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

• 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
• 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

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 我们提出了一项针对美洲印第安人的多相研究，在社会经济上处于不利地位，以及 青年人服务不足的农村人口。我们的目标是主要预防领先的危险因素（即心理 健康，药物使用），原因是AI/A A AI/A A的风险增加的原因 （例如自杀，汽车撞车，药物过量）。在行政补充的支持下，我们 作为NIDA资助的一部分 治愈预防倡议。 UH3家长试验是对20个农村高中的集群随机试验 在切诺基国家保留区或附近服务不足的小镇，有900多个招募的15至16岁 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增强 以应对俄克拉荷马州以来药房扩散和大麻营销的新兴风险 2018年合法的医用大麻。研究目标将解决以下研究问题。多少 大麻广告在切诺基国家保留地的高中附近可见吗？做数量 大麻广告的种族和社会经济构成不同吗？做大麻 切诺基国家保留目标的高中附近的广告或对青年和美国的吸引 印度人？旨在对抗大麻营销的预防性干预组件有助于 增加了感知的风险，增加社会不赞成，感知到的访问减少或减少电流 大麻使用吗？在补充一年中，我们将（1）记录High High的大麻广告 切诺基国家保留地的学校（2）基于社区的青年编码者进行内容分析 （3）开发增强的预防性干预组件来解决大麻 媒体信息，家庭行动套件和社区行动指南的营销曝光。跟随 补充活动的一年，我们在最后一年实施了增强的干预组件 干预试验和进行结果分析，其中包括大麻的使用以及感知的风险， 规范和访问。研究目标是相关的，并且对切诺基内部的当地情况和需求有所响应 国家保留。研究的所有三个阶段的结果将为该领域提供重要贡献 关于大麻营销以及文化量身定制的大麻预防策略的有效性 切诺基国家的青少年。