Substance abuse among Native-American youth.

Substance use and abuse poses serious risks for American-Indian youth, their families, and their communities. This article briefly reviews the relevant social epidemiological data followed by a discussion of culturally relevant etiological factors. Current strategies for identification of youth at high risk for substance use are highlighted, concentrating primarily on the theoretical and methodological aspects appropriate for this population. In this context, data from recent work are reported. Given the nascent state of culturally appropriate prevention technology, issues of sensitive technology transfer and stereotyping are discussed in the context of current research. Study results from this sample, although dramatic, should not be overgeneralized to all American-Indian youth.