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.

Public Health Relevance

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.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Comprehensive Center (P60)
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Special Emphasis Panel (ZMD1)
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University of Washington
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Pearson, Cynthia R; Smartlowit-Briggs, Lucy; Belcourt, Annie et al. (2018) Building a Tribal-Academic Partnership to Address PTSD, Substance Misuse, and HIV Among American Indian Women. Health Promot Pract :1524839918762122
Nelson, Kimberly M; Pantalone, David W; Gamarel, Kristi E et al. (2018) Correlates of Never Testing for HIV Among Sexually Active Internet-Recruited Gay, Bisexual, and Other Men Who Have Sex with Men in the United States. AIDS Patient Care STDS 32:9-15
Collins, Susan E; Clifasefi, Seema L; Stanton, Joey et al. (2018) Community-based participatory research (CBPR): Towards equitable involvement of community in psychology research. Am Psychol 73:884-898
Wille, Stephanie M; Kemp, Katherine A; Greenfield, Brenna L et al. (2017) Barriers to Healthcare for American Indians Experiencing Homelessness. J Soc Distress Homeless 26:1-8
Guttmannova, Katarina; Wheeler, Melissa J; Hill, Karl G et al. (2017) Assessment of Risk and Protection in Native American Youth: Steps Toward Conducting Culturally Relevant, Sustainable Prevention in Indian Country. J Community Psychol 45:346-362
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
Belone, Lorenda; Lucero, Julie E; Duran, Bonnie et al. (2016) Community-Based Participatory Research Conceptual Model: Community Partner Consultation and Face Validity. Qual Health Res 26:117-35
Walls, Melissa; Pearson, Cynthia; Kading, Margarette et al. (2016) Psychological Wellbeing in the Face of Adversity among American Indians: Preliminary Evidence of a New Population Health Paradox? Ann Public Health Res 3:
Smartlowit-Briggs, Lucy; Pearson, Cynthia; Whitefoot, Patricia et al. (2016) Community-Based Assessment to Inform a Chlamydia Screening Program for Women in a Rural American Indian Community. Sex Transm Dis 43:390-5
Walls, Melissa L; Whitbeck, Les; Armenta, Brian (2016) A Cautionary Tale: Examining the Interplay of Culturally Specific Risk and Resilience Factors in Indigenous Communities. Clin Psychol Sci 4:732-743

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