Partnership for Public Health Research in the Oglala Sioux Tribe

奥格拉拉苏族部落公共卫生研究伙伴关系

• 批准号: 8001354
• 负责人: JANETTE Louise BEALS
• 金额: $ 99.94万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8001354
• 关键词: Accidents; Address; Adolescence; Adolescent Risk Behavior; Adult; Advocate; Alcohol or Other Drugs use; American; American Indian and Alaska Native; Attention; Back; Behavior; Behavioral; Child; Childhood; Collaborations; Colorado; Commit; Communities; Community Health; Country; Development; Diabetes Mellitus; Disease; Eating; Elderly; Ensure; Exercise; Face; Funding; Hand; Health; Health Services; Homicide; Intervention; Joints; Leadership; Life; Link; Location; Methods; Native Americans; Obesity; Phase; Play; Policy Maker; Population; Postdoctoral Fellow; Prevention; Prevention approach; Prevention program; Procedures; Process; Program Development; Provider; Recording of previous events; Research; Research Infrastructure; Research Methodology; Research Personnel; Research Priority; Research Training; Reservations; Risk Behaviors; Role; Seasons; Services; Sioux Indians; Suicide; Time; Training; Tribes; Uncertainty; Universities; Work; Youth; base; community based participatory research; community setting; dissemination research; experience; grandchild; health administration; health disparity; health science research; human capital; infrastructure development; member; mortality; population health; programs; public health priorities; public health relevance; public health research; sex; skills; substance abuse prevention; symposium; tool

DESCRIPTION (provided by applicant): American Indians and Alaska Natives (AI/ANs) suffer from marked health disparities when compared to other Americans; mortality rates associated with substance use, accidents, diabetes, homicide, and suicide are unacceptably high. While making health services more accessible is critical in addressing health disparities, mobilizing communities towards healthy living is another important - and often underutilized - tool. This is especially true when we consider the behavioral underpinnings of many health disparities and the potential role of prevention in interrupting the development, among youth, of risk behaviors (e.g., substance use, risky sex, obesity) and in supporting the development of healthy behaviors (e.g., exercise, healthy eating) that can forestall serious health problems in later life. It is becoming increasingly recognized that community involvement is critical in effectively addressing health disparities, with community-based participatory research (CBPR) and Tribal Participatory Research (TPR) methods gaining deserved recognition. Yet most health research is still initiated by academic health centers with little or no community input. We believe that efforts to involve communities in prevention efforts to help their youth develop healthy behaviors and avoid unhealthy choices will be most successful if these methods are fully embraced. Such approaches are particularly well suited for AI/AN communities, especially reservation- or village-based communities defined by both cultural group and location. The Oglala Sioux Tribe (OST) of the Pine Ridge Reservation is a community facing significant health disparities; OST members are among the poorest in our nation with rates of many diseases markedly higher here than in the nation as a whole. Seeking to build on an almost 20-year partnership, researchers at the Centers for American Indian and Alaska Native Health (CAIANH) at the University of Colorado Denver (UCD) and partners within the Oglala Sioux Tribe's Health Administration (OSTHA) seek to transform OST's community research infrastructure through addressing 4 specific aims: 1) To expand and elaborate upon a health research agenda, expected to be initially focused on substance abuse prevention programs for youth; 2) to develop bidirectional mechanisms for training the research workforce; 3) to cultivate effective dissemination methods for returning research findings to the local community, providing the tribe, other researchers, service providers, and policy makers with the best available information about OST health; and 4) to systematize procedures developed here to provide templates for building sustainable research infrastructure in Native and other communities. The work proposed here builds on the assertive leadership the OSTHA has shown in providing direction and oversight of research and their desire to develop their own research workforce. It also draws on the strengths of seasoned researchers and community advocates in the CAIANH, who have long histories of collaboration with the OST and other AI/AN communities nationwide. PUBLIC HEALTH RELEVANCE: The Oglala Sioux Tribe faces numerous health challenges, many of which are related to behaviors that emerge during childhood and adolescence. This project will solidify the partnership between Centers for American Indian and Alaska Native Health at the University of Colorado Denver and the Tribe's Health Administration, taking concrete steps to build research infrastructure within the Tribe, with a likely focus on prevention activities among the Tribe's youth. It will usher in a new phase in community-based participatory research for health in this community and set a precedent for the development of tribal participation in research in other American Indian and Alaska Native communities as well.

描述（由申请人提供）：与其他美国人相比，美国印第安人和阿拉斯加原住民（AI/AN）的健康状况存在显著差异;与药物使用、事故、糖尿病、凶杀和自杀相关的死亡率高得令人无法接受。虽然使人们更容易获得保健服务对解决保健差距至关重要，但动员社区实现健康生活是另一个重要的工具，但往往没有得到充分利用。当我们考虑到许多健康差异的行为基础以及预防在中断青年危险行为（例如，物质使用、危险性行为、肥胖）和支持健康行为的发展（例如，锻炼，健康饮食），可以预防严重的健康问题，在以后的生活。人们越来越认识到，社区参与对于有效解决健康差距至关重要，基于社区的参与性研究（CBPR）和部落参与性研究（TPR）方法得到了应有的认可。然而，大多数健康研究仍然是由学术健康中心发起的，很少或根本没有社区投入。我们认为，让社区参与预防工作，帮助青年人养成健康的行为，避免不健康的选择，如果这些方法得到充分接受，将是最成功的。这种方法特别适合AI/AN社区，特别是由文化群体和位置定义的保留地或村庄社区。松岭保留地的Oglala Sioux部落（OST）是一个面临重大健康差距的社区; OST成员是我国最贫穷的人之一，这里的许多疾病发病率明显高于全国。寻求建立在近20年的合作伙伴关系，研究人员在美国印第安人和阿拉斯加土著健康中心（CAIANH）在科罗拉多丹佛大学（UCD）和合作伙伴在奥格拉拉苏族部落的卫生管理局（OSTHA）寻求通过解决4个具体目标转变OST的社区研究基础设施：1）扩大和详细制定健康研究议程，预计最初将重点关注青少年药物滥用预防计划; 2）制定双向机制来培训研究人员; 3）培养有效的传播方法，将研究结果反馈给当地社区，为部落、其他研究人员、服务提供者和决策者提供有关OST健康的最佳信息; 4）系统化这里开发的程序，为在土著和其他社区建立可持续的研究基础设施提供模板。这里提出的工作建立在OSTHA在提供研究方向和监督方面所表现出的坚定领导力以及他们发展自己的研究队伍的愿望的基础上。它还利用了CAIANH经验丰富的研究人员和社区倡导者的优势，他们与OST和全国其他AI/AN社区有着长期的合作历史。 公共卫生关系：奥格拉拉苏族部落面临着许多健康挑战，其中许多与儿童和青少年时期出现的行为有关。该项目将巩固科罗拉多丹佛大学美洲印第安人和阿拉斯加土著人健康中心与部落卫生管理局之间的伙伴关系，采取具体步骤在部落内建立研究基础设施，重点可能是部落青年的预防活动。它将迎来一个新的阶段，以社区为基础的参与性研究，在这个社区的健康，并建立了一个先例，在其他美洲印第安人和阿拉斯加土著社区的研究部落参与的发展。