Drug Use Among Young Indians: Epidemiology & Etiology

这项申请建议继续进行一项近40年的研究计划，该计划监测了 居住在保留地或附近的美国印第安人青年。这是同类研究中唯一提供持续监测的研究 数据显示，在历史上，什么是最危险的青年群体的物质使用在全国。我们将继续 收集7- 12年级AI青少年的年度物质使用数据沿着关键风险和保护因素。收集新 流行病学数据将使我们能够跟踪使用水平的近期趋势，并将注意力集中在最近的高水平， 大麻和奥施康定以及吸入剂使用的复苏。该应用程序的一个附加组件将 包括启动一项对人工智能6- 7年级中学生的纵向研究。本研究的这一部分旨在 回答（1）父母与孩子之间关于毒品和酒精的沟通的本质是什么，（2）使用什么物质 轨迹，（3）早期与晚期启动的预测因素和结果是什么，以及（4）什么解释了变化 从初中到高中的使用模式超出了缺课/辍学的影响。 2.

This application proposes to continue a nearly 40-year program of research that has monitored the substance use of American Indian (AI) youth living on or near reservations. It is the only study of its kind to provide ongoing surveillance data of what has historically been the most at-risk group of youth for substance use in the nation. We will continue to collect annual substance use data from 7-12th grade AI youth along with key risk and protective factors. Collection of new epidemiologic data will permit us to track recent trends in levels of use, with attention focused on recent high levels of marijuana and OxyContin and a resurgence in the use of inhalants. An additional component of this application will include the initiation of a longitudinal study of AI 6-7th grade middle school youth. This portion of the study is designed to answer (1) what is the nature of parent-child communication about drugs and alcohol, (2) what are the substance use trajectories, (3) what are the predictors and outcomes of early vs. late initiation, and (4) what explains the changing patterns of use from middle school to high school beyond the effects of school non-attendance/dropout. 2.