Exploring binge drinking and drug use among American Indians

Data from adolescent focus groups

Lauren Tingey*, Mary Cwik, Novalene Goklish, Melanie Alchesay, Angelita Lee, Rachel Strom, Rosemarie Suttle, John Walkup, Allison Barlow

*Corresponding author for this work

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Risk factors for binge substance use and non-suicidal self-injury (NSSI) are similar, suggesting the importance of exploring how binge substance use and self-injury interrelate. Objectives: To gain insight from a sample of American Indian (AI) adolescents regarding how binge drinking and drug use function in their lives, including as overlapping forms of self-injury, and to identify community-based ideas for dual prevention strategies. Methods: A total of N 58 White Mountain Apache (Apache) adolescents participated in ten mixed gender (n 33 males, 55.9) focus group discussions. Results were interpreted and categorized by Apache researchers and compared to Nock's behavioral model of NSSI. Results: Participants reported substance use most commonly with "family" and "friends," "at a house," or "around the community." Substance use was not confined to a particular time of day, and often occurred "at school." Commonly endorsed reasons fell into two main categories: "to avoid problems" or "to reduce negative feelings," versus "to be cool" or "to feel part of a group." All adolescents but one thought that some youths use substances excessively as a way to harm/injure themselves (n 25 responses). Prevention approaches included encouraging healthy relationships, teaching about consequences of use, providing alternative recreation, and changing/enforcing laws on the reservation. Conclusion: Tribal-specific data support the idea that binge substance use sometimes functions as a form of self-injury. Home/school environments are critical prevention settings, in addition to improved law enforcement and increased recreation. Scientific Significance: Understanding possible shared root causes and functions of binge substance use and self-injury may advance integrated prevention approaches.

Original languageEnglish (US)
Pages (from-to)409-415
Number of pages7
JournalAmerican Journal of Drug and Alcohol Abuse
Volume38
Issue number5
DOIs
StatePublished - Sep 1 2012

Fingerprint

Binge Drinking
North American Indians
Focus Groups
Wounds and Injuries
Pharmaceutical Preparations
Recreation
Law Enforcement
Teaching
Emotions
Research Personnel

Keywords

  • American Indian
  • Binge substance use
  • Non-suicidal self-injury
  • Qualitative research

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Tingey, Lauren ; Cwik, Mary ; Goklish, Novalene ; Alchesay, Melanie ; Lee, Angelita ; Strom, Rachel ; Suttle, Rosemarie ; Walkup, John ; Barlow, Allison. / Exploring binge drinking and drug use among American Indians : Data from adolescent focus groups. In: American Journal of Drug and Alcohol Abuse. 2012 ; Vol. 38, No. 5. pp. 409-415.
@article{f7661ba7d6ec4522b443edfc156ae346,
title = "Exploring binge drinking and drug use among American Indians: Data from adolescent focus groups",
abstract = "Background: Risk factors for binge substance use and non-suicidal self-injury (NSSI) are similar, suggesting the importance of exploring how binge substance use and self-injury interrelate. Objectives: To gain insight from a sample of American Indian (AI) adolescents regarding how binge drinking and drug use function in their lives, including as overlapping forms of self-injury, and to identify community-based ideas for dual prevention strategies. Methods: A total of N 58 White Mountain Apache (Apache) adolescents participated in ten mixed gender (n 33 males, 55.9) focus group discussions. Results were interpreted and categorized by Apache researchers and compared to Nock's behavioral model of NSSI. Results: Participants reported substance use most commonly with {"}family{"} and {"}friends,{"} {"}at a house,{"} or {"}around the community.{"} Substance use was not confined to a particular time of day, and often occurred {"}at school.{"} Commonly endorsed reasons fell into two main categories: {"}to avoid problems{"} or {"}to reduce negative feelings,{"} versus {"}to be cool{"} or {"}to feel part of a group.{"} All adolescents but one thought that some youths use substances excessively as a way to harm/injure themselves (n 25 responses). Prevention approaches included encouraging healthy relationships, teaching about consequences of use, providing alternative recreation, and changing/enforcing laws on the reservation. Conclusion: Tribal-specific data support the idea that binge substance use sometimes functions as a form of self-injury. Home/school environments are critical prevention settings, in addition to improved law enforcement and increased recreation. Scientific Significance: Understanding possible shared root causes and functions of binge substance use and self-injury may advance integrated prevention approaches.",
keywords = "American Indian, Binge substance use, Non-suicidal self-injury, Qualitative research",
author = "Lauren Tingey and Mary Cwik and Novalene Goklish and Melanie Alchesay and Angelita Lee and Rachel Strom and Rosemarie Suttle and John Walkup and Allison Barlow",
year = "2012",
month = "9",
day = "1",
doi = "10.3109/00952990.2012.705204",
language = "English (US)",
volume = "38",
pages = "409--415",
journal = "American Journal of Drug and Alcohol Abuse",
issn = "0095-2990",
publisher = "Informa Healthcare",
number = "5",

}

Exploring binge drinking and drug use among American Indians : Data from adolescent focus groups. / Tingey, Lauren; Cwik, Mary; Goklish, Novalene; Alchesay, Melanie; Lee, Angelita; Strom, Rachel; Suttle, Rosemarie; Walkup, John; Barlow, Allison.

