Department of Preventive Medicine, University of Southern California Keck School of Medicine, Los Angeles, California.
UCLA Integrated Substance Abuse Programs, Los Angeles, California.
J Stud Alcohol Drugs. 2022 Jul;83(4):613-620. doi: 10.15288/jsad.2022.83.613.
American Indian and Alaska Native (AIAN) communities have been severely affected by the opioid epidemic, resulting in high opioid overdose death rates and disrupted community life. An added complexity is the diversity of AIAN communities throughout California, with regional differences, resources, infrastructure, and economic opportunities. This study examined the perspective of 163 AIANs in California to assess culturally based or traditional healing treatment modalities to treat opioid/substance use disorder.
A total of 21 adult focus groups were conducted throughout 10 counties in California reaching 20 urban and tribal communities. Eight of these focus groups were conducted in recovery centers and 13 focus groups were conducted in tribal and urban organizations. Interviews were transcribed and coded using NVivo software utilizing an iterative coding approach with a priori domains.
Participants emphasized building a sense of belonging, connecting with their culture, and having awareness of substance use disorder and treatment as protective factors.
Findings indicate that medications for opioid use disorder programs serving AIAN communities should include cultural components that resonate with urban and tribal communities.
美国印第安人和阿拉斯加原住民（AIAN）社区深受阿片类药物流行的影响，导致阿片类药物过量死亡率高，并扰乱了社区生活。一个额外的复杂情况是加利福尼亚州 AIAN 社区的多样性，包括地区差异、资源、基础设施和经济机会。本研究调查了加利福尼亚州 163 名 AIAN 的观点，以评估基于文化或传统的治疗方式来治疗阿片类药物/物质使用障碍。
在加利福尼亚州的 10 个县共进行了 21 个成人焦点小组，覆盖了 20 个城市和部落社区。其中 8 个焦点小组在康复中心进行，13 个焦点小组在部落和城市组织中进行。访谈使用 NVivo 软件进行转录和编码，采用具有先验域的迭代编码方法。
参与者强调了归属感、与自己的文化联系以及对物质使用障碍和治疗的认识作为保护因素的重要性。
研究结果表明，为 AIAN 社区服务的阿片类药物使用障碍治疗计划应包括与城市和部落社区产生共鸣的文化内容。
