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Maternal and Child Health Journal

, Volume 12, Supplement 1, pp 82–90 | Cite as

Protective Assets for Non-use of Alcohol, Tobacco and Other Drugs among Urban American Indian Youth in Oklahoma

  • Laura A. Beebe
  • Sara K. Vesely
  • Roy F. Oman
  • Eleni Tolma
  • Cheryl B. Aspy
  • Sharon Rodine
Article

Abstract

Objective This study explored associations between nine youth assets and tobacco, alcohol and other drug non-use among participating American Indian adolescents. Methods Data from 134 American Indians, ages 13–19 years, participating in an inner-city youth asset study, were analyzed. Individual logistic regression analyses were conducted, controlling for demographic variables, with nine youth assets as the independent variables and alcohol, tobacco and other drug non-use as the dependent variables. Results Among American Indian youth, nearly 79% reported not using alcohol in the past 30 days. The prevalence of tobacco non-use was somewhat lower than that of alcohol, with 71% reporting not using tobacco in the past 30 days. For other drug non-use, 87% reported not using other drugs in the past 30 days. The non-parental adult role models asset was significantly associated with non-use of alcohol (OR = 4.4, 95% CI 1.5–13.3), tobacco (OR = 7.5, 95% CI 2.2–25.6), and other drugs (OR = 5.0, 95% CI 1.5–16.8). The use of time (religion) asset was also significantly associated with alcohol non-use (OR = 2.8, 95% CI 1.1–7.2). The family communication asset was associated only with other drug non-use (OR = 3.1, 95% CI 1.02–9.4). For tobacco non-use, an interaction was observed between family structure and the good health practices (exercise/nutrition) asset. Among youth in single-parent households, the odds of tobacco non-use were 4.4 times greater among those who possessed the good health practices (exercise/nutrition) asset. Conclusions Despite the relatively small sample size of American Indian youth, these results suggest an important role for specific youth assets in the prevention of substance abuse among American Indian youth.

