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

近年来，一些研究已经解决了美国印第安人（Al）的健康和心理健康需求。这些研究通常揭示了印度人中与酒精有关的疾病的高比率。然而，这些发现的应用受到几个因素的限制。首先，这项工作的大部分仅限于保留地居住的部落。因此，非保留地居民的印第安人对这些问题几乎一无所知，例如，这些部落本身没有被安置在保留地上，但在更大、更一体化的社区内建立了社区。第二，大多数样本主要包括男性。妇女很少被包括在内。第三，文献中低估了部落之间和部落内部饮酒习惯的异质性。总之，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部落的具体结果和后果的数据。俄克拉荷马州是大约26万美国印第安人的家园，他们代表大约36个部落，分散在全州各地，没有保留地分配或住房。因此，俄克拉荷马州代表了一个理想的环境，为非保留地居住的印第安人进行方案研究。 这项为期三年的合作倡议提案的总体目标是：1）加强我们对居住在非保留地的美洲印第安人饮酒的了解，2）促进我们相当大的合作小组内美洲印第安人临床研究人员的发展，和3）增强部落成员和领导人的能力，通过应用目前的研究结果，解决与酗酒有关的问题，和基础科学。为了实现这些目标，我们提出了一个多方面的项目，其中a）涉及社区网络，教育规划和试点/可行性研究的进行和B）需要认知研究实验室（在俄克拉荷马州酒精和药物相关研究中心），铝院士，临床医生和全州的管理人员，以及铝恢复社区的合作努力。

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.