ReviewThe American journal of drug and alcohol abuse2012
Epidemiology and etiology of substance use among American Indians and Alaska Natives: risk, protection, and implications for prevention.
Review in The American journal of drug and alcohol abuse, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
120 citing papers in PubMed, 3 syntheses or guidelines pooled it, 191 citations in OpenAlex.
- A systematic meta-epidemiologic review on nonabstinence-inclusive interventions for substance use: inclusion of race/ethnicity and sex assigned at birth/gender.The American journal of drug and alcohol abuse · 2024Pooled it
- A Systematic Review of Trauma and Substance Use in American Indian and Alaska Native Individuals: Incorporating Cultural Considerations.Journal of racial and ethnic health disparities · 2023Pooled it
- A Systematic Review of Trauma Interventions in Native Communities.American journal of community psychology · 2020Pooled it
- Be under your own influence: Effectiveness of a Culturally-Adapted drug prevention campaign targeting Reservation-Dwelling American Indian youth.Journal of community psychology · 2021Trial
- Effects of the "Circle of Life" HIV-prevention program on marijuana use among American Indian middle school youths: a group randomized trial in a Northern Plains tribe.The American journal of drug and alcohol abuse · 2018Trial
- Acceptability of a web-based community reinforcement approach for substance use disorders with treatment-seeking American Indians/Alaska Natives.Community mental health journal · 2015Trial
- Acceptability of Lay-Led PTSD and SUD Interventions among Indigenous College Students.Journal of racial and ethnic health disparities · 2026Article
- Exploring the protective role of school peers in substance use prevention among American Indian adolescents.Journal of ethnicity in substance abuse · 2026Article
- Risk factors and population attributable fraction for dementia in American Indians: The Strong Heart Study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Prevalence differences in lifetime methamphetamine and heroin use among American Indian reservation youth from 2015 to 2024.Addiction (Abingdon, England) · 2026Article
- Predictors of Opioid Misuse and Abuse Among Pregnant Women in the US.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026Article
- E-Cigarette Use and Depression Among American Indian Adults Who Smoke.Journal of racial and ethnic health disparities · 2026Article
- Relationship between social support and substance use among American Indian people with a self-identified substance use problem.Cultural diversity & ethnic minority psychology · 2026Article
- Testing the effectiveness of Family Spirit Strengths (FSS) - a culturally informed intervention designed to prevent mental health and substance misuse for indigenous families through home visiting.BMC public health · 2026Article
- Quantifying the Burden of Opioid Use Disorder and Non-fatal Opioid Overdose in American Indian and Alaskan Native Populations Using the Cerner Real-World Data™ Database.Journal of racial and ethnic health disparities · 2025Article
- Cultural Approaches to Promote Indigenous Mental Health: Weaving Healthy Families.Journal of ethnic & cultural diversity in social work · 2025Article
- Trends of infective endocarditis mortality in young adult population of US: A concerning rise and its association with substance abuse.International journal of cardiology. Cardiovascular risk and prevention · 2025Article
- Trusted partners, community priorities, and data protections: requirements for precision medicine research with Alaska Native peoples.Journal of community genetics · 2025Article
- Drug overdose mortality rates among non-Hispanic American Indian/Alaska Native individuals, 1999-2022.Annals of epidemiology · 2025Article
- COVID-19-related effects on alcohol and other Drug use among indigenous peoples.Journal of ethnicity in substance abuse · 2025Article
60 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe epidemiology and etiology of substance use and disorder in American Indian and Alaska Native (AI/AN) communities have received increasing attention over the past 25 years and accumulating evidence provides important insights into substance use patterns in these populations. OBJECTIVES AND
methodsWe provide a descriptive sketch of the AI/AN population in the United States today, present a brief review of the literature on the epidemiology and etiology of substance use within these populations, and discuss key implications of this literature for prevention efforts. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Patterns of alcohol use and abuse in AI/AN populations are complex and vary across cultural groups, but alcohol clearly impacts both physical health and mental health within these communities. Tobacco use - and associated health consequences - is typically higher in these populations than among other US groups, although significant variation across Native communities is apparent here as with alcohol. Evidence regarding drug use and disorder is less extensive and thus less conclusive, but evidence demonstrates higher rates of use as well. Etiological explanations for substance use and disorder cut across individual characteristics (e.g., genetics) or experiences (e.g., exposure to trauma), to social contexts (e.g., family disruption), and to cultural factors (e.g., historical trauma). Protective factors likely cut across these multiple levels as well and deserve more focused attention for informing prevention efforts. The development of effective prevention strategies, built through collaboration between researchers and Native communities, drawing from the wisdom of both, is a high priority.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.