This exploratory, qualitative study examined risk and protective factors influencing drug alcohol use and/or resistance of Native youth in the Southwest. Thirty-two middle school students participated 10 focus groups that explored their experiences with drugs reservation communities. The findings indicate a complex interaction both related to substance use. Respondents' cousins siblings, particular, played key role decisions or resist drugs. Implications for social work practice are discussed.

This study reports on the drug use outcomes in an efficacy trial of a culturally grounded, school-based, substance abuse prevention curriculum rural Hawai'i. The (Ho'ouna Pono) was developed through series pre-prevention and pilot/feasibility studies funded by National Institute Drug Abuse, focuses relevant resistance skills training. present used dynamic wait-listed control group design (Brown, Wyman, Guo, & Pena, 2006), which cohorts middle/intermediate public schools Hawai'i Island were...

This pilot study evaluated the Ho'ouna Pono curriculum, which is a culturally grounded, school-based, drug prevention curriculum tailored to rural Native Hawaiian youth. The focuses on relevant resistance skills training and aligned with State of Hawai'i academic standards. Six Island public middle/intermediate schools randomly assigned intervention or treatment-as-usual comparison conditions (N = 213) were in this study. Paired sample t-tests separating groups conducted, as well mixed...

Abstract Purpose of Review This study aimed to describe the current state science on Asian American (AA) and Native Hawaiian/Pacific Islander (NH/PI) substance use, covering extant research treatment knowledge gaps. Recent Findings Despite literature gaps, epidemiological studies revealed sizable population-level differences between AAs, who have among lowest rates US NH/PIs, highest. Targeted identified key challenges affecting NH/PI communities some AA subgroups, particularly for alcohol,...

Abstract This ar ti cle ex am ines the prev a lence of fe male ju venue delinquency and reviews literature from sociological practiceperspective. Specifically, we focus attention on girls' ag gres sion vi o gue that close anal y sis data indicates changes in arrests girls for certain violent offenses re fleet com plex po lie ing (in clud rest mi nor forms fam ily lence) rather than ac tual be hav ior. Fol lowing this review, consider more traditional themes girls'delinquency: sta tus...

In this exploratory study the authors examined social contexts of American Indian youths' encounters with drug offers and their relationship to substance use. Using an inventory use-related problem situations developed specifically for youth, questionnaires were completed by 71 youth at public middle schools in a Southwest metropolitan area. Regression analyses highlight importance situational relational understanding use among sample. Exposure through parents, other adults, cousins, friends...

This study examined the risk for alcoholism, diabetes, and depression (triADD) in American Indian/Alaska Native (AI/AN) populations U.S. Using Behavioral Risk Factor Surveillance System, a series of descriptive statistics regression models were used to examine interrelationships among these disorders AI/AN populations. Despite small sample size, results indicate that AI/ANs are at elevated individual combined presence triADD (OR=12.5) when compared White population. These findings need...

This exploratory, qualitative study examined the community-based risk and resiliency factors related to drug use of rural Native Hawaiian youth. Forty-seven youth from five middle schools participated in focus groups that ecological context for Findings indicated were part large extended networks families these became a defining characteristic communities study. These familial functioned as sources protection participants. Implications practice are discussed.

This study describes the development and preliminary validation of a survey focused on most salient situations where drugs and/or alcohol are offered to Native Hawaiian youth in rural communities.The used five-phase approach test validation. In Phase 1 (item generation), items were created from series focus groups with middle school aged (n = 47). 2 refinement selection), edited reduced 62 drug-offer that selected for inclusion survey. 3 reduction), administered 249 seven or intermediate...

Abstract Introduction Before COVID‐19, Native Hawaiians/Pacific Islanders (NH/PI) endured a heavy burden of alcohol, tobacco and other drug (ATOD) use in prior US data. Responding to reports that many NH/PI communities experienced severe COVID‐19 disparities could exacerbate their ATOD burden, we partnered with assess the substance patterns treatment needs diverse NH/PIs during COVID‐19. Methods Collaborating community organisations across five states large populations, conducted large‐scale...

Abstract Epidemiological research over the past two decades has highlighted substance use disparities that affect Native Hawaiian and Pacific Islander youth, lack of effective approaches to address such (Okamoto et al. in Asian American Journal Psychology 10(3):239–248, 2019). The Ho‘ouna Pono curriculum is a culturally grounded, teacher-implemented, video-enhanced prevention program demonstrated efficacy rural Hawaiʻi large-scale trial Despite its potential ameliorate health youth use,...

Abstract: This study examined the e-cigarette and vaping resistance strategies used by Native Hawaiian Pacific Islander (NHPI) youths in rural Hawai'i. Focus groups ( N = 17) were conducted eight geographically dispersed elementary, middle/intermediate, multilevel schools low-income communities on Hawai'i Island. Sixty-nine (67% NHPI, Mage 12.5 years) participated this study. The discussed across greatest number of "refuse" (saying no), "explain" (providing reasons for refusal), "avoid"...

ABSTRACT Extensive research has focused on risk factors for and social influences alcohol drug use by adolescents. While peers tend to be most the influential, parents families are also important, with specific parental behaviors particular family dynamics identified in literature as having a protective or effect youth. However, this line of not examined differences influence youth various ethnic cultural backgrounds. This qualitative study American Indian adolescents both positive negative...

This paper describes a prevention study focused on the drug use scenarios encountered by Native Hawaiian youth. Priorities from communities Big Island of Hawai;i helped to shape qualitative data collection and analysis middle school students participating in study.Forty-seven youth five different schools were interviewed small, gender-specific focus groups during lunch hour or after school.The findings indicated that exposed offers direct-relational indirect-contextual nature....

SUMMARY This study examined neighborhood effects on the drug use of American Indian youth Southwest. We compared these with and non-American in order to examine universality disorganization as a risk factor for use. Neighborhood level variables included unemployment, poverty, education, violent crime rate. Results indicated that were not adversely affected by factors. may possess cultural characteristics protect them from adverse disorganization, including close familial relationships ethnic...

This paper examines the differences in drug offers and recent use between Hawaiian non-Hawaiian youth residing rural communities, relationship of these communities. Two hundred forty nine (194 youth) from 7 different middle or intermediate schools completed a survey focused on social context offers. study received significantly more peers family, had higher rates alcohol marijuana use, compared with youth. Logistic regression analysis indicated that differentially influenced youth, family...