Cannabis Marketing Exposure among High School Students in the Cherokee Nation: Assessment and Preventive Intervention Effectiveness

切罗基族高中生的大麻营销暴露：评估和预防干预效果

基本信息

批准号：
10675279
负责人：
KELLI Ann KOMRO
金额：
$ 34.1万
依托单位：
EMORY UNIVERSITY
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：
2019-09-30 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10675279
关键词：
16 year old Address Administrative Supplement Adolescence Adolescent Adult Advertisements Age Alaska Native American Indians Attention Cannabis Cherokee Indian Cluster randomized trial Code Communities Community Actions Depression and Suicide Development Drug usage Effectiveness Effectiveness of Interventions Enrollment Family Fibrinogen Funding Goals Government Health High School Student Indian reservation Industry Intervention Intervention Trial Legal Marijuana Marketing Measures Medical Marijuana Mental Health Morbidity - disease rate National Institute of Drug Abuse Native-Born Oklahoma Opioid Outcome Overdose Parents Perception Personal Satisfaction Persons Pharmaceutical Preparations Phase Policies Population Premature Mortality Prevalence Prevention Prevention strategy Primary Prevention Reporting Research Research Support Risk Risk Factors Rural Rural Population Safety Schools Substance Use Disorder Suicide Surgeon Testing Training Tribes Vehicle crash Youth addiction base design early alcohol use experience health disparity high risk high school marijuana prevention marijuana use native youth negative affect preventive intervention response rural underserved social social health determinants socioeconomic disadvantage socioeconomics substance use substance use treatment treatment services tribal community young adult

项目摘要

Abstract We propose a multiphase study focused on American Indian, socioeconomically disadvantaged, and underserved rural populations of youth. Our goal is the primary prevention of leading risk factors (i.e., mental health, substance use) for causes of premature mortality for which AI/AN populations are at increased risk (e.g., suicide, motor vehicle crashes, drug overdose). With the support of the administrative supplement, we will enhance and strengthen our multilevel community opioid preventive intervention funded by NIDA as part of the HEAL Prevention Initiative. The UH3 parent trial is a cluster randomized trial of 20 rural high schools in underserved small towns in or near the Cherokee Nation Reservation with over 900 enrolled 15- to 16-year-old American Indian (56%) and other youth. Family, school and community prevention strategies will be enhanced to address the emerging risk of the proliferation of dispensaries and marketing of cannabis since Oklahoma legalized medical marijuana in 2018. Study aims will address the following research questions. How many cannabis advertisements are visible near high schools in the Cherokee Nation Reservation? Does the quantity of cannabis advertisements differ by the racial and socioeconomic composition of schools? Do cannabis advertisements near high schools in the Cherokee Nation Reservation target or appeal to youth and American Indian people? Do preventive intervention components designed to counter cannabis marketing contribute to increased perceived risks, increased social disapproval, reduced perceived access, or reduced current marijuana use? During the year of the supplement, we will (1) document cannabis advertisements near high schools in the Cherokee Nation Reservation, (2) conduct content analysis by community-based youth coders of cannabis advertisements, (3) develop enhanced preventive intervention components to address cannabis marketing exposure with media messages, Family Action Kit, and Community Action Guides. Following the year of supplemental activities, we implement the enhanced intervention components during the final year of the intervention trial and conduct outcome analyses, which will include marijuana use as well as perceived risk, norms, and access. Study aims are relevant and responsive to local conditions and needs within the Cherokee Nation Reservation. Results of all three phases of research will provide important contributions to the field about cannabis marketing, as well as effectiveness of culturally tailored marijuana prevention strategies for adolescents in the Cherokee Nation.

抽象的我们提出一项多阶段研究，重点关注美洲印第安人、社会经济弱势群体和农村青年人口服务不足。我们的目标是对主要危险因素（即心理因素）进行一级预防 AI/AN 人群面临更高风险的过早死亡原因（例如自杀、机动车碰撞、吸毒过量）。在行政补助的支持下，我们将加强和加强由 NIDA 资助的多层次社区阿片类药物预防干预措施，作为 HEAL 预防倡议。 UH3 家长试验是一项针对 20 所农村高中的整群随机试验。切罗基族保留地内或附近服务不足的小镇，有超过 900 名 15 至 16 岁的学生就读美洲印第安人（56%）和其他青年。家庭、学校和社区预防策略将得到加强解决自俄克拉荷马州以来药房和大麻营销激增的新风险 2018 年医用大麻合法化。研究目标将解决以下研究问题。多少切罗基族保留地的高中附近是否可以看到大麻广告？数量有吗大麻广告的数量因学校的种族和社会经济构成而异？吸大麻切罗基族保留地高中附近的广告目标或吸引年轻人和美国人印度人？旨在打击大麻营销的预防性干预措施是否有助于感知风险增加、社会反对增加、感知访问减少或当前减少使用大麻？在增补年度，我们将 (1) 记录接近高水平的大麻广告切罗基族保留地的学校，(2) 由社区青年编码员进行内容分析大麻广告，(3) 制定强化预防性干预措施来解决大麻问题通过媒体信息、家庭行动包和社区行动指南进行营销曝光。继在补充活动的最后一年，我们实施了强化干预措施干预试验并进行结果分析，其中包括大麻的使用以及感知的风险，规范和访问。研究目标与切罗基人的当地条件和需求相关并响应国家保留。所有三个阶段的研究成果都将为该领域做出重要贡献关于大麻营销，以及针对文化定制的大麻预防策略的有效性切罗基族的青少年。