The Fort Peck Sexual Health Project

佩克堡性健康项目

• 批准号: 9330711
• 负责人: Elizabeth Lynne Rink
• 金额: $ 20.48万
• 依托单位: MONTANA STATE UNIVERSITY - BOZEMAN
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/9330711
• 关键词: 18 year old; Adolescent; Age; Alcohols; Attitude; Behavior; Behavioral; Belief; Belief System; Child; Child Rearing; Cognitive; Communities; Country; Emotional; Environment; Environmental Risk Factor; Family; Family Planning; Female; HIV; HIV/STD; Health; Home environment; Individual; Intervention; Modeling; Montana; Native Americans; Pharmaceutical Preparations; Religious Belief; Reproductive Health; Research Design; Research Project Grants; Reservations; Rural; Sexual Health; Sexually Transmitted Diseases; Sioux Indians; Teenagers; Time; Tribes; community based participatory research; contextual factors; design; frontier; health equity; innovation; male; peer; prevent; sex; sexual risk taking; social; transmission process; tribal community; unintended pregnancy

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.

佩克堡性健康项目将确定个人、家庭、社区和环境因素 影响 15 岁至 15 岁美国原住民青年男女的性健康和生殖健康 18 岁，生活在农村边疆。该研究特别关注佩克堡保留地 蒙大拿州东北部，阿西尼博因和苏族部落的故乡。我们假设高 STI 发病率和 意外怀孕是一个标志，表明存在更深层次的潜在健康问题，这些问题正在运作并相互作用。 个人、家庭、社区和环境层面。该研究将考察几个相互关联的 可能影响 15 至 18 岁原住民性冒险行为的生态因素 美国男性和女性。本研究的目的是 1）确定认知行为因素 导致美洲原住民青少年男性和女性的性冒险行为，2) 研究哪些社会和文化规范导致男性和女性的性冒险行为 本土青少年，包括养育子女和父母价值观的传播、价值观的文化信仰 儿童、对性的态度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 调查美国原住民青少年男性和女性的行为，4) 制定和试点 干涉。佩克堡性健康项目是一项基于社区的参与性研究 (CBPR) 项目并使用并行的定性和定量研究设计。佩克堡的结果 性健康项目将用于构建一个创新的、设计和实施的社区， 采取干预措施，降低生活在美国原住民中的性传播感染率并防止意外怀孕 蒙大拿州成为农村、边境环境中其他部落社区的典范。