title: The Healthy Community Neighborhood Initiative: Rationale and Design.
abstract: To describe the design and rationale of the Healthy Community Neighborhood Initiative (HCNI), a multi-component study to understand and document health risk and resources in a low-income and minority community.
  
  
  
  A community-partnered participatory research project.
  
  
  
  A low-income, biethnic African American and Latino neighborhood in South Los Angeles.
  
  
  
  Adult community residents aged >18 years.
  
  
  
  Household survey and clinical data collection; neighborhood characteristics; neighborhood observations; and community resources asset mapping.
  
  
  
  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.
  
  
  
  The HCNI community-academic 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.
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Arleen F
authors: AF
authors: Brown
authors: Los Angeles Urban League.
authors: D'Ann M
authors: DM
authors: Morris
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Katherine L
authors: KL
authors: Kahn
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Ibrahima C
authors: IC
authors: Sankaré
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Keyonna M
authors: KM
authors: King
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Roberto
authors: R
authors: Vargas
authors: Charles R. Drew University of Medicine and Science; Healthy African American Families.
authors: Aziza
authors: A
authors: Lucas-Wright
authors: Healthy African American Families.
authors: Loretta F
authors: LF
authors: Jones
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Astrea
authors: A
authors: Flowers
authors: Healthy African American Families.
authors: Felica U
authors: FU
authors: Jones
authors: Harbor-UCLA Medical Center and Los Angeles Biomedical Research Institute.
authors: Rachelle
authors: R
authors: Bross
authors: Healthy African American Families.
authors: Dennishia
authors: D
authors: Banner
authors: Charles R. Drew University of Medicine and Science.
authors: Homero E
authors: HE
authors: Del Pino
authors: Charles R. Drew University of Medicine and Science.
authors: Orwilda L
authors: OL
authors: Pitts
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Lujia
authors: L
authors: Zhang
authors: Los Angeles Urban League.
authors: Courtney
authors: C
authors: Porter
authors: Healthy African American Families.
authors: Sigrid K
authors: SK
authors: Madrigal
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Stefanie D
authors: SD
authors: Vassar
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Sitaram
authors: S
authors: Vangala
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Li-Jung
authors: LJ
authors: Liang
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Arturo B
authors: AB
authors: Martinez
authors: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles (UCLA) and UCLA Clinical and Translational Science Institute.
authors: Keith C
authors: KC
authors: Norris
mesh_terms: D000328:Adult; D001741:Black or African American; D002908:Chronic Disease; D003151:Community Health Centers; D004779:Environment Design; D005260:Female; D006304:Health Status; D006630:Hispanic or Latino; D006801:Humans; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D011203:Poverty; D012111:Residence Characteristics
keywords: African American; Chronic Disease; Community Assets; Community-Partnered Research; Design; Latino; Rationale; Under-resourced Communities