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NCJ Number: 228619 Find in a Library
Title: Some Thoughts About the Epidemiology of Alcohol and Drug Use Among American Indian/Alaska Native Populations
Journal: Journal of Ethnicity in Substance Abuse  Volume:8  Issue:3  Dated:July-September 2009  Pages:223-241
Author(s): Robert S. Young; Jennie R. Joe
Date Published: September 2009
Page Count: 19
Type: Issue Overview
Format: Article
Language: English
Country: United States of America
Annotation: Based on data from the Indian Health Service and the Substance Abuse and Mental Health Services Administration, this article considers why American Indians/Alaska Natives (AI/ANs) have the highest mortality rates from alcohol abuse of any population group, even though rates of drinking are highest among Whites; and an overview is presented of the rates of illicit substance use (cocaine, marijuana, and methamphetamine) among AI/ANs.
Abstract: Although a greater percentage of Whites drink alcohol than AI/ANs, the higher alcohol-related mortality rates among AI/ANs may correlate with the higher rates of AI/AN females drinking in some tribes, with higher rates of alcohol abuse and dependence among both AI/AN women and men, and with the higher rates of both binge and heavy drinking among AI/ANs older than 26 years old. Further research is needed to confirm the trend in alcohol-related mortality among AI/AN women, and studies should also identify the protective factors against drinking for both AI/AN women and men. Illicit drug use is higher among AI/ANs across all age groups compared to non-Indians. Marijuana is the illicit drug of choice; AI/ANs have the highest rates of use of marijuana, cocaine, inhalants, hallucinogens, and nonmedical use of psychotherapeutics compared to other ethnic groups. The percentage of AI/AN women using illicit drugs tends to be lower than that of AI/AN men, except in younger age groups, where rates of illicit drug use by women from some tribes are comparable to male rates. Methamphetamine use is apparently high in some AI/AN tribes and is becoming a serious concerns for most AI/AN communities. 11 tables, 2 notes, and 45 references
Main Term(s): Drug abuse
Index Term(s): Alcohol abuse; Alcoholism; American Indians; Cocaine; Comparative analysis; Indian affairs; Marijuana; Methamphetamines
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