Articlehybrid2022

Cultural Protection from Polysubstance Use Among Native American Adolescents and Young Adults

Teresa Brockie · Jacquelyn C. Campbell · Gail Dana-Sacco · Jason E. Farley · Harolyn M. E. Belcher · Joan Ellen Kub +6 more

30 citations0/0 files storedPrevention Science

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Indigenous Health, Education, and Rights Substance Abuse Treatment and Outcomes Racial and Ethnic Identity Research

Abstract

Reservation-based Native American youth are at disproportionate risk for high-risk substance use. The culture-as-treatment hypothesis suggests aspects of tribal culture can support prevention and healing in this context; however, the protective role of communal mastery and tribal identity have yet to be fully explored. The objectives of this study were to investigate (1) the relationship between cultural factors and high-risk substance use, which includes polysubstance use, early initiation of alcohol and illicit drugs, and binge drinking, and (2) substance use frequency and prevalence of various substances via cross-sectional design. Multiple logistic regression modeling was used to analyze data from 288 tribal members (15-24 years of age) residing on/near the Fort Peck Reservation in the Northern Plains. When controlling for childhood trauma and school attendance, having at least a high school education (OR = 0.434, p = 0.028), increased communal mastery (OR = 0.931, p = 0.007), and higher levels of tribal identity (OR = 0.579, p = 0.009) were significantly associated with lower odds of polysubstance use. Overall prevalence of polysubstance use was 50%, and binge drinking had the highest single substance prevalence (66%). Prevalence of early initiation of substances (≤ 14 years) was inhalants (70%), alcohol (61%), marijuana (74%), methamphetamine (23%), and prescription drug misuse (23%). Hydrocodone, an opioid, was the most frequently misused prescription drug. Findings indicate programs focused on promoting education engagement, communal mastery, and tribal identity may mitigate substance use for Native American adolescents living in high-risk, reservation-based settings.

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2003Development and validation of a brief screening version of the Childhood Trauma Questionnaire 2015Suicide and suicidal behaviour 2006Resilience across Cultures 2011The social ecology of resilience: Addressing contextual and cultural ambiguity of a nascent construct.1998The American Indian Holocaust: Healing Historical Unresolved Grief 1995Reliability of the Youth Risk Behavior Survey Questionnaire 1998The American Indian Holocaust: healing historical unresolved grief.1998The return to the sacred path: Healing the historical trauma and historical unresolved grief response among the lakota through a psychoeducational group intervention

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