Indigenous Pathways of Substance Use and Mental Health through Early Adulthood

项目概要/摘要 严重的酒精和药物滥用障碍以及心理健康方面的差异产生了破坏性影响 在许多美国印第安人/第一民族（原住民）社区。来自不同部落群体的证据 显示出早发性，高频率的物质使用，伴随着大量的精神疾病， 土著青年在整个青春期都有精神障碍。然而，这些早期的生活模式如何影响 土著人成年后的轨迹和结果是未知的。一般人群研究 表明成年早期（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。文化规范和背景可能 转化为潜在的独特的发展途径，风险和保护因素，为土著 物质使用和心理健康结果。我们建议在土著早期调查这些可能性 成年期，理解从青春期到长期酒精，物质过渡的关键时期 使用，心理健康问题和恢复力。该项目将链接我们的8波面板研究的数据， 土著青少年在成年早期有3年的拟议新数据。数据将通过 计算机辅助个人面试。其结果将是唯一的纵向数据集， 我们所知道的童年、青少年和成年早期。三个主要目标指导这个社区- 基于参与式研究：1）确定土著物质使用和心理健康的轨迹 从儿童晚期到成年早期的问题，2）确定物质使用的早期生命过程预测因素， 土著青年的心理健康，3）描述文化上适当的幸福定义， 并记录这些积极结果的患病率和预测因素。成果 研究将提高人们对酒精、物质使用、精神疾病和精神疾病的性质、病因和后果的认识。 土著保留地/保留地社区的健康问题及其并发症。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。 该项目的结果有可能为以下方面的时间安排和风险/保护因素提供信息： 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.