Prevention Research Center: Parenting Among Women Who Are Opioid Users

预防研究中心：阿片类药物使用者的女性育儿

基本信息

批准号：
10484828
负责人：
Philip A Fisher
金额：
$ 68.22万
依托单位：
UNIVERSITY OF OREGON
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-15 至 2025-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10484828
关键词：
Affect Area Awareness Basic Science Behavior Behavioral Brain Child Child Rearing Collaborations Communication Communities Community Networks Community Services County Criminal Justice Data Data Science Core Development Drug Addiction Drug usage Economic Burden Educational workshop Epidemic Evaluation Evidence based intervention Exposure to Family Female Funding General Population Generations Geography Goals Grant Health Healthcare Helping to End Addiction Long-term Individual Infant Development Infrastructure Intervention Investigation Knowledge Leadership Link Manuscripts Measures Methods Modeling Mothers National Institute of Drug Abuse Neurobiology Neurocognitive Opiate Addiction Opioid Oregon Outcome Parent-Child Relations Parents Personal Satisfaction Policies Policy Maker Population Population Intervention Postpartum Period Pregnant Women Prevention Prevention Research Prevention program Productivity Public Health Publications Recording of previous events Regulation Research Research Methodology Research Personnel Research Project Grants Resources Rewards Risk Rural Rural Community Science Scientist Seminal Stress Structure System Testing Training Training Activity Translational Research United States United States Dept. of Health and Human Services United States National Institutes of Health Universities Vulnerable Populations Woman Work addiction age group base career career development checkup examination child bearing community partnership cost data harmonization data sharing design drug use vulnerability early childhood early life adversity economic cost effective intervention effectiveness evaluation epidemiologic data evidence base executive function experience improved individualized prevention innovation intergenerational knowledge base maternal opioid use member multidisciplinary next generation novel opioid abuse opioid epidemic opioid misuse opioid use opioid use disorder opioid user overdose death prescription opioid prescription opioid misuse preventive intervention programs public health emergency recruit rural area service providers skills substance abuse prevention substance use therapy design transmission process video coaching webinar

项目摘要

PROJECT SUMMARY The global SARS-CoV-2 pandemic is the worst health crisis the United States and world have faced in a century. Although this highly contagious virus has infected tens of millions of Americans already, the pandemic is far from over, and the disease burdens continue to be disproportionately born by historically underserved populations such as Latinx communities. Nationally, Latinx people with COVID-19 are hospitalized at four times the rate of Whites and have much higher rates of morbidity and mortality. This disparity is notable in Oregon, where the 13% of our population that is Latinx represents approximately 24% of COVID-19 cases. Yet, vaccination rates for Latinx remain below the state average. Thus, an urgent need exists to reach Oregon’s Latinx community with public health and prevention messages that emphasize the value of continued COVID-19 testing and that address vaccine hesitancy. This project will build upon our successful RADx-UP Phase I culturally-tailored community outreach and testing program through the implementation of Phase II goals of increasing the reach and uptake of testing and decreasing vaccine hesitancy in Latinx individuals in Oregon. The project will maintain and expand a world-class team of prevention scientists, public health experts, Latinx researchers, community partners, and biologists who have been working together to conduct SARS-CoV-2 diagnostic testing since March 2020. This team established a CLIA-certified laboratory and honed molecular testing protocols, procured millions of dollars of diagnostic testing equipment and supplies, and partnered with county public health offices and hospitals throughout the state to conduct testing. The team has been engaged in comprehensive community partnerships using community-based participatory research methods in Phase I to deliver a culturally-tailored intervention that shows preliminary efficacy in increasing testing among Latinx individuals. Building on the lessons learned in the first 6 months of our Phase I RADX-UP testing, we will refocus our existing testing program to broaden our reach by partnering with state and community organizations offering other services to Latinx communities across Oregon. With continued support from the Latinx Community and Scientific Advisory Board, the project will refocus to support the testing of 100 individuals each month across the state of Oregon, focusing specifically on locating testing events at venues that serve Latinx individuals (e.g., mobile Mexican Consulate events across the state). The previously launched health intervention (Promotores de Salud) will also be refocused to promote the benefits of continued testing and vaccination uptake, and barriers to these important health behaviors will be evaluated. Over time, this project will continue to help communities institutionalize optimal local testing frameworks that are sustainable. The resulting testing and structures and systems will be poised for future scale-up to other vulnerable communities and/or for other public health purposes. This project is expected to lead to a major reduction in COVID-19 health disparities in underserved populations.

项目摘要全球SARS-COV-2大流行是美国和世界面临的最严重的健康危机世纪。尽管这种高度传染性的病毒已经感染了数千万美国人，但大流行还远远没有结束，疾病烧伤仍然是由于历史欠佳的人所生的不成比例诸如Latinx社区之类的人群。在全国范围内，与19岁的Latinx患者四人住院乘以白人的速度，发病率和死亡率更高。这种差异在俄勒冈州，我们13％的拉丁裔人口约占COVID-19案例的24％。然而，拉丁裔的疫苗接种率仍然低于州平均水平。那是迫切需要到达的俄勒冈州的拉丁裔社区具有公共卫生和预防信息，强调了持续的价值 COVID-19测试和该疫苗犹豫。这个项目将基于我们成功的Radx-Up 通过实施第二阶段增加测试范围和吸收的目标，并减少拉丁人的疫苗犹豫不决俄勒冈州。该项目将维护和扩展世界一流的预防科学家团队，公共卫生一直共同努力的专家，拉丁裔研究人员，社区合作伙伴和生物学家自2020年3月以来，SARS-COV-2诊断测试。该团队建立了一个经过CLIA认证的实验室和磨练的分子测试方案，购买了数百万美元的诊断测试设备和供应，并与全州的县公共卫生办公室和医院合作进行测试。团队使用基于社区的参与研究进行了全面的社区伙伴关系第一阶段的方法提供了一种文化规定的干预措施，该干预措施显示出提高初步效率在拉丁裔个体中进行测试。建立在我们阶段I Radx-Up的前6个月中学到的教训测试，我们将通过与州合作和社区组织向俄勒冈州的拉丁裔社区提供其他服务。继续支持从拉丁裔社区和科学顾问委员会中，该项目将重新关注以支持100的测试每个月俄勒冈州的个人，专门针对在场地上定位测试事件为拉丁裔个人提供服务（例如，全州移动墨西哥领事馆活动）。以前发起的健康干预措施（Promotores de Salud）也将重新集中于持续的好处将评估测试和疫苗接种的吸收，以及这些重要健康行为的障碍。随着时间的推移，该项目将继续帮助社区制度化最佳本地测试框架可持续的。由此产生的测试，结构和系统将被中毒，以使将来扩大到其他脆弱的社区和/或出于其他公共卫生目的。预计该项目将导致一个专业在服务不足的人群中减少了199年的共同健康差异。