American Indian and Alaska Native Mental Health Research最新文献

{"title":"Adverse Childhood Experiences and Indigenous Identity: Testing for Aggregation Fallacy in the Multiracial Category.","authors":"Tracy Lam-Hine, Corinne A Riddell, Patrick T Bradshaw, Michael Omi, Amani M Nuru-Jeter","doi":"10.5820/aian.3204.2026.1","DOIUrl":"10.5820/aian.3204.2026.1","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) predict poor adulthood health. ACEs are most common among American Indian/Alaska Native (AI/AN) and Multiracial groups, two groups that overlap substantially in population. We aimed to determine if the Multiracial population's high mean ACE score differs by those who do and do not identify as AI/AN. We analyzed Waves 1, 3, and 4 (1994-2009) of the National Longitudinal Study of Adolescent to Adult Health (N = 12,372), estimating race-specific mean ACE scores and component prevalence, and disaggregating the Multiracial group by AI/AN identity. We compared means and prevalence ratios using Bonferroni-corrected Tukey's honestly significant tests of differences. Mean scores on a 10-point scale were higher among AI/AN (mean = 3.21, 95% CI: 2.54, 3.97), Multiracial AI/AN (2.95, 95% CI: 2.71, 3.18), Multiracial non-AI/AN (2.88, 95% CI: 2.57, 3.19), and Black (2.84, 95% CI: 2.65, 3.02) groups than White (2.35, 95% CI: 2.26, 2.44) and Asian/Pacific Islander (2.32, 95% CI: 2.09, 2.54) groups. Tests of mean and prevalence differences between the AI/AN and two Multiracial groups were all insignificant. The Multiracial population's high mean ACE score does not differ by those that do and do not identify as AI/AN. ACEs prevention strategies should be tailored to meet the specific needs of groups at higher risk of exposure to improve health equity.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 4","pages":"1-30"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining Correlations of Historical Trauma and Ethnic Identity with Symptoms of Depression in American Indian/Alaska Native College Students","authors":"Nerissa Ann Dolney, Justin Douglas McDonald","doi":"10.5820/aian.3204.2026.83","DOIUrl":"10.5820/aian.3204.2026.83","url":null,"abstract":"<p><p>The purpose of this study was to gain an understanding of how historical trauma and one's degree of ethnic identity relate to symptoms of depression, due to controversy in the literature about such variables. Participants in this study self-identified as American Indian/Alaska Native (AI/AN), were over the age of 18, and were currently enrolled or had been previously enrolled at a university. Participants completed a survey online via Qualtrics to gather information about their ethnic identity, frequency of historical loss thinking, and symptoms of depression. Survey data was analyzed using multiple regressions, correlation analyses, mediation analyses, and follow-up t-tests. Historical loss thinking was found to be very prevalent among this sample, and this was found to contribute significantly to depressive symptoms in AI/AN college students. Various aspects of ethnic identity may contribute to an increase or decrease in historical loss thinking and subsequent depressive symptoms, and this has significant implications for clinicians working with AI/AN college students.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 4","pages":"83-107"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk and Protective Factors for Mental Health among American Indian, Alaska Native, and Native Hawaiian Older Adults in the United States.","authors":"Collette Adamsen, Miquela Ibrao, Yeonjung Jane Lee, Britteny M Howell, Vanessa Y Hiratsuka, Jordan P Lewis, Yan Yan Wu, Kathryn L Braun","doi":"10.5820/aian.3204.2026.31","DOIUrl":"10.5820/aian.3204.2026.31","url":null,"abstract":"<p><p>Despite histories of loss and discrimination, more American Indian, Alaska Native, and Native Hawaiian (AI/AN/NH) people are living into old age. Risk and protective factors for AI/AN/NH Elder mental health are poorly described. Data from the 2017-2020 Identifying Our Needs (ION): A Survey of Elders needs assessment of 19,143 AI/AN/NH Elders receiving nutrition, socialization, and caregiver-assistance services through Title VI of the Older Americans Act were analyzed. We hypothesized that (1) family, cultural, and social engagement are protective factors, (2) limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL) are risk factors for mental health status, and (3) status of grandparent caregiver is associated with lower mental health scores. As hypothesized, frequent engagement in traditional cultural activities was protective for mental health status. ADL/IADL limitations were the largest risk factor for poor mental health among AI/AN/NH Elders, while engagement in social activity was the strongest protective factor. Additionally, the status of a grandparent as a primary caregiver for their grandchildren was associated with poorer mental health. Indigenous-serving programs need expanded funding to support both cultural and personal/family services to the growing population of AI/AN/NH Elders in the United States.