The Fort Peck Sexual Health Project

派克堡性健康项目将确定个人、家庭、社区和环境因素 对15岁至15岁的年轻美国原住民男性和女性性健康和生殖健康的影响 18岁，在农村，边疆环境中。这项研究特别关注#年的派克堡保留地 蒙大拿州东北部，是阿西尼博因和苏族部落的家园。我们假设高STI率和 意外怀孕是更深层次的健康问题的标志，在 个人、家庭、社区和环境层面。这项研究将考察几个相互关联的 可能影响15-18岁当地人性风险行为的生态因素 美国男性和女性。本研究的目的是：1)识别认知行为的影响因素 促进男性和女性美洲原住民青少年的性风险行为，2)到 考察哪些社会和文化规范对男性和女性的性行为冒险行为有贡献 土生土长的青少年，包括养育和传递父母的价值观、关于价值观的文化信仰 关于性的儿童、嗜好和信仰，以及传统和当代的宗教信仰体系 关于性，3)确定可能导致性风险的环境和背景因素 在美国原住民男性和女性青少年中采取行为，以及4)发展和试点 干预。派克堡性健康项目是一项基于社区的参与性研究(CBPR) 项目，并采用同时进行定性和定量研究的设计。派克堡的结果 性健康项目将被用于构建一个创新的、设计和实施的社区， 采取干预措施，降低居住在加拿大的美洲原住民的性病感染率，防止意外怀孕。 蒙大拿州作为其他部落社区在农村和前沿环境中的榜样。

The Fort Peck Sexual Health Project will identify the individual, family, community, and environmental factors influencing the sexual and reproductive health among young male and female Native Americans ages 15 to 18 years old in a rural, frontier setting. The study focuses specifically on the Fort Peck Reservation in northeastern Montana, home to the Assiniboine and Sioux tribes. We hypothesize that high STI rates and unplanned pregnancies are a marker for deeper underiying health issues operating and interacting at the individual, family, community, and environmental levels. The study will examine several interrelated ecological factors that are likely to be influencing the sexual risk taking behaviors of 15 to 18 year old Native American males and females. The aims of this study are 1) to identify the cognitive behavioral factors contributing to sexual risk taking behaviors among male and female Native American adolescents, 2) to examine which social and cultural norms contribute to sexual risk taking behaviors among male and female Native adolescents, including parenting and transmission of parental values, cultural beliefs about the value of children, atfitudes and beliefs about sex, and the traditional and contemporary religious belief systems with regard to sex, 3) to identify the environmental and contextual factors that might contribute to sexual risk taking behaviors among male and female Native American adolescents, and 4) to develop and pilot an intervention. The Fort Peck Sexual Health Project is a community based participatory research (CBPR) project and uses a concurrent qualitative and quantitative research design. The results ofthe Fort Peck Sexual Health Project will be used to construct an innovative, community designed and implemented, intervention to reduce STI rates and prevent unplanned pregnancies among Native Americans living in Montana as a model for other tribal communities in rural, fronfier environments.