Be under your own influence: Effectiveness of a Culturally‐Adapted drug prevention campaign targeting Reservation‐Dwelling American Indian youth

Be Under Your Own Influence (BUYOI) is a previously validated school‐based intervention designed to delay adolescent substance use (SU) initiation. This study examined the effectiveness of a culturally‐adapted version of BUYOI in delaying SU initiation among reservation‐dwelling American Indian (AI)...

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Bibliographic Details
Published in:Journal of community psychology 2021-09, Vol.49 (7), p.2316-2329
Main Authors: Crabtree, Meghan A., Stanley, Linda R., Kelly, Kathleen J., Swaim, Randall C.
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Alcohol use
American Indian
American Indians
American Indians or Alaska Natives
cannabis use
Drug abuse
Effectiveness
Humans
Indians, North American
Intoxication
Marijuana
media campaign
Middle schools
Pharmaceutical Preparations
Prevention
Schools
Students
Substance abuse
substance use prevention
Substance-Related Disorders - prevention & control
Youth
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Summary:Be Under Your Own Influence (BUYOI) is a previously validated school‐based intervention designed to delay adolescent substance use (SU) initiation. This study examined the effectiveness of a culturally‐adapted version of BUYOI in delaying SU initiation among reservation‐dwelling American Indian (AI) youth. Five reservation‐based middle schools participated. Three schools were randomly assigned to receive BUYOI‐AI (N = 321), and two schools served as controls (N = 176). Beginning in 7th grade, all participating students completed four assessments over the study period. Discrete time hazard models estimated the effects of BUYOI on students’ risk of initiating alcohol, alcohol intoxication and marijuana before the end of 8th grade. AI students exposed to BUYOI had a lower risk of initiating alcohol use or intoxication, though sex moderated the effect on intoxication. These findings provide preliminary support for the effectiveness of a culturally‐adapted version of BUYOI in delaying AI youth's first‐time alcohol use and intoxication.
ISSN:0090-4392
1520-6629
DOI:10.1002/jcop.22672