PATTERNS, CONSEQUECES OF ALC USE IN NON-RESERV. INDIANS

近年来，一些研究解决了美国印第安人(Al)的健康和心理健康需求。这些研究通常显示，印度人中与酒精相关的疾病的发生率很高。然而，这些发现的应用受到几个因素的限制。首先，这些工作大多局限于保留地居住的部落。因此，在非保留地居住的印度人中，对这些问题几乎一无所知，例如，那些本身没有被置于保留地，但在更大、更一体化的社区中建立了社区的部落。其次，大多数都包括了以男性为主的样本。女性很少被包括在内。第三，文献中没有充分认识到部落之间和部落内部饮酒习惯的异质性。总而言之，基本上没有关于需求评估、社区看法或居住在非保留地的男性和女性印第安人部落的具体结果和后果的数据。俄克拉荷马州是大约26万名美国印第安人的家园，他们代表着大约36个部落，分散在全州各地，没有保留、分配或住房。因此，俄克拉荷马州是对非保留地居住的印第安人进行方案研究的理想环境。 这项为期三年的合作倡议提案的总体目标是：1)在非保留地居住的美洲印第安人中增进我们对酒精使用的了解；2)促进美国印第安人临床研究人员在我们相当大的合作小组中的发展；以及3)使部落附属机构和领导人能够通过应用应用科学和基础科学中的当前研究成果来解决与酒精使用相关的问题领域。为了实现这些目标，我们提出了一个多组成部分的项目，其中a)涉及社区网络、教育规划和进行试点/可行性研究，b)需要认知研究实验室(俄克拉荷马州酒精和毒品相关研究中心内)、全州的Al院士、临床医生和管理人员以及Al康复社区的共同努力。

In recent years, a number of studies have addressed the health and mental health needs of American Indian (Al) people. These studies typically reveal a high rate of alcohol-related disorders among Indian people. The application of these findings, however, is limited by several factors. First, most of this work is limited to reservation residing tribes. Thus, virtually nothing is known about these issues among the Indian people who are not reservation residing, e.g., those tribes who were not placed on reservation lands, per se, but have established communities within larger, more integrated communities. Second, most have included predominantly male samples. Women are infrequently included. Third, under-appreciated in the literature is the heterogeneity of drinking practices both between and within tribes. In summary, there are essentially no data relevant to needs assessment, community perception or specific outcomes and consequences among male and female non-reservation residing Indian tribes. Oklahoma is home to approximately 260,000 American Indian people representing approximately 36 tribes dispersed across the state without reservation assignment or housing. Thus, Oklahoma represents an ideal environment for the conduct of programmatic study of non-reservation residing Indians. The overall objectives of this three-year collaborative initiative proposal are to 1) enhance our understanding of alcohol use among non-reservation residing American Indians, 2) facilitate the development of American Indian clinical researchers within our rather large collaborative group, and 3) to empower tribal affiliates and leaders to address problem areas related to alcohol use through the application of current research findings in both applied and basic sciences. To achieve these objectives, we are proposing a multicomponent project which a) involves community networking, educational programming and the conduct of pilot/feasibility studies and b) requires the collaborative efforts of the Cognitive Studies Laboratory (within the Oklahoma Center for Alcohol & Drug-Related Studies), Al academicians, clinicians and administrators across the state, and the Al recovering community.