DRUG USE AMONG YOUNG INDIANS--EPIDEMIOLOGY & PREDICTION

美国印第安人是所有美国人中处境最不利的。S. 失业、偏见、缺乏教育 糖尿病、肺结核、成人酗酒的机会和高发病率， 婴儿死亡率、青少年自杀和意外死亡。许多这些 问题的根源或因药物使用而加剧。的 美国国立大学S.然而，人口调查没有包括足够的美国人， 印度人充分评估青少年物质使用。我们提供了 关于保留地美洲印第安青年吸毒的流行病学数据 从1974年开始印度年轻人吸毒的比率是 其他美国青年有证据表明美国印第安青年 也有很高的暴力率，犯罪行为， 受害情况，但没有关于这些问题的详细数据。它 酒精和药物的使用也可能与 这些问题，但没有关于实质性问题之间联系的数据。 使用和其他问题。该项目将继续绘制 美国印第安青年吸毒流行病学趋势， 住在保留地它还将决定暴力的发生率， 受害，以及其他犯罪行为，包括入店行窃，汽车 盗窃，小偷小摸，严重盗窃，酒后驾车或吸毒，其他 驾驶违法行为，学校违法行为，毒品分销，故意破坏，性 袭击和纵火问题还包括酒精和/或药物是否 参与了这些行为。该项目将对青年进行抽样调查， 从每年9个印第安保留地，按地理位置分层 与城市中心相对隔离。校内样本将 包括所有7至12年级学生，并进行了后续调查， 从缺席者那里获取信息。从每一个辍学的样本 保留地也将被调查，分层，使物质使用， 受害和犯罪行为可以评估为早期（第7 - 8 辍学者有9-10岁和11-12岁。

American Indians are among the most disadvantaged of all U. S. populations, suffering from unemployment, prejudice, lack of educational opportunity and high rates of diabetes, tuberculosis, adult alcoholism, infant mortality, adolescent suicide and death by accidents. Many of these problems are either rooted in or exacerbated by substance use. The national U. S. population surveys, however, do not include enough American Indians to adequately assess adolescent substance use. We have provided epidemiology data on drug use of reservation-based American Indian youth since 1974. Indian youth use drugs at rates two to three times those for other American youth. There is some evidence that American Indian youth also have high rates for violence, criminal behaviors, and high rates of victimization, but detailed data on these problems are not available. It is also likely that alcohol and drug use are involved in or associated with these problems, but there are no data on the links between substance use and these other problems. This project will continue to chart the trends in the epidemiology of drug use among American Indian youth who live on reservations. It will also determine the rates for violence, victimization, and other criminal behaviors including shoplifting, car theft, petty theft, serious theft, driving while drunk or on drugs, other driving offenses, school offenses, drug distribution, vandalism, sexual assault and firesetting. Questions also ask whether alcohol and/or drugs were involved in these acts. The project will survey a sample of youth from a 9 Indian reservations each year, stratified for geographic location and relative isolation from urban centers. The in-school sample will include all 7th through 12th grade students, with follow-up surveying to obtain information from absentees. A sample of dropouts from each reservation will also be surveyed, stratified so substance use, victimization and criminal behaviors can be assessed for early (7th-8th grade), middle (9-10) and late (11-12) dropouts.