Relationship of Social Network to Protective Factors in Suicide and Alcohol Use Disorder Intervention for Rural Yup'ik Alaska Native Youth.

Relationship of Social Network to Protective Factors in Suicide and Alcohol Use Disorder Intervention for Rural Yup'ik Alaska Native Youth.
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DOI:
10.1016/j.psi.2015.08.002
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发表时间:
2016-04
期刊:
Intervencion psicosocial
影响因子:
--
通讯作者:
Allen J
Allen J
中科院分区:
其他
文献类型:
--
作者:
Philip J;Ford T;Henry D;Rasmus S;Allen J

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自杀和酗酒障碍是阿拉斯加原住民健康方面的重大差异,但人们对保护的了解有限,也没有针对该人群或其他人群保护中的社交网络因素进行研究。 Quungasvik 干预措施通过以尤皮克文化习俗和价值观为基础的活动,增强了预防自杀和酗酒障碍的保护因素。在阿拉斯加西南部这些紧密、紧密、高密度的农村尤皮克阿拉斯加原住民社区的文化背景下,确定与保护相关的社交网络因素,有助于确定自杀和酒精使用障碍风险的有效预防策略。利用以自我为中心的社交网络以及对 50 名尤皮克青少年进行的自杀和酒精使用障碍调查的保护因素的数据,我们提供了结构和网络组成变量的描述性数据,确定了解释这些网络变量的四个主要成分结构中方差的主要比例的关键网络变量,并证明了这些关键网络变量作为自杀和酒精使用障碍风险的家庭和社区保护因素的预测因子的效用。与成人的联系和与长辈的联系,但不是同伴联系,成为家庭和社区层面保护的预测因素,表明这些网络因素是干预的重要干预目标。
Suicide and alcohol use disorders are significant Alaska Native health disparities, yet there is limited understanding of protection and no studies of social network factors in protection in this or other populations. The Qungasvik intervention enhances protective factors from suicide and alcohol use disorders through activities grounded in Yup’ik cultural practices and values. Identification of social network factors associated with protection within the cultural context of these tight, close knit, and high density rural Yup’ik Alaska Native communities in southwest Alaska can help identify effective prevention strategies for suicide and alcohol use disorder risk. Using data from ego-centered social network and protective factors from suicide and alcohol use disorders surveys with 50 Yup’ik adolescents, we provide descriptive data on structural and network composition variables, identify key network variables that explain major proportions of the variance in a four principal component structure of these network variables, and demonstrate the utility of these key network variables as predictors of family and community protective factors from suicide and alcohol use disorder risk. Connections to adults and connections to elders, but not peer connections, emerged as predictors of family and community level protection, suggesting these network factors as important intervention targets for intervention.