Walker R D, Lambert M D, Walker P S, Kivlahan D R, Donovan D M, Howard M O
Department of Psychiatry and Behavioral Sciences, University of Washington, School of Medicine, Seattle 98195, USA.
Am Indian Alsk Nativ Ment Health Res (1987). 1996;7(1):1-47; discussion 48-97. doi: 10.5820/aian.0701.1996.1.
Empirical studies of American Indian health and mental health have focused primarily on reservation samples or small cross-sectional school-based or treatment samples. Few studies have addressed these issues among urban American Indian populations. This paper introduces an ongoing ten-year prospective longitudinal study of alcohol abuse, drug abuse, and mental health status in a community sample of urban American Indian adolescents and women. The study uses structured interviews and diagnostic assessments to identify risk factors for, and measure prevalence of, alcohol abuse, drug abuse, and psychopathology in 523 Indian youth and 276 Indian women. Study aims, rationale, research design, methods, sample characteristics, assessment instruments, and substance use prevalence are described, and methodological issues related to conducting longitudinal research are discussed.
对美国印第安人健康与心理健康的实证研究主要集中在保留地样本或小型的基于学校的横断面样本或治疗样本上。很少有研究涉及美国印第安城市人口中的这些问题。本文介绍了一项正在进行的为期十年的前瞻性纵向研究，该研究针对美国印第安城市青少年和女性社区样本中的酒精滥用、药物滥用及心理健康状况展开。该研究采用结构化访谈和诊断评估来确定523名印第安青年和276名印第安女性中酒精滥用、药物滥用及精神病理学的风险因素，并测量其患病率。文中描述了研究目的、基本原理、研究设计、方法、样本特征、评估工具及物质使用患病率，并讨论了与进行纵向研究相关的方法学问题。
