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Cited by 113Substance Abuse Treatment and OutcomesIndigenous Health, Education, and RightsYouth, Drugs, and Violence

Trajectories of substance use among young American Indian adolescents: patterns and predictors

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Whitesell, Nancy Rumbaugh, Asdigian, Nancy L., Kaufman, Carol E., Big Crow, Cecelia, Shangreau, Carly, Keane, Ellen M., Mousseau, Alicia C., Mitchell, Christina M.·2014·Journal of Youth and Adolescence
DOI 10.1007/s10964-013-0026-2PMC PMC5996998
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Abstract

Substance use often begins earlier among American Indians compared to the rest of the United States, a troubling reality that puts Native youth at risk for escalating and problematic use. We need to understand more fully patterns of emergent substance use among young American Indian adolescents, risk factors associated with escalating use trajectories, and protective factors that can be parlayed into robust prevention strategies. We used growth mixture modeling with longitudinal data from middle-school students on a Northern Plains reservation (Wave 1 N = 381, M age at baseline = 12.77, 45.6% female) to identify subgroups exhibiting different trajectories of cigarette, alcohol, and marijuana use. We explored how both risk (e.g., exposure to stressful events, deviant peers) and protective (e.g., positive parent-child relationships, cultural identity) factors were related to these trajectories. For all substances, most youth showed trajectories characterized by low rates of substance use (nonuser classes), but many also showed patterns characterized by high and/or escalating use. Across substances, exposure to stress, early puberty, and deviant peer relationships were associated with the more problematic patterns, while strong relationships with parents and prosocial peers were associated with nonuser classes. Our measures of emergent cultural identity were generally unrelated to substance use trajectory classes among these young adolescents. The findings point to the importance of early substance use prevention programs for American Indian youth that attenuate the impact of exposure to stressful events, redirect peer relationships, and foster positive parent influences. They also point to the need to explore more fully how cultural influences can be captured.

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Crossref · 10.1007/s10964-013-0026-2

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  • American Indian/Alaska Natives begin substance use earlier than national averages.

    “Asian American youth delay onset of substance use (Kosterman et al., 2000; Zapolski et al., 2014, respectively) while American Indian/Alaska Natives begin substance use earlier than national averages (Whitesell et al., 2014).”

    From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Whitesell et al., 2014

    The Abstract states that substance use often begins earlier among American Indians than among people in the rest of the United States, and the Introduction likewise describes early initiation among American Indian youth. The paper discusses Alaska Natives in relation to alcohol-related deaths, but the cited passages do not establish earlier substance-use onset for Alaska Natives. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Substance use begins earlier among American Indians/Alaska Natives compared to other cultural groups within the United States, which puts Native youth at risk for escalating use over a longer period of time.

    “Substance use begins earlier among American Indians/Alaska Natives compared to other cultural groups within the United States, which puts Native youth at risk for escalating use over a longer period of time (Whitesell et al., 2014).”

    From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Whitesell et al., 2014

    The Abstract states that substance use often begins earlier among American Indians than in the rest of the United States and puts Native youth at risk for escalating use. It does not state that this risk extends over a longer period of time, and the comparison is stated for American Indians rather than explicitly for American Indians and Alaska Natives. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • Early puberty, problematic substance use by parents, and relationships with deviant peers have all been related to more problematic patterns of substance use.

    “Finally, early puberty, problematic substance use by parents (O'Connell et al., 2007) and relationships with deviant peers have all been related to the more problematic patterns (Whitesell et al., 2014).”

    From Assessment of culture and environment in the Adolescent Brain and Cognitive Development Study: Rationale, description of measures, and early data (2018) · cites this paper as Whitesell et al., 2014

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Research works printed but not linked: 1

  1. U. S. Department of Health and Human Services 2001 Mental health: Culture, race, and ethnicity—A supplement to Mental health: A report of the Surgeon General (SMA01–3613) Rockville, MD U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services 20669516

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Authors
Whitesell, N. R., Asdigian, N. L., Kaufman, C. E., Big Crow, C., Shangreau, C., Keane, E. M., Mousseau, A. C., & Mitchell, C. M.
Affiliations
Colorado School of Public Health (US)
Corresponding author
Whitesell, Nancy Rumbaugh
ORCID
Venue
Journal of Youth and Adolescence
Publisher
Springer Science and Business Media LLC
Published
2013-10-18
Volume
43
Issue
3
Pages
437-453
ISSN
  • 0047-2891 (ISSN-L)
  • 1573-6601
DOI
10.1007/s10964-013-0026-2
PMC
PMC5996998
OpenAlex
W2066711363
Cited by
113
References
69
Citations by year
2026: 5 · 2025: 4 · 2024: 6 · 2023: 13 · 2022: 12 · 2021: 8 · 2020: 12 · 2019: 12 · 2018: 7 · 2017: 13 · 2016: 11 · 2015: 8 · 2014: 2
FWCI
5.10
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Youth and Adolescence (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (R01MH069086)
  • National Institute on Drug Abuse (R01DA027665)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Social Sciences › Demography › Youth, Drugs, and Violence
Keywords
substance use trajectories, American Indian adolescents, Indigenous youth, cigarette smoking, alcohol consumption, cannabis use, precocious puberty, life events, parent-child relationship, cultural identity, substance use prevention
MeSH terms
Adolescent, Adolescent Behavior, Psychology, Adolescent, Child, Culture, Female, Humans, Indians, North American, Longitudinal Studies, Male, Models, Psychological, Parent-Child Relations, Peer Group, Risk Factors, Social Identification, Stress, Psychological, United States, Models, Statistical, Substance-Related Disorders, Adolescent Development

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