey and clinical data collection; neighborhood characteristics; neighborhood observations; and community resources asset mapping. Results: We enrolled 206 participants (90% of those eligible), of whom 205 completed the household interview and examination, and 199 provided laboratory samples. Among enrollees, 82 (40%) were aged >50 years and participated in functional status measurement. We completed neighborhood observations on 93 street segments; an average of 2.2 (SD=1.6) study participants resided on each street segment observed. The community asset map identified 290 resources summarized in a Community Resource Guide given to all participants. Conclusions: The HCNI communityacademic partnership has built a framework to assess and document the individual, social, and community factors that may influence clinical and social outcomes in a community at high-risk for preventable chronic disease. Our project suggests that a community collaborative can use culturally and scientifically sound strategies to identify community-centered health and social needs. Additional work is needed to understand strategies for developing and implementing interventions to mitigate these disparities.

Original languageEnglish (US)
Pages (from-to)123-132
Number of pages10
JournalEthnicity and Disease
Volume26
Issue number1
DOIs
StatePublished - Dec 1 2016

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Keywords

  • African American
  • Chronic Disease
  • Community Assets
  • Community-Partnered Research
  • Design
  • Latino
  • Rationale
  • Under-resourced Communities

ASJC Scopus subject areas

  • Epidemiology

Cite this

Brown, A. F., Morris, DA. M., Kahn, K. L., Sankaré, I. C., King, K. M., Vargas, R., Lucas-Wright, A., Jones, L. F., Flowers, A., Jones, F. U., Bross, R., Banner, D., Del Pino, H. E., Pitts, O. L., Zhang, L., Porter, C., Madrigal, S. K., Vassar, S. D., Vangala, S., ... Norris, K. C. (2016). The healthy community neighborhood initiative: Rationale and design. Ethnicity and Disease, 26(1), 123-132. https://doi.org/10.18865/ed.26.1.123