Predicting American Indian Adolescent Substance Use Trajectories Following Inpatient Treatment

This study examined the effects of psychopathological, peer, family, and cultural predictors of American Indian adolescents' drug use following inpatient treatment. Data regarding lifetime, 90 days prior to treatment, and 1-year posttreatment substance use were collected using interviews, quest...

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Bibliographic Details
Published in:Journal of ethnicity in substance abuse 2011-07, Vol.10 (3), p.181-201
Main Authors: Boyd-Ball, Alison J., Dishion, Thomas J., Myers, Michael W., Light, John
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
American Indian adolescents
American Indians
Cultural Characteristics
cultural practices and values
Culture
Drug use
Family
Female
Follow-Up Studies
Humans
Indians, North American - statistics & numerical data
Intervention
Logistic Models
Male
Membership
Multivariate Analysis
Native North Americans
Psychopathology
Residential Institutions
residential treatment
Risk Factors
Substance Abuse
Substance abuse treatment
Substance Abuse Treatment Centers
substance use
Substance-Related Disorders - epidemiology
Substance-Related Disorders - ethnology
Substance-Related Disorders - rehabilitation
Surveys and Questionnaires
Teenagers
United States - epidemiology
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Summary:This study examined the effects of psychopathological, peer, family, and cultural predictors of American Indian adolescents' drug use following inpatient treatment. Data regarding lifetime, 90 days prior to treatment, and 1-year posttreatment substance use were collected using interviews, questionnaires, and observations of 57 American Indian adolescents and their families. Trajectories of days-used measures were subjected to semiparametric trajectory analysis. Trajectories were then compared on baseline measures by using both univariate and multivariate logit regression techniques. The study sought to identify prerelease predictors of membership in post-inpatient treatment substance use trajectory groups. Findings provide insight into the unique and shared risk and protective factors relevant to American Indian adolescents' substance use outcomes. In particular, this study suggests that a combination of family management and American Indian traditional cultural practices in families serves as a potential target for interventions to reduce substance use in adolescence.
ISSN:1533-2640
1533-2659
DOI:10.1080/15332640.2011.600189