Radin Sandra M, Kutz Stephen H, LaMarr June, Vendiola Diane, Vendiola Michael, Wilbur Brian, Thomas Lisa Rey, Donovan Dennis M
a Alcohol and Drug Abuse Institute, University of Washington , Seattle , Washington.
J Ethn Subst Abuse. 2015;14(1):29-58. doi: 10.1080/15332640.2014.947459. Epub 2015 Jan 3.
Community-university teams investigated substance use, abuse, and dependence (SUAD) and related concerns, needs, strengths, and resources in four Washington State Tribal communities. A total of 153 key community members shared their perspectives through 43 semi-structured interviews and 19 semi-structured focus groups. Qualitative data analysis revealed robust themes: prescription medications and alcohol were perceived as most prevalent and concerning; family and peer influences and emotional distress were prominent perceived risk factors; and SUAD intervention resources varied across communities. Findings may guide future research and the development of much needed strength-based, culturally appropriate, and effective SUAD interventions for American Indians, Alaska Natives, and their communities.
社区-大学团队对华盛顿州四个部落社区的药物使用、滥用和依赖(SUAD)以及相关问题、需求、优势和资源进行了调查。共有153名关键社区成员通过43次半结构化访谈和19次半结构化焦点小组分享了他们的观点。定性数据分析揭示了一些有力的主题:处方药和酒精被认为是最普遍且令人担忧的;家庭和同伴影响以及情绪困扰是显著的感知风险因素;并且SUAD干预资源在不同社区有所不同。研究结果可能会为未来的研究以及为美国印第安人、阿拉斯加原住民及其社区开发急需的基于优势、符合文化特点且有效的SUAD干预措施提供指导。