COBRE: UAF: PROJ 2: CULTURE & HEALTH IN ALASKA NATIVES

本子项目是利用由NIH/NCRR资助的中心赠款提供的资源的众多研究子项目之一。子项目和研究者（PI）可能已经从另一个NIH来源获得了主要资金，因此可以在其他CRISP条目中表示。列出的机构是中心的，不一定是研究者的机构。文化视角是理解阿拉斯加原住民健康问题不可或缺的一部分。关于美洲印第安人群体健康问题的研究和理论支持文化因素在健康研究和干预中的中心地位。在文化与健康项目（Lardon， PI项目）的第一阶段，制定了一套与文化相关的态度、信仰和行为衡量标准，可用于评估阿拉斯加土著人的健康状况。使用焦点小组和个人访谈来产生对健康和保健的文化理解。本研究中使用的调查包括文化行为健康的新测量，以及感知压力、应对、社会支持、公共和个人掌握的测量。所有措施都在文化上进行了调整，并转化为Yup - ik。这项调查是对育空-库斯库温三角洲7个社区的510名参与者进行的。在第二阶段，主要目标是开展健康促进工作，重点是在一个参与的村庄减少与体重增加有关的健康风险。目标是发展促进健康的地方基础设施和程序，并发展地方专门知识。两名社区工作人员领导了一个由长者、卫生工作者、部落领袖和其他成年人组成的小组，审查研究数据，并确定了三个重点工作领域。该团队目前正在制定具体的目标和行动计划，以增加饮食中传统土著食物的数量，增加体育活动，减少压力。将通过比较干预前和干预后的数据来评估健康促进的结果。总的来说，这项研究将为研究文化在阿拉斯加土著人口健康中的作用提供知识和专业知识基础。预计本次分项目的性别/少数民族组成不会有变化。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Cultural perspective is integral to an understanding of Alaska Native health issues. Research and theory regarding health issues in American Indian groups support the centrality of cultural factors in health research and intervention. In Phase I of the Culture and Health project (Lardon, project PI), a culturally relevant measure of attitudes, beliefs, and behaviors that can be used in evaluating the health of Alaska Natives was developed. Focus groups and individual interviews were used to generate a cultural understanding of health and wellness. The survey used in this study included the new measure of cultural-behavioral health as well as measures of perceived stress, coping, social support, and communal and personal mastery. All measures were culturally adapted and translated into Yup¿ik. This survey was administered to 510 participants from seven communities in the Yukon-Kuskokwim Delta. In Phase II, the primary goal is to engage in a health promotion effort focused on reducing health risks related to increased weight in one of the participating villages. The goals are to develop a local infrastructure and process for health promotion, and to develop local expertise. Two community staff members have led a team of elders, health workers, tribal leaders, and other adults to review the study data and to identify three focus areas to work on. The team is now developing specific goals and action plans to increase the amount of traditional Native foods in the diet, increase physical activity, and reduce stress. The results of the health promotion will be evaluated by comparing pre- and post-intervention data. Overall, this research will provide a base of knowledge and expertise in examining the role of culture in health for Alaska Native populations. No changes are expected in the gender/minority composition of this subproject.