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 4","pages":"31-56"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13155387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engaging Urban American Indian/Alaska Native Emerging Adults in a Nationwide Substance Use Intervention Randomized Controlled Trial: A Story of Recruitment during the COVID-19 Pandemic.","authors":"Daniel L Dickerson, Mel Borstad, Ninna Gudgell, Keisha McDonald, Jennifer Parker, Paige Smith, Pierrce Holmes, Michael J Woodward, Carrier L Johnson, Elizabeth J D'Amico","doi":"10.5820/aian.3301.2026.65","DOIUrl":"10.5820/aian.3301.2026.65","url":null,"abstract":"<p><p>The majority of American Indian and Alaska Native (AI/AN) peoples reside in urban areas and experience significant health disparities relating to substance use. Nonetheless, very few randomized controlled trials (RCTs) have been conducted analyzing new substance use interventions for these populations, due, in part, to challenges with recruitment. This paper highlights recruitment strategies we employed from 2021-2023 in a study, Traditions, and Connections for Urban Native Americans (TACUNA), which analyzed the benefits of a new substance use intervention for urban AI/AN emerging adults (age 18 to 25). We navigated the COVID-19 pandemic by creating virtual platforms for the interventions used in our RCT and for our recruitment strategy. By utilizing algorithms identifying the interests of our recruitment audience and effective ad combinations on Facebook and Instagram, we were able to recruit 541 participants from 37 states. This study helps to identify recruitment strategies that may help to decrease health inequities as it relates to substance use research conducted among urban AI/AN peoples.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"33 1","pages":"65-89"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Drivers of Perceived PrEP Stigma among Indigenous People in the United States.","authors":"Monica M Desjardins, Jessica Leston, Erica N Browne, Sarah M Hatcher, Brigg Reilley, Ashley Hoover, Andrew Freeman, Matthew Bensen, Bob Henne, Sarah T Roberts","doi":"10.5820/aian.3301.2026.41","DOIUrl":"10.5820/aian.3301.2026.41","url":null,"abstract":"<p><p>Previous research has demonstrated that pre-exposure prophylaxis (PrEP) stigma serves as a common barrier to PrEP use across racial, ethnic, and sexual minority groups in the United States; however, there is a deficit in research focused on Indigenous populations. Therefore, the objective of this study was to identify drivers of PrEP stigma among Indigenous people. A cross-sectional survey was administered to examine PrEP knowledge, attitudes, and perceived barriers to use among Indigenous people in the United States, including PrEP stigma and the following hypothesized drivers: stigma towards drug use, 2SLGBTQ+ identity, and HIV; experienced discrimination; and medical mistrust. Participants reported that people in their communities associate PrEP use with drug use, 2SLGBTQ+ identities, living with HIV, and having multiple sexual partners. They also perceived high levels of stigma around these behaviors and identities in their communities and reported high levels of experienced discrimination and medical mistrust. Higher levels of each hypothesized driver were significantly associated with higher levels of perceived PrEP stigma among the respondents. The results generated from this study provide recommendations for interventions that aim to reduce the influence of these drivers on PrEP stigma.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"33 1","pages":"41-64"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Racial Disaggregation in Understanding AI/AN Adolescent Suicidal Behavior: Assessment of the Youth Risk Behavior Surveillance System.","authors":"Parker Smith, KayLeigh Noblin, Amy Hendrix-Dicken, Michael Dunlap, Micah Hartwell","doi":"10.5820/aian.3301.2026.1","DOIUrl":"10.5820/aian.3301.2026.1","url":null,"abstract":"<p><p>This study compared rates of suicidal ideation and suicide attempts among adolescents categorized as American Indian/Alaska Native (AI/AN) using the computed raceeth variable in the Youth Risk Behavior Surveillance System (YRBSS) to those identified through self-reported ethnoracial identity. We conducted a cross-sectional analysis of the 2021 YRBSS, examining rates of suicidal ideation and attempts using both the raceeth variable and self-reported ethnoracial combinations. Population-weighted percentages were calculated using survey design and sampling weights. Adolescents categorized as AI/AN (non-Hispanic) using the raceeth variable had population-weighted suicidal ideation and attempt rates of 27.3% and 21.85%, respectively. However, those self-reporting as AI/AN with multiple ethnoracial identities had significantly higher rates. Suicidal ideation was highest among AI/AN + White (Hispanic) at 42.3%, AI/AN + Black (non-Hispanic) at 33.3%, and AI/AN + Black + White (non-Hispanic) at 41.05%. Suicide attempts were highest for AI/AN + Black + White (non-Hispanic) at 43.6% and AI/AN + White (Hispanic) at 32.43%. The raceeth variable may exclude key AI/AN subgroups at elevated risk. Addressing disparities among multiracial AI/AN adolescents requires healthcare awareness and inclusive public health research methods.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"33 1","pages":"1-13"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Review and Meta-Analysis of Anxiety and Depression Among American Indian and Alaska Native Adolescents in the United States.","authors":"Phyllis Chan, Abdelrahman M Makram, Valentín Quiroz de la Sierra, Samantha Alvarez Madrazo, Nosha Assareh, Nick Jayanth, Mary Cwik","doi":"10.5820/aian.3301.2026.14","DOIUrl":"10.5820/aian.3301.2026.14","url":null,"abstract":"<p><p>American Indian and Alaska Native (AI/AN) adolescents experience considerable mental health disparities, yet research on the prevalence of anxiety and depression remains limited. The objectives of this study were to assess available depression and anxiety data among AI/AN adolescents in the literature and to estimate depression prevalence and mean scores. A systematic review of the Medline, Embase, and PsycINFO databases identified publications reporting on anxiety or depression in AI/AN adolescents aged 10-19. Gray literature was searched in ProQuest Dissertation and Theses to minimize publication bias. Meta-analyses using random-effects models in R estimated the aggregate prevalence and mean scores of depression. Covariates included