YUP'IK EXPERIENCES OF STRESS AND COPING; INTERVENTION VIA CULTURAL UNDERSTANDING

这个子项目是许多利用资源的研究子项目之一 由NIH/NCRR资助的中心拨款提供。子项目的主要支持 而子项目的主要调查员可能是由其他来源提供的， 包括其它NIH来源。 列出的子项目总成本可能 代表子项目使用的中心基础设施的估计数量， 而不是由NCRR赠款提供给子项目或子项目工作人员的直接资金。 显着增加的经验和理论帐户的性质的压力生活事件，损害身体，精神和行为的健康结果之间的美洲印第安人和阿拉斯加原住民（AI/AN）现在正在考虑。然而，对于AI/AN以及其他群体来说，我们对什么构成一套有效的应对策略的科学理解非常有限。拟议的研究解决这一缺点，从事具体的压力源和具体的应对反应之间的关系进行深入分析。CANHR研究人员在Yup'ik社区收集的初步数据提供了相当多的证据，证明心理社会压力与不良心理和生理状态之间存在直接联系。此外，Yup'ik社区对生活困难和创伤事件的普遍存在及其对健康的负面影响表示关切。本研究的长期目标是收集和分析必要的数据，为未来规划和实施有效的压力管理干预。 这个过程的第一阶段是适应的压力和创伤性生活事件与两个较低的48个美洲印第安人社区的半结构化面试协议。 进行了焦点小组讨论，并对数据进行了编码和分析。 第二阶段将使用经过调整的访谈协议，以确定Yup'ik社区成员经历的压力源和应对机制。参与者将提供每日音频日记，反映他们的压力源和应对策略。 将进行关键的线人访谈，以更好地了解社区的压力和应对措施。 这些数据将用于制定一个基于文化的压力管理计划，并在多个村庄进行测试。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. Primary support for the subproject and the subproject's principal investigator may have been provided by other sources, including other NIH sources. The Total Cost listed for the subproject likely represents the estimated amount of Center infrastructure utilized by the subproject, not direct funding provided by the NCRR grant to the subproject or subproject staff. Notable increases in empirical and theoretical accounts of the nature of stressful life events that compromise physical, mental, and behavioral health outcomes among American Indians and Alaska Natives (AI/AN) are now being considered. However, our scientific understanding of what constitutes an effective set of coping strategies is very limited, for both AI/ANs as well as for other groups. The proposed research addresses this shortcoming by engaging in an in-depth analysis of the relationships between specific stressors and specific coping responses. Preliminary data gathered by CANHR researchers in Yup'ik communities provides considerable evidence for direct links between perceived psychosocial stress and adverse psychological and physiological states. Furthermore, Yup'ik communities have voiced concern about the prevalence of difficult and traumatic life events and their negative impact on health. The long-term objective of this study is to collect and analyze the data necessary for the future planning and implementation of an effective stress management intervention. Phase I of this process was the adaptation of a semi-structured interview protocol on stressful and traumatic life events used with two lower 48 American Indian communities. Focus groups have been conducted and the data were coded and analyzed. Phase II will use the adapted interview protocol to identify the stressors and coping mechanisms Yup'ik community members experience. Participants will provide daily audio diaries reflecting on their stressors and coping strategies. Key informant interviews will be conducted to better understand stress and coping in the communities. These data will be used to develop a culturally grounded stress management program to be tested in multiple villages.