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月突出了美国年轻人面临的突出问题 新冠肺炎大流行持续至今：年轻人中大麻和迷幻剂的使用量创历史新高 2021年…过去一个月尼古丁和大麻的蒸发水平在大流行早期下降后出现反弹。我们提出了一个 安奈特的随机对照试验，这是一种结合友谊支持的创新多水平策略 网络和名人影响者(演员、歌手和体育运动员)的有针对性的信息，以减少毒品 拉丁裔社区中健康的社会决定因素的使用差异和负面影响。我们将重点关注 低收入的年轻成年拉丁裔(19至30岁)，他们主要是移民或第一代美国人 健康方面的不平等以及歧视使公民遭受痛苦。安妮特将在南佛罗里达州实施， 拉美裔占居民的69%，生活在贫困以下的可能性是非拉丁裔白人的三倍 排队。我们的总体目标是评估减少毒品使用(大麻、 迷幻剂、尼古丁和大麻蒸发)。这一战略有三个组成部分：1.名人影响力 由30位名人组成。我们将与名人影响力人士和低收入的年轻拉丁裔合作 开发并在文化上量身定做信息，以促进对话并增进朋友对 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，在多个 允许通过主要媒体渠道(电视、广播、流媒体视频、网站、 游戏、互动)。2.拉美人友谊网络(13个朋友组成的团体)。社区卫生工作者 (CHWS)将绘制每个友谊网络的结构。来自每个网络的CHW和受欢迎的个人 将利用这些信息设计一个为期1个月、3个月和9个月的计划，以加强药物使用预防 以名人信息为基础的对话。3.社区卫生福利会鼓励社会人士分享资讯 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、法律服务)，并构建网络凝聚力，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以下任一组(N=24个种子选手和288名新兵 友谊关系)或标准健康促进活动(N=312)。评估将在基线、第6次和第12次进行 月份。安妮特的多学科团队包括一名拉丁裔PI，与拉丁裔社区合作，其中两个最 年为低收入拉丁裔提供健康服务的社会决定因素的重要社区组织 南佛罗里达(张开双臂和Mujer)，与国际和当地名人开展活动的专家 拉美裔名人，以及一家拉美裔广播媒体合作伙伴，在全美接触和接触拉丁裔。 网络是创新和高影响力的，因为它使用了来自名人影响力的定制信息放大了 通过Latinx，友谊网络可以扩大干预范围，覆盖更多的人口，产生广泛的 对公共健康的影响，并增加获得解决健康的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.