Discrimination, historical loss and enculturation: culturally specific risk and resiliency factors for alcohol abuse among American Indians.

Whitbeck, B Les; Chen, Xiaojin; Hoyt, Dan R.; Adams, Gary W.

doi:10.15288/jsa.2004.65.409

Cited by 294 publications

(250 citation statements)

References 34 publications

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“…The reviewed studies align with this conceptualization in that cultural continuity was described as a phenomenon that shapes a number of proximal, or psychosocial, determinants, including self-esteem, cultural identity and pride (Brunanski, 2009;Drywater-Whitekiller, 2006;Lucero, 2010;Oster et al, 2014;Smith et al, 2005;Wexler, 2014), and coping skills (Hunter et al, 2006;Iwasaki et al, 2005). This aligns with a larger body of research that speaks to the importance of enculturation as a psychological asset or protective factor (McIvor, Napoleon, & Dickie, 2009;Whitbeck et al, 2004). …”

Section: Discussionmentioning

confidence: 52%

“…These outcomes move beyond the dominant body of quantitative research on enculturation as a buffer for adverse health outcomes, which has largely focused on individual-level indicators, such as stress (Walters & Simoni, 2002;Wolsko, Lardon, Mohatt, & Orr, 2007); alcohol and substance abuse (Currie et al, 2011;Fleming & Ledogar, 2008;Walters & Simoni, 2002;Whitbeck et al, 2004;Wolsko et al, 2007;Zimmerman et al, 1996); depressive symptoms (Bals, Turi, Skre, & Kvernmo, 2011;Fleming & Ledogar, 2008;Walters & Simoni, 2002;Whitbeck, McMorris, Hoyt, Stubben, & LaFromboise, 2002); suicidal ideation (Yoder, Whitbeck, Hoyt, & LaFromboise, 2006); externalizing behaviours (Bals et al, 2011;Fleming & Ledogar, 2008); and impacts of discrimination (Whitbeck et al, 2002;Whitbeck et al, 2004). In their research with the Maori, Houkamua, and Sibley (2011) found that while increased enculturation was associated with both increased individual well-being and decreased community well-being; however, their study illustrates the complexity of community health and wellness within a context of ongoing oppression and colonialism.…”

Section: Discussionmentioning

confidence: 99%

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Cultural Continuity as a Determinant of Indigenous Peoples’ Health: A Metasynthesis of Qualitative Research in Canada and the United States

Auger

2016

iipj

127

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As a strengths-based alternative to Western notions of enculturation and acculturation theory, cultural continuity describes the integration of people within their culture and the methods through which traditional knowledge is maintained and transmitted. Through reviewing relevant, original research with Indigenous Peoples in Canada and the United States, the purpose of this metasynthesis is to describe and interpret qualitative research relating to cultural continuity for Indigenous Peoples in North America. This metasynthesis was conducted through the selection, appraisal, and synthesis of 11 qualitative studies. Across the selected studies, five key themes arose: the connection between cultural continuity and health and well-being, conceptualizations of cultural continuity and connectedness, the role of knowledge transmission, journeys of cultural (dis)continuity, and barriers to cultural continuity.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

Cultural Continuity as a Determinant of Indigenous Peoples’ Health: A Metasynthesis of Qualitative Research in Canada and the United States

Auger

2016

iipj

127

View full text Add to dashboard Cite

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“…Although research has delineated factors posing increased risk for the development of alcohol dependence in Native Americans (9)(10)(11)(12)(13), little is known about factors associated with remission from alcohol dependence in this high-risk group.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Remission From Alcohol Dependence in an American Indian Community Group

Gilder¹,

Lau²,

Corey³

et al. 2008

AJP

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Objective-This study identified factors associated with remission from DSM-III-R alcohol dependence in an American Indian community group.Method-Participants were assessed using the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA).Results-Five hundred and eighty participants were assessed for alcohol use and alcohol use symptoms; 254 participants were found to have alcohol dependence. The rate of remission in this sample was 59%. Thirty-four percent of remitters and 39% of non-remitters had received treatment for alcohol problems. Remission from alcohol dependence was associated with being female, older, and married; an earlier age of onset of alcohol dependence; and self-reported depression symptoms from drinking. Absence of remission was associated with continuing to drink despite knowing one had medical problems from drinking and self-reported anxiety symptoms from drinking.Conclusion-Attention to factors associated with remission from alcohol dependence may be important in designing more effective treatment and prevention programs in this high risk population.

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“…Given the long history of historical trauma, NA populations suffer from psychological and physical health disparities that may increase risk of early onset and heavy use of alcohol (Whitbeck et al, 2004). NA girls are at increased risk for trauma exposure during childhood (Ehlers & Gizer, 2013;Yuan et al, 2006), which increases later risk for substance use (Whitesell et al, 2012).…”

Section: T His Study Provides New Information Tomentioning

confidence: 99%

“…NA girls are at increased risk for trauma exposure during childhood (Ehlers & Gizer, 2013;Yuan et al, 2006), which increases later risk for substance use (Whitesell et al, 2012). Discrimination and historical loss are two important risk factors for alcohol abuse among NA women (Whitbeck et al, 2004).…”

Section: T His Study Provides New Information Tomentioning

confidence: 99%

Similarities in the Etiology of Alcohol Use Among Native American and Non-Native Young Women

Komro

Livingston

Garrett

et al. 2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: This study examined social-and individuallevel factors associated with alcohol use among young women and tested whether differences exist between Native American and non-Native young women. Method: School-based surveys were conducted among 952 young women (ages 14-19) attending four high schools within the tribal jurisdictional service area of the Cherokee Nation in northeastern Oklahoma. Structural equation modeling using Mplus was used to assess the direct and indirect effects of social-and individual-level factors on subsequent alcohol use among Native and non-Native young women. Results: We found no differences in the level of risk and protective factors among Native and non-Native young women. Among Native and non-Native young women, alcohol access, parental communication, and best friends' alcohol use had statistically significant direct and/or indirect effects on alcohol use. Indirect effects were mediated through alcohol expectancies and norms. A history of alcohol problems by an adult in the household and depression were not retained as independent risk factors in either model. Conclusions: We found more similarities than differences in level of and relations to alcohol use among social and individual risk and protective factors between Native American and non-Native young women from northeastern Oklahoma. The results provide support for universal prevention strategies, suggesting the importance of increasing perceptions that it is difficult to obtain alcohol and increasing parent-child communication. (J. Stud. Alcohol Drugs, 77, 782-791, 2016)

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Discrimination, historical loss and enculturation: culturally specific risk and resiliency factors for alcohol abuse among American Indians.

Cited by 294 publications

References 34 publications

Cultural Continuity as a Determinant of Indigenous Peoples’ Health: A Metasynthesis of Qualitative Research in Canada and the United States

Cultural Continuity as a Determinant of Indigenous Peoples’ Health: A Metasynthesis of Qualitative Research in Canada and the United States

Factors Associated With Remission From Alcohol Dependence in an American Indian Community Group

Similarities in the Etiology of Alcohol Use Among Native American and Non-Native Young Women

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