Full Project I: Adolescent Tobacco and Areca Nut Use Prevention in Guam

完整项目一：关岛青少年烟草和槟榔使用预防

基本信息

批准号：
10266800
负责人：
Pallav Pokhrel
金额：
$ 16.85万
依托单位：
UNIVERSITY OF HAWAII AT MANOA
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-28 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10266800
关键词：
Adolescence Adolescent Adult Adverse effects American Samoa Area Areca Areca catechu Attitude Belief Bronchi Cancer Burden Cancer Center Carcinogens Cigarette Collaborations Community Practice Control Groups Data Disease Educational Curriculum Electronic cigarette Ethics Face Federated States of Micronesia Free Association Fruit Funding Goals Grant Guam Hawaii Head and Neck Cancer High Prevalence Incidence International Agency for Research on Cancer Intervention Island Lung Malignant Neoplasms Marshall Islands Mastication Middle School Student Morbidity - disease rate Native Hawaiian Northern Mariana Islands Nuts Oral Tobacco Outcome Pacific Island Americans Pacific Islands Pacific Ocean Palau Participant Pilot Projects Population Prevalence Preventable cancer cause Prevention Prevention program Randomized Randomized Controlled Trials Reporting Research Research Personnel Research Project Grants Rest Schools Smokeless Tobacco Social Marketing Testing Time Tobacco Tobacco use Universities Youth anticancer research base cancer health disparity cigarette smoke cigarette smoking design efficacy testing electronic cigarette use evidence base follow-up health disparity health equity innovation junior high school malignant mouth neoplasm mid-career faculty mortality prevent programs public health relevance respiratory health smokeless tobacco use smoking initiation social media substance use prevention tobacco products

项目摘要

ABSTRACT People of the U.S. Affiliated Pacific Islands (USAPI) face significant health disparities in terms of higher morbidity and mortality due to cancer and other diseases. Approximately half a million people live in the USAPI and Pacific Islanders constitute one of the fastest growing demographic groups in the U.S. Morbidity and mortality due to lung and bronchus cancer and head-and-neck cancer appear to be markedly higher in the USAPI than the U.S. nationally. The higher rates for lung/bronchus and oral cancer incidence in the USAPI may be due to higher rates of tobacco and areca (betel) nut use in the region. Areca nut is the fruit of a type of palm, Areca catechu, which is commonly chewed with or without tobacco mixed with the nut, for stimulating effects. Our recent research suggests that tobacco product use, including electronic or e- cigarette use, among Guam middle school students may be 4-5 times higher than the U.S. national average. Clearly, preventing tobacco product use (i.e., cigarette, chewing tobacco, e-cigarette use) and areca nut use among USAPI adolescents is likely to reduce cancer disparities faced by the USAPI in the long run. Currently there are NO culturally grounded, evidence-based tobacco and betel nut prevention programs designed for USAPI youth. The long-term goal of this research project is to develop a culturally grounded, evidence-based tobacco and betel nut prevention program that may be delivered in the classrooms across schools in the USAPI. The project will continue a productive collaboration between researchers from the University of Hawaii Cancer Center (UHCC) and University of Guam (UOG), which initiated as a pilot study funded by the previous cycle of the UHCC/UOG Partnership grant (U54). The proposed study will adapt and test Ho'ouna Pono, an innovative video-based classroom substance use prevention curriculum developed for Native Hawaiians, who are Pacific Islanders and culturally similar to Pacific Islanders in the USAPI. In addition to the video-based curriculum, we will test a social media-based social marketing campaign to prevent tobacco and betel nut use initiation and escalation. Of the 8 public middle schools in Guam, 4 will be randomly assigned to the "video-based curriculum + social marketing campaign" condition (i.e., treatment) and 4 will be assigned to the "social marketing campaign only" condition (i.e., control). The decision to provide an intervention, albeit weaker, to the control group as well was guided by the ethics of good community practice. If efficacious, the school-based tobacco and betel nut use prevention curriculum may be delivered throughout the USAPI so as to reduce the adolescent tobacco and betel nut use prevalence in the region. Ultimately, the program may contribute to reducing the high cancer burden faced by the USAPI.

抽象的美国附属太平洋岛屿 (USAPI) 的人民在较高的健康水平方面面临着巨大的健康差距癌症和其他疾病引起的发病率和死亡率。大约有五十万人居住在 USAPI 和太平洋岛民是美国增长最快的人口群体之一肺癌、支气管癌和头颈癌的死亡率似乎明显更高 USAPI 高于美国全国。肺癌/支气管癌和口腔癌的发病率较高 USAPI 可能是由于该地区烟草和槟榔的使用率较高。槟榔是槟榔的果实一种棕榈树，槟榔，通常与或不与烟草与坚果混合咀嚼，刺激作用。我们最近的研究表明，烟草产品的使用，包括电子或电子产品关岛中学生的吸烟率可能是美国国民的 4-5 倍平均的。显然，防止烟草产品的使用（即香烟、咀嚼烟草、电子烟的使用）和 USAPI 青少年使用槟榔可能会减少 USAPI 所面临的癌症差异从长远来看。目前还没有有文化基础、循证的烟草和槟榔为 USAPI 青少年设计的预防计划。该研究项目的长期目标是开发一个以文化为基础、以证据为基础的烟草和槟榔预防计划，可在 USAPI 各学校的教室。该项目将继续与来自夏威夷大学癌症中心 (UHCC) 和关岛大学 (UOG) 的研究人员作为一项试点研究启动，由 UHCC/UOG 合作伙伴赠款 (U54) 的上一个周期资助。这拟议的研究将适应和测试 Ho'ouna Pono，一种基于视频的创新课堂物质使用为夏威夷原住民开发的预防课程，他们是太平洋岛民，在文化上与夏威夷原住民相似 USAPI 中的太平洋岛民。除了基于视频的课程外，我们还将测试基于社交媒体的课程旨在防止烟草和槟榔的使用开始和升级的社会营销活动。 8位公众中关岛的4所中学将被随机分配到“视频课程+社交营销” 营销活动”条件（即处理）和 4 将分配给“仅限社交营销活动” 条件（即控制）。决定对对照组也提供干预，尽管较弱以良好社区实践的道德准则为指导。如果有效的话，学校的烟草和槟榔可以在整个 USAPI 中提供使用预防课程，以减少青少年吸烟以及该地区槟榔的使用率。最终，该计划可能有助于减少高 USAPI 面临的癌症负担。