Citation

Trinidad SB, Shaw JL, Dirks LG, Ludman EJ, Burke W, Dillard DA. J. Ethn. Subst. Abuse 2019; ePub(ePub): 1-24.

Affiliation

Southcentral Foundation , Anchorage , Alaska.

Copyright

(Copyright © 2019, Informa - Taylor and Francis Group)

DOI

10.1080/15332640.2018.1556766

PMID

30714494

Abstract

Although alcohol misuse is a priority for health care systems serving Alaska Native and American Indian (ANAI) people, stakeholders' perceptions of misuse are understudied. Patients (n = 34), providers (n = 20), and leaders (n = 16) at a Tribally owned and operated health care system reported that alcohol misuse results from the interaction of factors, including colonization, structural factors, social alienation, social norms about overdrinking introduced at the time of colonizing contact, coping with emotions, and beliefs about ANAI people and alcohol. Childhood exposure to alcohol misuse leads some ANAI people to avoid alcohol altogether, shedding light on the high levels of abstinence observed in ANAI communities.

Language: en

Keywords

Alaska Native; American Indian; alcohol misuse; qualitative