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.

项目总结/摘要 虽然美洲原住民和第一民族（原住民）的戒酒率很高， 几代人的创伤和压迫，持续的系统性种族主义，COVID-19流行病相关的后果， 和制药公司不成比例地针对黑人，土著，有色人种（BIPOC）社区， 为酒精和毒品导致的死亡创造了完美的风暴。2020年，美国原住民经历了 与所有其他美国人群和前几年相比，药物相关死亡率最高 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 广泛的攻击需要调查有希望的保护因素，证明减轻物质 在土著青年中的滥用和相关的风险因素，并可以扩大和整个土著 作为未来研究的一部分。 传统生态知识（TEK）的框架提供了理论基础，拟议的研究。 这一框架假定文化和精神机制在自然环境中的活动之间起作用 和人类健康。部落领袖和土著学者继续提高和 应用TEK框架支持的实践和研究，并有希望的发现， 基于传统的做法往往发生在自然界中， 有害健康的后果。此外，几个国家的研究表明， 绿色空间和蓝色空间暴露对风险因素具有保护作用（例如，内化和 外化问题行为）的物质滥用和发展的物质使用障碍。 该多样性补充将研究参与者居住地的自然环境暴露情况， 绿色空间（森林）和蓝色空间（湖泊）的曝光来自中分辨率成像 光谱辐射计，并确定1）住宅暴露于自然和土地之间的关联-和 以水为基础的传统和仪式活动（种植，采摘浆果，采集药物）和2）检查 自然环境暴露和自然仪式频率的直接和间接影响 关于土著青年、各年龄段和各族裔使用药物（尼古丁、酒精、大麻）的开始和轨迹的活动 十到十五年。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，以回答研究假设使用波1-3，和5的愈合途径 纵向数据集。 这项定量研究将产生的结果，具体说明什么（例如，采摘浆果，参加汗水），当（例如，年龄 的参与）以及多少（例如，活动类型计数与连续性，居住区绿色与蓝色空间 暴露）的各自的保护性暴露单独和组合可能会防止早发性 物质使用是一个已知的危险因素，以后滥用物质， 预订和预订设置。