Partnership for Public Health Research in the Oglala Sioux Tribe

奥格拉拉苏族部落公共卫生研究伙伴关系

基本信息

批准号：
8001354
负责人：
JANETTE Louise BEALS
金额：
$ 99.94万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-07-01 至 2012-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8001354
关键词：
Accidents Address Adolescence Adolescent Risk Behavior Adult Advocate Alcohol or Other Drugs use American American Indian and Alaska Native Attention Back Behavior Behavioral Child Childhood Collaborations Colorado Commit Communities Community Health Country Development Diabetes Mellitus Disease Eating Elderly Ensure Exercise Face Funding Hand Health Health Services Homicide Intervention Joints Leadership Life Link Location Methods Native Americans Obesity Phase Play Policy Maker Population Postdoctoral Fellow Prevention Prevention approach Prevention program Procedures Process Program Development Provider Recording of previous events Research Research Infrastructure Research Methodology Research Personnel Research Priority Research Training Reservations Risk Behaviors Role Seasons Services Sioux Indians Suicide Time Training Tribes Uncertainty Universities Work Youth base community based participatory research community setting dissemination research experience grandchild health administration health disparity health science research human capital infrastructure development member mortality population health programs public health priorities public health relevance public health research sex skills substance abuse prevention symposium tool

项目摘要

DESCRIPTION (provided by applicant): American Indians and Alaska Natives (AI/ANs) suffer from marked health disparities when compared to other Americans; mortality rates associated with substance use, accidents, diabetes, homicide, and suicide are unacceptably high. While making health services more accessible is critical in addressing health disparities, mobilizing communities towards healthy living is another important - and often underutilized - tool. This is especially true when we consider the behavioral underpinnings of many health disparities and the potential role of prevention in interrupting the development, among youth, of risk behaviors (e.g., substance use, risky sex, obesity) and in supporting the development of healthy behaviors (e.g., exercise, healthy eating) that can forestall serious health problems in later life. It is becoming increasingly recognized that community involvement is critical in effectively addressing health disparities, with community-based participatory research (CBPR) and Tribal Participatory Research (TPR) methods gaining deserved recognition. Yet most health research is still initiated by academic health centers with little or no community input. We believe that efforts to involve communities in prevention efforts to help their youth develop healthy behaviors and avoid unhealthy choices will be most successful if these methods are fully embraced. Such approaches are particularly well suited for AI/AN communities, especially reservation- or village-based communities defined by both cultural group and location. The Oglala Sioux Tribe (OST) of the Pine Ridge Reservation is a community facing significant health disparities; OST members are among the poorest in our nation with rates of many diseases markedly higher here than in the nation as a whole. Seeking to build on an almost 20-year partnership, researchers at the Centers for American Indian and Alaska Native Health (CAIANH) at the University of Colorado Denver (UCD) and partners within the Oglala Sioux Tribe's Health Administration (OSTHA) seek to transform OST's community research infrastructure through addressing 4 specific aims: 1) To expand and elaborate upon a health research agenda, expected to be initially focused on substance abuse prevention programs for youth; 2) to develop bidirectional mechanisms for training the research workforce; 3) to cultivate effective dissemination methods for returning research findings to the local community, providing the tribe, other researchers, service providers, and policy makers with the best available information about OST health; and 4) to systematize procedures developed here to provide templates for building sustainable research infrastructure in Native and other communities. The work proposed here builds on the assertive leadership the OSTHA has shown in providing direction and oversight of research and their desire to develop their own research workforce. It also draws on the strengths of seasoned researchers and community advocates in the CAIANH, who have long histories of collaboration with the OST and other AI/AN communities nationwide. PUBLIC HEALTH RELEVANCE: The Oglala Sioux Tribe faces numerous health challenges, many of which are related to behaviors that emerge during childhood and adolescence. This project will solidify the partnership between Centers for American Indian and Alaska Native Health at the University of Colorado Denver and the Tribe's Health Administration, taking concrete steps to build research infrastructure within the Tribe, with a likely focus on prevention activities among the Tribe's youth. It will usher in a new phase in community-based participatory research for health in this community and set a precedent for the development of tribal participation in research in other American Indian and Alaska Native communities as well.

描述（由申请人提供）：与其他美国人相比，美国印第安人和阿拉斯加原住民（AI/ANS）患有明显的健康差异；与药物使用，事故，糖尿病，凶杀和自杀相关的死亡率较高。虽然使健康服务更容易获得，这对于解决健康差异至关重要，但动员社区朝着健康生活却是另一个重要的工具，而且通常不充分利用 - 却经常被充分利用。当我们考虑许多健康差异的行为基础以及预防在中断危险行为的发展中的潜在作用（例如，药物使用，危险性，肥胖）以及支持健康行为的发展（例如，运动，健康饮食）在以后生活中的严重健康问题时，尤其如此。越来越认识到，社区参与对于有效解决健康差异至关重要，基于社区的参与研究（CBPR）和部落参与性研究（TPR）方法获得了应有的认可。然而，大多数健康研究仍然是由很少或没有社区投入的学术保健中心发起的。我们认为，如果完全接受这些方法，使社区参与预防努力，以帮助他们的青年发展健康的行为，并避免不健康的选择最成功。这种方法特别适合AI/A/A社区，尤其是文化群体和地点定义的保留地或基于乡村的社区。 Pine Ridge保留地的Oglala Sioux部落（OST）是一个面临重大健康差异的社区； OST成员是我们国家最贫穷的成员之一，这里的疾病发生率明显高于整个国家。寻求建立近20年的伙伴关系，在科罗拉多州丹佛大学（UCD）（UCD）的美国印第安人和阿拉斯加本地健康（CAIANH）的研究人员和Oglala Sioux部落健康管理局（OSTHA）内的合作伙伴（OSTHA）寻求通过解决OST的社区研究基础，以应对4个特定目标：1）针对青年的滥用预防计划； 2）开发培训研究人员的双向机制； 3）培养有效的传播方法，以将研究结果归还给当地社区，为部落，其他研究人员，服务提供者和政策制定者提供有关OST健康的最佳可用信息； 4）在此开发的程序系统化以为在本地和其他社区中建立可持续研究基础设施的模板提供系统化。奥斯塔（Ostha）在提供研究和监督方向及其发展自己的研究劳动力的愿望方面所表明的自信领导的基础。它还借鉴了经验丰富的研究人员和社区拥护者的优势，他们在全国范围内与OST和其他AI/AN社区合作的历史很长。公共卫生相关性：Oglala Sioux部落面临许多健康挑战，其中许多挑战与儿童期和青春期时出现的行为有关。该项目将巩固科罗拉多大学丹佛分校的美洲印第安人和阿拉斯加原生卫生中心与部落健康管理局之间的伙伴关系，采取具体步骤，在部落内建立研究基础设施，可能着重于部落青年的预防活动。它将在该社区中介绍基于社区的卫生参与性研究的新阶段，并为开发在其他美洲印第安人和阿拉斯加其他土著社区的研究发展方面树立了先例。