Project Summary The epidemic of cardiovascular risk factors among racial/ethnic minority children will inevitably worsen adult cardiovascular disease disparities. This proposal establishes a longitudinal intergenerational cohort study in the Eastern Caribbean focused on furthering our understanding of intergenerational factors contributing to cardiovascular risk, as well as the role of sleep duration and quality. Being cognizant of the importance of parental perception of risk in determining engagement in interventions targeting cardiovascular risk, we propose a mixed methods study that will explore parental perceptions of childhood obesity. Additionally, we will develop and operationalize a comprehensive portfolio of regionally-relevant structural/social determinants of cardiovascular health utilizing participatory approaches. The ultimate goal of this project is to identify individual and neighborhood level interventions that can curtail the epidemic of cardiovascular disease in the region.