Navajo NARCH Partnership

项目摘要 纳瓦霍民族(NN)一直是推出新冠肺炎疫苗的领先者。2021年4月9日，NN报道 全国37.4%的居民完全接种了疫苗。在同一天的比较中，CDC报告了19.9%的 美国成年人已经完全接种了疫苗。然而，NN确实存在疫苗犹豫不决的问题。根据以下机构进行的采访 媒体和评论数字平台的讨论，疫苗的犹豫不决植根于历史上对疫苗的不信任 政府以及最近在社交媒体上发布的错误信息和阴谋论。在其他 在这种情况下，一些人担心他们会从有潜在危险的老年人或同胞那里偷走一个位置 健康状况。值得信赖的健康信使和以文化为中心的信息是有效的健康手段 教育导致神经网络的行为改变。拟议的研究、迪内教学和公共卫生专业的学生 向同龄人和亲戚通报疫苗教育(RAVE)，将整合这两个决定因素，信任 和文化，以解决成年人对疫苗的担忧和犹豫。目标是增加他们的知识 疫苗安全性，并改变他们接种疫苗的意图。值得信赖的信使，迪内(纳瓦霍)公共卫生 将培训学生提供以文化为中心的、科学准确的疫苗安全信息和使用 与那些自我认定为疫苗犹豫不决的同龄人和亲戚交谈的特定关系和礼仪。 传统知识持有者将接受采访，以记录针对个人和 集体健康行为。这种文化知识将指导对国家现有材料的改编 为非专业健康教育工作者开发的。本行政副刊的目标是评估迪内公共部门 卫生专业学生使用以文化为中心的疫苗安全教育的能力，将疫苗的犹豫转变为 在他们的Diné同龄人和亲戚中，他们的意图是什么。这一目标与以下机构的劳动力能力建设使命一致 父母奖，纳瓦霍美洲原住民健康伙伴关系研究中心，合作 位于NN的部落学院DinéCollege和北亚利桑那大学之间。Rave提出了三个目标 为了实现这一目标：1)记录至少25%的迪内学院学生、教职员工和教职员工自己的疫苗 犹豫不决以及他们对同龄人和家人接种疫苗犹豫不决的看法；2)DinéTrain学院a 至少35名公共卫生专业学生作为健康使者，能够提供以文化为中心的、科学的 对至少10名NN居民进行关于疫苗安全的有效教育；以及3)在 至少350名Diné成年人在接受健康教育后的疫苗安全知识 信使。纳瓦霍NARCH团队在评估疫苗在一个子组中的犹豫不决方面具有独特的地位 NN并使学生成为健康信使，以利用他们的教育和关系提供 向他们的同龄人和亲属提供疫苗安全信息。实现研究目标将为健康信息提供信息 NN具体和土著国家的交付策略，并记录信使的作用 以文化为中心的方法，以产生健康行为意向的变化。

PROJECT ABSTRACT Navajo Nation (NN) has been a leader in the launch of COVID-19 vaccines. On April 9, 2021, NN reported 37.4% of the Nation’s residents as full vaccinated. In comparison on the same date, CDC reported 19.9% of US adults as being fully vaccinated. Yet vaccine hesitancy does exist in NN. Based on interviews conducted by the media and review of digital platform discussions, vaccine hesitancy is grounded in historical mistrust of the government and more recently, misinformation and conspiracies theories promulgated in social media. In other cases, some are concerned they would be “stealing a spot” from an elder or fellow citizen with underlying health conditions. Trusted health messengers and culturally centered information are effective means of health education leading to behavior change in NN. The proposed study, Diné Teachings and Public Health Students Informing Peers and Relatives about Vaccine Education (RAVE), will integrate these two determinants, trust and culture, to address adults’ vaccine concerns and hesitancy. The objective is to increase their knowledge of vaccine safety and shift their intention to get vaccinated. Trusted messengers, Diné (Navajo) public health students will be trained to deliver culturally centered, scientifically accurate vaccine safety information and use Diné specific relationality and etiquette to talk to peers and relatives who self-identify as vaccine hesitant. Traditional Knowledge Holders will be interviewed to document cultural teachings that address individual and collective health behaviors. This cultural knowledge will guide the adaptation of state available materials developed for lay health educators. The goal of this Administrative Supplement is to assess Diné public health students’ ability to use culturally centered vaccine safety education to shift vaccine hesitancy to intention in their Diné peers and relatives. This goal aligns with the workforce capacity building mission of the parent award, the Navajo Native American Research Center for Health Partnership, a collaboration between Diné College, a tribal college of the NN, and Northern Arizona University. RAVE proposes three aims to address this goal: 1) Document a minimum of 25% of Diné College student, faculty, and staff’s own vaccine hesitancy and their perception of their peers and family members’ vaccine hesitancy; 2) Train Diné College a minimum of 35 public health students as health messengers able to provide culturally centered, scientifically valid education about vaccine safety to a minimum of 10 NN residents, each; and 3) Document change in a minimum of 350 Diné adults’ knowledge of vaccine safety after receiving the education provided by a health messenger. The Navajo NARCH team is uniquely positioned to assess vaccine hesitancy in a subgroup within the NN and to prepare students as health messengers to leverage their education and relationships to provide vaccine safety information to their peers and relatives. Achieving the study aims will inform health information delivery strategies in NN specifically and Native Nations, generally, and document the role of the messenger and the culturally centered approaches to yielding change in health behavior intention.