Chronic stressors and drug abuse in 2 Indian populations

2 个印度人群的慢性压力源和药物滥用

基本信息

批准号：
6766396
负责人：
JANETTE Louise BEALS
金额：
$ 38.46万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-05-01 至 2007-04-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): American Indian (AI) reservation populations face numerous chronic stressors. Poverty, unemployment, violence, and accidents are all common, and it has been argued that the combination of historical trauma, inconsistent and disruptive governmental policies, and mandated boarding schools, have rendered many in current reservation populations especially vulnerable to both the impact of everyday chronic stressors, to substance misuse, and to PTSD. Drug use has also been documented among AIs, with AI youth often reporting greater use of drugs and tobacco than many others in the U.S. Only recently have data about the prevalence of drug disorders become available; such data suggest drug disorder rates that are comparable to other populations, but with age trends reflecting that AI youth are at increased risk for lifetime use of both drugs and tobacco compared to their elders suggesting an upward trend in drug disorders among AIs. Thus, the focus of the proposed research on the relationship between chronic stressors and drug use and disorders in this population is particularly timely. The data from the American Indian Service Utilization, Psychiatric Epidemiology; Risk and Protective Factors Project (AI-SUPERPFP) provide a unique opportunity for an epidemiological investigation of stress and drug disorders in an understudied population with a comprehensive assessment of chronic stressors (historical traumas, family history, childhood stressors, traumatic events, chronic strains, frequent lifetime events, and macro level stressors) in combination with standard measures of use and disorder for 9 drugs. The following specific aims guide this work: 1) To characterize and estimate the epidemiology of chronic stressors in these 2 reservation populations; 2) To understand and describe the relationships between chronic stressors, drug use, and DSM-defined drug abuse and dependence in these populations; 3) To investigate and portray the relationships between chronic stressors, drug use and disorders, and co-occurring problems including PTSD, other DSM-defined problems (depressive, anxiety, and alcohol disorders), and violence and antisocial behavior. Within each specific aim, the role of important demographic correlates (e.g., gender, tribe, SES, and age) and personal resources (coping, self-esteem, external locus of control, social support, spirituality, ethnic identity, and treatment history) will be investigated. The American Indian and Alaska Native Programs (AIANP) provide a distinctive multidisciplinary environment in which to conduct this work. The proposed work promises to provide the most comprehensive and focused investigation to date of chronic stressors within Al populations and of the relationship of various stressors with drug use and disorder.

描述（由申请人提供）：美洲印第安人（AI）保留人群面临许多慢性压力。贫困，失业，暴力和事故都是普遍的，有人认为，历史创伤，不一致和破坏性的政府政策以及强制性的寄宿学校的结合使许多人在当前的保留人口中尤其容易受到日常长期压力的影响，尤其容易受到滥用药物的影响，以及对PTSD的影响。在AIS中还记录了毒品使用，AI青年通常报告使用毒品和烟草的使用比美国最近的许多其他人都有有关药物疾病患病率的数据。这样的数据表明，药物疾病率与其他人群相当，但与年龄趋势相比，AI青年的终生使用风险增加，与他们的长者相比，终生使用药物和烟草的风险增加，表明AIS中的药物障碍趋势上升趋势。因此，拟议的研究的重点尤其及时地尤其及时。来自美洲印第安人服务使用，精神病流行病学的数据；风险和保护因素项目（AI-SUPERPFP）为在研究的人群中对压力和药物疾病的流行病学研究提供了一个独特的机会，并全面评估了慢性压力（历史创伤，家族史，儿童压力，创伤性压力，创伤性压力，创伤性事件，慢性事件，慢性病，频繁的事件，频繁的生活时间和麦克罗水平），并与标准药物结合使用，以衡量标准量和麦克罗级别的使用。以下具体目的指导这项工作：1）表征和估计这两个保留人群中慢性应激源的流行病学； 2）在这些人群中了解和描述慢性压力源，药物使用和DSM定义的药物滥用和依赖性之间的关系； 3）调查和描绘慢性压力源，药物使用和疾病之间的关系，以及包括PTSD，其他DSM定义的问题（抑郁，焦虑和酒精疾病）以及暴力和反社会行为在内的同时发生的问题。在每个特定目标中，将研究重要人口统计学的作用（例如性别，部落，SES和年龄）和个人资源（应对，自尊，控制的外部源头，社会支持，灵性，种族认同和治疗史）。美洲印第安人和阿拉斯加本地计划（AIANP）提供了一个独特的多学科环境，可以在其中进行这项工作。拟议的工作有望为AL人群中的长期压力源以及各种压力源与药物使用和混乱的关系提供最全面，最集中的调查。