title: Historical trauma and substance use among Native Hawaiian college students.
abstract: OBJECTIVE
  To test the relationships among historical trauma, perceived discrimination, and substance use (cigarette, alcohol, and marijuana use) among Native Hawaiians.
  
  
  METHODS
  Cross sectional self-report data were collected online from 128 Native Hawaiian community college students (M age = 27.5; SD = 9.5; 65% Women). Hypotheses were tested using structural equation modeling.
  
  
  RESULTS
  Historical trauma had 2 paths to substance use: an indirect path to higher substance use through higher perceived discrimination and a direct path to lower substance use.
  
  
  CONCLUSIONS
  Thoughts, knowledge, or experience associated with historical trauma may enhance substance use behavior via increased perceived discrimination and may also be protective against substance use, possibly via increased pride in one's cultural heritage. This research has implications for historical trauma, discrimination, and substance use research concerning Native Hawaiians.
authors.affiliation: Prevention and Control Program, University of Hawaii Cancer Center, Honolulu, HI, USA. ppokhrel@cc.hawaii.edu.
authors.forename: Pallav
authors.initials: P
authors.lastname: Pokhrel
authors.affiliation: Prevention and Control Program, University of Hawaii Cancer Center, Honolulu, HI, USA.
authors.forename: Thaddeus A
authors.initials: TA
authors.lastname: Herzog
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008297:Male; D044468:Native Hawaiian or Pacific Islander / Q000523:psychology*; D063508:Social Discrimination / Q000266:history / Q000523:psychology*; D013315:Stress, Psychological / Q000208:ethnology*; D019966:Substance-Related Disorders / Q000208:ethnology*; D011795:Surveys and Questionnaires; D055815:Young Adult