Mental Health and Diabetes among Ojibwe Adults

描述(申请人提供)：建议的研究旨在识别和了解与2型糖尿病(T2D)并存的特定文化心理健康和药物使用问题，并通过基于社区的参与性研究(CBPR)进一步调查此类共病对Ojibwe成年人治疗依从性和健康行为的影响。在拟议的资助期内，我们计划进一步发展两个奥吉布保护区社区和明尼苏达大学德卢斯分校的一个研究团队之间目前的研究伙伴关系。在这些伙伴关系内，拟议的工作包括对患有T2D的Ojibwe成年人的抑郁和其他精神健康问题的表达和流行率进行混合方法调查，包括药物使用。该项目的最终目标是获得初步数据，并为持续的CBPR项目和未来的资金申请奠定基础，包括创建特定于文化的、以经验为基础的治疗和干预计划。 公共卫生相关性：拟议的研究涉及两个保留社区的北美土著成年人单一文化群体对精神健康和被认为与慢性病(2型糖尿病)管理和治疗不合规有关的物质使用因素的忽视的社区关切。这项研究旨在调查精神疾病负担在这些和其他土著社区中也患有糖尿病的人中的表现和流行情况。这项研究将解决精神健康和糖尿病的共病问题，这些问题目前在这些土著社区和美国印第安人特有的文献中被低估和/或忽视。

DESCRIPTION (provided by applicant): The proposed research aims to identify and understand culturally-specific mental health and substance use issues comorbid with Type 2 Diabetes (T2D), and further investigate the impact of such comorbidity on treatment compliance and health behaviors among Ojibwe adults by way of community-based participatory research (CBPR). During the proposed funding period, we plan to further develop current research partnerships between two Ojibwe reservation communities and a team of researchers at the University of Minnesota-Duluth. From within these partnerships, the proposed work includes a mixed-methods investigation of the expression and prevalence depression and other mental health problems, including substance use, among Ojibwe adults suffering from T2D. The ultimate goal of this project is to obtain preliminary data and create a foundation for continued CBPR projects and future funding applications, including the creation of culturally-specific, empirically-based treatment and intervention programs. PUBLIC HEALTH RELEVANCE: The proposed research addresses community-based concerns regarding inattention to mental health and substance use factors thought to be related to chronic disease (type 2 diabetes) management and treatment noncompliance among a single cultural group of North American Indigenous adults in two reservation communities. This research aims to investigate the expression and prevalence of the burden of mental illness in these and other Indigenous communities among those also suffering with comorbid diabetes. This research will address comorbid mental health and diabetes issues that are currently under-examined and/or overlooked in these Indigenous communities and in the American Indian-specific literature.