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Be under your own influence: Effectiveness of a Culturally‐Adapted drug prevention campaign targeting Reservation‐Dwelling American Indian youth
Author(s) -
Crabtree Meghan A.,
Stanley Linda R.,
Kelly Kathleen J.,
Swaim Randall C.
Publication year - 2021
Publication title -
journal of community psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.585
H-Index - 86
eISSN - 1520-6629
pISSN - 0090-4392
DOI - 10.1002/jcop.22672
Subject(s) - reservation , intervention (counseling) , medicine , substance use , clinical psychology , psychology , psychiatry , political science , law
Be Under Your Own Influence (BUYOI) is a previously validated school‐based intervention designed to delay adolescent substance use (SU) initiation. This study examined the effectiveness of a culturally‐adapted version of BUYOI in delaying SU initiation among reservation‐dwelling American Indian (AI) youth. Five reservation‐based middle schools participated. Three schools were randomly assigned to receive BUYOI‐AI ( N  = 321), and two schools served as controls ( N  = 176). Beginning in 7th grade, all participating students completed four assessments over the study period. Discrete time hazard models estimated the effects of BUYOI on students’ risk of initiating alcohol, alcohol intoxication and marijuana before the end of 8th grade. AI students exposed to BUYOI had a lower risk of initiating alcohol use or intoxication, though sex moderated the effect on intoxication. These findings provide preliminary support for the effectiveness of a culturally‐adapted version of BUYOI in delaying AI youth's first‐time alcohol use and intoxication.

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