ArticlePrevention science : the official journal of the Society for Prevention Research2022
Cultural Protection from Polysubstance Use Among Native American Adolescents and Young Adults.
Article in Prevention science : the official journal of the Society for Prevention Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- The Good Behavior Game as a Universal Preventive Intervention: a Systematic Review of its Long-Term Effects.Prevention science : the official journal of the Society for Prevention Research · 2025Pooled it
- Virtual Culturally Grounded Interventions for Substance Use in Urban American Indian and Alaska Native Emerging Adults: A Randomized Clinical Trial.JAMA network open · 2026Trial
- 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
- "Guide them to have a future orientation": qualitative findings in developing a reinforcement-based intervention to address alcohol use with American Indian emerging adults.Frontiers in public health · 2026Article
- Under the Influence of Norms: Social Support and the Use of Alcohol and Cannabis Among Reservation-Based Adolescents.Youth & society · 2025Article
- Social networks, cultural pride, and historical loss among non-reservation American Indian/Alaska native emerging adults.BMC public health · 2025Article
- Protective and risk factors of suicide in Native American youth: cross-sectional findings from a mixed-methods study.Lancet regional health. Americas · 2025Article
- Conducting an implementation intervention study with American Indian and Alaska Native communities: Methodological considerations.Contemporary clinical trials · 2025Article
- Drug overdose mortality rates among non-Hispanic American Indian/Alaska Native individuals, 1999-2022.Annals of epidemiology · 2025Article
- The predictive association between social support, communal mastery, and response to culturally adapted cognitive processing therapy among Native American women.Journal of traumatic stress · 2025Article
- Scoping Review of Outdoor and Land-Based Prevention Programs for Indigenous Youth in the United States and Canada.International journal of environmental research and public health · 2025Article
- Lateral violence and lateral empowerment in relation to young Indigenous populations across the CANZUS nations: a scoping review.Australian journal of psychology · 2025Review
- An Introduction to Traditional Healing in American Indian and Alaska Native Communities.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- Trends in use of tobacco and cannabis across different alcohol consumption levels in the United States, 2010-19.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Sleep Problems and Health Outcomes Among Urban American Indian and Alaska Native Adolescents.JAMA network open · 2024Observational
- Wellness Tour for Tribal Communities During the COVID-19 Pandemic: Uniting Sacred Space with Western Medicine to Prevent Substance Use.Journal of community health · 2024Article
- Risk and protective factors of social networks on alcohol, cannabis, and opioid use among urban American Indian/Alaska Native emerging adults.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023Article
- Marijuana use and its correlates among school-going Jamaican adolescents: a finding from a national survey.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Reservation-based Native American youth are at disproportionate risk for high-risk substance use. The culture-as-treatment hypothesis suggests aspects of tribal culture can support prevention and healing in this context; however, the protective role of communal mastery and tribal identity have yet to be fully explored. The objectives of this study were to investigate (1) the relationship between cultural factors and high-risk substance use, which includes polysubstance use, early initiation of alcohol and illicit drugs, and binge drinking, and (2) substance use frequency and prevalence of various substances via cross-sectional design. Multiple logistic regression modeling was used to analyze data from 288 tribal members (15-24 years of age) residing on/near the Fort Peck Reservation in the Northern Plains. When controlling for childhood trauma and school attendance, having at least a high school education (OR = 0.434, p = 0.028), increased communal mastery (OR = 0.931, p = 0.007), and higher levels of tribal identity (OR = 0.579, p = 0.009) were significantly associated with lower odds of polysubstance use. Overall prevalence of polysubstance use was 50%, and binge drinking had the highest single substance prevalence (66%). Prevalence of early initiation of substances (≤ 14 years) was inhalants (70%), alcohol (61%), marijuana (74%), methamphetamine (23%), and prescription drug misuse (23%). Hydrocodone, an opioid, was the most frequently misused prescription drug. Findings indicate programs focused on promoting education engagement, communal mastery, and tribal identity may mitigate substance use for Native American adolescents living in high-risk, reservation-based settings.
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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.