DRUG USE AMONG YOUNG INDIANS--EPIDEMIOLOGY & PREDICTION

美国印第安人是美国最弱势的群体之一。 人口，遭受失业、偏见、缺乏教育的痛苦 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。其中许多 问题要么根植于物质使用，要么因物质使用而加剧。这个 然而，美国全国人口调查没有包括足够多的美国人 印度人充分评估青少年药物使用情况。我们已经提供了 保留地美国印第安人青年吸毒的流行病学数据 从1974年开始。印度年轻人的吸毒率是印度的两到三倍 其他美国青年。有证据表明，美国印第安人青年 也有很高的暴力、犯罪行为和 受害者人数较多，但没有关于这些问题的详细数据。它 酒精和毒品的使用也很可能涉及或与 这些问题，但没有关于物质之间联系的数据 使用和这些其他问题。该项目将继续绘制 美国印第安人青年吸毒的流行病学趋势 住在保留区。它还将决定暴力的比率， 受害，以及其他犯罪行为，包括商店盗窃、汽车 盗窃、小偷小摸、严重盗窃、酒后驾车或吸毒、其他 驾车犯罪、学校犯罪、毒品分销、破坏公物、性犯罪 袭击和纵火。问题还包括酒精和/或毒品是否 都参与了这些行为。该项目将对青年进行抽样调查 每年从9个印第安人保留地，按地理位置分层 与城市中心相对隔绝。校内样本将 包括所有7至12年级的学生，并进行后续调查，以 从缺勤者那里获取信息。每个学校的辍学学生样本 保留也将被调查，分层，因此物质使用， 受害和犯罪行为可以在早期(7-8)进行评估 年级)、中级(9-10级)和晚期(11-12级)辍学。

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.