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

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目和 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可以在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 文化视角是理解阿拉斯加土著健康问题的不可或缺的一部分。关于美国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。 在文化与健康项目的第一阶段，我们开发了一种与文化相关的态度，信仰和行为的衡量标准，可用于评估阿拉斯加原住民的健康状况。焦点小组和个人访谈被用来产生对健康和保健的文化理解。在这项研究中使用的调查包括文化行为健康的新措施，以及措施的感知压力，应对，社会支持，社区和个人掌握。所有措施都经过文化调整，并翻译成Yup'ik语。这项调查对来自育空-Kuskokwim三角洲9个社区的783名参与者进行了调查。 在第二阶段，主要目标是在一个参与村庄开展健康促进工作，重点是减少与体重增加有关的健康风险。目标是发展当地的基础设施和促进健康的进程，并发展当地的专门知识。两名社区工作人员带领一个由长者、卫生工作者、部落领袖和其他成年人组成的团队审查了研究数据，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品的数量，增加体育活动，减轻压力。将通过比较干预前后的数据来评估健康促进的结果。总的来说，这项研究将提供一个知识和专业知识的基础，以研究文化在阿拉斯加土著居民健康中的作用。

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, we developed a culturally relevant measure of attitudes, beliefs, and behaviors that can be used in evaluating the health of Alaska Natives. 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 783 participants from nine 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.