Indigenous Pathways of Substance Use and Mental Health through Early Adulthood

项目摘要/摘要 严重的酒精和药物滥用障碍和精神健康差距造成了毁灭性的影响 在许多美洲印第安人/第一民族(土著)社区。来自不同部落群体的证据 表现出起病早、频繁使用物质，并有相当比例的精神障碍 土著青年在整个青春期都有精神障碍。然而，这些早期的生命模式是如何影响 土著人民成年后的轨迹和结果是未知的。一般人口研究有 研究表明，成年初期(20-30岁)是角色、责任和 影响物质使用模式和心理健康的关系。文化规范和背景可以 转化为土著潜在独特的发展道路、风险和保护因素 物质使用和精神健康结果。我们建议在土著早期研究这些可能性 成年期，理解从青春期到长期酗酒的关键时期，物质 使用，以及心理健康问题和韧性。该项目将把我们的8波小组研究的数据联系起来 土著青少年在成年早期有3年的拟议新数据。数据将通过以下方式收集 计算机辅助的个人面试。结果将是唯一一个横跨土著的纵向数据集 我们所知道的童年、青春期和成年初期。指导这个社区的三个主要目标- 基于参与性研究：1)确定土著物质使用和精神健康的轨迹 从儿童后期到成年早期的问题，2)确定早期生命过程中物质使用的预测因素和 土著青年的心理健康，以及3)描述#年对幸福的文化上适当的定义 并记录这些积极结果的流行率和预测因素。这样做的结果是 研究将提高人们对酒精的性质、病因和后果、药物使用、精神 土著保留地/保留地社区的健康问题及其共病。另一个结果是 加强对保护因素和积极的土著发展的理解和新的衡量标准。 这一项目的结果有可能告知目标的时机和风险/保护因素。 土著社区的预防方案。

Project Summary/Abstract Significant alcohol and substance abuse disorders and mental health disparities have had devastating impacts in many American Indian/First Nations (Indigenous) communities. Evidence from diverse tribal groups demonstrates early onset, high frequency substance use with substantial rates of co-occurring mental disorders among Indigenous youth throughout their adolescence. Yet, how these early life patterns affect trajectories and outcomes in adulthood for Indigenous people is unknown. General population studies have shown that early adulthood (20 – 30 years of age) is a critical period of transitions in roles, responsibilities, and relationships impacting patterns of substance use and mental health. Cultural norms and contexts may translate into potentially unique developmental pathways, risks, and protective factors for Indigenous substance use and mental health outcomes. We propose to investigate these possibilities in Indigenous early adulthood, a critical period for understanding transitions from adolescence to longer-term alcohol, substance use, and mental health problems and resilience. The project will link data from our 8-wave panel study of Indigenous adolescents with 3 years of proposed new data in early adulthood. Data will be collected via computer-assisted personal interviews. The result will be the only longitudinal data set spanning Indigenous childhood, adolescent, and early adult years of which we are aware. Three major aims guide this community- based participatory research: 1) Determine trajectories of Indigenous substance use and mental health problems from late childhood to early adulthood, 2) Identify early life-course predictors of substance use and mental health among Indigenous young adults, and 3) Describe culturally appropriate definitions of wellbeing in early adulthood and document the prevalence and predictors of these positive outcomes. Results of this research will increase awareness of the nature, etiology, and consequences of alcohol, substance use, mental health problems and their comorbidity in Indigenous reservation/reserve communities. Another outcome is enhanced understanding and novel measurement of protective factors and positive Indigenous development. The results of this project have potential to inform the timing of and risk/protective factors targeted by prevention programs in Indigenous communities.