In: American Journal of Drug and Alcohol Abuse, Vol. 38, No. 5, 01.09.2012, p. 409-415.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Exploring binge drinking and drug use among American Indians

T2 - Data from adolescent focus groups

AU - Tingey, Lauren

AU - Cwik, Mary

AU - Goklish, Novalene

AU - Alchesay, Melanie

AU - Lee, Angelita

AU - Strom, Rachel

AU - Suttle, Rosemarie

AU - Walkup, John

AU - Barlow, Allison

PY - 2012/9/1

Y1 - 2012/9/1

N2 - Background: Risk factors for binge substance use and non-suicidal self-injury (NSSI) are similar, suggesting the importance of exploring how binge substance use and self-injury interrelate. Objectives: To gain insight from a sample of American Indian (AI) adolescents regarding how binge drinking and drug use function in their lives, including as overlapping forms of self-injury, and to identify community-based ideas for dual prevention strategies. Methods: A total of N 58 White Mountain Apache (Apache) adolescents participated in ten mixed gender (n 33 males, 55.9) focus group discussions. Results were interpreted and categorized by Apache researchers and compared to Nock's behavioral model of NSSI. Results: Participants reported substance use most commonly with "family" and "friends," "at a house," or "around the community." Substance use was not confined to a particular time of day, and often occurred "at school." Commonly endorsed reasons fell into two main categories: "to avoid problems" or "to reduce negative feelings," versus "to be cool" or "to feel part of a group." All adolescents but one thought that some youths use substances excessively as a way to harm/injure themselves (n 25 responses). Prevention approaches included encouraging healthy relationships, teaching about consequences of use, providing alternative recreation, and changing/enforcing laws on the reservation. Conclusion: Tribal-specific data support the idea that binge substance use sometimes functions as a form of self-injury. Home/school environments are critical prevention settings, in addition to improved law enforcement and increased recreation. Scientific Significance: Understanding possible shared root causes and functions of binge substance use and self-injury may advance integrated prevention approaches.

AB - Background: Risk factors for binge substance use and non-suicidal self-injury (NSSI) are similar, suggesting the importance of exploring how binge substance use and self-injury interrelate. Objectives: To gain insight from a sample of American Indian (AI) adolescents regarding how binge drinking and drug use function in their lives, including as overlapping forms of self-injury, and to identify community-based ideas for dual prevention strategies. Methods: A total of N 58 White Mountain Apache (Apache) adolescents participated in ten mixed gender (n 33 males, 55.9) focus group discussions. Results were interpreted and categorized by Apache researchers and compared to Nock's behavioral model of NSSI. Results: Participants reported substance use most commonly with "family" and "friends," "at a house," or "around the community." Substance use was not confined to a particular time of day, and often occurred "at school." Commonly endorsed reasons fell into two main categories: "to avoid problems" or "to reduce negative feelings," versus "to be cool" or "to feel part of a group." All adolescents but one thought that some youths use substances excessively as a way to harm/injure themselves (n 25 responses). Prevention approaches included encouraging healthy relationships, teaching about consequences of use, providing alternative recreation, and changing/enforcing laws on the reservation. Conclusion: Tribal-specific data support the idea that binge substance use sometimes functions as a form of self-injury. Home/school environments are critical prevention settings, in addition to improved law enforcement and increased recreation. Scientific Significance: Understanding possible shared root causes and functions of binge substance use and self-injury may advance integrated prevention approaches.

KW - American Indian

KW - Binge substance use

KW - Non-suicidal self-injury

KW - Qualitative research

UR - http://www.scopus.com/inward/record.url?scp=84865642027&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84865642027&partnerID=8YFLogxK

U2 - 10.3109/00952990.2012.705204

DO - 10.3109/00952990.2012.705204

M3 - Article

VL - 38

SP - 409

EP - 415

JO - American Journal of Drug and Alcohol Abuse

JF - American Journal of Drug and Alcohol Abuse

SN - 0095-2990

IS - 5

ER -