编织健康家庭计划防止美国土著成年人和青年滥用酒精
Catherine E O'Connor1, Jian Li2, Katherine P Theall2
1School of Social Work, Tulane University, New Orleans, Louisiana, USA.
Substance use & misuse
|February 17, 2026
概括
编织健康家庭计划显著减少了美国土著成年人和青年的酒精和物质使用. 这种以文化为基础的干预措施显示了防止土著社区滥用酒精的前景.
科学领域:
- 公共卫生 公共卫生
- 预防药物滥用 预防滥用药物滥用
- 土著健康土著健康
背景情况:
- 滥用酒精是严重的健康差异,也是美国土著人口中过早死亡的原因.
- 根据文化定制的干预措施对于解决土著社区的物质使用问题至关重要.
- 编织健康家庭 (WHF) 计划的基础是基于社区的参与性研究和土著知识.
研究的目的:
- 评估WHF计划在减少美国土著成年人和青年的酒精和物质使用方面的有效性.
- 解决与滥用酒精有关的健康差异和过早死亡率.
- 提供文化为基础的,有效的预防策略.
主要方法:
- 在美国土著社区进行了一项纵向动态,开放的队列阶梯试验.
- 这项研究包括218名成年人和354名青少年.
- 多层次纵向建模使用酒精使用障碍识别测试 (AUDIT) 和其他物质使用指标在五个时间点评估结果.
主要成果:
- 在成年人中,在饮酒障碍 (AUD),整体饮酒 (AUDIT分数) 和饮料数量方面,观察到显著的干预后减少.
- 在成年人中,过去30天的酒精使用和大麻使用显著下降.
- 年轻参与者也显示了AUD使用的显著减少,在女性中观察到的下降更大.
结论:
- 美国原住民基金会计划在减少美国土著家庭滥用酒精和危险饮酒方面表现出显著的有效性.
- 调查结果支持WHF计划作为一种文化基础和有效的干预措施,用于预防滥用酒精.
- 这项研究为在土著社区实施类似的预防工作提供了坚实的基础.
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