Cited by 7Indigenous Health, Education, and RightsResilience and Mental HealthRacial and Ethnic Identity Research

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Risk and Resilience Among Families in Urban AI/AN Communities: the Role of Young Adults

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Abstract

Urban American Indian/Alaska Native (AI/AN) young adults and their families are often geographically or socially distant from tribal networks and traditional social support. Young adults can be especially vulnerable to cultural and social disconnection, so understanding how AI/AN family functioning can augment resilience and protect against risk is important. This research precedes a preventive substance use intervention study and explores urban Native family functioning, emphasizing the role of young adults by analyzing data from 13 focus groups with urban AI/AN young adults (n = 32), parents (n = 25), and health providers (n = 33). We found that young adults can and want to become agents of family resilience, playing active roles in minimizing risks and strengthening family functioning in both practical and traditional ways. Also, extended family and community networks played a vital role in shaping family dynamics to support resilience. These resilience pathways suggest potential targets for intervention.

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Crossref · 10.1007/s40615-022-01240-7

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  • Results resonate with themes from prior research, particularly the importance of culturally grounded approaches and community engagement in effectively addressing substance use issues within these communities.

    “Overall, results resonate with themes from prior research (Brown et al., 2024; Palimaru et al., 2022; Venner et al., 2021), particularly the importance of culturally grounded approaches and community engagement in effectively addressing substance use issues within these communities.”

    From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Palimaru et al., 2022

    The Methods describe developing a culturally centered substance-use prevention intervention with guidance from community members. The Results and Discussion identify traditional practices and community support as sources of resilience and recommend building on them in future interventions. This qualitative study does not establish that those approaches effectively reduce substance use. (LLM, conf=0.82)

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Metadata

Authors
Palimaru, A. I., Brown, R. A., Arvizu-Sanchez, V., Mike, L., Etz, K., Johnson, C. L., Dickerson, D. L., & D’Amico, E. J.
Affiliations
  • RAND Corporation (US)
  • University of California, Los Angeles (US)
Corresponding author
Palimaru, Alina I.
Venue
Journal of Racial and Ethnic Health Disparities
Published
2022-02-03
Volume
10
Issue
2
Pages
509-520
ISSN
  • 2196-8837 (ISSN-L)
  • 2197-3792
OpenAlex
W4210730850
Cited by
7
References
4
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 2
FWCI
0.98
Type
journal article
Language
en
Open access
Locations
  • Journal of Racial and Ethnic Health Disparities (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
National Institutes of Health (UG3DA050235)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords
family functioning, resilience, risk factors, substance use prevention, intergenerational support, extended family networks, community networks, cultural disconnection, health providers
MeSH terms
Family Health, Humans, American Indian or Alaska Native, Resilience, Psychological, Young Adult

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