Recovery from Alcohol Among Urban Alaska Native and American Indian People

Overview

Journal J Ethn Subst Abuse

Publisher Routledge

Specialties Psychiatry
Social Sciences

Date 2021 May 25

PMID 34033515

Citations 2

Authors

Kate M Lillie

Aliassa Shane

Kelley J Jansen

Susan Brown Trinidad

Jennifer L Shaw

Affiliations

Soon will be listed here.

Abstract

Alaska Native and American Indian (ANAI) people experience dramatic alcohol-related health disparities compared to the general US population. Although the majority of ANAI people reside in urban settings (>70%), data are sparse on alcohol abstinence among urban ANAI people with alcohol use disorder (AUD). We conducted a qualitative study using a phenomenological approach to examine the experiences of 20 urban ANAI adults recovering from AUD. Participants' narratives had their own unique dimensions but shared a clear, interrelated trajectory of pre-alcohol recovery, a turning point, and ongoing alcohol recovery. All participants reported a combination of external and internal motivation to stop using alcohol.

Citing Articles

An Updated Narrative Review on the Role of Alcohol Among Indigenous Communities.

Cole A, Lopez S, Armstrong C, Gillson S, Weiss N, Blair A Curr Addict Rep. 2024; 10(4):702-717.

PMID: 38645278 PMC: 11027470. DOI: 10.1007/s40429-023-00520-4.

Non-pharmacotherapeutic Management of Alcohol Use Disorder in the Alaska Native Population: A Narrative Review.

Godbole N, Dave U, Lewis E, Godbole N, Sullivan G, Schultz A Cureus. 2023; 15(5):e39090.

PMID: 37378087 PMC: 10291987. DOI: 10.7759/cureus.39090.

References

. Alcohol-attributable deaths and years of potential life lost among American Indians and Alaska Natives--United States, 2001--2005. MMWR Morb Mortal Wkly Rep. 2008; 57(34):938-41. View

Sheehan D, Lecrubier Y, Sheehan K, Amorim P, Janavs J, Weiller E . The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1999; 59 Suppl 20:22-33;quiz 34-57. View

Allen J, Rasmus S, Fok C, Charles B, Henry D . Multi-Level Cultural Intervention for the Prevention of Suicide and Alcohol Use Risk with Alaska Native Youth: a Nonrandomized Comparison of Treatment Intensity. Prev Sci. 2017; 19(2):174-185. PMC: 5803385. DOI: 10.1007/s11121-017-0798-9. View

Rasmus S, Allen J, Connor W, Freeman W, Skewes M . Native Transformations in the Pacific Northwest: A strength-based model of protection against substance use disorder. Am Indian Alsk Native Ment Health Res. 2016; 23(3):158-86. PMC: 4955863. DOI: 10.5820/aian.2303.2016.158. View

Bezdek M, Spicer P . Maintaining abstinence in a northern plains tribe. Med Anthropol Q. 2006; 20(2):160-81. DOI: 10.1525/maq.2006.20.2.160. View

DAmico E, Dickerson D, Brown R, Johnson C, Klein D, Agniel D . Motivational interviewing and culture for urban Native American youth (MICUNAY): A randomized controlled trial. J Subst Abuse Treat. 2020; 111:86-99. PMC: 7477923. DOI: 10.1016/j.jsat.2019.12.011. View

Mohatt G, Rasmus S, Thomas L, Allen J, Hazel K, Hensel C . "Tied together like a woven hat:" Protective pathways to Alaska native sobriety. Harm Reduct J. 2004; 1(1):10. PMC: 535345. DOI: 10.1186/1477-7517-1-10. View

Gilder D, Geisler J, Luna J, Calac D, Monti P, Spillane N . A pilot randomized trial of Motivational Interviewing compared to Psycho-Education for reducing and preventing underage drinking in American Indian adolescents. J Subst Abuse Treat. 2017; 82:74-81. PMC: 5683100. DOI: 10.1016/j.jsat.2017.09.004. View

Prochaska J, DiClemente C, Norcross J . In search of how people change. Applications to addictive behaviors. Am Psychol. 1992; 47(9):1102-14. DOI: 10.1037//0003-066x.47.9.1102. View

10.

Dickerson D, Fisher D, Reynolds G, Baig S, Napper L, Anglin M . Substance use patterns among high-risk American Indians/Alaska Natives in Los Angeles County. Am J Addict. 2012; 21(5):445-52. PMC: 4492444. DOI: 10.1111/j.1521-0391.2012.00258.x. View

11.

Tonigan J, Martinez-Papponi B, Hagler K, Greenfield B, Venner K . Longitudinal study of urban American Indian 12-step attendance, attrition, and outcome. J Stud Alcohol Drugs. 2013; 74(4):514-20. PMC: 3711343. DOI: 10.15288/jsad.2013.74.514. View

12.

Castor M, Smyser M, Taualii M, Park A, Lawson S, Forquera R . A nationwide population-based study identifying health disparities between American Indians/Alaska Natives and the general populations living in select urban counties. Am J Public Health. 2006; 96(8):1478-84. PMC: 1522100. DOI: 10.2105/AJPH.2004.053942. View

13.

Mohatt G, Rasmus S, Thomas L, Allen J, Hazel K, Marlatt G . Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives. Addiction. 2007; 103(2):205-15. DOI: 10.1111/j.1360-0443.2007.02057.x. View

14.

Spear S, Crevecoeur-MacPhail D, Denering L, Dickerson D, Brecht M . Determinants of successful treatment outcomes among a sample of urban American Indians/Alaska Natives: the role of social environments. J Behav Health Serv Res. 2013; 40(3):330-41. PMC: 3679257. DOI: 10.1007/s11414-013-9324-4. View

15.

Beals J, Spicer P, Mitchell C, Novins D, Manson S, Big Crow C . Racial disparities in alcohol use: comparison of 2 American Indian reservation populations with national data. Am J Public Health. 2003; 93(10):1683-5. PMC: 1448033. DOI: 10.2105/ajph.93.10.1683. View

16.

Elm J, Lewis J, Walters K, Self J . "I'm in this world for a reason": Resilience and recovery among American Indian and Alaska Native two-spirit women. J Lesbian Stud. 2016; 20(3-4):352-71. PMC: 6424359. DOI: 10.1080/10894160.2016.1152813. View

17.

Adamson S, Sellman J, Frampton C . Patient predictors of alcohol treatment outcome: a systematic review. J Subst Abuse Treat. 2008; 36(1):75-86. DOI: 10.1016/j.jsat.2008.05.007. View

18.

Spicer P . Culture and the restoration of self among former American Indian drinkers. Soc Sci Med. 2001; 53(2):227-40. DOI: 10.1016/s0277-9536(00)00333-6. View

19.

Quintero G . "The lizard in the green bottle": "aging out" of problem drinking among Navajo men. Soc Sci Med. 2000; 51(7):1031-45. DOI: 10.1016/s0277-9536(00)00017-4. View

20.

Doty-Sweetnam K, Morrissette P . Alcohol abuse recovery through the lens of Manitoban First Nations and Aboriginal women: A qualitative study. J Ethn Subst Abuse. 2016; 17(3):237-254. DOI: 10.1080/15332640.2016.1138268. View