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Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas

Identity development during emerging adulthood helps lay down the structure of values, social bonds, and decision-making patterns that help determine adult outcomes, including patterns of substance use. Managing cultural identity may pose unique challenges for American Indian/Alaska Native (AI/AN) e...

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Autores principales: Brown, Ryan A., Palimaru, Alina I., Dickerson, Daniel L., Etz, Kathy, Kennedy, David P., Hale, Benjamin, Johnson, Carrie L., D’Amico, Elizabeth J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9206083/
https://www.ncbi.nlm.nih.gov/pubmed/35756141
http://dx.doi.org/10.1007/s42844-022-00058-w
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author Brown, Ryan A.
Palimaru, Alina I.
Dickerson, Daniel L.
Etz, Kathy
Kennedy, David P.
Hale, Benjamin
Johnson, Carrie L.
D’Amico, Elizabeth J.
author_facet Brown, Ryan A.
Palimaru, Alina I.
Dickerson, Daniel L.
Etz, Kathy
Kennedy, David P.
Hale, Benjamin
Johnson, Carrie L.
D’Amico, Elizabeth J.
author_sort Brown, Ryan A.
collection PubMed
description Identity development during emerging adulthood helps lay down the structure of values, social bonds, and decision-making patterns that help determine adult outcomes, including patterns of substance use. Managing cultural identity may pose unique challenges for American Indian/Alaska Native (AI/AN) emerging adults in “urban” areas (away from tribal lands or reservations), who are relatively isolated from social and cultural connections. This isolation is in turn a product of cultural genocide and oppression, both historically and in the present day. This paper uses qualitative data from 13 focus groups with urban AI/AN emerging adults, parents, and providers to explore how cultural dynamics are related to substance use outcomes for urban AI/AN emerging adults. We found that cultural isolation as well as ongoing discrimination presents challenges to negotiating cultural identity, and that the AI/AN social and cultural context sometimes presented risk exposures and pathways for substance use. However, we also found that culture provided a source of strength and resilience for urban AI/AN emerging adults, and that specific cultural values and traditions — such as mindfulness, connection to nature, and a deep historical and cosmological perspective — offer “binding pathways” for positive behavioral health. We conclude with two suggestions for substance use prevention and intervention for this population: (1) incorporate these “binding pathways” for health and resilience explicitly into intervention materials; (2) emphasize and celebrate emerging adulthood itself as a sacred cultural transition. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s42844-022-00058-w.
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spelling pubmed-92060832022-06-21 Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas Brown, Ryan A. Palimaru, Alina I. Dickerson, Daniel L. Etz, Kathy Kennedy, David P. Hale, Benjamin Johnson, Carrie L. D’Amico, Elizabeth J. Advers Resil Sci Original Article Identity development during emerging adulthood helps lay down the structure of values, social bonds, and decision-making patterns that help determine adult outcomes, including patterns of substance use. Managing cultural identity may pose unique challenges for American Indian/Alaska Native (AI/AN) emerging adults in “urban” areas (away from tribal lands or reservations), who are relatively isolated from social and cultural connections. This isolation is in turn a product of cultural genocide and oppression, both historically and in the present day. This paper uses qualitative data from 13 focus groups with urban AI/AN emerging adults, parents, and providers to explore how cultural dynamics are related to substance use outcomes for urban AI/AN emerging adults. We found that cultural isolation as well as ongoing discrimination presents challenges to negotiating cultural identity, and that the AI/AN social and cultural context sometimes presented risk exposures and pathways for substance use. However, we also found that culture provided a source of strength and resilience for urban AI/AN emerging adults, and that specific cultural values and traditions — such as mindfulness, connection to nature, and a deep historical and cosmological perspective — offer “binding pathways” for positive behavioral health. We conclude with two suggestions for substance use prevention and intervention for this population: (1) incorporate these “binding pathways” for health and resilience explicitly into intervention materials; (2) emphasize and celebrate emerging adulthood itself as a sacred cultural transition. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s42844-022-00058-w. Springer International Publishing 2022-06-18 2023 /pmc/articles/PMC9206083/ /pubmed/35756141 http://dx.doi.org/10.1007/s42844-022-00058-w Text en © RAND Corporation, under exclusive licence to Springer Nature Switzerland AG 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Article
Brown, Ryan A.
Palimaru, Alina I.
Dickerson, Daniel L.
Etz, Kathy
Kennedy, David P.
Hale, Benjamin
Johnson, Carrie L.
D’Amico, Elizabeth J.
Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas
title Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas
title_full Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas
title_fullStr Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas
title_full_unstemmed Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas
title_short Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas
title_sort cultural dynamics, substance use, and resilience among american indian/alaska native emerging adults in urban areas
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9206083/
https://www.ncbi.nlm.nih.gov/pubmed/35756141
http://dx.doi.org/10.1007/s42844-022-00058-w
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