Intersecting sex and American Indian identity moderates school and individual correlates of binge drinking among reservation-area adolescents.

Publisher: American Psychological Association Country of Publication: United States NLM ID: 9918351179206676 Publication Model: Print Cited Medium: Internet ISSN: 2769-755X (Electronic) Linking ISSN: 27697541 NLM ISO Abbreviation: J Psychopathol Clin Sci Subsets: MEDLINE

Original Publication: Washington, DC : American Psychological Association, [2022]-

Adolescent Behavior*/ethnology ; American Indian or Alaska Native*/education ; American Indian or Alaska Native*/psychology ; American Indian or Alaska Native*/statistics & numerical data ; Binge Drinking*/epidemiology ; Binge Drinking*/ethnology ; Binge Drinking*/psychology ; Indians, North American*/education ; Indians, North American*/ethnology ; Indians, North American*/psychology ; Indians, North American*/statistics & numerical data ; Social Identification*; Adolescent ; Female ; Humans ; Male ; Ethanol ; Sex Factors ; Neighborhood Characteristics ; Intersectional Framework ; Social Determinants of Health/ethnology ; Social Determinants of Health/statistics & numerical data ; Schools ; Students ; United States/epidemiology

Reservation-area American Indian (AI) youth demonstrate higher rates of binge drinking (BD) than their non-AI peers. However, individual and school-level differences in BD disparities between reservation-area AI/non-AI female and male adolescents remain unexamined. This study applies an Intersectional framework to examine risk and protective factors of BD among reservation-area youth at the intersection of their sex and AI identities. A nationally representative sample of adolescents (N = 14,769; Mage = 14.6, 49% female; 61% AI) attending 103 reservation-serving schools completed a survey between 2015 and 2019. Multilevel modeling was used to examine differences in risk and protective factors of BD between AI and non-AI male and female adolescents. Our findings indicate that the effects of student and school-level risk and protective factors on adolescents' BD are driven primarily by sex within AI and non-AI groups. Implications for future confirmatory research and tailoring school-based prevention programs are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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R01 DA003371 United States DA NIDA NIH HHS

3K9958V90M (Ethanol)

Date Created: 20230622 Date Completed: 20230701 Latest Revision: 20240702

20240702

PMC10299812

10.1037/abn0000817

37347908