The Fort Peck Sexual Health Project

佩克堡性健康项目将确定个人、家庭、社区和环境因素 影响15岁至19岁的年轻男性和女性美洲土著人的性健康和生殖健康 18岁，在农村，边境设置。这项研究的重点是佩克堡保留地， 蒙大拿州东北部，阿西尼博因和苏族部落的家园。我们假设高STI率和 计划外怀孕是一个标志，更深层次的健康问题的运作和相互作用， 个人、家庭、社区和环境层面。该研究将审查几个相互关联的 可能影响15至18岁土著人性冒险行为的生态因素 美国男性和女性本研究的目的是：（1）识别认知行为因素 有助于男性和女性美洲土著青少年的性风险行为，2） 检查哪些社会和文化规范有助于男性和女性的性风险行为 本土青少年包括父母养育和传递的价值观、文化信仰价值观 关于性的习俗和信仰以及传统和当代宗教信仰体系 关于性，3）确定可能导致性风险的环境和背景因素 采取的行为之间的男性和女性美洲土著青少年，和4）发展和试点， 干预Fort Peck Sexual Health Project是一个基于社区的参与性研究项目（CBPR）。 项目，并使用并行的定性和定量研究设计。佩克堡的结果 性健康项目将用于构建一个创新的，设计和实施的社区， 采取干预措施，降低居住在美国的原住民的性传播感染率并防止计划外怀孕。 蒙大拿州是其他农村边境地区部落社区的典范。

The Fort Peck Sexual Health Project will identify the individual, family, community, and environmental factors influencing the sexual and reproductive health among young male and female Native Americans ages 15 to 18 years old in a rural, frontier setting. The study focuses specifically on the Fort Peck Reservation in northeastern Montana, home to the Assiniboine and Sioux tribes. We hypothesize that high STI rates and unplanned pregnancies are a marker for deeper underiying health issues operating and interacting at the individual, family, community, and environmental levels. The study will examine several interrelated ecological factors that are likely to be influencing the sexual risk taking behaviors of 15 to 18 year old Native American males and females. The aims of this study are 1) to identify the cognitive behavioral factors contributing to sexual risk taking behaviors among male and female Native American adolescents, 2) to examine which social and cultural norms contribute to sexual risk taking behaviors among male and female Native adolescents, including parenting and transmission of parental values, cultural beliefs about the value of children, atfitudes and beliefs about sex, and the traditional and contemporary religious belief systems with regard to sex, 3) to identify the environmental and contextual factors that might contribute to sexual risk taking behaviors among male and female Native American adolescents, and 4) to develop and pilot an intervention. The Fort Peck Sexual Health Project is a community based participatory research (CBPR) project and uses a concurrent qualitative and quantitative research design. The results ofthe Fort Peck Sexual Health Project will be used to construct an innovative, community designed and implemented, intervention to reduce STI rates and prevent unplanned pregnancies among Native Americans living in Montana as a model for other tribal communities in rural, fronfier environments.