@article{ref1,
title="Mental health, physical health, and cultural characteristics among American Indians/Alaska Natives seeking substance use treatment in an urban setting: a descriptive study",
journal="Community mental health journal",
year="2020",
author="Dickerson, Daniel L. and D'Amico, Elizabeth J. and Klein, David J. and Johnson, Carrie L. and Hale, Benjamin and Ye, Feifei",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Although approximately 70% of American Indians/Alaska Natives (AI/ANs) reside in urban areas, our knowledge of risk and protective factors among AI/ANs seeking substance use treatment within urban areas is limited. We analyze substance and commercialized cigarette use, AI/AN cultural identity and involvement, physical health and cognitive functioning, and mental health symptoms among 63 AI/AN adults seeking substance use treatment within an urban area in California. Alcohol (37%), marijuana (27%), and methamphetamine (22%) were the most commonly reported substances. Sixty-two percent used commercialized tobacco use. The majority of AI/AN adults (78%) engaged in at least one traditional practice during the past month and endorsed high levels of spiritual connectedness. Those who engaged in traditional practices demonstrated significantly less depression (p = 0.007) and anxiety (p = 0.04). Medical and mental health issues were not prominent, although participants revealed high levels of cognitive impairment. <br><br>RESULTS highlight the importance of utilizing AI/AN traditional practices for AI/AN adults seeking substance use treatment within urban areas. Clinical Trials Registry Number NCT01356667.<p /> <p>Language: en</p>",
language="en",
issn="0010-3853",
doi="10.1007/s10597-020-00688-3",
url="http://dx.doi.org/10.1007/s10597-020-00688-3"
}