title: HIV/AIDS risks among Native American drug users: key findings from focus group interviews and implications for intervention strategies.
abstract: A multisite study funded through the National Institute on Drug Abuse and the Office of Research on Minority Health was conducted in 1996 to determine the HIV/AIDS prevention needs of Native American out-of-treatment drug users. In an effort to recommend directions for HIV/AIDS prevention programming, one component of this study entailed conducting a series of focus groups at each of four sites: Anchorage, Alaska; Denver, Colorado; Flagstaff, Arizona; and Tucson, Arizona. While some site differences were noted, several consistent thematic findings were revealed across all locations. Specifically, focus group members strongly recommended directly involving key members of the Native American community in conducting outreach and intervention activities, involving Native people as the sources of information, and utilizing local and tribally relevant forms of delivering the message. Other consistent themes included getting messages to smaller communities to prevent the potential "annihilation" of tribes, educating youth, and linking alcohol prevention education to HIV/AIDS education. Findings from this study support the idea that future HIV/AIDS prevention programs must take into account subgroup and individual level differences among Native American drug users.
authors.affiliation: Flagstaff Multicultural AIDS Prevention Project, Northern Arizona University, Flagstaff 86011, USA. Julie.Baldwin@nau.edu
authors.forename: J A
authors.initials: JA
authors.lastname: Baldwin
authors.forename: R T
authors.initials: RT
authors.lastname: Trotter
authors.forename: D
authors.initials: D
authors.lastname: Martinez
authors.forename: S J
authors.initials: SJ
authors.lastname: Stevens
authors.forename: D
authors.initials: D
authors.lastname: John
authors.forename: C
authors.initials: C
authors.lastname: Brems
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control*; D000328:Adult; D000413:Alaska; D000428:Alcohol Drinking / Q000517:prevention & control; D001130:Arizona; D003120:Colorado; D004493:Education; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education; D006801:Humans; D007198:Indians, North American; D008297:Male; D012307:Risk Factors; D012725:Sexual Behavior; D019966:Substance-Related Disorders / Q000150:complications*