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Cited by 5Indigenous Health, Education, and RightsSubstance Abuse Treatment and OutcomesRacial and Ethnic Identity Research

American Indian Alcohol Use from a Sex-Specific Wellness Approach: Exploring Its Associated Physical, Behavioral, and Mental Risk and Protective Factors

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McKinley, Catherine E., Roh, Soonhee, Lee, Yeon-Shim·2021·Journal of Evidence-Based Social Work
DOI 10.1080/26408066.2020.1799648PMC PMC7790549
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Abstract

PURPOSE: The top causes of death for American Indians (AIs), including heart and liver disease, are associated with alcohol use. Using the culturally based Framework of Historical Oppression, Resilience, and Transcendence (FHORT), the purpose of this article was to examine AI alcohol use from a sex-specific wellness approach, exploring its associated physical, behavioral, and mental risk and protective factors. METHOD: Data were drawn from a cross-sectional survey with 479 AI adults in South Dakota. We employed a series of multiple hierarchical regression analyses to assess the associations of demographic (sex, age, marital status, income, and educational attainment), physical (Body Mass Index and cardiovascular risk), behavioral (smoking and health self-efficacy) and mental (depressive symptoms) factors with alcohol use. RESULTS: Results indicated that surveyed males tended to drink three times that of females, and depressive symptoms were associated with higher levels of alcohol use. DISCUSSION: This study highlights the need to examine AI alcohol use with sex in mind.

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Crossref · 10.1080/26408066.2020.1799648

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  • Among AIANs, forced relocation, poverty-related stress, exposure to violence, and substance use are closely associated with each other and with substance use.

    “Among AIANs, forced relocation, poverty-related stress, exposure to violence, and substance use are closely associated with each other and with substance use [30,33,35].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [30]

    The Discussion says social and economic marginalization may perpetuate alcohol use among American Indians, and the framework section connects alcohol use with colonization and poverty. The passages do not establish forced relocation or exposure to violence as associated with substance use, nor show that all the listed factors are closely associated with one another. No page numbers were supplied for these passages. (LLM, conf=0.86)

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  • Depressive symptoms and clinical depression are significantly associated with substance use among AIAN.

    “Depressive symptoms and clinical depression are significantly associated with substance use among AIAN [30,48].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [30]

    The Results (Mental risk factors; Regression results, pages unavailable) report that depressive symptoms were significantly associated with alcohol use in the American Indian sample. The paper defines a PHQ-9 threshold for clinical depression in Methods, but does not report a separate significant association for clinical depression. Its finding concerns alcohol use, not substance use generally, and the study sample is American Indian rather than AIAN broadly. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • A cross-sectional survey found that AIAN adult males drink nearly three times as much alcohol as adult females.

    “A cross-sectional survey found that AIAN adult males drink nearly three times as much alcohol as adult females [30].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [30]

  • Cultural norms can play a significant role in substance use among AIANs.

    “Cultural norms can play a significant role in substance use among AIANs [30].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [30]

  • One potential risk factor for the alcohol disparity between AIAN adult males and females is that historical and cultural norms have been more permissive of men drinking larger quantities of alcohol.

    “One potential risk factor for this disparity is that historical and cultural norms have been more permissive of men drinking larger quantities of alcohol [30].”

    From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [30]

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Authors
McKinley, C. E., Roh, S., & Lee, Y.-S.
Affiliations
  • Tulane University (US)
  • University of South Dakota (US)
  • San Francisco State University (US)
Corresponding author
Roh, Soonhee
ORCID
Venue
Journal of Evidence-Based Social Work
Publisher
Informa UK Limited
Published
2020-08-11
Volume
18
Issue
1
Pages
32-48
ISSN
  • 2640-8066 (ISSN-L)
  • 2640-8074
DOI
10.1080/26408066.2020.1799648
PMC
PMC7790549
OpenAlex
W3048748008
Cited by
5
References
6
Citations by year
2025: 2 · 2024: 2 · 2022: 1
FWCI
0.14
Type
journal article
Language
en
Open access
Locations
  • Journal of Evidence-Based Social Work (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (R01AA028201, L60 AA028759)
  • National Institute of General Medical Sciences (U54GM104940)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD043451)
Topics
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords
sex differences, depressive symptoms, cardiovascular risk, body mass index, smoking, health self-efficacy, risk and protective factors, Native American health
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Alcohol Drinking, Cross-Sectional Studies, Depression, Female, Humans, Male, Mental Health, Middle Aged, Surveys and Questionnaires, Risk Factors, Sex Factors, Smoking, South Dakota, Body Mass Index, American Indian or Alaska Native, Young Adult, Protective Factors

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