Keywords

American Indian youth Youth assets Substance abuse 

References

  1. 1.
    Hawkins, E. H., Cummins, L. H., & Marlatt, G. A. (2004). Preventing substance abuse in American Indian and Alaska Native youth: Promising strategies for healthier communities. Psychological Bulletin, 130(2), 304–323.PubMedCrossRefGoogle Scholar
  2. 2.
    Substance Abuse, Mental Health Services Administration. (2004). Results from the 2003 National Survey on Drug Use and Health: National Findings (Office of Applied Studies, NSDUH Series H–25, DHHS Publication No. SMA 04–3964). Rockville, MD.Google Scholar
  3. 3.
    Wallace, J. M., Jr., Bachman, J. G., O’Malley, P. M., Johnston, L. D., & Cooper, S. M. (2002). Tobacco, alcohol, and illicit drug use: Racial and ethnic differences among US high school seniors, 1976–2000. Public Health Reports, 117(Suppl. 1), S67–S75.PubMedGoogle Scholar
  4. 4.
    Eichner, J. E., Cravatt, K., Beebe, L. A., Blevins, K., Stoddart, M. L., Yeh, F., Lee, E. T., & Rhoades, E. R. (2005). Tobacco use among American Indians in Oklahoma: An epidemiologic view. Public Health Reports, 120, 192–199.PubMedGoogle Scholar
  5. 5.
    Centers for Disease Control, Prevention. (2003). Tobacco, alcohol, and other drug use among high school students in Bureau of Indian Affair-funded schools, United States, 2001. MMWR, 52(44), 1070–1072.Google Scholar
  6. 6.
    Beauvais, F. (1996). Trends in drug use among American Indian students and dropouts, 1975–1994. American Journal of Public Health, 8, 1596–1598.Google Scholar
  7. 7.
    Harris, K. M., Gordon-Larsen, P., Chantala, K., & Udry, J. R. (2006). Longitudinal trends in race/ethnic disparities in leading health indicators from adolescence to young adulthood. Archives of Pediatric and Adolescent Medicine, 160, 74–81.CrossRefGoogle Scholar
  8. 8.
    O’Connell, J., Novins, D. K., Beals, J., Croy, C., Baron, A. E., Spicer, P., & Buchwald, D. (2006). American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project Team. The relationship between patterns of alcohol use and mental and physical health disorders in two American Indian populations. Addiction, 101(1), 69–83.PubMedCrossRefGoogle Scholar
  9. 9.
    Denny, C. H., Holtzman, D., Goins, R. T., & Croft, J. B. (2005). Disparities in chronic disease risk factors and health status between American Indian/Alaska Native and White elders: Findings from a telephone survey, 2001 and 2002. American Journal of Public Health, 95(5), 825–827.PubMedCrossRefGoogle Scholar
  10. 10.
    Centers for Disease Control, Prevention. (2003). Injury mortality among American Indian and Alaska Native children and youth–United States, 1989–1998. MMWR, 52(30), 697–701.Google Scholar
  11. 11.
    Unger, J. B., Soto, C., & Baezconde-Garbanati, L. (2006). Perceptions of ceremonial and nonceremonial uses of tobacco by American Indian adolescents in California. Journal of Adolescent Health, 38(4), 443.e9–443.e16.CrossRefGoogle Scholar
  12. 12.
    Thurman, P. J., & Green, V. A. (1997). American Indian inhalant use. American Indian and Alaska Native Mental Health Research, 8, 24–40.PubMedGoogle Scholar
  13. 13.
    Petoskey, E. L., Van Stelle, K. R., & De Jong, J. A. (1998). Prevention through empowerment in a Native American community. Drugs and Society, 12, 147–162.CrossRefGoogle Scholar
  14. 14.
    LeMaster, P. L., Connell, C. M., Mitchell, C. M., & Manson, S. M. (2002). Tobacco use among American Indian adolescents: Protective and risk factors. Journal of Adolescent Health, 30(6), 426–430.PubMedCrossRefGoogle Scholar
  15. 15.
    Oman, R. F., Vesely, S., Aspy, C. B., McLeroy, K. R., Rodine, S., & Marshall, L. (2004). The potential protective effect of youth assets on adolescent alcohol and drug use. American Journal of Public Health, 94(8), 1425–1430.PubMedCrossRefGoogle Scholar
  16. 16.
    Yu, M. S., Stiffman, A. R., & Freedenthal S. (2005). Factors affecting American Indian adolescent tobacco use. Addictive Behaviors, 30, 889–904.PubMedCrossRefGoogle Scholar
  17. 17.
    Waller, M. A., Okamoto, S. K., Miles, B. W., & Hurdle, D. E. (2003). Resiliency factors related to substance use/resistance: Perceptions of native adolescents of the Southwest. Journal of Sociology and Social Welfare, 30(4), 79–94.Google Scholar
  18. 18.
    Oman, R. F., Vesely, S. K., McLeroy, K. R., et al. (2002). Reliability and validity of the Youth Asset Survey (YAS). Journal of Adolescent Health, 31(3), 247–255.PubMedCrossRefGoogle Scholar
  19. 19.
