Developing partnerships to promote innovative approaches to prevent teen pregnancy among American Indian & Alaska Native youth Alaska Native Tribal Health Consortium Inter Tribal Council Of Arizona, Inc. Northwest Portland Area Indian Health Board University Of Texas Prevention Research Center Saturday April.02.2011 Sex::Tech Conference 2011 Funded by the Centers for Disease Control & Prevention (SIP10-033)
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Developing Partnerships to Promote Innovative Approaches
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Developing partnerships to promote innovative approaches
to prevent teen pregnancy among American Indian & Alaska Native youth
Alaska Native Tribal Health ConsortiumInter Tribal Council Of Arizona, Inc.
Northwest Portland Area Indian Health BoardUniversity Of Texas Prevention Research Center
Saturday April.02.2011Sex::Tech Conference 2011
Funded by the Centers for Disease Control & Prevention (SIP10-033)
Emerging Partnerships
Official partnership pending regional review board approvals
Cornelia Jessen
Stephanie Craig-RushingJessica Leston
Gwenda GormanJohn Lewis
Ross ShegogChristine Markham
Melissa PeskinSusan Tortolero
Inter Tribal Council of Arizona, Inc.
CDCHeather Tevendale
Indian Health ServiceLori de RavelloScott Tulloch
ConsultantsWilliam Lambert, Oregon Health
& Sciences University PRCCarol Kaufman, University of
Colorado
Other Partners & Consultants
To adapt and evaluate the effectiveness of an Internet-based HIV/STI & pregnancy
prevention program for middle school-aged youth (12-14 years old) in three
Background Youth PerspectiveIt’s Your Game…Keep It Real (IYG)IYG-AIAN: Building the partnership
Background
AI/AN Youth: Sexual HealthCompared to Non-AI/AN Peers AI/AN youth
have:
› Higher birth rates› Higher rates of Chlamydia and gonorrhea› Earlier sexual debut (which is associated with increased risk of STI’s and pregnancy)› Lower condom and contraceptive use› 19% of AI/AN HIV/AIDS cases are among youth
(<25)› The need or effective sexual health is indicated
CDC 2009; CDC, Indian Health Service, 2007; Hamilton B. MMWR. 2011;59:1-29
Youth Technology Use AI/AN youth use media technology at higher
rates than national average› 75% use internet/iPods on daily or weekly
basis6
› 87% have a social networking page (i.e. Facebook)1
Use to: create social networks, & share culture within and beyond local community 2
It’s Your Game…Keep It Real for American Indian/Alaska Native Youth
Funded by the Centers for Disease Control & Prevention (SIP10-033)
Project Premise Internet-based programs have the ability to
reduce health disparities by providing rural and underserved communities with access to state-of-the-art health interventions.
Adapting interventions for cultural appropriateness requires the use of multiple research strategies and community based participatory research activities.
Strong, multi-site partnerships can successfully build local capacity and support development of sexual health resources in underserved communities.
Study Activities
PHASE1
PHASE2
Year 1› Gain Community Support› Review Existing Resources for AI/AN
2. De Ravello L, Personal Communication 4-8-2010 3. Hamilton B, et al. Births: Preliminary Data for 2009 . MMWR. 2011;59:1-29.4. CDC, Indian Health Service. Indian health surveillance report—sexually
transmitted diseases 2007. Atlanta, GA: U.S. Department of Health and Human Services.
5. CDC. Cases of HIV infection and AIDS in the United States and dependent areas, by race/ethnicity, 2003–2007. 14th ed. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2009.
6. Craig Rushing S. Media technology use among Native American teens and young adults: Evaluating their utility for designing culturally-appropriate sexual health interventions targeting Native American youth in the Pacific Northwest. Doctoral dissertation. 2010.
7. Project Red Talon (2009) , 400 Native youth (age 13-21 years) living in Oregon, Washington, and Idaho.
8. Tortolero, SR, Markham, CM, Peskin, MF, Shegog, R, Addy, RC, Escobar-Chaves, SL, Baumler, ER. It's Your Game, Keep It Real: Delaying Sexual Behavior with an Effective Middle School Program. Journal of Adolescent Health. 2010; 46(2):169-179. Published online: 18 August 2009. Saturday