Historical trauma and substance use among American Indian people with current substance use problems.
Historical trauma and substance use among American Indian people with current substance use problems.
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DOI：
10.1037/adb0000729
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Skewes MC
中科院分区：
文献类型：
--
作者：
Gameon JA;Skewes MC
在美国，美洲印第安人和阿拉斯加原住民 (AI/AN) 遭受着与酗酒和其他药物使用相关的健康不平等，并且还经历了殖民化造成的历史创伤症状。研究表明，历史创伤可能与 AI/AN 的药物滥用有关。作为与农村 AI 保留地的部落合作伙伴开展的基于社区的参与性研究项目的一部分，我们的团队收集了 198 名自认为有药物使用问题的部落成员的横断面调查数据。我们研究了历史创伤想法、历史创伤症状和药物使用结果之间的关联。我们还研究了历史创伤症状、当前创伤症状、系统性歧视意识和种族身份，作为历史创伤思想和药物使用变量之间关联的调节因素。控制症状后的历史创伤想法与更长的戒酒天数、更少的重度饮酒天数、更少的饮酒天数以及更少的吸毒天数相关；控制思想后，历史创伤症状仅与较少的禁欲天数相关。调节分析表明，当历史创伤症状较低、当前创伤症状较低、系统性歧视意识较高且种族认同较高时，历史创伤想法与更好的物质使用结果相关。当令人痛苦的创伤症状较低时，历史创伤想法可能充当保护因素或作为与更好的药物使用结果相关的其他因素的标记。
In the United States, American Indian and Alaska Native (AI/AN) people suffer health inequities associated with alcohol and other drug use and also experience historical trauma symptoms resulting from colonization. Research suggests that historical trauma may be associated with substance use among AI/ANs. As part of a Community Based Participatory Research project with tribal partners from a rural AI reservation, our team collected cross-sectional survey data from 198 tribal members who self-identified as having substance use problems. We examined associations between historical trauma thoughts, historical trauma symptoms, and substance use outcomes. We also examined historical trauma symptoms, current trauma symptoms, awareness of systemic discrimination, and ethnic identity as moderators of the associations between historical trauma thoughts and substance use variables. Historical trauma thoughts, controlling for symptoms, were associated with greater abstinent days, fewer heavy alcohol use days, fewer drinks per drinking day, and fewer drug use days; historical trauma symptoms, controlling for thoughts, were associated only with fewer abstinent days. Moderation analyses showed that historical trauma thoughts were associated with better substance use outcomes when historical trauma symptoms were low, current trauma symptoms were low, awareness of systemic discrimination was high, and ethnic identity was high. When distressing trauma symptoms are low, historical trauma thoughts may act as a protective factor or as a marker for other factors associated with better substance use outcomes.
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