Mental Health and Diabetes among Ojibwe Adults

描述（由申请人提供）：本研究旨在通过基于社区的参与式研究（CBPR），识别和理解与2型糖尿病（T2D）共病的文化特异性精神健康和物质使用问题，并进一步研究这种共病对Ojibwe成年人治疗依从性和健康行为的影响。在拟议的资助期内，我们计划进一步发展两个Ojibwe保留地社区和明尼苏达大学德卢斯分校的一组研究人员之间目前的研究伙伴关系。在这些伙伴关系中，拟议的工作包括对患有T2D的Ojibwe成年人中抑郁症和其他精神健康问题（包括药物使用）的表达和流行情况进行混合方法调查。该项目的最终目标是获得初步数据，并为继续开展CBPR项目和未来的资金申请奠定基础，包括创建具有文化特异性的、基于经验的治疗和干预方案。

DESCRIPTION (provided by applicant): The proposed research aims to identify and understand culturally-specific mental health and substance use issues comorbid with Type 2 Diabetes (T2D), and further investigate the impact of such comorbidity on treatment compliance and health behaviors among Ojibwe adults by way of community-based participatory research (CBPR). During the proposed funding period, we plan to further develop current research partnerships between two Ojibwe reservation communities and a team of researchers at the University of Minnesota-Duluth. From within these partnerships, the proposed work includes a mixed-methods investigation of the expression and prevalence depression and other mental health problems, including substance use, among Ojibwe adults suffering from T2D. The ultimate goal of this project is to obtain preliminary data and create a foundation for continued CBPR projects and future funding applications, including the creation of culturally-specific, empirically-based treatment and intervention programs. PUBLIC HEALTH RELEVANCE: The proposed research addresses community-based concerns regarding inattention to mental health and substance use factors thought to be related to chronic disease (type 2 diabetes) management and treatment noncompliance among a single cultural group of North American Indigenous adults in two reservation communities. This research aims to investigate the expression and prevalence of the burden of mental illness in these and other Indigenous communities among those also suffering with comorbid diabetes. This research will address comorbid mental health and diabetes issues that are currently under-examined and/or overlooked in these Indigenous communities and in the American Indian-specific literature.