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Low rates of alcohol and tobacco use, strong cultural ties for Native American college students in the Southwest.

ABSTRACT: INTRODUCTION:College attendance is associated with an increased risk for substance use yet we know little about substance use among Native American college students and its regional variation. This study examined alcohol, tobacco, and drug use and their relation to gender, institution, age, and cultural involvement among Native American college students in the Southwest. METHODS:Native American community college and university students in a large Southwest city (N?=?347) completed an online survey about past-month and lifetime substance use and involvement in cultural activities. RESULTS:Cultural involvement was related to less past-month substance use. In the past month, 43% drank alcohol, 27% binge drank, 20% used drugs, and 13% were current smokers. Males, community college students, and older individuals were more likely to have a positive CAGE-AID and have used drugs more than 100 times. Younger individuals were more likely to use marijuana in the past month. CONCLUSIONS:These findings highlight cultural strengths and comparatively low rates of tobacco and alcohol use among Native American college students in the Southwest.

SUBMITTER: Greenfield BL

PROVIDER: S-EPMC5879024 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Low rates of alcohol and tobacco use, strong cultural ties for Native American college students in the Southwest.

Greenfield Brenna L BL Venner Kamilla L KL Tonigan J Scott JS Honeyestewa Monika M Hubbell Homer H Bluehorse Dorothea D

Addictive behaviors 20180227

<h4>Introduction</h4>College attendance is associated with an increased risk for substance use yet we know little about substance use among Native American college students and its regional variation. This study examined alcohol, tobacco, and drug use and their relation to gender, institution, age, and cultural involvement among Native American college students in the Southwest.<h4>Methods</h4>Native American community college and university students in a large Southwest city (N = 347) completed ...[more]

PMID: 29522933

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Project description:IntroductionThis study examines factors associated with psychostimulant misuse, including polysubstance use and social factors, among the understudied American Indian/Alaska Native/Native Hawaiian (AI/AN/NH) college student population.MethodsData were from the 2015 to 2019 American College Health Association-National College Health Assessment IIc (ACHA-NCHA IIc) survey. Multivariable logistic regression models and odds ratios were used to estimate associations between psychostimulant misuse and potential risk and protective factors among AI/AN/NH college students, including licit and illicit substance use, social support, relationship factors, exposure to violence or abuse, mental health symptoms, drug and alcohol education, and sample demographics.ResultsOpioid misuse among AI/AN/NH college students significantly increased the odds of using psychostimulants. Specifically, for cocaine use, the adjusted odds ratio (aOR) was 3.17 with a 95% confidence interval (C.I.) of 2.17 to 4.63; for methamphetamine use, the aOR was 38.87 (95% C.I. 19.24-78.52). For amphetamine misuse among non-Tobacco users, the aOR was 5.47 (95% C.I. 3.49-8.55), while among Tobacco users, the aOR was 2.65 (95% C.I. 2.07-3.41). For cocaine and other stimulant misuse, the aOR was 3.64 (95% C.I. 2.30-5.67). Additionally, the use of other types of licit and illicit substances was associated with greater odds of psychostimulant use and misuse. Conversely, factors such as age, living on campus, and residing in parental/guardian housing were linked with lower odds of psychostimulant use and misuse.ConclusionSubstance use prevention and treatment interventions targeting AI/AN/NH college students should address polysubstance use, including the combined use of opioids and psychostimulants. Substance use interventions should not be siloed to focus narrowly on single substances but rather should leverage potential protective factors against substance use, such as promoting supportive campus and family living conditions and other social support networks, in broad efforts to reduce multiple forms of substance use among AI/AN/NH students.

Dataset Information

Low rates of alcohol and tobacco use, strong cultural ties for Native American college students in the Southwest.

Publications

Low rates of alcohol and tobacco use, strong cultural ties for Native American college students in the Southwest.

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