ÚNETE: Combining Friendship Support Networks and Targeted Messaging from Celebrity Influencers to Reduce Latinx Substance Use Disparities

摘要 NIDA新闻稿 2022年8月，美国的年轻人面临着一个突出的问题， 2019冠状病毒病大流行持续：“年轻人中的避孕药和致幻剂使用达到历史最高水平 在2021年......过去一个月的尼古丁和大麻vaping水平在早期流行下降后反弹。我们提出了一个 联合友谊支持的多层次创新策略-- 名人影响者（演员、歌手和运动员）的网络和有针对性的信息，以减少毒品 使用的差距和健康的社会决定因素在拉丁社区的负面影响。我们将专注于 低收入、年轻拉丁裔（19至30岁），主要是移民或第一代美国人 公民在健康方面存在差距，也受到歧视。CNONETE将在南佛罗里达实施， 拉丁裔占居民的69%，生活在贫困线以下的可能性是非拉丁裔白人的三倍。 线我们的总体目标是评估减少毒品使用（大麻， 致幻剂、尼古丁和大麻烟）。该战略有三个组成部分：1。名人影响者 由30位名人组成。我们将与名人影响者和低收入，年轻的成年拉丁裔， 开发和文化定制的信息，以促进对话，并提高朋友对 吸毒的风险。我们将制作和预先测试这些信息，以名人影响力为特色， 通过主要媒体渠道（电视、广播、视频流、网站、 游戏、交互）。2.拉丁友谊网络（13个朋友组成的小组）。社区卫生工作者 （CHW）将绘制每个友谊网络的结构。来自每个网络的社区工作者和受欢迎的个人 将利用这些信息来设计一个为期一个月、三个月和九个月的计划，以加强对毒品使用的预防 基于名人信息的对话。3. CHW将鼓励社会信息共享 我们的社区合作伙伴提供的卫生服务的决定因素（例如，粮食安全、ESL、住房和 交通、法律的服务），并建立网络凝聚力，以增加对访问这些服务的对等支持 服务参与者将被随机分配到CNONETE（N=24个种子和288个新兵， 友谊关系）或标准健康促进（N=312）。将在基线、6和12时进行评估 个月CNONETE的多学科团队包括一个与Latinx社区合作的Latinx PI， 重要的社区组织，为低收入拉丁美洲人提供卫生服务的社会决定因素， 南佛罗里达（张开双臂和MUJER），与国际和当地名人为基础的运动专家 Latinx名人，以及一个Latinx广播媒体合作伙伴，在美国各地接触并参与Latinx。 CNONETE具有创新性和高影响力，因为它使用了名人影响者的定制信息， 通过拉丁友谊网络，可以扩大干预措施，使更多的人受益， 这些措施将对公共卫生产生重大影响，并增加获得解决健康问题社会决定因素的服务的机会。

Abstract The NIDA News Release for August 2022 highlights the striking problem that young adults in the US face as the COVID-19 pandemic endures: “Marijuana and hallucinogen use among young adults reached all time-high in 2021…past-month nicotine and marijuana vaping levels rebound after early pandemic drop.” We propose a randomized controlled trial of ÚNETE, an innovative multilevel strategy that combines friendship support networks and targeted messaging from celebrity influencers (actors, singers and sport players) to reduce drug use disparities and the negative effects of social determinants of health in Latinx communities. We will focus on low-income, young adult Latinx (19 to 30 years old), who, as predominantly immigrants or first-generation US citizens, suffer from health disparities as well as discrimination. ÚNETE will be implemented in South Florida, where Latinx are 69% of residents, and are three times as likely as non-Latinx Whites to live below the poverty line. Our overall goal is to evaluate effectiveness of the ÚNETE strategy to reduce drug use (marijuana, hallucinogen, nicotine and marijuana vaping). The strategy has three components: 1. Celebrity Influencer Component of 30 celebrities. We will work with celebrity influencers and low-income, young adult Latinx to develop and culturally tailor messages to facilitate conversations and improve friends’ understanding of the risks of drug use. We will produce and pre-test these messages, featuring celebrity influencers, in multiple formats to allow dissemination through principal media channels (television, radio, streaming video, websites, gaming, interactive). 2. Latinx Friendship Networks (groups of 13 friends). Community Health Workers (CHWs) will map the structure of each friendship network. CHWs and popular individuals from each network will use this information to design a one- three- and nine-month plan to increase drug use prevention conversations based on celebrity messages. 3. CHWs will encourage information sharing of Social Determinants of Health Services provided by our community partners (e.g., food security, ESL, housing and transportation, legal services), and build network cohesion to increase peer support for accessing these services. Participants will be randomly assigned to either ÚNETE (N=24 seeds and 288 recruits through friendship ties) or a standard health promotion (N=312). Assessments will be conducted at baseline, 6, and 12 months. ÚNETE’s multidisciplinary team includes a Latinx PI working with Latinx communities, two of the most important community organizations providing social determinant of health services to low-income Latinx in South Florida (Open Arms and MUJER), experts in celebrity-based campaigns with international and local Latinx celebrities, and a Latinx broadcast media partner that reaches and engages Latinx throughout the US. ÚNETE is innovative and high impact because its use of tailored messages from celebrity influencers amplified through Latinx friendship networks can scale up interventions reaching larger populations, generating broad impacts to public health and increase access to services addressing social determinants of health.