ArticleThe American psychologist2019
Understanding the link between racial trauma and substance use among American Indians.
Article in The American psychologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 2 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
86 citing papers in PubMed, 2 syntheses or guidelines pooled it, 167 citations in OpenAlex.
- 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
- Wellbeing of Indigenous Peoples in Canada, Aotearoa (New Zealand) and the United States: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The sequential cohort randomized clinical trial: A study design for community-engaged clinical research in a rural American Indian community.Contemporary clinical trials · 2026Trial
- Alcohol-Exposed Pregnancy Risk, Mental Health, Self-Understanding, and Relational Connections Among Urban Native American Young Women During the COVID-19 Pandemic.International journal of environmental research and public health · 2025Trial
- Cultural Factors and Alcohol Use in American Indian Adults: Results From a Culturally Tailored Contingency Management Intervention.Journal of studies on alcohol and drugs · 2023Trial
- Ethnoracial differences in treatment-seeking veterans with substance use disorders and co-occurring PTSD: Presenting characteristics and response to integrated exposure-based treatment.Journal of ethnicity in substance abuseTrial
- Acceptability of Lay-Led PTSD and SUD Interventions among Indigenous College Students.Journal of racial and ethnic health disparities · 2026Article
- Interwoven oppression: A qualitative study of the contribution of racism and sexism to co-occurring PTSD and substance use disorder.American journal of community psychology · 2026Article
- Racial and gender disparities in reasons for seeking mental healthcare in Canada.Discover mental health · 2026Article
- The Influence of Child Welfare Involvement on Parent Engagement Among Immigrant Families Who Receive Home Visiting Services.Child maltreatment · 2026Article
- Community perspectives on access to healthcare for the Rama indigenous people, Nicaragua: the utility of Cultural Safety outside high-income countries.International journal for equity in health · 2026Article
- Grief, mental health, historical trauma, and alcohol use among American Indian and Alaska Native populations.Translational issues in psychological science · 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
- Grief and Historical Trauma Among American Indian and Alaska Native Populations: A Cluster Analysis.Transcultural psychiatry · 2026Article
- Sharing Back, Listening Forward: Participatory Dissemination in a Tribal Community.Journal of participatory research methods · 2026Article
- Assessing American Indian Traditional Ceremonial Practices and Substance Use Behaviors in an Urban, Multi-Tribal Setting: Results from a Community Survey.American Indian and Alaska native mental health research (Online) · 2026Article
- Methamphetamine Use, Post-Traumatic Stress, and Substance Use Consequences Among American Indians with a Substance Use Problem.Substance use & misuse · 2026Article
- Preliminary findings from a formative evaluation of the Indigenous peer support specialist train-the-trainer manual: a culturally grounded approach to recovery in American Indian and Alaska Native communities.Frontiers in public health · 2026Article
- "Other" Substance Use Among American Indian Reservation-Area High School Youth.Journal of studies on alcohol and drugs · 2026Article
- Under the Influence of Norms: Social Support and the Use of Alcohol and Cannabis Among Reservation-Based Adolescents.Youth & society · 2025Article
26 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
2 authors at 2 institutions in 1 country.
Funding
Abstract
Historians and scholars from various disciplines have documented the pervasive influence of racism on American society and culture, including effects on the health and well-being of American Indian (AI) people. Among the many health problems affected by racial discrimination and oppression, both historical and current, are substance use disorders. Epidemiological studies have documented greater drug and alcohol-related morbidity and mortality among AI/AN Alaska Natives compared to other ethnic groups, and culturally appropriate, effective interventions are sorely needed. We collected, as part of a larger community-based participatory research project to address substance use disparities in rural AI communities, qualitative interview data from 25 AI key informants from a frontier reservation in Montana. Using a semistructured interview guide, we asked participants to discuss their perceptions of the causes of substance use problems and barriers to recovery on the reservation. Although no questions specifically asked about discrimination, key informants identified stress from racism as an important precipitant of substance use and barrier to recovery. As one participant stated: "Oppression is the overarching umbrella for all sickness with drugs and alcohol." Participants also identified historical trauma resulting from colonization as a manifestation of race-based stress that drives behavioral health problems. Findings suggest that interventions for AIs with substance use disorders, and possibly other chronic health problems, may be more effective if they address social determinants of health such as racial discrimination and historical trauma. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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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.