Social Contexts of Drug Offers among American Indian Youth and Their Relationship to Substance Use: An Exploratory Study
Open accessAbstract
In this exploratory study the authors examined the social contexts of American Indian youths' encounters with drug offers and their relationship to substance use. Using an inventory of drug use-related problem situations developed specifically for American Indian youth, questionnaires were completed by 71 American Indian youth at public middle schools in a Southwest metropolitan area. Regression analyses highlight the importance of situational and relational contexts in understanding substance use among the youth in this sample. Exposure to drug offers through parents, other adults, cousins, friends and other peers was associated with different types of substance use. Exposure through parents was particularly salient in predicting the drug use of female respondents. The study underscores the need for development of culturally grounded prevention programs in schools, reservations, and nonreservation communities.
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AIANs experience acculturation-related challenges due to transition from reservation to urban environments and social demands to fit in with both Native culture and American mainstream practices.
“AIANs also experience acculturation related challenges, not only because of the transition from reservation to urban environments, but also because of the social demands to fit in with both the Native culture and American mainstream practices [31].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [31]
The passage labeled Abstract reports that minority youth may face pressure to fit within both dominant and minority cultures, supporting the claim's bicultural-pressure component. The Method and Discussion describe youth living on and off reservations in a metropolitan area, but do not say that a transition from reservation to urban life causes acculturation challenges. No page numbers are available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredContinually feeling stressed over challenging life events can exacerbate the impact of those stressors on the body and mind, outweigh coping resources and potentially make the use of substances a more appealing option.
“Continually feeling stressed over challenging life events can exacerbate the impact of those stressors on the body and mind, outweigh coping resources and potentially make the use of substances a more appealing option [31,35,54,55].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [31]
The Abstract says that acculturation-related pressure on minority youth may make substance use a coping response. It does not address continual stress exacerbating effects on the body and mind or overwhelming coping resources; those parts of the sentence are not supported by this source. (LLM, conf=0.85)
Experimental — accuracy not yet measuredSubstance use can provide respite from pressures associated with acculturation and balancing roles in minority and majority cultures.
“Substance use can provide respite from the pressures associated with acculturation and balancing roles in minority and majority cultures [31].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [31]
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Cited by
Sorted by citations
Jumper-Reeves, L., Dustman, P. A., Harthun, M. L., Kulis, S., & Brown, E. F. (2014) · Prevention Science · doi:10.1007/s11121-012-0361-7 · Cited by 61 · see citing works
Self-citationSubstance and Behavioral Addictions among American Indian and Alaska Native Populations
Soto, C., West, A. E., Ramos, G. G., & Unger, J. B. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052974 · Cited by 49 · see citing works
“between family substance use and SUD among AIAN youth [31,48].”
BackgroundInfluentialKulis, S. S., Ayers, S. L., & Harthun, M. L. (2017) · The Journal of Primary Prevention · doi:10.1007/s10935-016-0461-4 · Cited by 47 · see citing works
Self-citationKelley, A., Fatupaito, B., & Witzel, M. (2018) · Evaluation and Program Planning · doi:10.1016/j.evalprogplan.2018.07.001 · Cited by 18 · see citing works
- Authors
- Kulis, S., Okamoto, S. K., Rayle, A. D., & Sen, S.
- Affiliations
- Arizona State University (US)
- Hawaii Pacific University (US)
- Venue
- Cultural Diversity & Ethnic Minority Psychology
- Published
- 2006-01
- Volume
- 12
- Issue
- 1
- Pages
- 30-44
- ISSN
- 1077-341X (ISSN-L)
- 1939-0106
- 1099-9809
- PMC
- PMC3046425
- OpenAlex
- W1969923190
- Cited by
- 50
- References
- 1
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2022: 1 · 2020: 3 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 2 · 2014: 5 · 2013: 5 · 2012: 3
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cultural Diversity & Ethnic Minority Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R-24 DA 13937-01)
- National Institute on Drug Abuse (R-24 DA 13937-01)
- Arizona State University
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Demography › Youth, Drugs, and Violence
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Keywords
- Native American youth, substance use, social environment, peer influence, parental influence, situational context, relational context, gender differences, school-based prevention
- MeSH terms
- Adolescent, Attitude to Health, Female, Humans, Indians, North American, Interpersonal Relations, Male, Surveys and Questionnaires, Social Environment, Southwestern United States, Substance-Related Disorders
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