Cannabis Marketing Exposure among High School Students in the Cherokee Nation: Assessment and Preventive Intervention Effectiveness

摘要 我们提出了一个多阶段的研究重点是美国印第安人，社会经济地位低下， 服务不足的农村青年。我们的目标是主要风险因素的主要预防（即，心理 健康、药物使用），因为AI/AN人群面临的过早死亡风险增加 (e.g.,自杀、车祸、吸毒过量）。在行政补充的支持下，我们 我们将加强和加强由NIDA资助的多层次社区阿片类药物预防干预， 健康预防倡议。UH 3家长试验是一项在20所农村高中进行的随机分组试验， 在切罗基民族保留地或附近的服务不足的小城镇，有900多名15至16岁的儿童入学 美国印第安人（56%）和其他青年。将加强家庭、学校和社区预防战略 以解决自俄克拉荷马州以来出现的药房扩散和大麻营销的风险 医用大麻合法化研究目标将解决以下研究问题。多少 在切罗基保留地的高中附近可以看到大麻广告数量是否 大麻广告的数量因学校的种族和社会经济构成而异？做大麻 在切罗基民族保留地的高中附近， 印第安人？旨在打击大麻营销的预防性干预措施是否有助于 感知风险增加，社会反对增加，感知访问减少或电流减少 吸食大麻在补编年内，我们将（1）记录大麻广告接近高 学校在切罗基民族保留地，（2）进行内容分析，由社区为基础的青年编码器 （3）加强预防性干预措施， 通过媒体信息、家庭行动工具包和社区行动指南进行营销宣传。后 在补充活动的最后一年，我们实施了加强干预部分， 干预试验和进行结果分析，其中将包括大麻的使用以及感知的风险， 规范和准入。研究目标是相关的，并响应当地的条件和需求在切罗基 国家保留地。所有三个阶段的研究结果将为该领域做出重要贡献 关于大麻营销，以及针对文化的大麻预防策略的有效性， 切罗基族的青少年。

Abstract We propose a multiphase study focused on American Indian, socioeconomically disadvantaged, and underserved rural populations of youth. Our goal is the primary prevention of leading risk factors (i.e., mental health, substance use) for causes of premature mortality for which AI/AN populations are at increased risk (e.g., suicide, motor vehicle crashes, drug overdose). With the support of the administrative supplement, we will enhance and strengthen our multilevel community opioid preventive intervention funded by NIDA as part of the HEAL Prevention Initiative. The UH3 parent trial is a cluster randomized trial of 20 rural high schools in underserved small towns in or near the Cherokee Nation Reservation with over 900 enrolled 15- to 16-year-old American Indian (56%) and other youth. Family, school and community prevention strategies will be enhanced to address the emerging risk of the proliferation of dispensaries and marketing of cannabis since Oklahoma legalized medical marijuana in 2018. Study aims will address the following research questions. How many cannabis advertisements are visible near high schools in the Cherokee Nation Reservation? Does the quantity of cannabis advertisements differ by the racial and socioeconomic composition of schools? Do cannabis advertisements near high schools in the Cherokee Nation Reservation target or appeal to youth and American Indian people? Do preventive intervention components designed to counter cannabis marketing contribute to increased perceived risks, increased social disapproval, reduced perceived access, or reduced current marijuana use? During the year of the supplement, we will (1) document cannabis advertisements near high schools in the Cherokee Nation Reservation, (2) conduct content analysis by community-based youth coders of cannabis advertisements, (3) develop enhanced preventive intervention components to address cannabis marketing exposure with media messages, Family Action Kit, and Community Action Guides. Following the year of supplemental activities, we implement the enhanced intervention components during the final year of the intervention trial and conduct outcome analyses, which will include marijuana use as well as perceived risk, norms, and access. Study aims are relevant and responsive to local conditions and needs within the Cherokee Nation Reservation. Results of all three phases of research will provide important contributions to the field about cannabis marketing, as well as effectiveness of culturally tailored marijuana prevention strategies for adolescents in the Cherokee Nation.