mean age, percent of male participants, geographical region, and setting. The systematic literature review extracted 82 relevant studies, with 77 citations reported depression data, 15 citations reported anxiety data, and 4 citations reported depression and anxiety prevalence data together but did not discriminate between the two conditions. Aggregate depression prevalence measured by the Center for Epidemiological Studies Depression (CES-D) scale was 34.6% (95% CI: 11.5-68.4%) across three studies (N=664), while the Children's Depression Index (CDI) indicated a prevalence of 14.5% (95% CI: 2.5-52.9%) in two studies (N=365). The aggregate CDI mean score was 9.81 (95% CI: 9.50-10.13) out of 54. No covariates significantly influenced depression outcomes (p>0.05). Generalized Anxiety Disorder 7-item (GAD-7) scale was the most frequently reported measurement of anxiety, in three studies. Due to limited data, meta-analyses for anxiety were not conducted. The results of this systematic review highlight the scarcity of data on depression and anxiety in AI/AN adolescents. This underscores the urgent need for culturally appropriate, evidence-based mental health research and services for AI/AN adolescents.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"33 1","pages":"14-40"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing American Indian Traditional Ceremonial Practices and Substance Use Behaviors in an Urban, Multi-Tribal Setting: Results from a Community Survey.","authors":"Damian M Chase-Begay, Julie Cahoon, Jeffrey C Peterson, Annie Belcourt, Curtis Noonan, Blakely Brown","doi":"10.5820/aian.3204.2026.57","DOIUrl":"10.5820/aian.3204.2026.57","url":null,"abstract":"<p><p>American Indian and Alaska Native (AI/AN) communities have relied on traditional ceremonial practices (TCPs) for survival and resilience for generations. Research examining the role of TCPs on wellness in urban, multi-tribal communities, however, has only recently emerged over the last several decades. This study explored the association between TCP-related variables and substance use in an urban AI/AN community in Montana. Specifically, participant knowledge, attitudes, and beliefs (KAB) regarding TCPs, their level of intent to participate in TCPs, and past year substance use were measured. This cross-sectional study used survey data from 194 AI/AN adults (66% female, 5% nonbinary; M age = 44). Positive KAB toward TCPs was found in 56.4% of respondents. Greater level of intent to participate in TCPs was found in 36.7% of respondents. Multivariate logistic regression showed individuals with positive KAB were less likely to report past year alcohol [adjusted odds ratio (AOR): 0.49; 95% confidence interval (95% CI): 0.26, 0.93] or other drug use (AOR: 0.30; 95% CI: 0.11, 0.76). Individuals who reported a greater level of intent to participate in TCPs were also less likely to report past year alcohol (AOR: 0.51; 95% CI: 0.26, 0.98) or other drug use (AOR: 0.31; 95% CI: 0.08, 0.91). The findings highlight a need for further examination of the potential effectiveness of substance use interventions for urban AI/AN adults that incorporate TCP-related factors.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 4","pages":"57-82"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13003768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inviting and Honoring the Voice of the Community: Commentary on Ray et al., Making a Community Health Needs Assessment Participatory: A Case Study from an Alaska Native Health Care Organization.","authors":"","doi":"10.5820/aian.3202.2025.27","DOIUrl":"https://doi.org/10.5820/aian.3202.2025.27","url":null,"abstract":"","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 2","pages":"27-28"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Role of Place of Residence in the Relationship between Discrimination and Mental Health in American Indian Adults.","authors":"Mikayla J Bullman, Zachary J Wood, Neha A John-Henderson","doi":"10.5820/aian.3203.2025.1","DOIUrl":"10.5820/aian.3203.2025.1","url":null,"abstract":"<p><p>Experiences of discrimination are linked to mental health in American Indians. Less is known about how place of residence (i.e., living on or off a reservation) relates to discrimination frequency and whether the strength and nature of the relationship between discrimination and mental health varies as a function of different living environments. In the current study, we examined frequency of discrimination, main reasons for discrimination, and relationships between discrimination for American Indians living both on and off a reservation. Relative to American Indian adults living off a reservation, American Indian adults living on reservation reported more experiences of discrimination (F(1, 846) = [15.94], p<.01, η² = .02) and identified more reasons for discrimination (F(1, 846) = [17.789], p<.001, η² = .02). Across residential contexts, race-related discrimination was most common, followed by gender discrimination. The relationship between discrimination and anxiety was significant in both residential contexts, while the relationship between discrimination frequency and depressive symptoms was only significant for those living outside of a tribal reservation. These findings highlight the importance of understanding how environmental context may affect patterns of discrimination and the relationship between discrimination and mental health in American Indians. Future research should elucidate resilience factors that are specific to living environments to reduce the negative impacts of discrimination on mental health for American Indian adults.</p>","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"32 3","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12542675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}