Tobacco and Other Substance Use among Alaska Native Youth in Western Alaska

Angstman, Sarah; Patten, Christi A.; Renner, Caroline C.; Simon, Anna; Thomas, Janet L.; Hurt, R. Douglas; Schroeder, Darrell R.; Decker, Paul A.; Offord, Kenneth P.

doi:10.5993/ajhb.31.3.3

Cited by 26 publications

(11 citation statements)

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“…Although these disparities were likely multifactorial, 1 contemporary factor contributing to all 3 might be substance use, as studies found higher prevalence or earlier initiation of tobacco, marijuana, and alcohol use among youths in the Northern Plains and Alaska regions. 40,41 Previous studies also reported higher youth mortality disparities in the Alaska region compared with other regions, especially in rural areas and among infants, that might be related to the consequences of poverty. 25,42---44 The overall AI/AN death rate for SIDS was 2 times higher in AI/AN infants compared with White infants in this study, a finding that was consistent with studies conducted over the last 25 years.…”

Section: Discussionmentioning

confidence: 98%

American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

Wong

Gachupin

Holman³

et al. 2014

Am J Public Health

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Section: Discussionmentioning

confidence: 98%

American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

Wong

Gachupin

Holman³

et al. 2014

Am J Public Health

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“…In addition, some studies find that ST use is associated with the use of other tobacco products. In particular, adolescents who use ST are more likely to progress to cigarette smoking (Angstman, 2007). Contributors to this dual use may be the high prevalence of ST use in general (even among women), varying high price of cigarettes sometimes as high as $10 per pack, depending on the village, and the common practice of disallowing smoking indoors at work or at home.…”

Section: Discussionmentioning

confidence: 99%

Tobacco Use Among Southwestern Alaska Native People

Renner

Lanier

Lindgren

et al. 2012

Nicotine & Tobacco Research

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“…However, other studies have suggested that indigenous girls may be at an increased risk of drug and alcohol use and abuse. Compared with their male counterparts, significantly higher rates of tobacco use have been reported for American Indian (Wallace et al, 2003), Alaskan Native (Angstman et al, 2007), and Native Hawaiian (Glanz, Maskarinec, & Carlin, 2005; Glanz, Mau, Steffen, Maskarinec, & Arriola, 2007) girls. In terms of other gateway drugs, Wallace et al found significantly higher rates of lifetime marijuana use for American Indian girls than for American Indian boys in the 12th grade.…”

Section: Review Of the Literaturementioning

confidence: 99%

Gender Differences in Drug Offers of Rural Hawaiian Youths: A Mixed-Methods Analysis

Okamoto

Kulis

Helm

et al. 2010

Affilia

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This study examined the gender differences in drug-offer situations of Native Hawaiian youths in rural communities. Youths from seven middle or intermediate schools (N 194) on the Big Island of Hawai'i completed a survey that focused on the drug offers they had received. Multivariate and bivariate analyses indicated that the girls received significantly more drug offers than did the boys in the sample and found it more difficult to refuse drugs in such situations. Qualitative data gathered from communities in the survey's sampling frame elucidated the quantitative findings. Limitations of the study and implications for prevention practice are discussed.Keywords ethnic issues; family relationships; gender; peers and friends; substance use Research has indicated that drug and alcohol use is a significant problem for Native Hawaiian youths. Compared with their non-Hawaiian counterparts, Native Hawaiian youths have higher rates of use of gateway drugs and report the highest need for drug and alcohol treatment (Lai & Saka, 2005;Wong, Klingle, & Price, 2004). Rates of drug use are particularly high in rural communities in Hawai'i and, unfortunately, these areas have the fewest available options for intervention or treatment (Rehuher, Hiramatsu, & Helm, 2008). Although more is known about the epidemiology of drug and alcohol use by Hawaiian youths, little is known about the etiology of drug use for these youths, including the gender differences in drug offers or use.The study presented here examined the gender-specific patterns of drug offers among Native Hawaiian youths residing in rural communities. Helm, Giroux, Edwards, & Kulis, 2010), which examined the ecological and cultural context of drug offers for Hawaiian youths in rural communities. Specifically, the study investigated the frequency of exposure to drug offers from peers and family members and the perceived difficulty in refusing drugs from these individuals. Data from focus groups that were used to develop the survey items was reanalyzed to elucidate the quantitative findings. Finally, the study explored how the findings contribute to the understanding of gender-and culturespecific correlates to drug offers for rural Hawaiian youths and the implications of these findings for prevention and intervention practices with these youths. Review of the Literature Gender Differences in Drug Use of Indigenous YouthsThe findings of research on the gender differences in drug use among indigenous youths (e.g., American Indians, Alaskan Natives, and Native Hawaiians) have been mixed. (2006) found that Native Hawaiian girls had significantly higher rates of alcohol and marijuana use than did Native Hawaiian boys. Although there is a developing body of literature that indicates that indigenous girls may be at a higher risk of substance abuse, little is known about the causes of this gender disparity or specific ways to address this issue through prevention or treatment. Gender, Ethnicity, and Drug OffersIt is important to note that there is a lack of research o...

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Tobacco and Other Substance Use among Alaska Native Youth in Western Alaska

Cited by 26 publications

References 0 publications

American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

Tobacco Use Among Southwestern Alaska Native People

Gender Differences in Drug Offers of Rural Hawaiian Youths: A Mixed-Methods Analysis

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