URBAN AMERICAN INDIAN ADOLESCENT ALCOHOL AND DRUG ABUSE

美国印第安人研究小组 精神病学和行为科学 华盛顿医学院建议调查 美国城市印第安人青少年酒精的发展， 药物使用/滥用，并确定有助于 制定预防酗酒问题的干预措施， 吸毒的美国印第安青年 这种前瞻性的、 纵向队列设计，多年多次评估 由350名美国城市印第安青少年组成， 从总人口中抽取的母亲或主要照料者， 600. 数据还将从两个额外的交叉收集- 部分样本，每个样本由100个六年级和九年级组成 受试者和他们的母亲 五年内，我们将 评估酒精和药物使用的前因和后果 通过收集以下九个领域的数据（研究领域 兴趣）：酒精使用，药物使用，社会人口统计学史， 神经心理学筛查，学校学术，内化， 外化、家庭和同伴环境以及家族史 酒精的使用。 具体而言，该项目的目标是：1） 描述酒精使用、药物滥用、 使用，和问题饮酒行为; 2）调查 物质产生和问题饮酒的过程， 确定促进或 3）制定一套筛查组合， 早期识别酒精和药物滥用的美国城市 印度青少年;以及4）继续在临床上传播 向美国境内的医疗保健提供者提供相关信息 印度，学术和社会服务系统。 拟议 该项目代表了我们在科学研究方面的下一步， 美国印第安人的酒精和药物滥用， 仍然与印度人的临床关注有关， 在项目的所有阶段，印度都参与其中。 的 从项目中获得的知识对于 发展服务，以减少 酗酒和吸毒的美国印第安人， 酗酒和吸毒的风险最大 这 该项目启动了一项长期的自然历史研究， 酒精和药物使用在城市美国印第安人人口。

The American Indian Research Group in the Department of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine proposes to investigate the development of urban American Indian adolescent alcohol and drug use/abuse, and to identify new knowledge useful in developing prevention interventions with problem drinking and drug abusing American Indian youth. This prospective, longitudinal cohort design with multiple assessments across years is comprised of 350 urban American Indian adolescents and their mothers or primary caretakers drawn from a total population of 600. Data also will be collected from two additional cross- sectional samples, each comprised of 100 sixth and ninth grade subjects and their mothers. During a five year period, we will assess the antecedents and consequences to alcohol and drug use by collecting data in the following nine domains (areas of research interest): alcohol use, drug use, sociodemographic history, neuropsychological screening, school-academic, internalization, externalization, family and peer environment, and family history of alcohol use. Specifically, the project's aims are: 1) To describe the prevalence and change over time of alcohol use, drug use, and problem drinking behaviors; 2) To investigate the processes of substance initiation and problem drinking onset by identifying the risk and protective variables that promote or inhibit initiation and abuse; 3) To develop a screening battery for early identification of alcohol and drug abusing urban American Indian adolescents; and 4) To continue to disseminate clinically relevant information to health care providers within American Indian, academic, and social service systems. The proposed project represents our next step in the scientific study of American Indian alcohol and drug abuse from a perspective that remains relevant to the clinical concerns of Indians while relying upon Indian participation through all phases of the project. The knowledge to be gained from the project is vital to the development of services which can reduce the prevalence of alcohol and drug abuse among American Indians, the ethnic group in America at greatest risk for alcoholism and drug abuse. This project initiates a long term study of the natural history of alcohol and drug use within an urban American Indian population.