Historical Trauma, Substance Use, and Indigenous Peoples: Seven Generations of Harm from a “Big Event”
Abstract
Indigenous peoples the world over have and continue to experience the devastating effects of colonialism including loss of life, land, language, culture, and identity. Indigenous peoples suffer disproportionately across many health risk factors including an increased risk of substance use. We use the term "Big Event" to describe the historical trauma attributed to colonial policies as a potential pathway to explain the disparity in rates of substance use among many Indigenous populations. We present "Big Solutions" that have the potential to buffer the negative effects of the Big Event, including: (1) decolonizing strategies, (2) identity development, and (3) culturally adapted interventions. Study limitations are noted and future needed research is suggested.
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Historical trauma has long been conceptually linked to poor health outcomes in AIANs.
“Historical trauma has long been conceptually linked to poor health outcomes in AIANs [20,21,22,23,24,25].”
From Substance and Behavioral Addictions among American Indian and Alaska Native Populations (2022) · cites this paper as [25]
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The Impact of Historical Trauma on Substance Use Disorders in Native American Communities
Cavaliere-Mazziotta, R. (2024) · Critical Debates in Humanities Science and Global Justice · doi:10.68709/001c.124050
Macdonald, M., Yoo, S., & Corsi, D. J. (2026) · Canadian Journal of Public Health · doi:10.17269/s41997-026-01271-1
- Authors
- Nutton, J., & Fast, E.
- Affiliations
- McGill University (CA)
- Corresponding author
- Nutton, Jennifer
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2015-06-07
- Volume
- 50
- Issue
- 7
- Pages
- 839-847
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- OpenAlex
- W1766703793
- Cited by
- 66
- References
- 54
- Citations by year
- 2026: 5 · 2025: 1 · 2024: 3 · 2023: 9 · 2022: 12 · 2021: 11 · 2020: 7 · 2019: 11 · 2018: 3 · 2017: 3 · 2016: 1
- FWCI
- 0.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Substance Use & Misuse (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Social Sciences › Anthropology › Indigenous Cultures and History
- Keywords
- historical trauma, substance use, indigenous peoples, colonialism, large-scale events, decolonization, identity construction, culturally tailored interventions, health disparities, intergenerational harm
- MeSH terms
- Humans, Indians, North American, North America, Colonialism, Substance-Related Disorders, Culturally Competent Care
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