Cannabis Marketing Exposure among High School Students in the Cherokee Nation: Assessment and Preventive Intervention Effectiveness

切罗基族高中生的大麻营销暴露：评估和预防干预效果

• 批准号: 10675279
• 负责人: KELLI Ann KOMRO
• 金额: $ 34.1万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-30 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10675279
• 关键词: 16 year old; Address; Administrative Supplement; Adolescence; Adolescent; Adult; Advertisements; Age; Alaska Native; American Indians; Attention; Cannabis; Cherokee Indian; Cluster randomized trial; Code; Communities; Community Actions; Depression and Suicide; Development; Drug usage; Effectiveness; Effectiveness of Interventions; Enrollment; Family; Fibrinogen; Funding; Goals; Government; Health; High School Student; Indian reservation; Industry; Intervention; Intervention Trial; Legal; Marijuana; Marketing; Measures; Medical Marijuana; Mental Health; Morbidity - disease rate; National Institute of Drug Abuse; Native-Born; Oklahoma; Opioid; Outcome; Overdose; Parents; Perception; Personal Satisfaction; Persons; Pharmaceutical Preparations; Phase; Policies; Population; Premature Mortality; Prevalence; Prevention; Prevention strategy; Primary Prevention; Reporting; Research; Research Support; Risk; Risk Factors; Rural; Rural Population; Safety; Schools; Substance Use Disorder; Suicide; Surgeon; Testing; Training; Tribes; Vehicle crash; Youth; addiction; base; design; early alcohol use; experience; health disparity; high risk; high school; marijuana prevention; marijuana use; native youth; negative affect; preventive intervention; response; rural underserved; social; social health determinants; socioeconomic disadvantage; socioeconomics; substance use; substance use treatment; treatment services; tribal community; young adult

Abstract We propose a multiphase study focused on American Indian, socioeconomically disadvantaged, and underserved rural populations of youth. Our goal is the primary prevention of leading risk factors (i.e., mental health, substance use) for causes of premature mortality for which AI/AN populations are at increased risk (e.g., suicide, motor vehicle crashes, drug overdose). With the support of the administrative supplement, we will enhance and strengthen our multilevel community opioid preventive intervention funded by NIDA as part of the HEAL Prevention Initiative. The UH3 parent trial is a cluster randomized trial of 20 rural high schools in underserved small towns in or near the Cherokee Nation Reservation with over 900 enrolled 15- to 16-year-old American Indian (56%) and other youth. Family, school and community prevention strategies will be enhanced to address the emerging risk of the proliferation of dispensaries and marketing of cannabis since Oklahoma legalized medical marijuana in 2018. Study aims will address the following research questions. How many cannabis advertisements are visible near high schools in the Cherokee Nation Reservation? Does the quantity of cannabis advertisements differ by the racial and socioeconomic composition of schools? Do cannabis advertisements near high schools in the Cherokee Nation Reservation target or appeal to youth and American Indian people? Do preventive intervention components designed to counter cannabis marketing contribute to increased perceived risks, increased social disapproval, reduced perceived access, or reduced current marijuana use? During the year of the supplement, we will (1) document cannabis advertisements near high schools in the Cherokee Nation Reservation, (2) conduct content analysis by community-based youth coders of cannabis advertisements, (3) develop enhanced preventive intervention components to address cannabis marketing exposure with media messages, Family Action Kit, and Community Action Guides. Following the year of supplemental activities, we implement the enhanced intervention components during the final year of the intervention trial and conduct outcome analyses, which will include marijuana use as well as perceived risk, norms, and access. Study aims are relevant and responsive to local conditions and needs within the Cherokee Nation Reservation. Results of all three phases of research will provide important contributions to the field about cannabis marketing, as well as effectiveness of culturally tailored marijuana prevention strategies for adolescents in the Cherokee Nation.

摘要 我们建议进行一项多阶段研究，重点关注美国印第安人、社会经济弱势群体和 服务不足的农村青年人口。我们的目标是初级预防主要风险因素(即精神疾病 健康、物质使用)导致AI/AN人群风险增加的过早死亡原因 (例如自杀、机动车撞车、吸毒过量)。在行政副刊的支持下，我们 将加强我们由NIDA资助的多层次社区阿片类药物预防性干预，作为 医治预防倡议。UH3家长试验是一项针对20所农村高中的整群随机试验 切罗基民族保护区内或附近服务不足的小城镇有900多名15至16岁的注册儿童 美国印第安人(56%)和其他年轻人。将加强家庭、学校和社区预防战略 应对自俄克拉荷马州以来出现的药房激增和大麻销售的风险 医用大麻于2018年合法化。研究目标将解决以下研究问题。多少 在切罗基国家保护区的高中附近可以看到大麻广告？数量是不是 大麻广告是否因学校的种族和社会经济构成而有所不同？吸大麻吗？ 切罗基国家保留地高中附近的广告针对或吸引年轻人和美国人 印第安人？旨在对抗大麻营销的预防性干预组成部分是否有助于 感知的风险增加、社会不认同的增加、感知的可获得性减少或当前 吸食大麻？在增刊的这一年，我们将(1)将大麻广告记录在案。 切罗基民族保留地的学校，(2)由社区青年编码员进行内容分析 关于大麻广告，(3)制定针对大麻的强化预防干预内容 通过媒体信息、家庭行动工具包和社区行动指南进行营销曝光。紧随其后的是 在补充活动年，我们在#年最后一年实施加强的干预措施 干预试验并进行结果分析，其中将包括大麻使用以及感知的风险， 规范和准入。研究目标与切诺基人的当地条件和需求相关，并能做出反应 国家保留区。所有三个阶段的研究成果都将对该领域作出重要贡献。 关于大麻销售，以及针对文化定制的大麻预防战略的有效性 切罗基民族的青少年。