Urban American Indian Youth Substance Use: Ecodevelopmental Influences

城市美洲印第安人青少年药物使用：生态发展影响

• 批准号: 8356033
• 负责人: Stephen S. Kulis
• 金额: $ 18.48万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-06-01 至 2017-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8356033
• 关键词: Address; Adolescent; Affect; Alcohol or Other Drugs use; American Indians; Arizona; Attitude; Award; Child; Communities; Complex; Criminal Justice; Data Analyses; Development; Ensure; Face; Family; Foundations; Funding; Gender; Grant; Health; Influentials; Instruction; Intervention; Knowledge; Life; Methods; Modeling; Morbidity - disease rate; Needs Assessment; Neighborhoods; Outcome; Parenting behavior; Parents; Pharmaceutical Preparations; Phase; Policies; Population; Prevention; Prevention approach; Prevention program; Preventive Intervention; Process; Production; Provider; Public Health; Race; Randomized Controlled Trials; Recommendation; Recording of previous events; Relative (related person); Research; Resistance; Resource Allocation; Respondent; Risk; Risk Behaviors; Sampling; Schools; Science; Services; Shapes; Solutions; Stress; Students; Subgroup; Substance abuse problem; Surveys; System; Testing; Translating; Translational Research; Urban Population; Variant; Work; Youth; adolescent substance use; base; behavioral health; design; early onset; evidence base; experience; family influence; health disparity; health organization; member; migration; minimal risk; mortality; parental influence; peer; programs; skills; social; substance use prevention; theories; urban Native American; urban area

PROJECT SUMMARY (See instructions): The majority of American Indian (Al) families living in urban areas experience disproportional health disparities associated with substance abuse. These health disparities affect Al youth through higher rates, earlier initiation, and more severe consequences of substance use. The rapidly growing population of urban Al families is served by few evidence-based prevention approaches that are culturally grounded and reflective of specific socio-environmental forces shaping urban Al communities. Family disruption and substance abuse, stresses related to moving to urban settings, and difficulties in establishing and sustaining social and cultural connections frequently are mentioned as contributing to adverse health outcomes for urban Al youth. Using ecodevelopmental theory, this research will address gaps in knowledge of how contextual influences operating at peer, family/parental, school, and neighborhood levels influence substance use among urban Al youth in Arizona. The study will document the relative influence of factors at these different levels using a comprehensive model, test how positive and negative family influences interact with those at other levels, and examine how they may operate differently in subgroups of urban Al youth defined by gender, grade level, and heritage that is Al-only or mixed Al and non-AI heritage. The research uses a 2010 state-wide survey of youth substance use with large numbers of urban Al youth (N=3,450) living in a range of urban communities that vary in size and migration histories. The proposed study draws upon the project team's research, conducted at an NIMHD Center of Excellence, on the social determinants of Al family behavioral health, salient risk and resiliency factors, culturally appropriate strategies for resisting risk behaviors, and systematic methods for culturally adapting prevention programs. The study is designed to bridge science to practice and policy via partnerships with governmental and community-based health organizations to provide mechanisms for interpreting and disseminating findings; providing a foundation for translational research. The study will create essential knowledge about how to target and deliver prevention interventions comprehensively by identifying issues that urban Al youth and families face in urban contexts.

项目摘要（参见说明）： 大多数居住在城市地区的美洲印第安人 (Al) 家庭都经历着与药物滥用相关的不成比例的健康差异。这些健康差异通过更高的药物使用率、更早的开始和更严重的后果影响青少年。城市阿尔家庭人口迅速增长，但很少有基于证据的预防方法，这些方法具有文化基础，反映了塑造城市阿尔社区的特定社会环境力量。家庭破裂和药物滥用、与移居城市有关的压力以及建立和维持社会和文化联系的困难经常被提及，这些都导致了城市青年的不良健康后果。这项研究将利用生态发展理论，解决同伴、家庭/父母、学校和社区层面的背景影响如何影响亚利桑那州城市阿尔青少年的物质使用方面的知识差距。该研究将使用综合模型记录这些不同层面因素的相对影响，测试积极和消极的家庭影响如何与其他层面的影响相互作用，并研究它们在按性别、年级和纯人工智能或混合人工智能和非人工智能遗产定义的城市人工智能青年亚群体中的不同运作方式。该研究采用了 2010 年全州范围内青少年物质使用情况调查，调查对象为生活在规模和移民历史各异的一系列城市社区中的大量城市阿尔青少年 (N=3,450)。拟议的研究借鉴了项目团队在 NIMHD 卓越中心进行的研究，研究内容涉及家庭行为健康的社会决定因素、显着的风险和弹性因素、抵制风险行为的文化上适当的策略以及适应文化的预防计划的系统方法。该研究旨在通过与政府和社区卫生组织的合作，将科学与实践和政策联系起来，提供解释和传播研究结果的机制；提供基础 转化研究。该研究将通过确定城市青年和家庭在城市环境中面临的问题，创造关于如何全面确定和实施预防干预措施的基本知识。