Navajo NARCH Partnership

项目摘要 纳瓦霍民族（NN）一直是推出COVID-19疫苗的领导者。2021年4月9日，NN报道称， 全国37.4%的居民完全接种疫苗。与此同时，CDC报告了19.9%的 美国成年人已全面接种疫苗。然而，疫苗犹豫确实存在于NN中。根据以下人员进行的访谈， 媒体和数字平台讨论的回顾，疫苗犹豫是基于历史上的不信任， 政府以及最近在社交媒体上发布的错误信息和阴谋论。换句 在一些情况下，一些人担心他们会从老年人或有潜在危险的同胞那里“偷一个位置”。 健康状况。值得信赖的健康使者和以文化为中心的信息是有效的健康手段 教育导致NN的行为改变。拟议的研究，Diné教学和公共卫生学生 告知同伴和亲属疫苗教育（RAVE）将整合这两个决定因素，信任 和文化，以解决成年人对疫苗的担忧和犹豫。目的是增加他们的知识 疫苗的安全性，并改变他们接种疫苗的意图。受信任的信使，Diné（纳瓦霍）公共卫生 学生将接受培训，以提供以文化为中心，科学准确的疫苗安全信息和使用 Diné具体的关系和礼仪，以交谈的同行和亲戚谁自我认同为疫苗犹豫不决。 传统知识持有者将接受采访，以记录涉及个人和 集体健康行为。这种文化知识将指导国家现有材料的改编 为非专业健康教育工作者开发的。本行政补充文件的目的是评估Diné public 健康学生使用以文化为中心的疫苗安全教育的能力， 在他们的Diné同行和亲戚的意图。这一目标与劳动力能力建设的使命一致， 父母奖，纳瓦霍美洲原住民健康合作研究中心，一个合作 在迪内学院，一个NN的部落学院，和北方亚利桑那大学之间。RAVE提出了三个目标 为了实现这一目标：1）记录至少25%的迪内学院学生，教师和工作人员自己的疫苗 犹豫和他们对同龄人和家庭成员疫苗犹豫的看法; 2）培训Diné学院a 至少35名公共卫生学生作为卫生使者，能够提供以文化为中心的、科学的 对至少10名NN居民进行疫苗安全性的有效教育;以及3） 至少350名Diné成年人在接受卫生部门提供的教育后获得疫苗安全知识 使者纳瓦霍人的Numbers团队是唯一的定位，以评估疫苗犹豫在一个亚组内， NN和准备学生作为健康使者，利用他们的教育和关系， 向他们的同伴和亲属提供疫苗安全信息。实现研究目标将为健康信息 具体地说，在NN和土著民族中的传递策略，一般来说，并记录信使的作用 以及以文化为中心的方法来改变健康行为意图。

PROJECT ABSTRACT Navajo Nation (NN) has been a leader in the launch of COVID-19 vaccines. On April 9, 2021, NN reported 37.4% of the Nation’s residents as full vaccinated. In comparison on the same date, CDC reported 19.9% of US adults as being fully vaccinated. Yet vaccine hesitancy does exist in NN. Based on interviews conducted by the media and review of digital platform discussions, vaccine hesitancy is grounded in historical mistrust of the government and more recently, misinformation and conspiracies theories promulgated in social media. In other cases, some are concerned they would be “stealing a spot” from an elder or fellow citizen with underlying health conditions. Trusted health messengers and culturally centered information are effective means of health education leading to behavior change in NN. The proposed study, Diné Teachings and Public Health Students Informing Peers and Relatives about Vaccine Education (RAVE), will integrate these two determinants, trust and culture, to address adults’ vaccine concerns and hesitancy. The objective is to increase their knowledge of vaccine safety and shift their intention to get vaccinated. Trusted messengers, Diné (Navajo) public health students will be trained to deliver culturally centered, scientifically accurate vaccine safety information and use Diné specific relationality and etiquette to talk to peers and relatives who self-identify as vaccine hesitant. Traditional Knowledge Holders will be interviewed to document cultural teachings that address individual and collective health behaviors. This cultural knowledge will guide the adaptation of state available materials developed for lay health educators. The goal of this Administrative Supplement is to assess Diné public health students’ ability to use culturally centered vaccine safety education to shift vaccine hesitancy to intention in their Diné peers and relatives. This goal aligns with the workforce capacity building mission of the parent award, the Navajo Native American Research Center for Health Partnership, a collaboration between Diné College, a tribal college of the NN, and Northern Arizona University. RAVE proposes three aims to address this goal: 1) Document a minimum of 25% of Diné College student, faculty, and staff’s own vaccine hesitancy and their perception of their peers and family members’ vaccine hesitancy; 2) Train Diné College a minimum of 35 public health students as health messengers able to provide culturally centered, scientifically valid education about vaccine safety to a minimum of 10 NN residents, each; and 3) Document change in a minimum of 350 Diné adults’ knowledge of vaccine safety after receiving the education provided by a health messenger. The Navajo NARCH team is uniquely positioned to assess vaccine hesitancy in a subgroup within the NN and to prepare students as health messengers to leverage their education and relationships to provide vaccine safety information to their peers and relatives. Achieving the study aims will inform health information delivery strategies in NN specifically and Native Nations, generally, and document the role of the messenger and the culturally centered approaches to yielding change in health behavior intention.