Reducing Health Disparities in an American Indian Tribe*

描述（由申请人提供）：该项目的目的是利用基于社区的参与性研究过程来评估Pascua Yaqui部落（PYT）的社区健康需求，并针对对社区重要的健康问题制定文化上适当和相关的干预措施。该项目将继续Pascua Yaqui部落与亚利桑那大学Mel & Enid Zuckerman公共卫生学院之间的长期合作。这种伙伴关系的巩固将有助于制定和实施符合文化的循证方法，以消除部落的健康差距。此外，这种合作将进一步推动公共卫生学院的使命，即消除西南地区基于种族、社会经济地位和种族的健康差距。在这一资助阶段的三年期间，具体目标是：(1)以社区参与研究的原则为基础，合作制定和开展需求评估过程。具体而言，通过使用文化上适当的信息收集形式，让部落成员和其他主要利益相关者参与对话，以确定帕斯夸亚基部落成员认为的是：(a)造成其社区中健康差异的主要因素，(b)对其社区具有重大意义的可改变的健康问题，(c)减少其社区中具有重大意义的健康问题中出现的差异的最适当的干预方法，以及(d)证明拟议干预措施有效性的最适当方法。(2)协同设计和试点测试针对对PYT有重大意义的健康问题差异的干预措施。这一以社区为基础的参与性研究项目与公共卫生有关，因为它将促进制定相关的、可持续的干预措施，减少并最终消除对美国西南部一个美洲印第安部落具有重大意义的健康问题普遍存在的差异。

DESCRIPTION (provided by applicant): The purpose of this project is to utilize the community based participatory research process to assess the community health needs of the Pascua Yaqui Tribe (PYT) and develop a culturally appropriate and relevant intervention related to a health issue that is important to the community. The project will continue a longstanding collaboration between the Pascua Yaqui Tribe and the University of Arizona Mel & Enid Zuckerman College of Public Health. Solidification of this partnership will facilitate the development and implementation of culturally-appropriate and evidence-based methods to eliminate health disparities in the Tribe. In addition, this collaboration will further the mission of the College of Public Health which is to eliminate health disparities based on ethnicity, socioeconomic status, and race in the southwest. During the three years of this phase of funding, the specific aims are: (1) to collaboratively develop and conduct a needs assessment process grounded in the principles of community-based participatory research. Specifically, to engage Tribal members and other key stakeholders in a dialogue through the use of culturally appropriate forms of information gathering to identify what members of the Pascua Yaqui Tribe believe to be: (a) the significant contributors to the health disparities seen in their community, (b) a modifiable health problem of substantial significance to their community, (c) the most appropriate method of intervention to reduce the disparities seen in a health problem of substantial significance in their community, and (d) the most appropriate method of demonstrating the effectiveness of a proposed intervention. (2) to collaboratively design and pilot test an intervention targeting disparities in a health problem of substantial significance to the PYT. This community based participatory research project is relevant to public health because it will facilitate the development of a relevant, sustainable intervention that reduces and ultimately eliminates disparities in the prevalence of a health problem of substantial significance to an American Indian Tribe in the southwest United States.