Empowering AI/AN Health Researchers: Northwest NARCH 10 Program

项目总结： 三个前提是我们西北地区发展的基础。首先，尽管部落长期努力， 联邦和州医疗保健计划，现有数据显示西北部在健康方面存在显著差异 美国印第安人和阿拉斯加原住民(AI/AN)与非AI/AN的比较。西北部落首领担心他们的健康 状况正在恶化，而不是好转；不幸的是，这种担忧得到了健康数据的证实 显示在过去20年中，关键慢性病病情的增加而不是减少。第二，印度人 社区不信任健康研究，因为非人工智能/AN研究人员的负面经历不是这样做的 尊重部落需求或敏感性，即使精心实施的健康研究有可能 提供解决方案，以减少并最终消除现有的健康差距。第三，健康研究由 高度熟练的人工智能/人工智能，对西北部和其他印度人的文化和具体关切很敏感 社区可以弥合学术界和社区之间的鸿沟，尽管目前我们缺乏临界质量 完成这项任务所需的人工智能/人工智能研究人员。 针对这三个问题，西北波特兰地区印第安人健康委员会(NPAIHB或‘委员会’) 建立了西北NARCH，形成了基于社区的健康研究的部落-学术伙伴关系 重点是消除种族健康差距，并将通过这项申请继续这一伙伴关系。西北部 以NPAIHB为代表的印度社区有着长期的协调努力，以改善他们的 健康状况；我们与俄勒冈健康与科学大学和波特兰州立大学的部落学术合作伙伴关系 大学将建立一个广泛和多层次的基础设施，以提高AI/AN研究人员的技能， 并解决对部落至关重要的健康问题。我们的董事会代表和社区以及 科学顾问委员会已指示我们在此申请中执行三个项目：1)奖学金和 实习计划，将增加接受培训的部落人员的数量，以指导健康和 将对部落人民直接有用的生物医学研究，2)继续我们的夏季研究 美国印第安人和阿拉斯加原住民卫生专业人员培训研究所，以便他们能够发展 在他们目前的部落组织中担任研究人员所需的技能，以及3)评估 旨在减少饮酒和酒精相关攻击的短信干预效果 在AI/AN年轻人中。 我们相信，我们将通过支持学员和增加 在进行健康和生物医学研究方面受过严格训练的部落人数 部落。

PROJECT SUMMARY: Three premises underlie the development of our NW NARCH. First, despite longstanding efforts by tribal, federal, and state health care programs, the available data show substantial disparities in health for NW American Indians and Alaska Natives (AI/ANs) compared to non-AI/AN. NW tribal leaders fear that their health status is getting worse instead of better; this fear unfortunately has been substantiated with health data that show increases in key chronic disease conditions instead of decreases over the past 20 years. Second, Indian communities distrust health research because of negative experiences with non-AI/AN researchers who did not respect tribal needs or sensitivities, even though carefully implemented health research has the potential to provide solutions to reduce, and ultimately eliminate, existing health disparities. Third, health research done by highly skilled AI/ANs who are sensitive to the culture and specific concerns of NW and other Indian communities can bridge the gap between academia and community, though currently we lack the critical mass of AI/AN researchers necessary to accomplish this task. In response to these three issues, Northwest Portland Area Indian Health Board (NPAIHB or ‘the Board’) has established the NW NARCH to form a tribal-academic partnership for community-based health research focused on eliminating racial health disparities and will continue this partnership with this application. The NW Indian communities represented by NPAIHB have a long track record of coordinated efforts to improve their health status; our tribal-academic partnerships with Oregon Health & Science University and Portland State University will build a wide-reaching and multi-layered infrastructure to increase the skills of AI/AN researchers, and address health problems of critical importance to the tribes. Our Board delegates and Community and Scientific Board of Advisors have directed us to pursue three projects in this application: 1) a fellowship and internship program that will increase the numbers of tribal people who are trained to conduct health and biomedical research that will be of direct utility to tribal people, 2) continuation of our Summer Research Training Institute for American Indian and Alaska Native health professionals, so that they can develop the skills needed to function as researchers in their current roles with their tribal organizations and 3) evaluate the efficacy of a text messaging intervention designed to reduce alcohol use and alcohol-related aggression among AI/AN young men. We trust that we will have substantial impact on AI/AN communities through supporting trainees and increasing the number of rigorously trained tribal people in conducting health and biomedical research of relevance to the tribes.