Chronic stressors and drug abuse in 2 Indian populations

2 个印度人群的慢性压力源和药物滥用

基本信息

批准号：
6887673
负责人：
JANETTE Louise BEALS
金额：
$ 38.5万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-05-01 至 2007-04-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): American Indian (AI) reservation populations face numerous chronic stressors. Poverty, unemployment, violence, and accidents are all common, and it has been argued that the combination of historical trauma, inconsistent and disruptive governmental policies, and mandated boarding schools, have rendered many in current reservation populations especially vulnerable to both the impact of everyday chronic stressors, to substance misuse, and to PTSD. Drug use has also been documented among AIs, with AI youth often reporting greater use of drugs and tobacco than many others in the U.S. Only recently have data about the prevalence of drug disorders become available; such data suggest drug disorder rates that are comparable to other populations, but with age trends reflecting that AI youth are at increased risk for lifetime use of both drugs and tobacco compared to their elders suggesting an upward trend in drug disorders among AIs. Thus, the focus of the proposed research on the relationship between chronic stressors and drug use and disorders in this population is particularly timely. The data from the American Indian Service Utilization, Psychiatric Epidemiology; Risk and Protective Factors Project (AI-SUPERPFP) provide a unique opportunity for an epidemiological investigation of stress and drug disorders in an understudied population with a comprehensive assessment of chronic stressors (historical traumas, family history, childhood stressors, traumatic events, chronic strains, frequent lifetime events, and macro level stressors) in combination with standard measures of use and disorder for 9 drugs. The following specific aims guide this work: 1) To characterize and estimate the epidemiology of chronic stressors in these 2 reservation populations; 2) To understand and describe the relationships between chronic stressors, drug use, and DSM-defined drug abuse and dependence in these populations; 3) To investigate and portray the relationships between chronic stressors, drug use and disorders, and co-occurring problems including PTSD, other DSM-defined problems (depressive, anxiety, and alcohol disorders), and violence and antisocial behavior. Within each specific aim, the role of important demographic correlates (e.g., gender, tribe, SES, and age) and personal resources (coping, self-esteem, external locus of control, social support, spirituality, ethnic identity, and treatment history) will be investigated. The American Indian and Alaska Native Programs (AIANP) provide a distinctive multidisciplinary environment in which to conduct this work. The proposed work promises to provide the most comprehensive and focused investigation to date of chronic stressors within Al populations and of the relationship of various stressors with drug use and disorder.

描述（由申请人提供）：美洲印第安人 (AI) 保留地人口面临着许多慢性压力源。贫困、失业、暴力和事故都很常见，有人认为，历史创伤、不一致和破坏性的政府政策以及强制寄宿学校的结合，使当前保留地人口中的许多人特别容易受到日常社会影响的影响。慢性压力源、药物滥用和创伤后应激障碍（PTSD）。吸毒者中也有吸毒的记录，吸毒者青少年经常报告比美国其他许多人更多地使用毒品和烟草。直到最近才有关于吸毒症流行率的数据；这些数据表明，吸毒成瘾率与其他人群相当，但年龄趋势表明，与长辈相比，人工智能青少年终生吸毒和吸烟的风险更高，这表明人工智能吸毒成瘾呈上升趋势。因此，拟议研究的重点是慢性压力源与该人群吸毒和疾病之间的关系，这是特别及时的。来自美洲印第安人服务利用、精神病学流行病学的数据；风频繁的一生事件和宏观压力源）与 9 种药物的使用和障碍的标准测量相结合。以下具体目标指导这项工作： 1) 描述和估计这 2 个保留人群中慢性压力源的流行病学； 2) 了解和描述这些人群中慢性压力源、药物使用以及 DSM 定义的药物滥用和依赖之间的关系； 3) 调查和描述慢性压力源、吸毒和疾病以及同时发生的问题（包括创伤后应激障碍（PTSD）、其他 DSM 定义的问题（抑郁、焦虑和酒精障碍）以及暴力和反社会行为）之间的关系。在每个具体目标中，重要的人口相关因素（例如性别、部落、社会经济地位和年龄）和个人资源（应对、自尊、外部控制点、社会支持、灵性、种族认同和治疗史）的作用将被调查。美洲印第安人和阿拉斯加原住民计划 (AIANP) 为开展这项工作提供了独特的多学科环境。拟议的工作有望提供迄今为止最全面、最有针对性的调查，调查阿尔人群中的慢性压力源以及各种压力源与吸毒和疾病的关系。