ArticleAddictive behaviors2015
Stressful life events, ethnic identity, historical trauma, and participation in cultural activities: Associations with smoking behaviors among American Indian adolescents in California.
Article in Addictive behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Racism-related experiences and substance use: A systematic and meta-analytic review.Social science & medicine (1982) · 2024Pooled it
- Parental Ethnic Identity and Its Influence on Children's Oral Health in American Indian Families.International journal of environmental research and public health · 2021Trial
- Comparing enhanced versus standard Diabetes Prevention Program among indigenous adults in an urban setting: a randomized controlled trial.BMC public health · 2020Trial
- Association of Ethnic Identity with Oral Health Knowledge, Attitudes, Behavior, and Outcomes on the Navajo Nation.Journal of health care for the poor and underserved · 2019Trial
- Leveraging partnerships to address substance use among American Indian and Alaska Native populations: A commentary on research within the NIDA Clinical Trials Network.Journal of substance use and addiction treatment · 2026Article
- Beyond Acculturation: Ethnic Identity, Tobacco and Nicotine Product Use, and Health Among Arab Americans.Tobacco use insights · 2026Article
- An Examination of the Relationship Between Social Support Networks and Opioid Misuse Among American Indian/Alaska Native Populations: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Trauma and Substance Use among Indigenous Peoples of the United States and Canada: A Scoping Review.Trauma, violence & abuse · 2023Article
- Measure of Socialization of American Indian Children (MOSAIC): Understanding the roots of ethnic-racial identity.Cultural diversity & ethnic minority psychology · 2023Article
- Association between gene methylation and experiences of historical trauma in Alaska Native peoples.International journal for equity in health · 2023Article
- Trauma, historical trauma, PTSD and suicide in an American Indian community sample.Journal of psychiatric research · 2022Article
- Native Spirit: Development of a culturally grounded after-school program to promote well-being among American Indian adolescents.American journal of community psychology · 2022Article
- Cultural efficacy as a novel component of understanding linkages between culture and mental health in Indigenous communities.American journal of community psychology · 2022Article
- Substance and Behavioral Addictions among American Indian and Alaska Native Populations.International journal of environmental research and public health · 2022Article
- Involuntary Cultural Change and Mental Health Status Among Indigenous Groups: A Synthesis of Existing Literature.Community mental health journal · 2022Review
- Historical trauma and substance use among American Indian people with current substance use problems.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021Article
- Commentary: The Problems of Grouping All Adversity Into a Special Populations Label.Evaluation & the health professions · 2020Article
- Spirituality, Ethnic Identity, and Substance Use among American Indian/Alaska Native Adolescents in California.Substance use & misuse · 2020Article
- Tobacco Industry Marketing Exposure and Commercial Tobacco Product Use Disparities among American Indians and Alaska Natives.Substance use & misuse · 2020Article
- Lifetime prevalence and correlates of smoking behavior in Iranian adults' population; a cross-sectional study.BMC public health · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionAmerican Indian (AI) adolescents have the highest prevalence of commercial tobacco use of any ethnic group in the United States. This study examines ethnic identity (EI), participation in cultural activities, and stressful life events (SLEs) as correlates of smoking and examines historical trauma (HT) as a mediator of these associations.
methodsCalifornia AI youth (N = 969, ages 13-19, recruited from 49 tribal youth organizations and cultural activities in urban and reservation areas in California) completed a tobacco survey. Structural equation modeling was used to test a model examining HT as a potential mediator of the associations of EI, participation in cultural activities, and SLEs with cigarette smoking.
resultsModel fit was adequate. EI, participation in cultural activities, and SLEs predicted HT. HT mediated the associations of participation in cultural activities and SLEs with past-month smoking. Stronger EI predicted greater past-month smoking and this effect was mediated by greater HT. The direct effects from HT to both smoking outcomes were positive and the direct effect from EI to past-month smoking was negative.
conclusionsHT is a risk factor for cigarette smoking both directly and in mediating the links of EI, cultural activities, and SLEs. More efforts are needed to help AI youth to process these thoughts and empower themselves to contribute to their own lives and those of their families and communities without resorting to unhealthy addictive behaviors such as commercial tobacco use.
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