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

• Autores: Roland S. Moore, David A. Gilder, Joel Grube, Juliet P. Lee, Jennifer A. Geisler, Bettina Friese, Daniel J. Calac, Laura J. Finan, Cindy L. Ehlers
• Localización: American journal of public health, ISSN 0090-0036, Vol. 108, Nº. 8, 2018, págs. 1035-1041
• Idioma: inglés
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• Resumen

  • Objectives. 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. Methods. Individual-level interventions included brief motivational interviewing and psychoeducation for Tribal youths. Community-level interventions included community mobilization and awareness activities, as well as restricting alcohol sales to minors. To test effects, we compared 7 waves of California Healthy Kids Survey data (2002-2015) for 9thand 11th-grade AI/AN and non-AI/AN students in intervention area schools with California AI/ANstudents outside the intervention area (n = 617, n = 33469, and n = 976, respectively). Results. Pre- to postintervention mean past 30-day drinking frequency declined among current drinkers in the intervention group (8.4-6.3 days) relative to comparison groups. Similarly, heavy episodic drinking frequency among current drinkers declined in the intervention group (7.0-4.8 days) versus the comparison groups. Conclusions. This study documented significant, sustained past 30-day drinking or heavy episodic drinking frequency reductions among AI/AN 9th- and 11th-grade current drinkers in rural California Indian reservation communities exposed to multilevel interventions. Public Health Implications. Multilevel community-partnered interventions can effectively reduce underage alcohol use in this population. [ABSTRACT FROM AUTHOR]