{"title":"Alaska Native drug users and sexually transmitted disease: results of a five-year study.","authors":"D. Fisher, A. Fenaughty, D. Paschane, H. H. Cagle","doi":"10.5820/AIAN.0901.2000.47","DOIUrl":"https://doi.org/10.5820/AIAN.0901.2000.47","url":null,"abstract":"Although Alaska has one of the highest rates of alcohol consumption in the U.S., there are very few reports of other drug use in Alaska. This five-year NIDA-funded study sampled out-of-treatment injection drug users (IDUs) and crack cocaine smokers in Anchorage, Alaska. This paper is a summary of results comparing risk behavior for HIV and sexually transmitted disease infection among Alaska Natives (n=216) to non-Natives (primarily Blacks n=394 and Whites n=479) from this study. IDUs and crack cocaine smokers were recruited using a targeted sampling plan. All subjects tested positive to cocaine metabolites, or morphine, using urinalysis, or had visible track marks. Several analyses of this database have indicated that Alaska Native women are at high risk for gonorrhea infection. They are also at risk for HIV infection due to high rates of behavior related to blood-borne disease transmission. We have also found that White men who have sex with both White and Alaska Native women are significantly less likely to use condoms with the Alaska Native women. HIV preventive education efforts aimed at Alaska Native women need to be implemented on a major scale.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"56 1","pages":"47-57"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83556578","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":"Bicultural resynthesis: Tailoring an effectiveness trial for a group of urban American Indian women.","authors":"L. Napholz","doi":"10.5820/AIAN.0903.2000.49","DOIUrl":"https://doi.org/10.5820/AIAN.0903.2000.49","url":null,"abstract":"The purpose of this qualitative study of a 6-week effectiveness trial was to describe among a group of urban American Indian women, the process of successful traditionalism in the form of bicultural resynthesis. Bicultural resynthesis represents a major current attempt on the part of the participants to integrate traditional and contemporary demands in a positive, culturally-consistent manner. The themes of shame and isolation, adapting to survive, deculturation, ethnic switching/renewal, and bicultural resynthesis are discussed. Further support is achieved for retraditionalization of American Indian women s roles as an effective means of achieving American Indian self-determination and as a potential way of helping women overcome problems.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"43 1","pages":"49-70"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83217287","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}
Julie A Baldwin, Carol J. C. Maxwell, A. Fenaughty, R. Trotter, S. Stevens
{"title":"Alcohol as a risk factor for HIV transmission among American Indian and Alaska Native drug users.","authors":"Julie A Baldwin, Carol J. C. Maxwell, A. Fenaughty, R. Trotter, S. Stevens","doi":"10.5820/AIAN.0901.2000.1","DOIUrl":"https://doi.org/10.5820/AIAN.0901.2000.1","url":null,"abstract":"Quantitative alcohol interviews conducted as part of the National Institute on Drug Abuse (NIDA) Native American Supplement revealed very high rates of alcohol use among American Indian and Alaska Native active crack and injection drug users (IDUs). Of 147 respondents who completed the alcohol questionnaire, 100& percent had drunk alcohol within the past month, almost 42& percent reported that they drank every day, and 50& percent drank until they were drunk one-half of the time or more. Injection drug users (IDUs) demonstrated the highest frequency and quantity of alcohol use in the past 30 days. A significant positive association was also found between crack and alcohol use in the past 48 hours (c(2)=5.30, p<.05). Finally, those claiming more episodes of using alcohol before or during sex, reported significantly more events of unprotected sexual intercourse. Qualitative data from all four sites corroborated these quantitative findings. Many individuals also reported episodes of blacking out while drinking, and learned later that they had had unprotected sex with complete strangers or individuals they would not otherwise accept as partners. Implications of these findings for HIV/AIDS prevention efforts are addressed.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"104 1","pages":"1-16"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80673645","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":"Respondent bias in the collection of alcohol and tobacco data in American Indians: the Strong Heart Study.","authors":"K. Schweigman, R. Fabsitz, P. Sorlie, T. Welty","doi":"10.5820/AIAN.0903.2000.1","DOIUrl":"https://doi.org/10.5820/AIAN.0903.2000.1","url":null,"abstract":"This study addresses the impact of assessment method (interviewer-administered questionnaire vs. self-administered questionnaire) and interviewers demographic characteristics (gender, ethnicity, and residency) on responses to alcohol and tobacco questions. The study population included 1,522 men and women aged 45 to 74 from the Dakota Center of the Strong Heart Study (SHS), a multi-center study of cardiovascular disease in American Indians. Assessment method effects were greater for alcohol than tobacco but did not differ by interviewer characteristics.