Elevating NW Tribal Health Sciences: NW NARCH Program

项目概要：总体 三个前提是我们的西北NATURAL发展的基础。首先，尽管部落长期努力， 联邦和州卫生保健计划，现有数据显示，西北地区的健康状况存在很大差异， 美国印第安人和阿拉斯加原住民（AI/AN）与非AI/AN相比。西北部落领导人担心， 健康状况非但没有好转，反而越来越差;不幸的是，健康数据证实了这一担忧 这表明在过去20年里，关键的慢性疾病状况有所增加，而不是减少。第二、 印度社区不信任健康研究，因为非AI/AN研究人员的负面经验， 不尊重部落的需要或敏感性，即使仔细实施的健康研究已经 有潜力提供解决办法，减少并最终消除现有的健康差距。第三，健康 由对NW和其他国家的文化和具体问题敏感的高技能AI/AN进行的研究 印度社区可以弥合学术界和社区之间的差距，尽管目前我们缺乏关键的 需要大量的AI/AN研究人员来完成这项任务。 针对这三个问题，我们成立了西北民族学院，形成部落-学术伙伴关系 以社区为基础的健康研究，重点是消除种族健康差异，并将继续这一点 与此应用程序的合作伙伴关系。NPAIHB代表的43个西北印第安社区有很长的路要走 协调努力改善他们的健康状况的记录;我们与俄勒冈州的部落学术伙伴关系 健康与科学大学和波特兰州立大学将建立一个广泛的和多层次的 基础设施，以提高AI/AN研究人员的技能，并解决至关重要的健康问题， 部落。我们的董事会代表和顾问委员会已指示我们在以下方面开展三个培训项目： 这项申请：1）一项奖学金计划，将增加部落人民的人数， 在部落人民中开展癌症预防研究，2）继续我们的夏季研究培训 AI/AN卫生专业人员研究所，使他们能够发展作为研究人员所需的技能， 他们目前在部落组织中的作用3）旨在培训干部的应用生物统计学研究金 人工智能/人工智能人员使用自己的部落数据或通过访问行政管理数据进行各种分析， 数据集，以及4）使用非常高科技的平衡方法预防跌倒的试验研究项目 评估。 我们相信，我们将通过支持学员和增加对AI/AN社区的影响， 在进行与土著人民有关的保健和生物医学研究方面， 部落......符合NIH部落健康研究战略计划FY 2019-2023。

Project Summary: Overall Three premises underlie the development of our NW NARCH. First, despite longstanding efforts by tribal, federal, and state health care programs, the available data show substantial disparities in health for NW American Indian and Alaska Native people (AI/ANs) compared to non-AI/ANs. NW tribal leaders fear that their health status is getting worse instead of better; this fear unfortunately has been substantiated with health data that show increases in key chronic disease conditions, instead of decreases, over the past 20 years. Second, Indian communities distrust health research because of negative experiences with non-AI/AN researchers who did not respect tribal needs or sensitivities, even though carefully implemented health research has the potential to provide solutions to reduce, and ultimately eliminate, existing health disparities. Third, health research done by highly skilled AI/ANs who are sensitive to the culture and specific concerns of NW and other Indian communities can bridge the gap between academia and community, though currently we lack the critical mass of AI/AN researchers necessary to accomplish this task. In response to these three issues, we have established the NW NARCH to form a tribal-academic partnership for community-based health research focused on eliminating racial health disparities and will continue this partnership with this application. The 43 NW Indian communities represented by NPAIHB have a long track record of coordinated efforts to improve their health status; our tribal-academic partnerships with Oregon Health & Science University and Portland State University will build a wide-reaching and multi-layered infrastructure to increase the skills of AI/AN researchers, and address health problems of critical importance to the tribes. Our Board delegates and Board of Advisors have directed us to pursue three training projects in this application: 1) a fellowship program that will increase the numbers of tribal people who are trained to conduct cancer prevention research among tribal people, 2) continuation of our Summer Research Training Institute for AI/AN health professionals, so that they can develop the skills needed to function as researchers in their current roles with their tribal organizations 3) an applied biostatistics fellowship designed to train a cadre of AI/AN people to conduct a variety of analyses with their own tribal data or through accessing administrative datasets, and 4) a pilot research project on fall prevention using very high technology methods for balance assessments. We trust that we will have substantial impact on AI/AN communities through supporting trainees and increasing the number of rigorously trained tribal people in conducting health and biomedical research of relevance to the tribes…consistent with the NIH Strategic Plan for Tribal Health Research FY 2019-2023.