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Cultural Protection from Polysubstance Use Among Native American Adolescents and Young Adults
Teresa N Brockie1,2, Jacquelyn C Campbell3, Gail Dana-Sacco4
1Johns Hopkins University School of Nursing, 525 N. Wolfe Street Room N530M, Baltimore, MD, USA. tbrocki1@jhu.edu.
Summary
Tribal identity and communal mastery protect Native American youth from high-risk substance use. Promoting education, cultural connection, and community skills can reduce substance use in reservation settings.
Area of Science:
- Public Health
- Sociology
- Psychology
Background:
- Native American youth on reservations face disproportionately high rates of substance use.
- The culture-as-treatment hypothesis posits that tribal culture can aid in prevention and healing.
- The protective effects of communal mastery and tribal identity require further investigation.
Purpose of the Study:
- To examine the relationship between cultural factors and high-risk substance use in Native American adolescents.
- To assess the frequency and prevalence of various substances used by this demographic.
- To explore the protective role of communal mastery and tribal identity.
Main Methods:
- Cross-sectional study involving 288 tribal members (ages 15-24) on the Fort Peck Reservation.
- Multiple logistic regression analysis was used to identify significant associations.
- Controlled for variables such as childhood trauma and school attendance.
Main Results:
- Higher education, increased communal mastery, and stronger tribal identity were linked to lower odds of polysubstance use.
- Polysubstance use prevalence was 50%, with binge drinking at 66%.
- Early initiation (≤14 years) was highest for inhalants (70%) and marijuana (74%).
Conclusions:
- Educational engagement, communal mastery, and tribal identity are crucial protective factors.
- Interventions should focus on strengthening these cultural and educational aspects.
- These programs can help mitigate substance use among high-risk Native American youth on reservations.
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