Promoting AI/AN Health: NW NARCH program

总体NATIONAL项目摘要 三个前提是我们的西北NATURAL发展的基础。首先，尽管部落，联邦， 根据州卫生保健计划，现有数据显示，美国西北部印第安人和阿拉斯加人的健康状况存在巨大差异 原住民（AI/AN）与非AI/AN（1-5）的比较。西北部的部落领导人担心他们的健康状况反而变得更糟 不幸的是，这种担忧已经被健康数据所证实，这些数据显示， 而不是过去20年的下降。其次，印度社区不信任健康研究，因为 与不尊重部落需求或敏感性的非AI/AN研究人员的负面经历，即使仔细 实施的健康研究有可能提供解决方案，以减少并最终消除现有的健康问题。 差距。第三，由高度熟练的AI/AN进行的健康研究，这些AI/AN对文化和特定的关注敏感， 西北和其他印度社区可以弥合学术界和社区之间的差距，虽然目前我们缺乏 关键质量的AI/AN研究人员必须完成这项任务。 针对这三个问题，西北波特兰地区印第安人健康委员会（NPAIHB或“委员会”）建立了 西北Nyns形成一个部落学术伙伴关系，以社区为基础的健康研究，重点是消除种族歧视， 健康差距，并将继续与此应用程序的这种伙伴关系。西北印第安人社区代表， NPAIHB有协调努力，以改善他们的健康状况的长期记录;我们的部落学术伙伴关系 与俄勒冈州健康与科学大学和波特兰州立大学将建立一个广泛的和多层次的 基础设施，以提高AI/AN研究人员的技能，并解决对部落至关重要的健康问题。 我们的董事会代表以及社区和科学顾问委员会指示我们在这方面开展三个项目。 应用：1）癌症预防和控制培训; 2）青少年和年轻人的艾滋病毒/性病预防;以及3） 哮喘教育和自我管理。我们相信，我们将通过以下方式对AI/AN社区产生重大影响： 增加在癌症预防和控制方面接受严格培训的部落人员的数量，并指导他们在 职业;在两年内接触到大约2，000，000部落人口，使他们感染文化上适当的艾滋病毒/性传播疾病 可以影响行为改变的预防信息;以及开发和测试新的哮喘自我管理 这些项目在印度具有广泛的适用性。我们经验丰富的评估人员将跟踪过程和结果 对于每个项目，除了他们的影响，因为我们解决这些重要的问题在AI/AN健康。

Overall NARCH Project summary Three premises underlie the development of our NW NARCH. First, despite longstanding efforts by tribal, federal, and state health care programs, the available data show substantial disparities in health for NW American Indians and Alaska Natives (AI/ANs) compared to non-AI/ANs (1–5). NW tribal leaders fear that their health status is getting worse instead of better; this fear unfortunately has been substantiated with health data that show increases in key chronic disease conditions instead of decreases over the past 20 years. Second, Indian communities distrust health research because of negative experiences with non-AI/AN researchers who did not respect tribal needs or sensitivities, even though carefully implemented health research has the potential to provide solutions to reduce, and ultimately eliminate, existing health disparities. Third, health research done by highly skilled AI/ANs who are sensitive to the culture and specific concerns of NW and other Indian communities can bridge the gap between academia and community, though currently we lack the critical mass of AI/AN researchers necessary to accomplish this task. In response to these three issues, Northwest Portland Area Indian Health Board (NPAIHB or ‘the board’) has established the NW NARCH to form a tribal-academic partnership for community-based health research focused on eliminating racial health disparities and will continue this partnership with this application. The NW Indian communities represented by NPAIHB have a long track record of coordinated efforts to improve their health status; our tribal-academic partnerships with Oregon Health & Science University and Portland State University will build a wide-reaching and multi-layered infrastructure to increase the skills of AI/AN researchers, and address health problems of critical importance to the tribes. Our Board delegates and Community and Scientific Board of Advisors have directed us to pursue three projects in this application: 1) cancer prevention and control training; 2) HIV/STD prevention for adolescents and young adults; and 3) asthma education and self-management. We trust that we will have substantial impact on AI/AN communities through increasing the number of rigorously trained tribal people in cancer prevention and control and mentoring them in their careers; in reaching an estimated 2,000,000 tribal people within two years with culturally-appropriate HIV/STD prevention messages than can affect behavior change; and in developing and testing new asthma self-management programs that can have wide applicability in Indian country. Our experienced evaluators will track process and outcomes for each project, in addition to their impact, as we address these important issues in AI/AN health.