Kelli A Komro1, Melvin D Livingston2, Brady A Garrett1,3, Misty L Boyd3. 1. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia. 2. Department of Biostatistics and Epidemiology, School of Public Health, University of North Texas Health Science Center, Fort Worth, Texas. 3. Cherokee Nation Behavioral Health, Tahlequah, Oklahoma.
Abstract
OBJECTIVE: This study examined social-and individual-level factors associated with alcohol use among young women and tested whether differences exist between Native American and non-Native young women. METHOD: School-based surveys were conducted among 952 young women (ages 14-19) attending four high schools within the tribal jurisdictional service area of the Cherokee Nation in northeastern Oklahoma. Structural equation modeling using Mplus was used to assess the direct and indirect effects of social-and individual-level factors on subsequent alcohol use among Native and non-Native young women. RESULTS: We found no differences in the level of risk and protective factors among Native and non-Native young women. Among Native and non-Native young women, alcohol access, parental communication, and best friends' alcohol use had statistically significant direct and/or indirect effects on alcohol use. Indirect effects were mediated through alcohol expectancies and norms. A history of alcohol problems by an adult in the household and depression were not retained as independent risk factors in either model. CONCLUSIONS: We found more similarities than differences in level of and relations to alcohol use among social and individual risk and protective factors between Native American and non-Native young women from northeastern Oklahoma. The results provide support for universal prevention strategies, suggesting the importance of increasing perceptions that it is difficult to obtain alcohol and increasing parent-child communication.
OBJECTIVE: This study examined social-and individual-level factors associated with alcohol use among young women and tested whether differences exist between Native American and non-Native young women. METHOD: School-based surveys were conducted among 952 young women (ages 14-19) attending four high schools within the tribal jurisdictional service area of the Cherokee Nation in northeastern Oklahoma. Structural equation modeling using Mplus was used to assess the direct and indirect effects of social-and individual-level factors on subsequent alcohol use among Native and non-Native young women. RESULTS: We found no differences in the level of risk and protective factors among Native and non-Native young women. Among Native and non-Native young women, alcohol access, parental communication, and best friends' alcohol use had statistically significant direct and/or indirect effects on alcohol use. Indirect effects were mediated through alcohol expectancies and norms. A history of alcohol problems by an adult in the household and depression were not retained as independent risk factors in either model. CONCLUSIONS: We found more similarities than differences in level of and relations to alcohol use among social and individual risk and protective factors between Native American and non-Native young women from northeastern Oklahoma. The results provide support for universal prevention strategies, suggesting the importance of increasing perceptions that it is difficult to obtain alcohol and increasing parent-child communication.
Authors: Melissa J Azur; Elizabeth A Stuart; Constantine Frangakis; Philip J Leaf Journal: Int J Methods Psychiatr Res Date: 2011-03 Impact factor: 4.035
Authors: Kelli A Komro; Cheryl L Perry; Sara Veblen-Mortenson; Kian Farbakhsh; Traci L Toomey; Melissa H Stigler; Rhonda Jones-Webb; Kari C Kugler; Keryn E Pasch; Carolyn L Williams Journal: Addiction Date: 2008-02-04 Impact factor: 6.526
Authors: Kelli A Komro; Alexander C Wagenaar; Misty Boyd; B J Boyd; Terrence Kominsky; Dallas Pettigrew; Amy L Tobler; Sarah D Lynne-Landsman; Melvin D Livingston; Bethany Livingston; Mildred M Maldonado Molina Journal: Prev Sci Date: 2015-02
Authors: Alexander C Wagenaar; Melvin D Livingston; Dallas W Pettigrew; Terrence K Kominsky; Kelli A Komro Journal: Addiction Date: 2018-01-10 Impact factor: 6.526
Authors: Kelli A Komro; Elizabeth J D'Amico; Daniel L Dickerson; Juli R Skinner; Carrie L Johnson; Terrence K Kominsky; Kathy Etz Journal: Prev Sci Date: 2022-06-24