Empowering AI/AN Health Researchers: Northwest NARCH 10 Program

项目概要： 三个前提是我们的西北NATURAL发展的基础。首先，尽管部落长期努力， 联邦和州卫生保健计划，现有数据显示，西北地区的健康状况存在很大差异， 美国印第安人和阿拉斯加原住民（AI/AN）与非AI/AN相比。西北部部落领导人担心他们的健康 健康状况非但没有好转，反而越来越差;不幸的是， 显示在过去20年中，主要慢性疾病的发病率增加而不是减少。第二，印度人 社区不信任健康研究，因为非AI/AN研究人员的负面经验， 尊重部落的需要或敏感性，即使仔细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AI/AN，他们对NW和其他印度人的文化和具体问题敏感 社区可以弥合学术界和社区之间的差距，尽管目前我们缺乏临界质量 AI/AN研究人员完成这项任务所必需的。 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Ningdom，以形成基于社区的健康研究的部落-学术伙伴关系 专注于消除种族健康差异，并将继续与此应用程序的这种伙伴关系。北西 以NPAIHB为代表的印度社区在协调努力改善其 健康状况;我们与俄勒冈州健康与科学大学和波特兰州立大学的部落学术伙伴关系 大学将建立一个广泛的和多层次的基础设施，以提高人工智能/人工智能研究人员的技能， 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， 科学顾问委员会已指示我们在此应用程序中进行三个项目：1）奖学金， 实习计划，这将增加部落的人谁是训练有素的进行卫生和 生物医学研究，将直接实用的部落人民，2）继续我们的夏季研究 美洲印第安人和阿拉斯加土著保健专业人员培训机构，使他们能够发展 技能需要作为研究人员在他们目前的角色与他们的部落组织和3）评估 旨在减少酒精使用和酒精相关攻击的短信干预的有效性 年轻人/年轻人 我们相信，我们将通过支持学员和增加对AI/AN社区的影响， 在进行与土著人民有关的保健和生物医学研究方面， 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.