Predictors of Substance Use Latent Classes Among American Indian Youth Attending Schools On or Near Reservations

Swaim, Randall C.; Stanley, Linda R.

doi:10.1111/ajad.12894

Cited by 8 publications

(2 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, perhaps exploring harm reduction treatment approaches, where tracking incremental reductions in alcohol-related problems is foundational to its underlying theory and practice (Collins et al, 2019(Collins et al, , 2012(Collins et al, , 2021 may prove beneficial. Although taking a harm reduction approach with AI adolescents may be controversial, these approaches may be especially well-suited for this population given earlier age of alcohol initiation that is associated with experiencing more alcohol-related consequences, heavier drinking, and increased risk for being diagnosed with an AUD later in life (Henry et al, 2011, Swaim & Stanley, 2020. Therefore, targeting and reducing harm experienced by AI youth is of great importance and the alcohol-related consequence measure of the ADAS may be one useful tool to assist clinicians in targeting and reducing alcohol-related consequence experienced by their clients, thus reducing the alcohol-related health disparity experienced by AI adolescents.…”

Section: Discussionmentioning

confidence: 99%

Measurement Invariance and Application of an Alcohol-Related Consequence Scale for American Indian Adolescents

et al. 2022

View full text Add to dashboard Cite

American Indian (AI) adolescents experience disproportionate alcohol-related consequences. The present study evaluated the psychometric properties and application of the American Drug and Alcohol Survey (ADAS™) alcohol-related consequence scale for AI adolescents through a secondary analysis of a large population-based sample of adolescents living on or near AI reservations. We found support for the ADAS alcohol-related consequence scale as a one-factor model, invariant discretely across race, sex assigned at birth, and age, and with good internal consistency. Evidence for construct validity was found through significant positive correlations between frequency of past 12 months of drinking, frequency of past 12 months of intoxication, and lifetime alcohol-related consequences. AI adolescents were significantly more likely to report more alcohol-related consequences than their non-Hispanic White peers. Race significantly interacted with frequency of drinking in predicting alcohol-related consequences such that these associations were stronger for AI adolescents. However, race did not significantly interact with frequency of intoxication in predicting alcohol-related consequences. Results from this study demonstrate the utility of the ADAS alcohol-related consequence scale for use across demographic groups with little risk of measurement bias.

show abstract

Section: Discussionmentioning

confidence: 99%

Measurement Invariance and Application of an Alcohol-Related Consequence Scale for American Indian Adolescents

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Item scores were averaged to create a total score with higher scores reflecting greater racial discrimination. This scale has demonstrated good reliability among AI individuals (Swaim & Stanley, 2021). Cronbach's α in the present study was excellent, α = 0.95.…”

Section: Methodsmentioning

confidence: 99%

The role of culture in the association between racial discrimination and alcohol use among North American Indigenous adolescents reporting recent drinking

Schick

Nalven

Egan

et al. 2023

Alcohol: Clinical and Experimental Research

View full text Add to dashboard Cite

Background: North American Indigenous (NAI) communities have identified alcohol use as a primary health concern. Experiences of racial discrimination are associated with greater alcohol use, but findings are mixed regarding the role of culture in this relationship. The goal of the present study was to examine the role of culture in the association between racial discrimination and alcohol use. Methods: Across two studies (Study 1: N = 52; Study 2: N = 1743), NAI adolescents living on or near NAI reservations who reported recent alcohol use completed selfreport measures of racial discrimination, cultural affiliation, and alcohol use (e.g., frequency). Results: Bivariate correlations revealed a significant positive association between racial discrimination and alcohol use (Study 1: r = 0.31, p = 0.029; Study 2: r = 0.14, p < 0.001) but not between cultural affiliation and alcohol use. Racial discrimination and cultural affiliation were significantly positively correlated in Study 1 (r = 0.18, p < 0.001), but not in Study 2. Across both studies, the interactions between racial discrimination and cultural affiliation significantly predicted alcohol use in unadjusted models (Study 1: b = 0.70, SE = 0.32, p = 0.033, 95% CI [0.06, 1.33]; Study 2: b = 0.01, SE = 0.01, p = 0.041, 95% CI [0.001, 0.03]), such that the association between racial discrimination and alcohol use was stronger for adolescents reporting high (vs. low) levels of cultural affiliation. In adjusted models controlling for age and sex, the interaction between racial discrimination and cultural affiliation remained significant in Study 2 (b = 0.01, SE = 0.01, p = 0.0496, 95% CI [0.00002, 0.03]) but was no longer significant in Study 1. Conclusions: Findings speak to the need to reduce racial discrimination against NAI youth and to consider youths' different needs based on level of cultural affiliation to reduce subsequent alcohol consumption.

show abstract

Racial and Ethnic Differences in Cannabis Use and Cannabis Use Disorder: Implications for Researchers

2022

View full text Add to dashboard Cite

Predictors of Substance Use Latent Classes Among American Indian Youth Attending Schools On or Near Reservations

Cited by 8 publications

References 36 publications

Measurement Invariance and Application of an Alcohol-Related Consequence Scale for American Indian Adolescents

Measurement Invariance and Application of an Alcohol-Related Consequence Scale for American Indian Adolescents

The role of culture in the association between racial discrimination and alcohol use among North American Indigenous adolescents reporting recent drinking

Racial and Ethnic Differences in Cannabis Use and Cannabis Use Disorder: Implications for Researchers

Contact Info

Product

Resources

About