Characteristics of Northern Plains American Indians Seeking Substance Abuse Treatment in an Urban, Non-Tribal Clinic: A Descriptive Study

被引:14
作者
Kropp, Frankie [1 ]
Somoza, Eugene [1 ,2 ]
Lilleskov, Maurine [3 ]
Moccasin, Mabel Granados-Bad [4 ]
Moore, Michelle [5 ]
Lewis, Daniel [1 ]
Boetel, Brenda [5 ]
Smith, Corey [6 ]
Winhusen, Theresa [1 ]
机构
[1] Univ Cincinnati, Coll Med, Dept Psychiat & Behav Neurosci, Cincinnati, OH 45220 USA
[2] Vet Affairs Med Ctr, VISN 10, Cincinnati, OH 45220 USA
[3] Xcel Res Consulting Inc, Rapid City, SD 57703 USA
[4] Growing Up Together Program, Pierre, SD 57501 USA
[5] City Cty Alcohol & Drug Programs, Rapid City, SD 57701 USA
[6] Northern Plains Tribal Epidemiol Ctr, Great Plains Tribal Chairmens Hlth Board, Rapid City, SD 57702 USA
关键词
Substance abuse; American Indians; Health disparities; Drugs; Alcohol; HEALTH DISPARITIES; ALASKA NATIVES; DRUG-USE; ALCOHOL; HOPELESSNESS; DEPRESSION; DISORDERS;
D O I
10.1007/s10597-012-9537-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Because few data exist on substance abuse rates in American Indian (AI) communities, the Methamphetamine and Other Drug project was developed and implemented by five nodes within the National Institute on Drug Abuse Clinical Trials Network (NIDA CTN). This article presents findings from AI clients in a Northern Plains urban non-Native substance abuse treatment setting. Alcohol and marijuana were used earlier, longer, and by more clients, followed by stimulants and prescription opioids. Most regularly smoked tobacco. Differences in substance use patterns were associated with age of onset and victimization. Age of onset was correlated with victimization, gender, cognitive impairment, and suicidal behavior. Despite considerable health and economic disparities, most clients found support for recovery in relationships and elements of Native culture.
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页码:714 / 721
页数:8
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