Alcohol use and related consequences for monoracial and multiracial Native American/American Indian college students.

Native American/American Indian (NA/AI) and Multiracial people (those who claim multiple racial identities) report notably high alcohol use compared to other racial groups in the United States. Nearly half of the NA/AI population is also Multiracial, yet NA/AI and Multiracial college students report different motivations for drinking alcohol. Therefore, it remains unclear if NA/AI individuals who are also Multiracial are at different risk for alcohol use and negative alcohol-related consequences, and if there are distinct patterns of risk factors in these understudied populations. Because college-aged students are at risk for high levels of alcohol use, this exploratory study used the AlcoholEdu for College™ survey to compare the association between initial drinking age, college location (urban vs. rural), and alcohol use motivations and consequences between monoracial NA/AI (N = 2,363) and Multiracial NA/AI college-aged students (N = 6,172). Monoracial NA/AI students reported higher incidences of alcohol use and alcohol-related problems such as blacking out and missing class, compared to Multiracial NA/AI students. Risk factors like earlier age of drinking onset were more strongly associated with negative consequences for monoracial NA/AI students compared to Multiracial NA/AI students. Despite similar levels of Internal Coping motivations for drinking (e.g., to feel more confident or sure of yourself), monoracial NA/AI students reported drinking more than Multiracial students and experienced more negative drinking-related outcomes. These results suggest Multiracial NA/AI students may draw on protective factors not accessible to monoracial NA/AI students, highlighting the need for interventions tailored to students at highest risk. (PsycInfo Database Record (c) 2021 APA, all rights reserved).