    The American Association for Public Opinion Research. (2004). Standard definitions: Final dispositions of case codes and outcome rates for surveys (3rd ed.). Lenexa, Kansas: AAPOR.Google Scholar
  20. 20.
    Brindis, C., Peterson, L. J., Card, J. J., et al. (1998). Prevention minimum evaluation data set (PMEDS): A minimum data set for evaluating programs aimed at preventing adolescent pregnancy and STD/AIDS. Los Altos, CA: Sociometrics Corporation.Google Scholar
  21. 21.
    LaFromboise, T. D., & Low, K. G. (1998). American Indian children and adolescents. In J. T. Gibbs & L. N. Huang (Eds.), Children of color: Psychological interventions with minority youth (2nd ed., pp. 112–142). San Francisco: Jossey Bass.Google Scholar
  22. 22.
    Oman, R. F., Vesely, S. K., Aspy, C. B., Tolma, E., Rodine, S., Marshall, L., & Fluhr, J. (2006). Youth assets and sexual abstinence in Native American youth. Journal of Health Care for the Poor and Underserved, 17(4), 775–788.PubMedCrossRefGoogle Scholar
  23. 23.
    Newcomb, M. D., Maddahian, E., Skager, R., & Bentler, P. M. (1987). Substance abuse and psychosocial risk factors among teenagers: Associations with sex, age, ethnicity, and type of school. American Journal of Drug and Alcohol Abuse, 13(4), 413–433.PubMedCrossRefGoogle Scholar
  24. 24.
    Viner, R. M., Haines, M. M., Head, J. A., Bhui, K., Taylor, S., Stansfeld, S. A., Hillier, S., & Booy, R. (2006). Variations in associations of health risk behaviors among ethnic minority early adolescents. Journal of Adolescent Health, 38(1), 55.PubMedCrossRefGoogle Scholar
  25. 25.
    HeavyRunner, I., & Morris, J. S. (1997). Traditional native culture and resilience. Research Practice, 5(1). Minneapolis: University of Minnesota. Center for Applied Research and Educational Improvement (CAREI), College of Education and Human Development. 1997; Retrieved from http://www.coled.umn.edu/carei/Reports/Rpractice/Spring97/traditional.htm.
  26. 26.
    Harris, E., & McFarland, J. (2000). The assessment of culture as a protective factor among Native Americans: The Survey of Nez Perce Culture.Google Scholar
  27. 27.
    Klassen, H. M. (1996). The development of resiliency in American Indian adolescents (Native Americans). Harvard University. Dissertation Abstracts International. 57(7-A):5827.Google Scholar
  28. 28.
    Montgomery, D., Miville, M. L., Winterowd, C., Jeffries, B., & Baysden, M. F. (2000). American Indian college student: An exploration into resiliency factors revealed through personal stories. Cultural Diversity and Ethnic Minority Psychology, 6(4), 387–398.PubMedGoogle Scholar
  29. 29.
    Ness, J. K. E. (2001). American Indian completers and noncompleters in a tribal and community college in northern Minnesota. Doctoral dissertation. Minneapolis: University of Minnesota.Google Scholar
  30. 30.
    Griffin, K. W., Botvin, G. J., Scheier, L. M., Diaz T, & Miller, N. L. (2000). Parenting practices as predictors of substance use, delinquency, and aggression among urban minority youth: Moderating effects of family structure and gender. Psychology of Addictive Behaviors, 14(2), 174–184.PubMedCrossRefGoogle Scholar
  31. 31.
    Sanders, M. R. (2000). Community-based parenting and family support interventions and the prevention of drug abuse. Addictive Behaviors, 25, 929–942.PubMedCrossRefGoogle Scholar
  32. 32.
    Swaim, R. C., Oetting, E. R., Thurman, P. J., F B, & Edwards, R. W. (1993). American Indian adolescent drug use and socialization characteristics. Journal of Cross-Cultural Psychology, 24(1), 53–70.Google Scholar
  33. 33.
    Living arrangements of children under 18 years old: 1960 to present. United States Census Bureau, Department of Commerce, Economics, and Statistics Administration 2003: Washington, DC.Google Scholar
  34. 34.
    Family Structure. Child Trends, Inc. 2002: Washington, DC, p. 1–9.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Laura A. Beebe
    • 1
  • Sara K. Vesely
    • 1
  • Roy F. Oman
    • 2
  • Eleni Tolma
    • 2
  • Cheryl B. Aspy
    • 3
  • Sharon Rodine
    • 4
  1. 1.Department of Biostatistics and Epidemiology, College of Public HealthUniversity of Oklahoma Health Sciences CenterOklahoma CityUSA
  2. 2.Department of Health Promotion Sciences, College of Public HealthUniversity of Oklahoma Health Sciences CenterOklahoma CityUSA
  3. 3.Department of Family and Preventive Medicine, College of MedicineUniversity of Oklahoma Health Sciences CenterOklahoma CityUSA
  4. 4.Oklahoma Institute for Child AdvocacyOklahoma CityUSA

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