Document Detail

Urban and rural Indian drinking patterns: implications for intervention policy development.
MedLine Citation:
PMID:  6463817     Owner:  NLM     Status:  MEDLINE    
Alcohol misuse has taken on epidemic proportions among some (but not all) American Indian populations. Cultural, psychological, socioeconomic and genetic etiologies have been offered to explain this social phenomenon. This study identifies the relative strengths of these causal models to differentiate among both current and lifelong drinking career patterns. Further, antecedent and drinking level differences between urban and rural Indian populations in California are described. Age, sex, level of stress as measured by the Cornell Medical Index, percent of Indian ancestry and level of drinking in the family of origin are less powerful predictors of drinking level. Policy implications of these findings include: the development of intervention programs which involve members of the patient's support network, accelerated interventions in rural Indian communities and mid-level interventions among younger and less debilitated, but identifiably "at risk", populations.
J Weibel-Orlando; T Weisner; J Long
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Substance and alcohol actions/misuse     Volume:  5     ISSN:  0191-8877     ISO Abbreviation:  Subst Alcohol Actions Misuse     Publication Date:  1984  
Date Detail:
Created Date:  1984-09-13     Completed Date:  1984-09-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8010224     Medline TA:  Subst Alcohol Actions Misuse     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  45-57     Citation Subset:  IM    
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MeSH Terms
Alcohol Drinking*
Alcoholism / genetics,  psychology,  therapy*
Health Policy
Indians, North American / psychology*
Rural Population*
Social Environment
Urban Population*

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