Advancing Methods for Multilevel Interventions to Support Health Equity for Urban American Indian/Alaska Native and Black Youth

推进多层次干预措施的方法，支持城市美洲印第安人/阿拉斯加原住民和黑人青年的健康公平

• 批准号: 10283506
• 负责人: Nicole R Tuitt
• 金额: $ 16.32万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-15 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10283506
• 关键词: Address; Adolescent; Adolescent Risk Behavior; African American; Age; Alaska Native; Alcohol consumption; Alcohols; American Indians; Behavior; Biometry; Characteristics; Child; Color; Communities; Comparative Study; Complex; Data; Development; Disadvantaged; Discrimination; Drug usage; Ensure; Equation; Ethnic group; Evaluation; Exposure to; Failure; Foundations; Geography; Goals; Group Affiliation; Individual; Intervention; Interview; Literature; Mentored Research Scientist Development Award; Mentors; Mentorship; Methodology; Methods; Modeling; Monitor; Neighborhoods; Not Hispanic or Latino; Outcome; Parent-Child Relations; Parents; Pattern; Peer Group; Physical environment; Positioning Attribute; Poverty; Pregnancy Outcome; Pregnancy in Adolescence; Prevention; Public Health; Race; Recording of previous events; Reporting; Research; Research Personnel; Resources; Risk; Risk Behaviors; Risk Reduction; School-Age Population; Schools; Science; Sexual Health; Sexual Partners; Sexually Transmitted Diseases; Social Environment; Structure; Students; Tobacco use; Training; Translating; Work; Youth; adolescent health; adolescent substance use; base; condoms; consistent condom use; data integration; educational atmosphere; experience; health disparity; health equity; health inequalities; high risk; high school; improved; infancy; marijuana use; multidisciplinary; native youth; opioid use; peer; racial and ethnic; racial disparity; racial identity; reduced substance use; research study; residential segregation; resilience; segregation; sex; sexual risk taking; skills; social epidemiology; spatial epidemiology; stem; substance use; teacher; urban Native American; vaping

PROJECT SUMMARY/ABSTRACT This K01 Mentored Research Scientist Development Award will provide the candidate, Nicole R. Tuitt, DrPH, with advanced training and structured mentoring to facilitate her transition to research independence. The candidate's goal is to become an independent investigator with expertise in state-of-the-art approaches in the development and evaluation of culturally relevant, strengths-based multilevel interventions which aim to reduce substance use and sexual health disparities among urban American Indian and Alaska Native (AIAN) and Black youth. The proposed scope of work will fill a gap in existing literature on multilevel approaches to reduce substance use and sexual health inequities among youth of color. The inability of efforts to reduce adolescent substance use and sexual health disparities to yield sustained improvements likely stem from failure to account for mutually-reinforcing structural disadvantages and multifaceted mechanisms that include all socioecological levels that underlie adolescent health inequities. Most risk reduction strategies focus only at the individual and interpersonal levels. Developing and operationalizing a strengths-based conceptual framework grounded in the socioecological model is critical to inform a multilevel intervention to reduce substance use and sexual risk- taking among urban AIAN and Black youth. The candidate will employ a transformative, sequential mixed methods approach to accomplish the following specific aims, each training goal is matched with the aim in which the researcher will apply her new skills. AIM 1: Examine multilevel determinants of substance use and sexual risk-taking among Black and AIAN high youth (ages 14-18) in Denver Metro, CO. Training: (1) Advance expertise in theoretical and methodological foundations in social and spatial epidemiology to understand the impact of structural contexts on risk and resilience to adolescent substance use and sexual risk-taking; and (2) multilevel structural equation modeling, with geographic contexts, to explore the direct, indirect, and interactive relationships across levels. AIM 2. Engage urban AIAN and Black youth to elucidate distinct conceptual frameworks of risk and resilience to substance use and sexual risk-taking guided by findings from Aim 1; and identify the most critical levels on which to intervene. Training: (1) Develop skills in scenario-based qualitative interviewing (SBI) to engage youth to interpret quantitative data in the development of conceptual frameworks of risk and resilience. The K01 award will position Dr. Tuitt as a trained researcher with expertise on the influence of structural disadvantages on adolescent substance use and sexual risk-taking as well as multilevel approaches. Given her shift away from a focus on individual behaviors to structural factors, expertise in SBI, social and spatial epidemiology, and multilevel SEM will ensure the candidates successful transition into an independent researcher and will situate her to strengthen the field of adolescent health equity research and prevention science.

项目摘要/摘要 这个K01指导的研究科学家发展奖将为候选人Nicole R. Tuitt，DRPH， 通过高级培训和结构化指导，以促进她向研究独立性的过渡。这 候选人的目标是成为具有最先进方法专业知识的独立调查员 对文化相关的，基于优势的多层次干预措施的开发和评估，旨在减少 城市印第安人和阿拉斯加人（Aian）的物质使用和性健康差异 黑人青年。拟议的工作范围将填补有关多层次方法的现有文献的空白，以减少 有色青年的物质使用和性健康不平等。无法减少青少年的努力 物质使用和性健康差异以产生持续的改善，可能是由于无法说明 用于相互强化的结构缺点和包括所有社会生态学的多方面机制 青少年健康不平等基础的水平。最大风险降低策略仅关注个人， 人际关系水平。开发和运营基于优势的概念框架 社会生态模型对于告知多层次干预以减少物质使用和性风险至关重要 - 在城市的亚洲和黑人青年中。候选人将采用变革性，顺序混合 实现以下特定目标的方法方法，每个培训目标都与目标相匹配 研究人员将运用她的新技能。目标1：检查使用物质使用的多层次决定因素和 在丹佛地铁公司的黑人和艾安高中（14-18岁）中发生性冒险。培训：（1） 在社会和空间流行病学中的理论和方法论基础上提高专业知识 了解结构环境对风险和韧性对青少年物质使用和性的影响 冒险； （2）多级结构方程建模以及地理环境，以探索直接， 间接和跨级别的交互关系。瞄准2。让城市艾安和黑人青年阐明 风险和韧性对物质使用和性冒险的独特概念框架。 AIM 1的发现；并确定干预的最关键水平。培训：（1）发展技能 基于方案的定性访谈（SBI）吸引青年解释开发中的定量数据 风险和弹性的概念框架。 K01奖将将图特博士定位为训练有素的研究员 具有关于结构性劣势对青少年物质使用和性冒险的影响的专业知识 以及多级方法。鉴于她从对个人行为的关注转向结构 因素，SBI的专业知识，社会和空间流行病学以及多级SEM将确保候选人 成功地过渡到独立研究人员，并将她安置以加强青少年领域 健康公平研究与预防科学。