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Belief in the Myth of an American Indian/Alaska Native Biological Vulnerability to Alcohol Problems Among Reservation-Dwelling Participants with a Substance Use Problem

Authors: M. Rajasekaran, S. Kavitha

DOI: 10.87349/JBUPT/27307

Page No: 43-78


Abstract

Background: Belief in the myth of an American Indian/Alaska Native (AIAN) specific biological vulnerability (BV) to alcohol problems is associated with worse alcohol outcomes among AIAN college students who drink, despite also being associated with greater attempts to reduce drinking. This study examined the association of belief in a BV with alcohol use among reservation-dwelling AI adults with a substance use problem. Methods: Participants (n=141) who drank alcohol in the past 90 days were selected from a larger AI sample who self-identified as having a substance use problem. Moderated-mediation analyses examined whether belief in a BV was positively associated with alcohol use and substance use consequences, as well as whether self-efficacy and craving mediated the association of belief in a BV with alcohol use.

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