TY - JOUR PY - 2022// TI - Cultural protection from polysubstance use among Native American adolescents and young adults JO - Prevention science A1 - Brockie, Teresa N. A1 - Campbell, Jacquelyn C. A1 - Dana-Sacco, Gail A1 - Farley, Jason A1 - Belcher, Harolyn M. E. A1 - Kub, Joan A1 - Nelson, Katie E. A1 - Ivanich, Jerreed D. A1 - Yang, Li A1 - Wallen, Gwenyth A1 - Wetsit, Lawrence A1 - Wilcox, Holly C. SP - ePub EP - ePub VL - ePub IS - ePub N2 - Reservation-based Native American youth are at disproportionate risk for high-risk substance use. The culture-as-treatment hypothesis suggests aspects of tribal culture can support prevention and healing in this context; however, the protective role of communal mastery and tribal identity have yet to be fully explored. The objectives of this study were to investigate (1) the relationship between cultural factors and high-risk substance use, which includes polysubstance use, early initiation of alcohol and illicit drugs, and binge drinking, and (2) substance use frequency and prevalence of various substances via cross-sectional design. Multiple logistic regression modeling was used to analyze data from 288 tribal members (15-24 years of age) residing on/near the Fort Peck Reservation in the Northern Plains. When controlling for childhood trauma and school attendance, having at least a high school education (OR = 0.434, p = 0.028), increased communal mastery (OR = 0.931, p = 0.007), and higher levels of tribal identity (OR = 0.579, p = 0.009) were significantly associated with lower odds of polysubstance use. Overall prevalence of polysubstance use was 50%, and binge drinking had the highest single substance prevalence (66%). Prevalence of early initiation of substances (≤ 14 years) was inhalants (70%), alcohol (61%), marijuana (74%), methamphetamine (23%), and prescription drug misuse (23%). Hydrocodone, an opioid, was the most frequently misused prescription drug.

FINDINGS indicate programs focused on promoting education engagement, communal mastery, and tribal identity may mitigate substance use for Native American adolescents living in high-risk, reservation-based settings.

Language: en

LA - en SN - 1389-4986 UR - http://dx.doi.org/10.1007/s11121-022-01373-5 ID - ref1 ER -