Measurement of Nature Contact: The Influence of Cultural Practices on Sleep Health and Chronic Disease among Rural and Urban American Indians

自然接触的测量：文化习俗对农村和城市美洲印第安人睡眠健康和慢性病的影响

• 批准号: 10381317
• 负责人: Lonnie A. Nelson
• 金额: $ 12.41万
• 依托单位: WASHINGTON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-13 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10381317
• 关键词: Address; Adolescent; Adult; Affect; Age; Alaska Native; American Indians; Animals; Area; Asians; Cardiovascular Diseases; Cardiovascular system; Cause of Death; Chronic Disease; Code; Cohort Studies; Collaborations; Communities; Commuting; County; Data; Data Analyses; Data Set; Development; Diabetes Mellitus; Diagnosis; Disease Outcome; Enrollment; Environmental Risk Factor; Family Study; Foundations; Genetic; Geography; Goals; Grant; Health; Health Benefit; Health Promotion; Health behavior; Heart; Heart Diseases; High Prevalence; Hispanics; Hour; Human; Indian reservation; Indigenous; Individual; Language; Literature; Mainstreaming; Manuscripts; Measurement; Measures; Mentored Research Scientist Development Award; Mentors; Metabolic; Methods; Nature; Neighborhoods; Not Hispanic or Latino; Obesity; Outcome; Parents; Participant; Pathway interactions; Patient Recruitments; Patient Self-Report; Plants; Population; Population Study; Preparation; Prevalence; Prevention; Prevention strategy; Psychometrics; Recording of previous events; Research; Research Institute; Research Personnel; Reservations; Review Literature; Risk; Risk Factors; Rural; Sample Size; Sampling; Science; Scientist; Sleep; Sleep Deprivation; Sleep Disorders; Socioeconomic Status; Statistical Methods; Stroke; Structure; Sunlight; Testing; Time; Training; Tribal group; Tribes; Trust; United States; United States National Institutes of Health; Urban Health; Water; Writing; base; cardiovascular health; career; career development; comparative; design; dietary; disorder prevention; disorder risk; epidemiology study; evidence base; frontier; geographic difference; health disparity; improved; innovation; instrument; metropolitan; northern plains; parent grant; professor; prospective; protective factors; racial health disparity; recruit; research and development; residence; resilience; rural area; rural residence; rurality; secondary analysis; skills; sleep health; social; substance use; suburb; surveillance data; training opportunity; tribal community; urban Native American; urban area; urban residence

PROJECT SUMMARY Researchers have called for a deeper understanding of how social, cultural and environmental factors influence chronic disease and sleep health outcomes. The parent grant –American Indian CHronic disEase RIsk and Sleep Health (AI- CHERISH; R01MD014035)—aims to estimate the prevalence of sleep problems and their associations with specific cardiovascular and metabolic risk factors, as well as the qualitative characterization of cultural factors related to sleep health among participants recruited from American Indian (AI) participants previously enrolled in the Strong Heart Family Study (SHFS). This Diversity Supplement uses secondary analysis of quantitative data to develop a geographical variable (RUCA), and to test associations and interactions between this variable, sleep health, and chronic disease risk factors. It also uses secondary qualitative data to develop a measure of cultural practices involving nature contact. This new measure will be tested for interaction effects on associations between the RUCA variable and sleep problems. This Supplement will enhance the parent study’s ability to meet each of its specific aims through deepening understanding of geographic variations in sleep health as well as through enhancing understanding of specific cultural features key to sleep health by urbanicity and rurality, characterized by the creation of a rural-urban commuting area (RUCA) variable. Findings will enhance our understanding of geographic variation in sleep health and chronic disease outcomes, as well of culturally appropriate psychometric instruments that may help identify pathways for prevention and treatment. Findings will also contribute to a limited body of literature on the health benefits of nature contact among AIs. Dr. Fernandez’ long-term goal is to obtain the training and skills needed to become an independent mixed- methods investigator to address health disparities among American Indian and Alaska Native (AI/AN) populations, with a specific emphasis on measurement development. In collaboration with her mentoring team, she proposes 2 years of research and career development activities designed to achieve this goal. Dr. Fernandez’ research and career development activities include a comprehensive literature review; formal coursework in statistical methods and participation in the NIMHD Health Disparities Research Institute; grant writing training and manuscript preparation; data analysis; and the submission of a competitive Mentored Research Scientist Development Award (K01) application.

项目摘要 研究人员呼吁更深入地了解社会、文化和环境因素 影响慢性疾病和睡眠健康结果。父母补助金-美国印第安人慢性病 Risk和睡眠健康（AI-CHERISH; R01MD014035）-旨在估计睡眠问题的患病率 及其与特定心血管和代谢危险因素的关系，以及定性 从美洲印第安人招募的参与者中与睡眠健康相关的文化因素的特征 (AI)参与者之前参加了Strong Heart Family Study（SHFS）。这种多样性补充使用 对定量数据进行二次分析，以开发地理变量（RUCA），并测试相关性 以及这个变量、睡眠健康和慢性疾病风险因素之间的相互作用。它还使用二级 定性数据，以制定涉及自然接触的文化习俗的衡量标准。这项新措施将 测试RUCA变量和睡眠问题之间的关联的交互作用。这 补充将提高母研究的能力，以满足其每一个具体目标，通过深化 了解睡眠健康的地理差异，以及通过加强对特定 文化特征的关键睡眠健康的城市性和农村性，其特点是创造一个农村-城市 通勤区（RUCA）变量。研究结果将增强我们对睡眠地理差异的理解 健康和慢性疾病的结果，以及文化上适当的心理测量工具，可能有助于 确定预防和治疗途径。调查结果也将有助于有限的文献机构， 人工智能与大自然接触对健康的益处。 博士费尔南德斯的长期目标是获得成为一名独立的混合- 方法研究员，以解决美国印第安人和阿拉斯加原住民（AI/AN）之间的健康差异 人口，特别强调计量发展。在她的指导团队的合作下， 她提议开展两年的研究和职业发展活动，以实现这一目标。博士 费尔南德斯的研究和职业发展活动包括一个全面的文献综述;正式 统计方法课程和参与NIMHD健康差异研究所;补助金 写作培训和手稿准备;数据分析;以及提交有竞争力的指导 研究科学家发展奖（K01）申请。