Examining the Role of Sleep Disturbances in Contributing to Health Risk Behaviors and Cardiometabolic Outcomes in Urban Native American Youth

项目总结/摘要 冠状病毒大流行给包括青年在内的人们的整个生命周期带来了前所未有的挑战， 对于那些生活在贫困和健康不平等中的人来说，这一点可能更为明显。美洲印第安人/阿拉斯加 土著人（AI/AN）是健康差异风险最高的种族/族裔群体之一，他们是一个 特别易受新型冠状病毒大流行不利健康和社会经济影响的群体 （COVID-19）.迄今为止，只有一项先前的研究回顾性评估了 在传染病爆发（H1N1或SARS）后，对青年和家庭进行隔离， 评估了疫情对青年的影响。AI/AN青少年不成比例地经历 已知会加剧新型冠状病毒负面影响的合并症（包括心脏病）发生率高 疾病，糖尿病，肥胖，以及行为健康问题，包括抑郁症和酒精等 药物（AOD）使用问题，这可能会加剧在呆在家里的命令。本申请是 提交以响应非MD-20-019特别关注通知：竞争性和行政性 2019冠状病毒病爆发对少数民族健康和健康差异影响的补充。我们的目标是 目标1a。使用两波数据（基线和冠状病毒大流行期间），我们将研究 个体的变化（例如，技术使用），家庭（例如，冲突和凝聚力），社区（例如，感 社区）和文化（例如，参与文化活动）的风险和保护因素，以及 睡眠、冒险和心理健康（抑郁、焦虑和创伤后应激障碍）。目标1b： 使用两波数据，我们将研究风险和保护因素的变化如何影响 睡眠、冒险行为、心理健康。例如，我们假设粮食不安全的增加将 与睡眠问题、冒险行为和心理健康问题的增加有关， 而更多地参与文化活动将带来更好的结果。目标2.使用 新增加的COVID-19特定问题，我们将研究与COVID-19相关的关联 知识、风险认知和行为反应，以及与COVID-19公共卫生相关的挑战 措施（例如，受学校关闭的影响）和睡眠，冒险行为和心理健康。目标3. 随机选择一个子样本（N=25）的青少年和管理定性访谈，以检查如何 冠状病毒的爆发影响了AI/AN青少年的睡眠习惯，日常生活和行为。本研究将 促进更好地了解如何为这些服务不足的人规划支助服务和预防措施 一群青少年。我们的发现也将推动该领域的发展，因为这是世界上唯一一项关于睡眠健康的研究。 城市AI/AN青年中冠状病毒的背景。

Project Summary/Abstract The coronavirus pandemic poses unprecedented challenges for people across the lifespan, including youth, and are likely more pronounced for those who live with poverty and health inequities. American Indian/ Alaskan Natives (AI/ANs) are one of the highest risk racial/ ethnic groups for health disparities, and they are a particularly vulnerable group for adverse health and socioeconomic impacts of the novel coronavirus pandemic (COVID-19). Only one prior study to date retrospectively assessed the long-term psychosocial impact of quarantine on youth and families following an infectious disease outbreak (H1N1 or SARS), and none have assessed the impact on youth in the midst of the pandemic. AI/AN adolescents experience disproportionately high rates of comorbidities known to exacerbate the negative effects of the novel coronavirus, including heart disease, diabetes, obesity, as well as behavioral health problems, including depression and alcohol and other drug (AOD) use problems, which may be exacerbated during stay-at-home orders. This application is being submitted in response to NOT MD-20-019 Notice of Special Interest: Competitive and Administrative Supplements for the Impact of COVID-19 Outbreak on Minority Health and Health Disparities. Our aims are as follows: Aim 1a. Using two waves of data (baseline and during the coronavirus pandemic), we will examine changes in individual (e.g., technology use), family (e.g., conflict and cohesion), community (e.g., sense of community), and cultural (e.g., engagement in cultural activities) risk and protective factors, and changes in sleep, risk-taking and mental health (depression, anxiety, and post-traumatic stress disorder, PTSD). Aim 1b: Using two waves of data, we will examine how changes in risk and protective factors influence changes in sleep, risk-taking behaviors, mental health. For example, we hypothesize that increases in food insecurity will be associated with greater increases in sleep problems, risk-taking behaviors and mental health problems, whereas increases in engagement in cultural activities will be associated with better outcomes. Aim 2. Using the newly added COVID-19 specific questions, we will examine the association between COVID-19 related knowledge, risk perception, and behavioral responses, and challenges related to COVID-19 public health measures (e.g., being affected by school closings) and sleep, risk-taking behaviors, and mental health. Aim 3. Randomly select a subsample (N=25) of adolescents and administer qualitative interviews to examine how the coronavirus outbreak has affected AI/AN adolescent sleep habits, routines, and behaviors. This study will facilitate better understanding of how to plan support services and prevention measures for this underserved group of adolescents. Our findings will also move the field forward as this is the only study of sleep health in the context of the coronavirus among urban AI/AN youth.