@article{ref1,
title="Multilevel prevention trial of alcohol use among American Indian and White high school students in the Cherokee Nation",
journal="American journal of public health",
year="2017",
author="Komro, Kelli A. and Livingston, Melvin D. and Wagenaar, Alexander C. and Kominsky, Terrence K. and Pettigrew, Dallas W. and Garrett, Brady A.",
volume="107",
number="3",
pages="453-459",
abstract="OBJECTIVES: To evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation. <br><br>METHODS: We randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol access) only, CONNECT (a school-based universal screening and brief intervention) only, or a combined condition. We collected quarterly surveys 2012-2015 from students starting in 9th and 10th grades and ending in 11th and 12th grades. Response rates ranged from 83% to 90%; 46% of students were American Indian (of which 80% were Cherokee) and 46% were White only. <br><br>RESULTS: Students exposed to CMCA, CONNECT, and both showed a significant reduction in the probability over time of 30-day alcohol use (25%, 22%, and 12% reduction, respectively) and heavy episodic drinking (24%, 19%, and 13% reduction) compared with students in the control condition, with variation in magnitude of effects over the 2.5-year intervention period. <br><br>CONCLUSIONS: CMCA and CONNECT are effective interventions for reducing alcohol use among American Indian and other youths living in rural communities. Challenges remain for sustaining intervention effects. (Am J Public Health. Published online ahead of print January 19, 2017: e1-e7. doi:10.2105/AJPH.2016.303603).<p /> <p>Language: en</p>",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2016.303603",
url="http://dx.doi.org/10.2105/AJPH.2016.303603"
}