Prevention of Underage Drinking on California Indian Reservations Using Individual- and Community-Level Approaches

• DOI: 10.2105/ajph.2018.304447
• Publication Date: 2018-06-21T20:02:52Z
• Authors: Roland S. Moore; David A. Gilder; Joel W. Grube; Juliet P. Lee; Jennifer A. Geisler; Bettina Friese; Daniel J. Calac; Laura J. Finan; Cindy L. Ehlers
• Keywords: Motivational Interviewing

To evaluate combined individual- and community-level interventions to reduce underage drinking by American Indian/Alaska Native (AI/AN) youths on rural California Indian reservations.Individual-level included brief motivational interviewing psychoeducation for Tribal youths. Community-level community mobilization awareness activities, as well restricting alcohol sales minors. test effects, we compared 7 waves of Healthy Kids Survey data (2002-2015) 9th- 11th-grade AI/AN non-AI/AN students in intervention area schools with outside the (n = 617, n 33 469, 976, respectively).Pre- postintervention mean past 30-day frequency declined among current drinkers group (8.4-6.3 days) relative comparison groups. Similarly, heavy episodic (7.0-4.8 versus groups.This study documented significant, sustained or reductions reservation communities exposed multilevel interventions. Public Health Implications. Multilevel community-partnered can effectively use this population.