Prevention Research Center: Parenting Among Women Who Are Opioid Users

预防研究中心：阿片类药物使用者的女性育儿

基本信息

批准号：
10484828
负责人：
Philip A Fisher
金额：
$ 68.22万
依托单位：
UNIVERSITY OF OREGON
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-15 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10484828
关键词：
Affect Area Awareness Basic Science Behavior Behavioral Brain Child Child Rearing Collaborations Communication Communities Community Networks Community Services County Criminal Justice Data Data Science Core Development Drug Addiction Drug usage Economic Burden Educational workshop Epidemic Evaluation Evidence based intervention Exposure to Family Female Funding General Population Generations Geography Goals Grant Health Healthcare Helping to End Addiction Long-term Individual Infant Development Infrastructure Intervention Investigation Knowledge Leadership Link Manuscripts Measures Methods Modeling Mothers National Institute of Drug Abuse Neurobiology Neurocognitive Opiate Addiction Opioid Oregon Outcome Parent-Child Relations Parents Personal Satisfaction Policies Policy Maker Population Population Intervention Postpartum Period Pregnant Women Prevention Prevention Research Prevention program Productivity Public Health Publications Recording of previous events Regulation Research Research Methodology Research Personnel Research Project Grants Resources Rewards Risk Rural Rural Community Science Scientist Seminal Stress Structure System Testing Training Training Activity Translational Research United States United States Dept. of Health and Human Services United States National Institutes of Health Universities Vulnerable Populations Woman Work addiction age group base career career development checkup examination child bearing community partnership cost data harmonization data sharing design drug use vulnerability early childhood early life adversity economic cost effective intervention effectiveness evaluation epidemiologic data evidence base executive function experience improved individualized prevention innovation intergenerational knowledge base maternal opioid use member multidisciplinary next generation novel opioid abuse opioid epidemic opioid misuse opioid use opioid use disorder opioid user overdose death prescription opioid prescription opioid misuse preventive intervention programs public health emergency recruit rural area service providers skills substance abuse prevention substance use therapy design transmission process video coaching webinar

项目摘要

PROJECT SUMMARY The global SARS-CoV-2 pandemic is the worst health crisis the United States and world have faced in a century. Although this highly contagious virus has infected tens of millions of Americans already, the pandemic is far from over, and the disease burdens continue to be disproportionately born by historically underserved populations such as Latinx communities. Nationally, Latinx people with COVID-19 are hospitalized at four times the rate of Whites and have much higher rates of morbidity and mortality. This disparity is notable in Oregon, where the 13% of our population that is Latinx represents approximately 24% of COVID-19 cases. Yet, vaccination rates for Latinx remain below the state average. Thus, an urgent need exists to reach Oregon’s Latinx community with public health and prevention messages that emphasize the value of continued COVID-19 testing and that address vaccine hesitancy. This project will build upon our successful RADx-UP Phase I culturally-tailored community outreach and testing program through the implementation of Phase II goals of increasing the reach and uptake of testing and decreasing vaccine hesitancy in Latinx individuals in Oregon. The project will maintain and expand a world-class team of prevention scientists, public health experts, Latinx researchers, community partners, and biologists who have been working together to conduct SARS-CoV-2 diagnostic testing since March 2020. This team established a CLIA-certified laboratory and honed molecular testing protocols, procured millions of dollars of diagnostic testing equipment and supplies, and partnered with county public health offices and hospitals throughout the state to conduct testing. The team has been engaged in comprehensive community partnerships using community-based participatory research methods in Phase I to deliver a culturally-tailored intervention that shows preliminary efficacy in increasing testing among Latinx individuals. Building on the lessons learned in the first 6 months of our Phase I RADX-UP testing, we will refocus our existing testing program to broaden our reach by partnering with state and community organizations offering other services to Latinx communities across Oregon. With continued support from the Latinx Community and Scientific Advisory Board, the project will refocus to support the testing of 100 individuals each month across the state of Oregon, focusing specifically on locating testing events at venues that serve Latinx individuals (e.g., mobile Mexican Consulate events across the state). The previously launched health intervention (Promotores de Salud) will also be refocused to promote the benefits of continued testing and vaccination uptake, and barriers to these important health behaviors will be evaluated. Over time, this project will continue to help communities institutionalize optimal local testing frameworks that are sustainable. The resulting testing and structures and systems will be poised for future scale-up to other vulnerable communities and/or for other public health purposes. This project is expected to lead to a major reduction in COVID-19 health disparities in underserved populations.

项目概要全球 SARS-CoV-2 大流行是美国和世界有史以来面临的最严重的健康危机尽管这种高度传染性的病毒已经感染了数千万美国人，但这场大流行。远未结束，疾病负担仍然不成比例地由历史上服务不足的人承担拉丁裔社区等人群在全国范围内，感染 COVID-19 的拉丁裔患者四点入院。是白人的两倍，并且发病率和死亡率要高得多，这种差异在以下方面尤为明显。俄勒冈州，该州 13% 的拉丁裔人口约占 COVID-19 病例的 24%。然而，拉丁裔的疫苗接种率仍低于州平均水平，因此迫切需要达到这一目标。俄勒冈州的拉丁裔社区提供公共卫生和预防信息，强调持续的价值 COVID-19 测试和解决疫苗犹豫问题将建立在我们成功的 RADx-UP 基础上。通过实施第二阶段，第一阶段根据文化量身定制的社区外展和测试计划扩大测试范围和采用率并减少拉丁美洲人对疫苗犹豫的目标俄勒冈州该项目将维持和扩大世界一流的预防科学家、公共卫生团队。专家、拉丁裔研究人员、社区合作伙伴和生物学家一直在共同努力，开展自 2020 年 3 月起进行 SARS-CoV-2 诊断检测。该团队建立了 CLIA 认证的实验室，并完善分子测试方案，采购数百万美元的诊断测试设备和用品，并与全州的县公共卫生办公室和医院合作进行测试。利用基于社区的参与性研究参与全面的社区伙伴关系第一阶段的方法提供了针对文化的干预措施，该干预措施在增加基于第一阶段 RADX-UP 前 6 个月的经验教训。测试，我们将重新调整我们现有的测试计划，通过与州和州合作来扩大我们的覆盖范围社区组织在持续的支持下为俄勒冈州的拉丁裔社区提供其他服务。根据拉丁裔社区和科学咨询委员会的意见，该项目将重新重点支持 100 俄勒冈州每个月都有个人，特别注重在场地举办测试活动为拉丁裔个人提供服务（例如，全州范围内的移动墨西哥领事馆活动）。已启动的健康干预措施（Promotores de Salud）也将重新调整重点，以促进持续的好处随着时间的推移，将评估检测和疫苗接种情况以及这些重要健康行为的障碍。该项目将继续帮助最佳社区将当地测试框架制度化由此产生的测试、结构和系统将在未来扩展到其他领域。弱势社区和/或其他公共卫生目的预计该项目将产生重大影响。减少服务不足人群中的 COVID-19 健康差异。