“…Previous studies conducted among AIs have described alcohol use as one of several risk factors associated with specific health problems such as cardiovascular, respiratory, renal, neurological, or metabolic conditions (Blackmer and Marshall, 1999;Buchwald et al, 2000;Counts et al, 1984;DeStefano et al, 1979;Fabsitz et al, 1999;FagotCampagna et al, 1999;Frey et al, 1998;Helgeson et al, 1993;Howard, 1996;Hoy et al, 1993;Jacobsson et al, 1993;Welty et al, 1995). None, however, have focused on the association with serious alcohol problems as formally defined by the Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association (APA, 1994), namely, alcohol abuse or dependence.…”