Tag Archive for: Substance Abuse

Cultural adaptation of the Be Under Your Own Influence media campaign for middle-school American Indian youth

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Authors: Linda R. Stanley, Kathleen J. Kelly, Randall C. Swaim, Danielle Jackman

Publication Year: 2018

Last Updated:

Journal: Journal of Health Communication

Keywords: Cultural Sensitivity and Appropriateness; Health Disparities; Mental and Behavioral Health; Social Determinants of Health; Substance Use; Youth

 

Short Abstract: American Indian (AI) adolescents living on reservations report much higher substance use rates compared to other youth yet there are few effective prevention interventions developed for them. This paper presents findings from formative research undertaken to guide adaptation for AI youth of a prevention intervention, Be Under Your Own Influence (BUYOI), previously found to be effective in reducing substance use among middle-school youth.

 

Abstract: American Indian (AI) adolescents living on reservations report much higher substance use rates compared to other youth yet there are few effective prevention interventions developed for them. This paper presents findings from formative research undertaken to guide adaptation for AI youth of a prevention intervention, Be Under Your Own Influence (BUYOI), previously found to be effective in reducing substance use among middle-school youth. We conducted focus groups with 7th graders, the primary target audience, and photovoice with 11th graders, the role models who would help deliver the campaign, to inform surface and deep structure adaptation. Both age groups noted the pervasiveness of substance use on the reservation and indicated that this posed a major challenge to being drug and alcohol free. Students also described aspects of their community that tied to signs of social disorganization. However, these youth have much in common with other youth, including high future aspirations, involvement in activities and hobbies, and influence from family and friends. At the same time, there were important differences in the experiences, environment, and values of these AI youth, including an emphasis on different types of activities, a more collectivist cultural orientation, tribal identity and pride, and the importance of extended families. Note: Urban AI youths were not the primary demographic collaborating on this research. Further cultural adaptation of the program for urban AI/AN youth may be needed.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362830/

Type of Resource: Peer-reviewed scientific article

Traditions and Connections for Urban Native Americans (TACUNA): Utilizing community-based input to develop an opioid prevention intervention for urban American Indian/Alaska Native emerging adults

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Authors: Daniel L. Dickerson, Elizabeth J. D'Amico, Alina Palimaru, et al.

Publication Year: 2022

Last Updated:

Journal: Journal of Substance Abuse Treatment

Keywords: Cultural Sensitivity and Appropriateness; Data Collection

 

Short Abstract: Introduction: Although approximately 70% of American Indian/Alaska Native (AI/AN) people reside in urban areas, very few opioid prevention interventions exist for urban AI/AN emerging adults. The study team conducted this study to develop Traditions and Connections for Urban Native Americans (TACUNA), a new opioid prevention intervention for urban AI/AN emerging adults ages 18–25. TACUNA comprises three 2-hour virtual workshops.

 

Abstract: Introduction: Although approximately 70% of American Indian/Alaska Native (AI/AN) people reside in urban areas, very few opioid prevention interventions exist for urban AI/AN emerging adults. The study team conducted this study to develop Traditions and Connections for Urban Native Americans (TACUNA), a new opioid prevention intervention for urban AI/AN emerging adults ages 18–25. TACUNA comprises three 2-hour virtual workshops. Methods: We conducted thirteen focus groups in three urban communities in northern, central, and southern California (six with urban AI/AN emerging adults ages 18–25 [n = 32], four with parents [n = 26], and three with providers [n = 33]) to identify relevant intervention domains. We then incorporated the results of a rapid analysis of the focus groups to develop intervention workshops followed by a pilot test (n = 15) to further refine the intervention and assess feasibility. Results: Four major domains emerged from focus groups: 1) historical trauma/cultural identity, 2) AI/AN traditional practices, 3) social networks, and 4) substance use. We incorporated all feedback relating to each theme to enhance content of the TACUNA intervention. Pilot test participants felt that TACUNA content was interesting, addressed their issues and concerns as urban AI/AN emerging adults, and believed that the program could help them to establish cultural and social connections to live healthier lives. Conclusions: Research activities demonstrate how a community-informed and culturally grounded opioid prevention intervention can be developed for urban AI/AN emerging adults. Addressing issues and challenges with culturally and developmentally relevant intervention content can help to build resilience and hopefully decrease opioid use among this underserved population.

 

Source: Link to Original Article.

Funding:

Code:

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9187599/

Type of Resource: Peer-reviewed scientific article

Prevention in Our Native Communities Vol 3 Issue 1 Fall 2022

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Authors: National American Indian and Alaska Native Prevention technology transfer center (PTTC) network

Publication Year: 2022

Last Updated: November 5, 2022

Keywords: Minority Groups; Suicide and Suicide Prevention; Social Determinants of Health

 

Short Abstract: This issue focuses on the negative impact stigma has on Natives in the early phases of the development of a substance use disorder. People in this situation could profit from early intervention but may feel embarrassed because of the stigma associated with substance use/abuse. The main article describes ways to ensure that culturally appropriate prevention efforts are both trauma-informed and non-stigmatizing.

 

Source: Link to Original Article.

Source: https://pttcnetwork.org/centers/national-american-indian-alaska-native-pttc/product/prevention-our-native-communities-vol-3

Type of Resource: Best Practices Newsletter

Social Determinants of Mortality of COVID-19 and Opioid Overdose in American Rural and Urban Counties

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Authors: Yuhui Zhu, PhD, Zhe Fei, PhD, Larissa J. Mooney, MD, Kaitlyn Huang, BS, and Yih-Ing Hser, PhD

Publication Year: 2022

Last Updated: January 2022

Journal: Journal of Addiction Medicine

Keywords: Covid-19; Health Disparities; Infection Disease; Social Determinants of Health; Substance Abuse

 

Short Abstract: After adjusting for other covariates, the overall mortality rate of COVID-19 is higher in counties with larger population size and a higher proportion of racial/ethnic minorities, although counties with high rates of opioid overdose mortality have lower proportions of racial/ethnic minorities, a higher proportion of females, and are more economically disadvantaged. Significant predictors of rural counties with high mortality rates for both COVID-19 and opioid overdose include higher ratios of Black people, American Indians and Alaska Native people, and people with two or more races. Additional predictors for high-risk urban counties include population density and higher unemployment rates during the COVID-19 pandemic.

 

Source: Link to Original Article.

Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8815643/pdf/adm-16-e52.pdf

Type of Resource: Peer-reviewed scientific article