Indigenous healthy homes and healthy communities: A community-led initiative to improve health and support Indigenous Resilience in the US Southwest

原住民健康家园和健康社区：一项由社区主导的倡议，旨在改善美国西南部的健康并支持原住民的复原力

基本信息

批准号：
10778511
负责人：
SHELDWIN A YAZZIE
金额：
$ 98.94万
依托单位：
ALBUQUERQUE AREA INDIAN HEALTH BOARD
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-20 至 2028-09-19
项目状态：
未结题

项目摘要

ABSTRACT Residents of sovereign, Indigenous Nations intrinsically hold deep connections to their land, culture, and community, which positively affects Indigenous health and well-being. However, Indigenous health is diminished by multi-level structural factors that manifest in numerous ways including indoor environmental exposures; persistent fall injury hazards in the home needing repair/modification; and limited access to culturally competent medical specialists. A team led by the federally-designated Albuquerque Area Southwest Tribal Epidemiology Center (AASTEC), in partnership with the University of New Mexico and University of Arizona, proposes a multi-part intervention to enhance the home environment and Indigenous health. This novel program will incorporate community-based participatory research principles with an approach that centers Indigenous methodologies to promote Indigenous health across the societal, community, household and individual levels. A housing repair voucher program (primary intervention) will be informed by home and participant assessments, and partnered with clinical training and referral protocol development, tribal public health workforce development and capacity- building, and a multi-sectoral Healthy Tribal Homes Coalition. Creating an adaptable framework that centers upon community values to address simultaneously environmental exposures, fall injury risk, daily stressors, and respiratory health (emphasizing asthma) will increase quality of life for participants, their families, and community. This project will yield a template and set of best practices that other Indigenous and non-Indigenous communities may adapt to address their health priorities in a manner centered upon their values and identity.

抽象的主权国家的居民本质上与他们的土地，文化和社区，对土著健康和福祉产生积极影响。但是，土著健康是多级结构因素减少了，这些因素以室内在内的多种方式表现出来环境暴露；需要维修/修改的房屋中持续的跌落伤害危害；和对具有文化合格的医学专家的机会有限。由联邦指定的团队阿尔伯克基地区西南部落流行病学中心（AASTEC）与大学合作新墨西哥州和亚利桑那大学（University of Arizona 环境和土著健康。这个小说节目将结合基于社区的参与者采用一种方法的研究原则，该方法以促进土著健康的土著方法为中心在整个社会，社区，家庭和个人层面上。住房维修券计划（主要干预措施）将由家庭和参与者评估告知，并与临床合作培训和推荐方案开发，部落公共卫生劳动力发展和能力 - 建筑物和多部门健康的部落家庭联盟。创建一个适应性的框架以社区价值为中心，以同时解决环境暴露，跌倒伤害风险，每日压力源和呼吸健康（强调哮喘）将增加参与者的生活质量家庭和社区。该项目将产生其他土著的模板和一组最佳实践和非土著社区可以以中心的方式适应其健康优先事项他们的价值观和身份。