Establishing the Guma' Tinemtom to support population health research through island wisdom in Guam

建立 Guma Tinemtom，通过关岛的岛屿智慧支持人口健康研究

• 批准号: 10452324
• 负责人: Yvette C Paulino
• 金额: $ 54.78万
• 依托单位: UNIVERSITY OF GUAM
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-01 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10452324
• 关键词: Accreditation; Address; Adolescent; Adult; Affect; Ankle; Applications Grants; Arthritis; Asian; Asian Pacific Islander; Asian population; Asthma; COVID-19; Chronic; Communities; Consultations; Crystallization; Data; Data Set; Emergency Situation; Ethnic group; Funding; Future; Gout; Government; Guam; Health; Health Surveys; Heavy Drinking; Household; Hyperuricemia; Information Technology; Infrastructure; Interview; Interviewer; Island; Joints; Kidney Diseases; Knee; Knowledge; Laboratories; Language; Low Back Pain; Malignant Neoplasms; Masks; Measures; Michigan; Modeling; Names; National Health Interview Survey; Native Hawaiian or Other Pacific Islander; Obesity; Pacific Islands; Pain; Policies; Population; Preparation; Prevalence; Probability Samples; Process; Protocols documentation; Race; Reporting; Research; Research Activity; Sampling; Smoking; Strategic Planning; Surveys; Time; Toes; Training; United States; United States National Institutes of Health; Universities; Update; Uric Acid; community partnership; data space; design; ethnic diversity; experience; health data; health disparity; instrument; interdisciplinary approach; interest; novel; population based; population health; programs; psychological distress; recruit; training opportunity

PROJECT SUMMARY Historically, data on Native Hawaiians and Pacific Islanders (NHPI) have been aggregated with Asians thereby masking disparities across this diverse group. Recent disaggregation of NHPIs in health data sets, such as the National Health Interview Survey (NHIS) in the United States (US), indicate that NHPI health disparities continue to exist. The NHIS excludes the US territories and affiliated Pacific Islands where non-communicable diseases (NCD) have been declared a health emergency. One NCD, common yet understudied in the US Affiliated Pacific Islands (USAPI), is gout sometimes resulting from hyperuricemia. NHPIs in the US experience a higher burden of gout and hyperuricemia. Furthermore, half- century old data suggest differences in gout and hyperuricemia among populations in the USAPIs, but the data needs updating. In partnership with the University of Michigan, the University of Guam proposes two specific aims to: 1) establish a Micronesian Data Laboratory at the University of Guam, and 2) conduct the first Guam NHIS with a representative probability sample of 500 households of adults and adolescents in Guam with an emphasis on measuring gout and hyperuricemia prevalence. The Micronesian Data Laboratory will occur in Years 1 and 2 and require identifying and equipping the physical space, as well as forming a Steering Committee working with community partners. The research approach in Years 3 to 5 will entail the Guam NHIS preparation (sampling frame design, finalization of instruments, interviewer training), implementation (household recruitment and interviews), and analysis and dissemination of findings. Throughout the project, the research team will engage the Steering Committee and community partners – a process that may identify novel alternative approaches to enhance research implementation in the COVID-19 era sustainable through our Micronesian Data Laboratory. The inaugural GNHIS findings will inform policy or program needs to support population health, generate future collaborative grant proposals, and serve as a model for other territories or USAPIs interested in NHIS or similar survey implementation.

项目概要 从历史上看，有关夏威夷原住民和太平洋岛民 (NHPI) 的数据一直被 与亚洲人聚集在一起，从而掩盖了这个多元化群体之间的差异。最近的 健康数据集中 NHPI 的分类，例如国家健康访谈调查 美国（US）的 NHIS（NHIS）表明 NHPI 健康差异仍然存在。这 NHIS 不包括非传染性疾病的美国领土和附属太平洋岛屿 疾病（NCD）已被宣布为卫生紧急状态。一种非传染性疾病，在以下国家很常见但尚未得到充分研究 美国附属太平洋岛屿（USAPI）的痛风有时是由高尿酸血症引起的。 美国的 NHPI 面临着更高的痛风和高尿酸血症负担。此外，半 百年历史的数据表明，痛风和高尿酸血症在不同人群中存在差异 USAPI，但数据需要更新。与密歇根大学合作， 关岛大学提出了两个具体目标：1）在 关岛大学，以及 2) 以代表性概率开展首次关岛 NHIS 对关岛 500 个成人和青少年家庭进行抽样调查，重点是测量 痛风和高尿酸血症的患病率。密克罗尼西亚数据实验室将在第一年和 2 并要求识别和装备物理空间，以及形成指导 委员会与社区合作伙伴合作。第三年至第五年的研究方法将需要 关岛 NHIS 准备工作（抽样框架设计、工具最终确定、访谈员 培训）、实施（入户招聘和访谈）以及分析和 传播调查结果。在整个项目过程中，研究团队将与指导委员会合作 委员会和社区合作伙伴——一个可能确定新颖替代方法的过程 通过我们的密克罗尼西亚大学可持续地加强 COVID-19 时代的研究实施 数据实验室。首次 GNHIS 调查结果将告知支持政策或计划的需求 人口健康，产生未来的合作拨款提案，并作为其他领域的典范 对 NHIS 或类似调查实施感兴趣的地区或 USAPI。