RAPID: COVID-19, Knowledge and Health in Remote Alaska Native Communities

这项以社区为基础的研究响应了部落领导人和公共卫生官员的呼吁，以了解COVID-19如何影响阿拉斯加土著社区的日常生活。由于住房、水和卫生基础设施有限或不足，以及检疫对食品、交通和卫生保健的影响，公共卫生准则可能难以在许多偏远社区实施。通过定性访谈和定量调查，本研究将记录日常生活条件，询问参与者如何感知风险、体验影响并适应COVID-19的威胁。调查结果将有助于在阿拉斯加土著背景下了解COVID-19；了解社区对大流行的反应在社会、文化和地理上的差异；并扩充关于北极健康的社会生态学的文献。更广泛的影响包括共同制定的指导方针和建议，可以在偏远的阿拉斯加土著社区有效实施。将采用混合方法，将定性访谈与一系列三次在线调查相结合。pi将与在阿拉斯加偏远农村土著社区工作的村领导以及部落和公共卫生官员进行大约20次半结构化访谈。访谈将重点关注社区卫生挑战和COVID-19应对措施，并将调查数据置于背景下。该调查工具是根据世界卫生组织（World Health Organization）的模型为阿拉斯加农村地区修改的，将每隔两个月部署三次。调查问题将涉及受访者对COVID-19风险的看法、行为反应以及大流行期间的日常生活经历。该奖项反映了美国国家科学基金会的法定使命，并通过使用基金会的知识价值和更广泛的影响审查标准进行评估，被认为值得支持。

This community-based study responds to calls from tribal leaders and public health officials to understand how COVID-19 affects daily life in Alaska Native communities. Public health guidelines may be difficult to implement in many remote communities due to limited or inadequate housing, water and sanitation infrastructure and the effects of quarantine on food, transportation, and health care. Through qualitative interviews and quantitative surveys, this research will document daily living conditions, asking how participants perceive risk, experience impacts, and adapt to the threat of COVID-19. Findings will contribute to knowledge of COVID-19 within an Indigenous Alaskan context; understanding how community responses to the pandemic vary socially, culturally, and geographically; and expand the literature on the social ecology of Arctic health. Broader impacts include co-produced guidelines and recommendations that can be effectively implemented in remote Alaska Native communities.Mixed methods will be employed combining qualitative interviews with a series of three online surveys. PIs will conduct approximately twenty semi-structured interviews with village leaders and tribal and public health officials working in remote rural Alaska Native communities. Interviews will focus on community health challenges and responses to COVID-19 and will contextualize survey data. The survey tool, modified for rural Alaska from a World Health Organization model, will be deployed three times at two-month intervals. Survey questions will address respondents’ perception of COVID-19 risk, behavioral responses, and experience of daily life during the pandemic.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.