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J Prim Prev ; 28(6): 547-68, 2007 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18058235

RESUMO

This study explored how a non-targeted group of ethnic minority youth might or might not benefit from a prevention intervention focused on other cultural groups. The study specifically evaluated the effects of an evidence-based drug prevention curriculum with a sample of urban American Indian youth in the southwest U.S., most of whom self-reported multi-ethnic heritages. Using growth curve modeling, this research examined the developmental trajectory of drug use for these youth, and compared it with the trajectory of youth from other racial/ethnic groups at pre-intervention, post-intervention, and two follow up time periods. Results indicate that alcohol and marijuana use increased from pre-intervention across subsequent time periods for all youth. The drug use of the American Indian youth in the treatment group increased on some measures. Specifically, they reported a steeper trajectory in the amount and frequency of alcohol and marijuana use compared to the youths in the treatment groups with other racial/ethnic identifications. The implications of these findings for the development of culturally grounded prevention programs for multi-ethnic, urban American Indian youth are discussed. EDITORS' STRATEGIC IMPLICATIONS: This research provides a specific example, but also makes a strong global argument, for the need to develop and evaluate prevention programs that are culturally grounded in the worldview of the target group.


Assuntos
Diversidade Cultural , Currículo , Promoção da Saúde/métodos , Indígenas Norte-Americanos , Avaliação de Processos e Resultados em Cuidados de Saúde , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adolescente , Consumo de Bebidas Alcoólicas/etnologia , Consumo de Bebidas Alcoólicas/prevenção & controle , Criança , Feminino , Humanos , Indígenas Norte-Americanos/psicologia , Modelos Lineares , Masculino , Fumar Maconha/etnologia , Fumar Maconha/prevenção & controle , Vigilância da População , Ensaios Clínicos Controlados Aleatórios como Assunto , Fumar/etnologia , Prevenção do Hábito de Fumar , Sudoeste dos Estados Unidos/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/etnologia
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