Examining the Role of Sleep Disturbances in Contributing to Health Risk Behaviors and Cardiometabolic Outcomes in Urban Native American Youth

项目摘要/摘要 冠状病毒大流行给包括青年在内的人的一生带来了前所未有的挑战， 对于那些生活在贫困和健康不平等中的人来说，这一点可能更加明显。美国印第安人/阿拉斯加人 原住民(AI/ANS)是健康差距的最高风险种族/民族之一，他们是 新型冠状病毒大流行对健康和社会经济造成不利影响的特别脆弱群体 (新冠肺炎)。到目前为止，只有一项先前的研究回溯性地评估了 在传染病(H1N1或SARS)暴发后对青年和家庭进行隔离，而且没有人 评估了大流行期间对青年的影响。AI/AN青少年体验不成比例 已知的加剧新型冠状病毒负面影响的高并存率，包括心脏 疾病、糖尿病、肥胖以及行为健康问题，包括抑郁和酒精等 毒品(AOD)使用问题，在在家订购期间可能会加剧。此应用程序正在进行 提交以回应NOT MD-20-019特殊利益通知：竞争和行政 新冠肺炎疫情对少数民族健康和健康差距影响的补充资料。我们的目标是 如下：目标1a。使用两波数据(基线和冠状病毒大流行期间)，我们将检查 个人(例如，技术使用)、家庭(例如，冲突和凝聚力)、社区(例如， (社区)、文化(例如，参与文化活动)、风险和保护因素，以及 睡眠、冒险和精神健康(抑郁、焦虑和创伤后应激障碍)。目标1b： 使用两波数据，我们将检验风险和保护因素的变化如何影响 睡眠、冒险行为、心理健康。例如，我们假设，粮食不安全的增加将 睡眠问题、冒险行为和心理健康问题的增加， 而更多地参与文化活动将与更好的结果相关。目标2.使用 对于新增的新冠肺炎具体问题，我们将考察新冠肺炎相关问题之间的关联性 新冠肺炎公共卫生相关知识、风险感知、行为应对与挑战 措施(例如，受到学校停课的影响)和睡眠、冒险行为和心理健康。目标3. 随机选择一个青少年样本(N=25)，并进行定性访谈，以检查 冠状病毒的爆发影响了青少年的睡眠习惯、日常生活和行为。这项研究将 促进更好地了解如何为服务不足的情况规划支持服务和预防措施 一群青少年。我们的发现也将推动这一领域的发展，因为这是 城市人工智能/AN青年中冠状病毒的情况。

Project Summary/Abstract The coronavirus pandemic poses unprecedented challenges for people across the lifespan, including youth, and are likely more pronounced for those who live with poverty and health inequities. American Indian/ Alaskan Natives (AI/ANs) are one of the highest risk racial/ ethnic groups for health disparities, and they are a particularly vulnerable group for adverse health and socioeconomic impacts of the novel coronavirus pandemic (COVID-19). Only one prior study to date retrospectively assessed the long-term psychosocial impact of quarantine on youth and families following an infectious disease outbreak (H1N1 or SARS), and none have assessed the impact on youth in the midst of the pandemic. AI/AN adolescents experience disproportionately high rates of comorbidities known to exacerbate the negative effects of the novel coronavirus, including heart disease, diabetes, obesity, as well as behavioral health problems, including depression and alcohol and other drug (AOD) use problems, which may be exacerbated during stay-at-home orders. This application is being submitted in response to NOT MD-20-019 Notice of Special Interest: Competitive and Administrative Supplements for the Impact of COVID-19 Outbreak on Minority Health and Health Disparities. Our aims are as follows: Aim 1a. Using two waves of data (baseline and during the coronavirus pandemic), we will examine changes in individual (e.g., technology use), family (e.g., conflict and cohesion), community (e.g., sense of community), and cultural (e.g., engagement in cultural activities) risk and protective factors, and changes in sleep, risk-taking and mental health (depression, anxiety, and post-traumatic stress disorder, PTSD). Aim 1b: Using two waves of data, we will examine how changes in risk and protective factors influence changes in sleep, risk-taking behaviors, mental health. For example, we hypothesize that increases in food insecurity will be associated with greater increases in sleep problems, risk-taking behaviors and mental health problems, whereas increases in engagement in cultural activities will be associated with better outcomes. Aim 2. Using the newly added COVID-19 specific questions, we will examine the association between COVID-19 related knowledge, risk perception, and behavioral responses, and challenges related to COVID-19 public health measures (e.g., being affected by school closings) and sleep, risk-taking behaviors, and mental health. Aim 3. Randomly select a subsample (N=25) of adolescents and administer qualitative interviews to examine how the coronavirus outbreak has affected AI/AN adolescent sleep habits, routines, and behaviors. This study will facilitate better understanding of how to plan support services and prevention measures for this underserved group of adolescents. Our findings will also move the field forward as this is the only study of sleep health in the context of the coronavirus among urban AI/AN youth.