Measurement of Nature Contact: The Influence of Cultural Practices on Sleep Health and Chronic Disease among Rural and Urban American Indians

自然接触的测量：文化习俗对农村和城市美洲印第安人睡眠健康和慢性病的影响

• 批准号: 10381317
• 负责人: Lonnie A. Nelson
• 金额: $ 12.41万
• 依托单位: WASHINGTON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-13 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10381317
• 关键词: Address; Adolescent; Adult; Affect; Age; Alaska Native; American Indians; Animals; Area; Asians; Cardiovascular Diseases; Cardiovascular system; Cause of Death; Chronic Disease; Code; Cohort Studies; Collaborations; Communities; Commuting; County; Data; Data Analyses; Data Set; Development; Diabetes Mellitus; Diagnosis; Disease Outcome; Enrollment; Environmental Risk Factor; Family Study; Foundations; Genetic; Geography; Goals; Grant; Health; Health Benefit; Health Promotion; Health behavior; Heart; Heart Diseases; High Prevalence; Hispanics; Hour; Human; Indian reservation; Indigenous; Individual; Language; Literature; Mainstreaming; Manuscripts; Measurement; Measures; Mentored Research Scientist Development Award; Mentors; Metabolic; Methods; Nature; Neighborhoods; Not Hispanic or Latino; Obesity; Outcome; Parents; Participant; Pathway interactions; Patient Recruitments; Patient Self-Report; Plants; Population; Population Study; Preparation; Prevalence; Prevention; Prevention strategy; Psychometrics; Recording of previous events; Research; Research Institute; Research Personnel; Reservations; Review Literature; Risk; Risk Factors; Rural; Sample Size; Sampling; Science; Scientist; Sleep; Sleep Deprivation; Sleep Disorders; Socioeconomic Status; Statistical Methods; Stroke; Structure; Sunlight; Testing; Time; Training; Tribal group; Tribes; Trust; United States; United States National Institutes of Health; Urban Health; Water; Writing; base; cardiovascular health; career; career development; comparative; design; dietary; disorder prevention; disorder risk; epidemiology study; evidence base; frontier; geographic difference; health disparity; improved; innovation; instrument; metropolitan; northern plains; parent grant; professor; prospective; protective factors; racial health disparity; recruit; research and development; residence; resilience; rural area; rural residence; rurality; secondary analysis; skills; sleep health; social; substance use; suburb; surveillance data; training opportunity; tribal community; urban Native American; urban area; urban residence

PROJECT SUMMARY Researchers have called for a deeper understanding of how social, cultural and environmental factors influence chronic disease and sleep health outcomes. The parent grant –American Indian CHronic disEase RIsk and Sleep Health (AI- CHERISH; R01MD014035)—aims to estimate the prevalence of sleep problems and their associations with specific cardiovascular and metabolic risk factors, as well as the qualitative characterization of cultural factors related to sleep health among participants recruited from American Indian (AI) participants previously enrolled in the Strong Heart Family Study (SHFS). This Diversity Supplement uses secondary analysis of quantitative data to develop a geographical variable (RUCA), and to test associations and interactions between this variable, sleep health, and chronic disease risk factors. It also uses secondary qualitative data to develop a measure of cultural practices involving nature contact. This new measure will be tested for interaction effects on associations between the RUCA variable and sleep problems. This Supplement will enhance the parent study’s ability to meet each of its specific aims through deepening understanding of geographic variations in sleep health as well as through enhancing understanding of specific cultural features key to sleep health by urbanicity and rurality, characterized by the creation of a rural-urban commuting area (RUCA) variable. Findings will enhance our understanding of geographic variation in sleep health and chronic disease outcomes, as well of culturally appropriate psychometric instruments that may help identify pathways for prevention and treatment. Findings will also contribute to a limited body of literature on the health benefits of nature contact among AIs. Dr. Fernandez’ long-term goal is to obtain the training and skills needed to become an independent mixed- methods investigator to address health disparities among American Indian and Alaska Native (AI/AN) populations, with a specific emphasis on measurement development. In collaboration with her mentoring team, she proposes 2 years of research and career development activities designed to achieve this goal. Dr. Fernandez’ research and career development activities include a comprehensive literature review; formal coursework in statistical methods and participation in the NIMHD Health Disparities Research Institute; grant writing training and manuscript preparation; data analysis; and the submission of a competitive Mentored Research Scientist Development Award (K01) application.

项目概要 研究人员呼吁更深入地了解社会、文化和环境因素如何影响 影响慢性疾病和睡眠健康结果 家长资助 – 美洲印第安人慢性病。 风险和睡眠健康（AI-CHERISH；R01MD014035）—旨在估计睡眠问题的患病率 及其与特定心血管和代谢危险因素的关联，以及定性 从美洲印第安人招募的参与者中与睡眠健康相关的文化因素的特征 (AI) 之前参加过强心家庭研究 (SHFS) 的参与者本多样性补充使用。 对定量数据进行二次分析以开发地理变量 (RUCA) 并测试关联 以及该变量、睡眠健康和慢性病风险因素之间的相互作用。 这项新措施将采用定性数据来制定涉及自然接触的文化实践的衡量标准。 测试了 RUCA 变量与睡眠问题之间关联的交互作用。 补充材料将通过深化家长研究来增强其实现每个具体目标的能力 了解睡眠健康的地理差异以及增强对特定睡眠的了解 城市和乡村对睡眠健康至关重要的文化特征，其特点是城乡融合 通勤区域（RUCA）变量的研究结果将增强我们对睡眠地理差异的理解。 健康和慢性病结果，以及适合文化的心理测量工具可能会有所帮助 确定预防和治疗途径的研究结果也将有助于编写有限的文献。 人工智能之间接触自然的健康益处。 费尔南德斯博士的长期目标是获得成为一名独立的混合医生所需的培训和技能。 解决美洲印第安人和阿拉斯加原住民健康差异的方法调查员 (AI/AN) 与她的指导团队合作，特别强调测量的发展， 她建议开展两年的研究和职业发展活动来实现这一目标。 费尔南德斯的研究和职业发展活动包括全面的正式文献综述； 统计方法课程和参与 NIMHD 健康差异研究所资助； 写作培训和稿件准备；以及提交竞争性指导； 研究科学家发展奖（K01）申请。