TY  - JOUR
PY  - 2019//
TI  - Perceptions of alcohol misuse among Alaska Native health care system stakeholders: a qualitative exploration
JO  - Journal of ethnicity in substance abuse
A1  - Trinidad, Susan Brown
A1  - Shaw, Jennifer L.
A1  - Dirks, Lisa G.
A1  - Ludman, Evette J.
A1  - Burke, Wylie
A1  - Dillard, Denise A.
SP  - 1
EP  - 24
VL  - ePub
IS  - ePub
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 1533-2640
UR  - http://dx.doi.org/10.1080/15332640.2018.1556766
ID  - ref1
ER  -