“…In the general U.S. population, underage drinking is associated with significant morbidity and mortality in childhood and adolescence (Hingson, 2009; Hingson, Edwards, Heeren & Rosenbloom, 2009; National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2005). American Indian/ Alaska Native (AI/AN) adolescents are at higher risk than other U.S. ethnic minority adolescents for underage drinking and its associated morbidity and mortality (Bachman et al, 1991; Beals et al, 1997; Beauvais, Jumper-Thurman, & Burnside, 2008; Beauvais, Jumper-Thurman, Helm, Plested, & Burnside, 2004; Blum, Harmon, Harris, Bergeinsen, & Resnick, 1992; NIAAA, 2009; Miller, Beauvais, Burnside, & Jumper-Thurman, 2008; Substance Abuse and Mental Health Services Administration [SAMHSA], 2008; Indian Health Service, 2009; Wallace et al, 2003).…”