TY  - JOUR
PY  - 2018//
TI  - Prevention of underage drinking on California Indian reservations using individual- and community-level approaches
JO  - American journal of public health
A1  - Moore, Roland S.
A1  - Gilder, David A.
A1  - Grube, Joel W.
A1  - Lee, Juliet P.
A1  - Geisler, Jennifer A.
A1  - Friese, Bettina
A1  - Calac, Daniel J.
A1  - Finan, Laura J.
A1  - Ehlers, Cindy L.
SP  - 1035
EP  - 1041
VL  - 108
IS  - 8
N2  - OBJECTIVES: To evaluate combined individual- and community-level interventions to reduce underage drinking by American Indian/Alaska Native (AI/AN) youths on rural California Indian reservations. <br><br>METHODS: Individual-level interventions included brief motivational interviewing and psychoeducation for Tribal youths. Community-level interventions included community mobilization and awareness activities, as well as restricting alcohol sales to minors. To test effects, we compared 7 waves of California Healthy Kids Survey data (2002-2015) for 9th- and 11th-grade AI/AN and non-AI/AN students in intervention area schools with California AI/AN students outside the intervention area (n = 617, n = 33 469, and n = 976, respectively). <br><br>RESULTS: Pre- to postintervention mean past 30-day drinking frequency declined among current drinkers in the intervention group (8.4-6.3 days) relative to comparison groups. Similarly, heavy episodic drinking frequency among current drinkers declined in the intervention group (7.0-4.8 days) versus the comparison groups. <br><br>CONCLUSIONS: This study documented significant, sustained past 30-day drinking or heavy episodic drinking frequency reductions among AI/AN 9th- and 11th-grade current drinkers in rural California Indian reservation communities exposed to multilevel interventions. Public Health Implications. Multilevel community-partnered interventions can effectively reduce underage alcohol use in this population. (Am J Public Health. Published online ahead of print June 21, 2018: e1-e7. doi:10.2105/AJPH.2018.304447).<p />  <p>Language: en</p>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2018.304447
ID  - ref1
ER  -