Ellangneq (Awareness)

描述（由申请人提供）：阿拉斯加原住民构成了一个服务不足的人口，其特点是健康差距很大（阿拉斯加卫生与社会服务部，2002年）。阿拉斯加大学费尔班克斯阿拉斯加土著健康研究中心和育空-库斯科温健康公司联合设计、规划和实施了一个基于社区的参与性研究项目，其目标如下：目标1：在阿拉斯加西南部最大的土著文化群体Yup'ik的预防性干预中，通过由Yup'ik领导小组领导的CBPR过程确定最优先的行为健康需求，Yup'ik研究协调委员会（YRCC）。目标2：制定一份干预手册，适用于社区、家庭和个人层面的多层次、多因素文化干预程序。目标3：对目标1中确定的行为健康需求进行普遍、选择性或联合预防干预模型的试点测试。目标4：为随机社区预防试验设计一个为期五年的项目，以争取下一轮资助。这个过程涉及到由Yup'ik研究协调委员会领导的伙伴关系，大学研究人员和社区合作伙伴成为共同研究人员。行为健康因素是阿拉斯加原住民死亡的主要原因。慢性疾病、自杀、杀人、家庭暴力和癌症的危险因素都有显著的行为因素。文献提供了明确的证据，表明阿拉斯加原住民的行为健康存在差异，这显然代表了与其他农村少数民族群体相似的健康危机。在每种情况下，这些群体都经历着巨大的文化适应压力。这为促进和预防健康提供了独特的适当环境，因为在这些地区，偏远和孤立的社区，服务不足的少数民族人口健康失调率高，变化迅速，但也表现出强大的现有传统和社会、经济和地理连续性的要素（Chandler & LaLonde， 1998年）。这种环境的农村、前沿性质为科学研究提供了一个天然的实验室。所获得的知识可以帮助设计小型、偏远、农村地区的预防项目；美国的小社区，以及国际上的发展中国家和北极地区。

DESCRIPTION (provided by applicant): Alaska Natives constitute an underserved population characterized by significant health disparities (Alaska Department of Heath & Social Services [DHSS], 2002). The University of Alaska Fairbanks Center for Alaska Native Health Research and the Yukon Kuskokwim Health Corporation have joined together to design, plan, and implement a Community Based Participatory Research Project (CBPR) that has the following aims: Aim 1: To determine the highest priority behavioral health need in a preventative intervention in the largest Alaska Native cultural group, the Yup'ik of southwestern Alaska, through a CBPR process lead by a group of Yup'ik leaders who will constitute the Yup'ik Research Coordinating Council (YRCC). Aim 2: To develop a manual of interventions appropriate to a multilevel and multifactorial culturally based intervention procedure at the community, family, and individual levels. Aim 3: To pilot test a universal, selective, or combined preventative intervention model for the behavioral health need identified in Aim 1. Aim 4: To design a five year project for a randomized community based prevention trial to compete for the next round of funding. The process involves a partnership led by a Yup'ik Research Coordinating Council in which university researchers and community partners become co-researchers. Behavioral health factors are leading cause of deaths among Alaska Natives. The risk factors for chronic disease, suicide, homicide, family violence, and cancer all have significant behavioral factors. The literature provides clear evidence that there are disparities in the behavioral health of Alaska Natives that clearly represent a health crisis similar to that experienced by other rural minority groups. In each context, the groups are experiencing significant acculturation pressure. This provides a uniquely appropriate context for health promotion and prevention where there are remote and isolated communities with underserved minority populations experiencing high rates of health disorders and rapid change, but also exhibiting a strong existing traditions and elements of social, economic and geographic continuity (Chandler & LaLonde, 1998). The rural, frontier nature of this context provides a natural laboratory in which the science can be conducted. The knowledge acquired can contribute to the designing of prevention projects for small, remote, rural contexts; small neighborhoods in the U.S., and internationally within the developing world and circumpolar north.