Urban American Indian Youth Substance Use: Ecodevelopmental Influences

城市美洲印第安人青少年药物使用：生态发展影响

• 批准号: 8471193
• 负责人: Flavio Francisco Marsiglia
• 金额: $ 2.64万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-02-01 至 2017-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8471193
• 关键词: Address; Adolescent; Affect; Alcohol or Other Drugs use; American Indians; Arizona; Attitude; Award; Child; Communities; Complex; Criminal Justice; Data Analyses; Development; Ensure; Face; Family; Foundations; Funding; Gender; Grant; Health; Influentials; Instruction; Intervention; Knowledge; Life; Methods; Modeling; Morbidity - disease rate; Needs Assessment; Neighborhoods; Outcome; Parenting behavior; Parents; Pharmaceutical Preparations; Phase; Policies; Population; Prevention; Prevention approach; Prevention program; Preventive Intervention; Process; Production; Provider; Public Health; Race; Randomized Controlled Trials; Recommendation; Recording of previous events; Relative (related person); Research; Resistance; Resource Allocation; Respondent; Risk; Risk Behaviors; Sampling; Schools; Science; Services; Shapes; Solutions; Stress; Students; Subgroup; Substance abuse problem; Surveys; System; Testing; Translating; Translational Research; Urban Population; Variant; Work; Youth; adolescent substance use; base; behavioral health; design; early onset; eighth grade; evidence base; experience; family influence; health disparity; health organization; member; migration; minimal risk; mortality; parental influence; peer; programs; skills; social; substance use prevention; tenth grade; theories; twelfth grade; urban Native American; urban area

PROJECT SUMMARY (See instructions): The majority of American Indian (Al) families living in urban areas experience disproportional health disparities associated with substance abuse. These health disparities affect Al youth through higher rates, earlier initiation, and more severe consequences of substance use. The rapidly growing population of urban Al families is served by few evidence-based prevention approaches that are culturally grounded and reflective of specific socio-environmental forces shaping urban Al communities. Family disruption and substance abuse, stresses related to moving to urban settings, and difficulties in establishing and sustaining social and cultural connections frequently are mentioned as contributing to adverse health outcomes for urban Al youth. Using ecodevelopmental theory, this research will address gaps in knowledge of how contextual influences operating at peer, family/parental, school, and neighborhood levels influence substance use among urban Al youth in Arizona. The study will document the relative influence of factors at these different levels using a comprehensive model, test how positive and negative family influences interact with those at other levels, and examine how they may operate differently in subgroups of urban Al youth defined by gender, grade level, and heritage that is Al-only or mixed Al and non-AI heritage. The research uses a 2010 state-wide survey of youth substance use with large numbers of urban Al youth (N=3,450) living in a range of urban communities that vary in size and migration histories. The proposed study draws upon the project team's research, conducted at an NIMHD Center of Excellence, on the social determinants of Al family behavioral health, salient risk and resiliency factors, culturally appropriate strategies for resisting risk behaviors, and systematic methods for culturally adapting prevention programs. The study is designed to bridge science to practice and policy via partnerships with governmental and community-based health organizations to provide mechanisms for interpreting and disseminating findings; providing a foundation for translational research. The study will create essential knowledge about how to target and deliver prevention interventions comprehensively by identifying issues that urban Al youth and families face in urban contexts.

项目摘要（请参阅说明）： 居住在城市地区的大多数美洲印第安人（AL）家庭经历了与滥用药物有关的健康差异。这些健康差异会通过更高的速度，早期起始以及使用物质的更严重后果来影响年轻人。很少有基于证据的预防方法在文化上扎根并反映了塑造城市al社区的特定社会环境力量的迅速增长。家庭中断和滥用毒品，与城市环境有关的压力以及建立和维持社会和文化联系的困难经常被提及，这是为城市青年的不利健康成果做出贡献。利用生态发展理论，这项研究将解决有关在同伴，家庭/父母，学校和邻里水平上的情境影响如何影响亚利桑那州城市青年的物质使用的差距。该研究将使用综合模型来记录因素在这些不同级别的相对影响，测试正面和负面家庭如何与其他级别的人相互作用，并检查它们在由性别，年级和遗产定义的城市AL青年亚组中的运作方式不同，而该级别，年级和遗产是al-lyly或混合的Al和非遗产。该研究使用了2010年对青年物质使用的调查，其中包括大量城市青年（n = 3,450），居住在一系列城市社区，这些城市社区的规模和移民历史各不相同。拟议的研究借鉴了项目团队的研究，该研究在NIMHD卓越中心进行了有关家庭行为健康，显着风险和弹性因素的社会决定因素，抵制风险行为的文化适当策略以及用于文化化适应预防计划的系统方法。该研究旨在通过与政府和基于社区的卫生组织的合作伙伴关系来启动科学实践和政策，以提供解释和传播发现的机制；为 翻译研究。这项研究将创建有关如何通过确定城市青年和家庭在城市环境中面临的问题来全面靶向和提供预防干预措施的基本知识。