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Development of an urban community-based cohort to promote health disparities research.

Authors
  • Fisher, Susan G1
  • Devlin, Amie2
  • 1 Lewis Katz School of Medicine, Temple University, 3440 North Broad Street, Kresge East, Room 211, Philadelphia, PA, 19140, USA. [email protected]
  • 2 Lewis Katz School of Medicine, Temple University, 3440 North Broad Street, Kresge East, Room 245, Philadelphia, PA, 19140, USA.
Type
Published Article
Journal
International journal of public health
Publication Date
Sep 01, 2019
Volume
64
Issue
7
Pages
1107–1115
Identifiers
DOI: 10.1007/s00038-019-01267-4
PMID: 31222474
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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 (THB3) 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%). THB3 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.

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