Towards understanding the influence of greenspace and blue-space exposure mediated by culture-based human-nature interaction on onset of substance use among Indigenous youth.

旨在了解基于文化的人与自然相互作用介导的绿色空间和蓝色空间暴露对土著青年物质使用开始的影响。

• 批准号: 10591941
• 负责人: Kelley Sittner
• 金额: $ 8.38万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-04-15 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10591941
• 关键词: Abstinence; Address; Adolescence; Adult; Age; Age of Onset; Alcohol consumption; Alcohols; Area; Behavioral; Berry; Biological; Birth; Black, Indigenous, People of Color; COVID-19 pandemic; Cessation of life; Child; Communities; Country; Data; Death Rate; Development; Dose; Drug Addiction; Drug usage; Early Intervention; Elderly; Environment; Equation; Exposure to; Face; Family; Frequencies; Future; Generations; Goals; Green space; Growth; Health; Human; Human Characteristics; Image; Indigenous; Institutional Racism; Intervention; Intervention Studies; Investigation; Knowledge; Light; Linear Regressions; Longevity; Marijuana; Measures; Mediating; Medicine; Mentorship; Modeling; National Institute of Drug Abuse; Native Americans; Nature; Nicotine; Participant; Pathway interactions; Pattern; Persons; Pharmaceutical Preparations; Population; Premature Mortality; Problem behavior; Public Health; Race; Research; Research Personnel; Research Support; Research Training; Reservations; Resolution; Rice; Risk; Risk Factors; Seminal; Specific qualifier value; Substance Use Disorder; Time; Training; Trauma; United States National Institutes of Health; Water; Well in self; Woman; Youth; adolescent substance use; alcohol abstinence; base; critical period; early onset substance use; experience; forest; healing; health inequalities; indigenous community; innovation; insight; longitudinal dataset; marijuana use; men; mortality; multilevel analysis; nicotine use; northern plains; novel; overdose death; parent grant; prevent; protective effect; protective factors; residence; response; scale up; skills; social; social determinants; spatial epidemiology; statistics; substance misuse; substance use; tribal leader

PROJECT SUMMARY/ABSTRACT Although Native Americans and First Nations (Indigenous) demonstrate high abstinence rates from alcohol, the generations of trauma and oppression, ongoing systemic racism, COVID-19 pandemic-related consequences, and drug companies disproportionately targeting Black, Indigenous, people of color (BIPOC) communities have created the perfect storm for alcohol- and drug-induced deaths. In 2020, Native Americans experienced the highest drug-related mortality rate compared to all other US populations and in previous years experienced alcohol-induced mortality rates that were 6.6 times higher than US All Races. These alarming statistics and pervasive attacks warrant investigation of promising protective factors that demonstrate mitigation of substance misuse and related risk factors among Indigenous youth, and that can be scaled up and across Indigenous communities as part of future intervention research. The traditional ecological knowledge (TEK) framework provides theoretical rationale for the proposed study. This framework posits cultural and spiritual mechanisms operate between activities in the natural environment and human health among Indigenous peoples. Tribal leaders and Native scholars continue to elevate and apply practices and research supported by the TEK framework with promising findings that culture- and tradition-based practices often occurring in nature confer protection against substance misuse, among other deleterious health consequences. In addition, research across several countries has demonstrated residential greenspace and blue-space exposures have protective effects against risk factors (e.g., internalizing and externalizing problem behaviors) for substance misuse and developing a substance use disorder. This Diversity Supplement will study exposure to the natural environment by participant’s residence, measured as greenspace (forests) and blue-space exposure (lakes) derived from Moderate Resolution Imaging Spectroradiometer, and determine 1) the association between residential exposure to nature and land- and water-based traditional and ceremonial activities (ricing, berry-picking, gathering medicine) and 2) examine the direct and indirect influence of both natural environment exposure and frequency of nature-based ceremonial activities on substance use (nicotine, alcohol, marijuana) onset and trajectories among Indigenous youth, ages 10-15 years. We will apply a linear regression multilevel model and longitudinal latent growth curve analyses structural equation models to answer study hypotheses using Waves 1-3, and 5 of the Healing Pathways longitudinal dataset. This quantitative study will yield findings that specify what (e.g., berry-picking, attended sweat), when (e.g., age of participation) and how much (e.g., activity type count and continuity, residential green and blue-space exposure) of the respective protective exposures separately and combined might protect against early onset of substance use, a known risk factor for later substance misuse, among Indigenous youth that reside in reservation and reserve settings.

项目摘要/摘要 尽管美洲原住民和原住民(土著)表现出很高的戒酒率，但 世世代代的创伤和压迫，持续的系统性种族主义，与新冠肺炎大流行相关的后果， 和制药公司不成比例地瞄准黑人，土著，有色人种(BIPOC)社区 为酒精和药物导致的死亡创造了完美的风暴。2020年，美洲原住民经历了 与美国所有其他人口相比，与毒品有关的死亡率最高，且在前几年经历了 酒精导致的死亡率是美国所有种族的6.6倍。这些令人震惊的统计数据和 普遍存在的攻击需要对有希望的保护因素进行调查，这些因素证明了实质性的缓解 土著青年中的滥用和相关风险因素，可以扩大到整个土著 社区作为未来干预研究的一部分。 传统生态知识(TEK)框架为本研究提供了理论基础。 这一框架假定文化和精神机制在自然环境中的活动之间运行 土著人民之间的健康和人类健康。部落首领和土著学者继续提升和 应用TEK框架支持的实践和研究，并取得令人振奋的发现，文化--和 在自然界中经常发生的基于传统的做法提供了防止物质滥用的保护，以及其他 有害的健康后果。此外，几个国家的研究表明，住宅 绿地和蓝色空间暴露对风险因素具有保护作用(例如，内化和 将问题行为外化)导致滥用药物并发展成药物使用障碍。 这份多样性补充资料将研究参与者的住所对自然环境的暴露，测量 作为来自中分辨率成像的绿地(森林)和蓝色空间曝光(湖泊) 光谱辐射计，并确定1)住宅暴露于自然和土地之间的联系-以及 基于水的传统和仪式活动(米饭、采浆果、采药)和2)检查 自然环境暴露和以自然为基础的仪式频率的直接和间接影响 关于物质使用(尼古丁、酒精、大麻)的活动在土著青年、年龄段中的开始和轨迹 10-15年。我们将应用线性回归多水平模型和纵向潜在增长曲线分析 结构方程模型用1-3波和5波的愈合途径回答研究假设 纵向数据集。 这项定量研究将产生具体的结果，具体说明什么(例如，采摘浆果，出汗)，何时(例如，年龄 参与度)和多少(例如，活动类型计数和连续性、住宅绿地和蓝地 单独和组合各自的保护性暴露)可防止早期发病 在居住在#的土著青年中，物质使用是后来物质滥用的已知风险因素 预订和预订设置。