Ellangneq (Awareness)

描述（由申请人提供）：阿拉斯加原住民构成了一个服务不足的人口，其特点是显著的健康差距（阿拉斯加卫生和社会服务部[DHSS]，2002年）。 阿拉斯加大学费尔班克斯阿拉斯加土著健康研究中心和育空地区Kuskokwim健康公司共同设计、规划和实施了一个基于社区的预防性研究项目（CBPR），该项目具有以下目标：目标1：为了确定最大的阿拉斯加土著文化群体，阿拉斯加西南部的Yup'ik，在预防性干预中最优先的行为健康需求，通过一个由一群Yup'ik领导人领导的CBPR进程，他们将组成Yup'ik研究协调理事会。目标二：在社区、家庭和个人层面制定一份适合多层次和多因素文化干预程序的干预手册。目标3：针对目标1中确定的行为健康需求，对一种普遍的、选择性的或综合的预防性干预模式进行试点测试。 目标4：设计一个为期五年的随机社区预防试验项目，以争夺下一轮资金。 这一进程涉及一个由Yup'ik研究协调理事会领导的伙伴关系，大学研究人员和社区伙伴成为共同研究人员。行为健康因素是阿拉斯加原住民死亡的主要原因。 慢性病、自杀、凶杀、家庭暴力、癌症的危险因素都有显著的行为因素。 这些文献提供了明确的证据，表明阿拉斯加原住民的行为健康存在差异，这显然代表了与其他农村少数民族所经历的健康危机类似的健康危机。在每一种情况下，这些群体都面临着巨大的文化适应压力。 这为促进健康和预防提供了一个独特的适当环境，因为在偏远和孤立的社区，少数民族人口得不到充分的服务，他们的健康失调率很高，变化很快，但也表现出强大的现有传统和社会、经济和地理连续性的因素（钱德勒和LaLonde，1998年）。 这种情况下的农村，边疆性质提供了一个自然的实验室，在其中可以进行科学。 所获得的知识可以有助于为小型，偏远，农村环境设计预防项目;美国的小社区，以及国际上的发展中国家和北极周围。

DESCRIPTION (provided by applicant): Alaska Natives constitute an underserved population characterized by significant health disparities (Alaska Department of Heath & Social Services [DHSS], 2002). The University of Alaska Fairbanks Center for Alaska Native Health Research and the Yukon Kuskokwim Health Corporation have joined together to design, plan, and implement a Community Based Participatory Research Project (CBPR) that has the following aims: Aim 1: To determine the highest priority behavioral health need in a preventative intervention in the largest Alaska Native cultural group, the Yup'ik of southwestern Alaska, through a CBPR process lead by a group of Yup'ik leaders who will constitute the Yup'ik Research Coordinating Council (YRCC). Aim 2: To develop a manual of interventions appropriate to a multilevel and multifactorial culturally based intervention procedure at the community, family, and individual levels. Aim 3: To pilot test a universal, selective, or combined preventative intervention model for the behavioral health need identified in Aim 1. Aim 4: To design a five year project for a randomized community based prevention trial to compete for the next round of funding. The process involves a partnership led by a Yup'ik Research Coordinating Council in which university researchers and community partners become co-researchers. Behavioral health factors are leading cause of deaths among Alaska Natives. The risk factors for chronic disease, suicide, homicide, family violence, and cancer all have significant behavioral factors. The literature provides clear evidence that there are disparities in the behavioral health of Alaska Natives that clearly represent a health crisis similar to that experienced by other rural minority groups. In each context, the groups are experiencing significant acculturation pressure. This provides a uniquely appropriate context for health promotion and prevention where there are remote and isolated communities with underserved minority populations experiencing high rates of health disorders and rapid change, but also exhibiting a strong existing traditions and elements of social, economic and geographic continuity (Chandler & LaLonde, 1998). The rural, frontier nature of this context provides a natural laboratory in which the science can be conducted. The knowledge acquired can contribute to the designing of prevention projects for small, remote, rural contexts; small neighborhoods in the U.S., and internationally within the developing world and circumpolar north.