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"48 1","pages":"1"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88035441","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":"Editorial: HIV and AIDS among American Indians and Alaska Natives","authors":"S. Stevens, A. Estrada","doi":"10.5820/AIAN.0901.2000.ED","DOIUrl":"https://doi.org/10.5820/AIAN.0901.2000.ED","url":null,"abstract":"","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"27 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84254374","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":"HIV drug and sex risk behaviors among American Indian and Alaska Native drug users: gender and site differences.","authors":"S. Stevens, A. Estrada, Barbara D. Estrada","doi":"10.5820/AIAN.0901.2000.33","DOIUrl":"https://doi.org/10.5820/AIAN.0901.2000.33","url":null,"abstract":"Little research has been conducted on HIV drug and sex risk behaviors of American Indians and Alaska Natives who use illicit drugs. Data from studies conducted with other ethnic groups indicates differences in HIV drug and sex risk behaviors of men and women and between drug users from different regions, cities, communities, and intervention sites. This study examines whether these differences in HIV drug and sex risk behaviors also exist for American Indians and Alaska Natives. Results indicate that risk behaviors of American Indians and Alaska Natives do differ like that of other ethnic groups. In particular American Indian and Alaska Native women reported engaging in significantly greater levels of some drug and many sex risk behaviors than men. Significant differences between intervention sites were also found for intensity of use of various drugs and for some HIV drug risk behaviors.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"13 1","pages":"33-46"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82301778","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":"Unemployment, drug use, and HIV risk among American Indian and Alaska Native drug users.","authors":"G. Reynolds, D. Fisher, A. Estrada, R. Trotter","doi":"10.5820/AIAN.0901.2000.17","DOIUrl":"https://doi.org/10.5820/AIAN.0901.2000.17","url":null,"abstract":"American Indians and Alaska Natives have had low employment in recent history. Drug users also have low employment due to cycles of drug use and relapse,and the impact of the type of drug abused on levels of functioning. Drug use is associated with increased HIV risk through injection drug use, frequency of injection, and needle sharing. Data from three sites of the NIDA Cooperative Agreement for Community Based-Outreach/Intervention Research were analyzed to determine the relationship among race/ethnicity, age, and level of educational attainment on employment and unemployment at intake interview and six-month follow-up. HIV risk for those employed and unemployed was then assessed. American Indian and Alaska Native drug users were younger, less educated, and less likely to have a paid job at both intake and follow-up than non-Native drug users. Those participants who were unemployed at baseline interview who were American Indian/Alaska Native were less likely to transition to employment at six-month follow-up than other race/ethnicity groups in the cohort. However, all participants showed low levels of employment at follow-up. Individuals who were employed at baseline and those who transitioned to employment had lower levels of injection drug use and needle sharing than those who were unemployed at both baseline and follow-up. American Indian and Alaska Native drug users may be at risk for acquisition of HIV due to drug risk behaviors that appear to be associated with unemployment.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"46 1","pages":"17-32"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81747617","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":"Unmasking Dashkayah: storytelling and HIV prevention.","authors":"T. Tafoya","doi":"10.5820/AIAN.0902.2000.53","DOIUrl":"https://doi.org/10.5820/AIAN.0902.2000.53","url":null,"abstract":"","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"128 1","pages":"53-65"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85401083","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":"Patterns and predictors of HIV risk among urban American Indians.","authors":"Karina L. Walters, J. Simoni, C. Harris","doi":"10.5820/AIAN.0902.2000.1","DOIUrl":"https://doi.org/10.5820/AIAN.0902.2000.1","url":null,"abstract":"A preliminary survey of HIV risk and service preferences among American Indians residing in the New York metropolitan area included 68 women and 32 men (M age=35.8 years). Overall, the sample was knowledgeable about the mechanisms of HIV transmission, and 58 percent reported having taken an HIV test. However, of the 63 percent who reported sexual activity in the last six months, 73 percent reported engaging in vaginal or anal sex without a condom with at least 1 partner, and 52 percent used condoms none of the time during vaginal and anal sex. Almost half (43 percent) reported alcohol or other drug (AOD) use for non-ceremonial purposes in the last six months. Alarmingly, 44 percent reported lifetime trauma, including domestic violence (20 percent) and physical (29 percent) or sexual (26 percent) assault by a family member or stranger. Bivariate and multivariate analyses indicated trauma and drug use were factors that may place respondents at risk for sexual transmission of HIV. Trauma variables were better predictors of HIV risk behaviors than social cognitive variables providing preliminary support for the use of a postcolonial framework in American Indian HIV studies.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"26 1","pages":"1-21"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86177206","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":"Prenatal alcohol use among urban American Indian/Alaska Native women.","authors":"Westphal Ll","doi":"10.5820/AIAN.0903.2000.38","DOIUrl":"https://doi.org/10.5820/AIAN.0903.2000.38","url":null,"abstract":"This paper examines prenatal drinking among American Indian/Alaska Native women using the 1988 Urban Indian Over-sample for the National Maternal and Infant Health Survey. Using univariate, bivariate, and multivariate analyses, alcohol consumption during pregnancy was examined by demographic and behavioral variables. Although one out of every five American Indian/Alaska Native women consumed some amount of alcohol during pregnancy, those who used alcohol drank less than one drink per month.","PeriodicalId":46147,"journal":{"name":"American Indian and Alaska Native Mental Health Research","volume":"65 1","pages":"38-48"},"PeriodicalIF":1.3,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82846404","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}