Northwest Indian College (NWIC) NARCH XI

计划摘要 AS承诺确保美国印第安人和阿拉斯加原住民(AIAN)的健康 继续被打破，我们建议我们的西北印度学院(NWIC)NARCH XI申请作为对冲 对抗日益高涨的种族不平等和社会不公，影响着人们的生活，最终影响着人们的健康 这个国家的土著人民的死亡率。AIAN健康差距的原因是复杂的和 包括导致健康风险和贫困的社会、生物、经济、文化和历史因素 与结构性和种族不平等以及种族创伤有关的AIAN人的健康结果。收益已经 AIAN在健康促进和有效实践方面取得了进展，但进展不够快 生命正在被可预防和可治疗的疾病和条件夺去生命。研究肯定没有 一直被AIAN人和部落视为治愈之旅的关键部分，但在过去的两年里 几十年来，美国的部落、部落组织和部落社区成员开始成为 领导他们自己自主决定的研究议程，以解决卫生优先事项和消除 不平等和不平等。华盛顿州的AIAN社区和部落组织 领导研究工作，通过以下方式解决卫生保健中的健康差距和种族不平等问题 与研究密集型大学和设在这些地点的AIAN调查人员建立伙伴关系。 西北印第安人学院(NWIC)是唯一一所被认可的部落学院，服务于 华盛顿州、俄勒冈州和爱达荷州，并有合作进行部落所有的既定历史 和对照研究。NWIC有一个活跃的NARCH计划，重点是解决阿片类药物问题 通过恢复因素研究沿海萨利什社区的公共卫生危机。拟建的新世界投资公司 NARCH XI的目标是扩大NWIC的能力，以便对部落做出更快速和实时的反应 理事会和AIAN社区要求在紧急、高度优先的领域进行研究，包括 应对新冠肺炎大流行危机对健康、复原力和恢复的影响。 总体而言，这项拟议的NARCH XI应用程序旨在支持三个由部落领导的研究项目 解决AIAN部落或部落组织确定的高度优先的健康问题，并提供 AIAN学生健康职业发展和研究培训的机会。

Program Summary As promises to ensure the health of American Indian and Alaska Native (AIAN) people in the United States continue to be broken, we propose our Northwest Indian College (NWIC) NARCH XI application as a hedge against the rising tide of racial inequity and social injustice impacting the lives and ultimately the health and mortality of the Indigenous people in this nation. The etiology of AIAN health disparities is complex and includes social, biological, economic, cultural, and historical factors contributing to health risks and poorer health outcomes among AIANs that are related to structural and racial inequities and racial trauma. Gains have been made in AIAN health promotion and effective practice, but advances are not happening quickly enough and lives are being lost to preventable and treatable diseases and conditions. Research has certainly not always been viewed by AIAN people and tribes as a key part of a healing journey, but over the last two decades, tribes, tribal organizations and tribal community members in the US have begun to emerge as leaders of their own self-determined research agendas to address health priorities and eliminate disparities and inequities. AIAN communities and tribal organizations in Washington state have been leading research efforts to address health disparities and racial inequities in health care through partnerships with research intensive universities and with AIAN investigators positioned at these sites. The Northwest Indian College (NWIC) is the only accredited tribal college serving the states of Washington, Oregon and Idaho, and has an established history of partnering to conduct tribally owned and controlled research. NWIC has an active NARCH program that focuses on addressing the opioid public health crisis in Coast Salish communities through recovery factors research. The proposed NWIC NARCH XI has the goals to expand capacity at NWIC to allow more rapid and real-time response to tribal council and AIAN community requests to conduct research in emergent, high priority areas including addressing the consequences of the COVID-19 pandemic crisis on health, resilience and recovery. Overall, this proposed NARCH XI application aims to support three tribally-led research projects that address high priority health issues identified by AIAN tribes or tribal organizations, and provide opportunities for AIAN student health careers development and research training.