SynthesisJournal of racial and ethnic health disparities2023
A Systematic Review of Trauma and Substance Use in American Indian and Alaska Native Individuals: Incorporating Cultural Considerations.
Synthesis in Journal of racial and ethnic health disparities, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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
26 citing papers in PubMed, 32 citations in OpenAlex.
- The sequential cohort randomized clinical trial: A study design for community-engaged clinical research in a rural American Indian community.Contemporary clinical trials · 2026Trial
- A Randomized Comparison Trial Testing Two Culturally Adapted HIV Prevention Approaches for Native Americans Reducing Trauma Symptoms Versus Substance Misuse.AIDS and behavior · 2025Trial
- 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
- Early Substance Use Initiation Is Associated With Difficulty Quitting Among American Indian and Non-American Indian Youth: A Potential Marker of Later Dependence?Journal of studies on alcohol and drugs · 2026Article
- Childhood Trauma and Adult Loneliness as Predictors of Sleep Health in Blackfeet American Indian Adults.International journal of behavioral medicine · 2026Article
- Alcohol and Cannabis Use in the Context of Violence Experiences and Traditional Masculinity Attitudes Among Black Emerging Adult Men in Baltimore, Maryland.Journal of interpersonal violence · 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
- The role of distress tolerance in treatment of posttraumatic stress and substance use disorders: a systematic review.Cognitive behaviour therapy · 2026Review
- Psychometric evaluation of California Verbal Learning Test second edition short form (CVLT-II SF) score validity in American Indian adults: The Strong Heart Study.Neuropsychology · 2026Article
- An evaluation of the culturally-centered addictions research training (C-CART) graduate certificate program: A qualitative review.Evaluation and program planning · 2026Review
- Methamphetamine Use, Post-Traumatic Stress, and Substance Use Consequences Among American Indians with a Substance Use Problem.Substance use & misuse · 2026Article
- Cognitive impairment and its associated health conditions in American Indian communities.NPJ dementia · 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
- Prevention of commercial tobacco use among Native American youth.Frontiers in public health · 2026Article
- Integrating Primary Care Services into a Rural Behavioral Health Facility in Northern Arizona: Perspectives of Healthcare Providers and Administrative Staff.Healthcare (Basel, Switzerland) · 2025Article
- Delivering opioid use disorder treatment among American Indian and Alaska Native adults during the COVID-19 pandemic and beyond: Facilitators and barriers to care.Journal of ethnicity in substance abuse · 2025Article
- Culture and COVID-19 Related Impacts on Alcohol-Exposed Pregnancy Risk Among Urban American Indian and Alaska Native Young Adults: A Path Analysis.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Substance use and traumatic events among Afghan general population: findings from the Afghanistan national mental health survey.BMC psychiatry · 2025Article
- An analysis of intersectional disparities in alcohol consumption in the US.Social science & medicine (1982) · 2024Article
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 1 institution in 1 country.
Funding
Abstract
introductionDisproportionate rates of psychiatric disorders, like substance use and posttraumatic stress disorders (SUD and PTSD), exist among American Indian and Alaska Native (AI/AN) individuals. This review examines substance use and trauma in existing AI/AN literature and utilizes an AI/AN-specific model to culturally inform the relationship between these factors and provide recommendations for future research.
methodsWe searched three databases through April 2021 for peer-reviewed articles that examined substance use and trauma in AI/AN individuals.
resultsThe search identified 289 articles and of those, 42 were eligible for inclusion, including 36 quantitative and 6 qualitative studies. Rates of lifetime trauma exposure varied from 21 to 98% and were correlated with increased rates of SUDs. A dose response of traumatic events also increased the likelihood of an SUD among reservation-based AI populations. Factors from the Indigenist Stress Coping model included cultural buffers such as traditional healing and cultural identity, which aided in recovery from SUD and trauma, and social stressors like boarding school attendance, discrimination, and historical loss.
conclusionsSUD and trauma are highly correlated among AI/AN individuals though rates of PTSD are lower than might be expected suggesting resilience. However, this pattern may not be consistent across all AI/AN groups and further research is needed to better explain the existing relationship of SUD and PTSD and relevant historical and cultural factors. Further research is needed to culturally tailor, implement, and validate PTSD and SUD assessments and treatments to ameliorate these health inequities.
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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.