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Cultural Factors And Alcohol Use In American Indian Adults: Results From A Randomized Controlled Trial Of Contingency Management, Jalene L. Herron
Cultural Factors And Alcohol Use In American Indian Adults: Results From A Randomized Controlled Trial Of Contingency Management, Jalene L. Herron
Psychology ETDs
American Indian and Alaska Native (AI/AN) populations experience health disparities in alcohol use outcomes compared to the general population. This thesis examines cultural factors related to alcohol use in 65 reservation-based American Indian (AI) adults enrolled in a randomized controlled trial of culturally tailored contingency management (CM). Generalized linear mixed modeling (GLMM) was used to analyze the repeated measure, biweekly urine tests of the biomarker, ethyl glucuronide (EtG), across 12 weeks. The relationship between alcohol use (abstinence or heavy drinking) and culturally relevant protective (enculturation, years lived on the reservation) and risk factors (discrimination, historical loss, historical loss symptoms) were …