城市美洲原住民中物质启动的背景:一个探索性的回顾性病例控制研究
Nicholas Guenzel1, Hongying Daisy Dai2, Lyndsay Dean3
1College of Nursing, University of Nebraska Medical Center, Lincoln, NE, United States of America.
PeerJ
|November 30, 2023
概括
城市美洲原住民经常在社交场合与家人或朋友一起开始吸毒. 这项研究强调了社区参与美国原住民成研究的重要性.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 是美国原住民社区的一个重要问题,但城市人口仍未得到充分研究.
- 人们对城市美洲原住民的初始物质使用背景知之甚少.
- 这项研究通过检查人口统计,物质使用史和首次使用背景来解决这个差距.
研究的目的:
- 为了比较城市土著美国人有和没有成史,关于他们的物质使用模式和背景.
- 探索影响该人口中物质使用的社会环境因素.
- 验证一种利用社区成员进行敏感数据收集的新型研究方法.
主要方法:
- 采用了比较性研究设计,将参与者分为病例 (有上史) 或对照组 (没有史).
- 经过培训的美国原住民非科学研究助理进行调查,以招募和收集有关物质使用障碍,人口统计和多物质使用的数据.
- 一个有执照的毒品和酒精顾问的盲目评估验证了研究助理的发现.
主要成果:
- 两种病例和对照报告的早期开始使用物质 (15-16岁),主要是与酒精.
- 第一次吸毒往往涉及家庭或朋友,使用发生在社交场合,如朋友的家或派对.
- 在这两组中,多种物质的使用普遍 (43-45%),没有发现显著差异.
结论:
- 城市美洲原住民在年轻时就开始吸毒,通常是在同龄人和家人的社交环境中.
- 基于社区的研究方法在建立信任和从这一群体中收集敏感数据方面是有效的.
- 这些发现强调了对文化敏感,社区综合的成预防和干预策略的需要.
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