Department of Psychology, Tri-Ethnic Center for Prevention Research, Colorado State University, Fort Collins, Colorado, USA.
Department of Marketing, Colorado State University, Fort Collins, Colorado, USA.
J Community Psychol. 2021 Sep;49(7):2316-2329. doi: 10.1002/jcop.22672. Epub 2021 Jul 17.
Be Under Your Own Influence (BUYOI) is a previously validated school-based intervention designed to delay adolescent substance use (SU) initiation. This study examined the effectiveness of a culturally-adapted version of BUYOI in delaying SU initiation among reservation-dwelling American Indian (AI) youth. Five reservation-based middle schools participated. Three schools were randomly assigned to receive BUYOI-AI (N = 321), and two schools served as controls (N = 176). Beginning in 7th grade, all participating students completed four assessments over the study period. Discrete time hazard models estimated the effects of BUYOI on students' risk of initiating alcohol, alcohol intoxication and marijuana before the end of 8th grade. AI students exposed to BUYOI had a lower risk of initiating alcohol use or intoxication, though sex moderated the effect on intoxication. These findings provide preliminary support for the effectiveness of a culturally-adapted version of BUYOI in delaying AI youth's first-time alcohol use and intoxication.
自我影响（BUYOI）是一种先前经过验证的基于学校的干预措施，旨在延缓青少年物质使用（SU）的开始。本研究检验了一种文化适应的 BUYOI 版本在延缓美国印第安人（AI）青年保留地居民物质使用开始方面的有效性。五所保留地中学参与了该研究。三所学校被随机分配接受 BUYOI-AI（N=321），两所学校作为对照组（N=176）。从 7 年级开始，所有参与的学生在研究期间完成了四次评估。离散时间风险模型估计了 BUYOI 对学生在 8 年级结束前开始使用酒精、酒精中毒和大麻的风险的影响。接受 BUYOI 的 AI 学生开始使用酒精或中毒的风险较低，尽管性别对中毒的影响有调节作用。这些发现初步支持了文化适应的 BUYOI 版本在延缓 AI 青少年首次使用酒精和中毒方面的有效性。
