DRUG USE AMONG YOUNG INDIANS--EPIDEMIOLOGY & PREDICTION

描述(申请人摘要)：该项目将持续25年 监测工作评估物质使用的水平和模式 就读预留学校的美国印第安人青少年。每一年 五年计划--2000名印度青年的代表性样本 在他们的学校教室里接受全面的药物使用情况调查。在……里面 此外，调查还将包含有关暴力、受害 以及犯罪行为。这些数据将用作 对这些行为的长期监控。该项目还将首次 时间，决定美国人吸毒、暴力和受害的比率 印度学生在俄克拉荷马州历史悠久的印第安人土地上进行的一项调查 每年抽样调查1500名有代表性的学生。的目的是 监视工作是观察随时间的变化，准确地描述 这些领域，以提供对毒品使用、暴力和 并通报设计和评估人员的努力 干预努力。将使用分层线性建模来提供 对费率和标准误差的无偏估计，并比较保留 印第安人青年和俄克拉何马州印第安人青年与美国农村青年。另外， 该项目包含广泛的规模、评估水平和风险模式以及 毒品使用、暴力和受害的保护性因素。一系列 结构方程模型将被用来研究 这些结果行为和社会(家庭制裁、同伴)的预测因素 毒品关系)和情绪困扰(焦虑、抑郁、疏远、 愤怒)领域，并评估对这些年龄模型的调节作用， 性别、家庭支持、学校适应和文化认同。决赛 该项目的目标是在项目的基础上制定一系列建议 研究结果，用于药物、酒精和暴力预防计划的设计 将特别对美国印第安人青年有效。

DESCRIPTION (Applicant's abstract): This project will continue a 25 year surveillance effort assessing the levels and patterns of substance use among American Indian adolescents attending reservation schools. Each year of the five-year project a representative sample of 2000 Indian youth living on will be given a comprehensive drug use survey in their school classroom. In addition, the survey will contain questions regarding violence, victimization and delinquent behaviors. These data will be used as the beginning phase of a long-term surveillance of these behaviors. The project will also, for the first time, determine rates of drug use, violence and victimization among American Indian students in the historic Indian lands in Oklahoma by surveying a representative sample of 1500 students each year. The purposes of the surveillance work are to observe changes over time, to accurately describe these domains, to provide insight into the nature of drug use, violence and victimization and to inform the efforts of those designing and evaluating intervention efforts. Hierarchical Linear Modeling will be use to provide unbiased estimates of rates and standard errors and to compare reservation Indian youth and Oklahoma Indian youth with rural American youth. Additionally, the project contains extensive scales assessing levels and patterns of risk and protective factors for drug use, violence and victimization. A series of Structural Equation Models will be used to study the relationships between these outcome behaviors and the predictors of social (family sanctions, peer drug associations) and emotional distress (anxiety, depression, alienation, anger) domains, and to assess moderating effects on these models of age, gender, family support, school adjustment and cultural identification. A final goal of the project is to develop a series of recommendations, based on project findings, for the design of drug, alcohol and violence prevention programs that will be effective specifically for American Indian youth.