Alcohol and other drug (AOD) and related harm among college students is a major national and Tribal concern, and is associated with numerous American Indians/Alaska Natives (AIAN) health disparities: unintentional injuries (149% higher), homicide (92% higher) and suicide (72% higher). However, there is no available social epidemiological data on the prevalence and correlates of AOD or other mental health concerns among AIAN students attending Tribal Colleges and Universities (TCU). The present study is an expansion of a 3-year program of community-based participatory research (CBPR) focused on AOD issues in TCU. It is a partnership between the American Indian Higher Education Consortium, 31 TCUs, and 3 research centers at the University of Washington.
Specific Aims are: (1) Survey a representative sample of TCU students (N=1200) to determine the prevalence of AOD and mental health disorders, and apply an Indigenous stress and coping model to examine how AIAN specific risk and protective factors influence AOD abuse and outcomes, (2) Obtain ethnographic data necessary to culturally contextualize the results of the previous aims, and (3) disseminate study findings broadly and work to eliminate health disparities by translating the findings into policy and practice guidelines for stakeholders. The study design consists of a simple random sample survey of 1,200 students at 31 TCUs with a 4-step process: 1) work with the partnership research team, finalize the survey instrument and the sampling frame;2) pilot the survey in a small sample to catch potential problems, estimate time to complete the survey, ensure that the technology and informed consent procedures work, etc.;3) conduct the Web-based survey;4) convene a subgroup of the Scientific and Community Advisory Committees and research teams for data analysis, and review and plan the qualitative follow up for clarification of survey results, and conduct focus groups with TCU faculty, staff, and students to contextualize the finding. The results will shape and guide intervention development and adaptation to address the identified AOD issues of TCU students.
? This will be the first-ever epidemiological study of drug, alcohol and other substance abuse at TCUs. Results of this study will provide quantitative, empirical evidence to buttress heretofore anecdotal narratives, as well as provide direction to future pilot intervention programs to combat drug, alcohol and other substance abuse problems among TCU students.
|Walters, Karina L; Simoni, Jane M; Evans-Campbell, Teresa Tessa et al. (2016) Mentoring the Mentors of Underrepresented Racial/Ethnic Minorities Who are Conducting HIV Research: Beyond Cultural Competency. AIDS Behav 20 Suppl 2:288-93|
|Schultz, Katie; Walters, Karina L; Beltran, Ramona et al. (2016) "I'm stronger than I thought": Native women reconnecting to body, health, and place. Health Place 40:21-8|
|Ross, Raven E; Garfield, Lauren D; Brown, Derek S et al. (2015) The Affordable Care Act and Implications for Health Care Services for American Indian and Alaska Native Individuals. J Health Care Poor Underserved 26:1081-8|
|Pearson, Cynthia R; Kaysen, Debra; Belcourt, Annie et al. (2015) Post-traumatic stress disorder and HIV risk behaviors among rural American Indian/Alaska Native women. Am Indian Alsk Native Ment Health Res 22:1-20|
|Yuan, Nicole P; Duran, Bonnie M; Walters, Karina L et al. (2014) Alcohol misuse and associations with childhood maltreatment and out-of-home placement among urban two-spirit American Indian and Alaska Native people. Int J Environ Res Public Health 11:10461-79|
|Pearson, Cynthia R; Cassels, Susan (2014) Place and sexual partnership transition among young American Indian and Alaska native women. AIDS Behav 18:1443-53|
|Pantalone, David W; Huh, David; Nelson, Kimberly M et al. (2014) Prospective predictors of unprotected anal intercourse among HIV-seropositive men who have sex with men initiating antiretroviral therapy. AIDS Behav 18:78-87|
|Johnson-Jennings, Michelle D; Belcourt, Annie; Town, Matthew et al. (2014) Racial discrimination's influence on smoking rates among American Indian Alaska Native two-spirit individuals: does pain play a role? J Health Care Poor Underserved 25:1667-78|
|Pearson, Cynthia R; Parker, Myra; Fisher, Celia B et al. (2014) Capacity building from the inside out: development and evaluation of a CITI ethics certification training module for American Indian and Alaska Native community researchers. J Empir Res Hum Res Ethics 9:46-57|
|Pearson, Cynthia R; Walters, Karina L; Simoni, Jane M et al. (2013) A cautionary tale: risk reduction strategies among urban American Indian/Alaska Native men who have sex with men. AIDS Educ Prev 25:25-37|
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