title: Community perspectives on drug/alcohol use, concerns, needs, and resources in four Washington State Tribal communities.
abstract: Community-university teams investigated substance use, abuse, and dependence (SUAD) and related concerns, needs, strengths, and resources in four Washington State Tribal communities. A total of 153 key community members shared their perspectives through 43 semi-structured interviews and 19 semi-structured focus groups. Qualitative data analysis revealed robust themes: prescription medications and alcohol were perceived as most prevalent and concerning; family and peer influences and emotional distress were prominent perceived risk factors; and SUAD intervention resources varied across communities. Findings may guide future research and the development of much needed strength-based, culturally appropriate, and effective SUAD interventions for American Indians, Alaska Natives, and their communities.
authors.affiliation: a Alcohol and Drug Abuse Institute, University of Washington , Seattle , Washington.
authors.forename: Sandra M
authors.initials: SM
authors.lastname: Radin
authors.forename: Stephen H
authors.initials: SH
authors.lastname: Kutz
authors.forename: June
authors.initials: J
authors.lastname: LaMarr
authors.forename: Diane
authors.initials: D
authors.lastname: Vendiola
authors.forename: Michael
authors.initials: M
authors.lastname: Vendiola
authors.forename: Brian
authors.initials: B
authors.lastname: Wilbur
authors.forename: Lisa Rey
authors.initials: LR
authors.lastname: Thomas
authors.forename: Dennis M
authors.initials: DM
authors.lastname: Donovan
mesh_terms: D019973:Alcohol-Related Disorders / Q000208:ethnology; D001294:Attitude to Health / Q000208:ethnology*; D005260:Female; D017144:Focus Groups; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D008297:Male; D009293:Opioid-Related Disorders / Q000208:ethnology; D063487:Prescription Drug Misuse / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000208:ethnology* / Q000517:prevention & control; D014861:Washington / Q000453:epidemiology
keywords: Alaska Native; American Indian; Native American; Washington State; participatory research; substance use; tribal