ReviewThe journal of primary prevention2017
Identifying Protective Factors to Promote Health in American Indian and Alaska Native Adolescents: A Literature Review.
Review in The journal of primary prevention, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 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
77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 131 citations in OpenAlex.
- Measuring Indigenous Cultural Strengths: a Systematic Review of a Decade of Approaches.Prevention science : the official journal of the Society for Prevention Research · 2026Pooled it
- Identification of Cancer Related Risk and Protective Factors for American Indian Youth: A Mixed Studies Review.Frontiers in public health · 2022Pooled it
- Instruments for Measuring the Resilience of Indigenous Adolescents: An Exploratory Review.Frontiers in public health · 2019Pooled it
- Traditional Heart-Healthy Diet and Medication Adherence in the Norton Sound Region: An 18-Month Telehealth Intervention.International journal of environmental research and public health · 2022Trial
- Demographic and cultural correlates of traditional eating among Alaska Native adults at risk for cardiovascular disease.PloS one · 2022Trial
- Trial
- Prevention of Sexually Transmitted Diseases and Pregnancy Prevention Among Native American Youths: A Randomized Controlled Trial, 2016-2018.American journal of public health · 2021Trial
- A Pilot Randomized Controlled Trial Evaluating Peer Recovery Coaches for Addiction Recovery Among Indigenous Americans.Journal of the American Psychiatric Nurses AssociationTrial
- A protocol for collaborative research to understand protection, recovery, and resilience after youth suicide attempt in Kalaallit Nunaat (Greenland).International journal of circumpolar health · 2026Article
- A Guide to Constructing Indigenous Statistical Spaces for Prevention Science Research.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Cultural Food Practices and Their Potential Role in Mitigating Disordered Eating Among American Indian/First Nations Youth.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026Article
- Change in Health Status Among American Indian/Alaska Native Adolescents Living Outside of Tribal Land in California Before and During the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2026Article
- Motivations for Nonuse as Predictors of Substance Use Among Reservation-Based Youth in a Computerized Screening and Brief Intervention: The Power of Positive People.Journal of child & adolescent substance use · 2026Article
- My Pathway to Healing (MP2H): a pilot randomized implementation trial to promote healing from the impacts of adverse childhood experiences, trauma, and suicide risk among Native American adults-trial rationale and protocol.Pilot and feasibility studies · 2026Article
- Longitudinal Association Between Childhood Psychological Maltreatment, Optimism, Positive Self-Beliefs, and Psychological Symptoms.The Psychiatric quarterly · 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
- A structural equation model test of affect, family warmth, and substance use among American Indian reservation-based adolescents.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025Article
- How Education Shapes Indigenous Health Inequalities in the USA and Mexico.Journal of racial and ethnic health disparities · 2025Article
- Computing 3-Step Theory of Suicide Factor Scores From Veterans Health Administration Clinical Progress Notes.Suicide & life-threatening behavior · 2025Article
- Indigenous Community-Level Protective Factors in the Prevention of Suicide: Enlarging a Definition of Cultural Continuity in Rural Alaska Native Communities.Prevention science : the official journal of the Society for Prevention Research · 2025Article
17 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
4 authors at 2 institutions in 1 country.
Funding
Abstract
Exposure to protective factors, conditions that protect against the occurrence of an undesirable outcome or promote the occurrence of a desirable outcome within an adolescent's environment, can foster healthy adolescent behaviors and reduce adult morbidity and mortality. Yet, little is known about the nature and effect of protective factors on the positive social and health outcomes among American Indian and Alaska Native (AIAN) adolescents. We conducted a review of the literature to identify the protective factors associated with positive health outcomes among AIAN adolescents. We consulted Elsevier Science Direct, ERIC EBSCOhost, PubMed, and the Web of Science databases. A total of 3421 articles were encountered. Excluded publications were those that did not focus on AIAN adolescents (n = 3341), did not identify protective factors (n = 56), were not original research studies (n = 8), or were not written in the English language. We identified nine categories of protective factors positively associated with health and social outcomes, including: current and/or future aspirations, personal wellness, positive self-image, self-efficacy, non-familial connectedness, family connectedness, positive opportunities, positive social norms, and cultural connectedness. Such factors positively influenced adolescent alcohol, tobacco, and substance use; delinquent and violent behavior; emotional health including depression, suicide attempt; resilience; and academic success. Protective factors spanned multiple domains of the socio-ecological model. Strengths-based health promotion efforts that leverage local, innate protective factors and work with AIANs to create environments rich in protective factors are key to improving the health and wellbeing of AIAN adolescents.
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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.