Empowering our people: Predictors of retention in an STI risk reduction program among rural Native Americans with binge substance use.
Native American
STI
binge substance use
retention
screening
Journal
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
ISSN: 1748-0361
Titre abrégé: J Rural Health
Pays: England
ID NLM: 8508122
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
pubmed:
25
5
2021
medline:
28
4
2022
entrez:
24
5
2021
Statut:
ppublish
Résumé
Substance use and sexual risk-taking have been shown to co-occur. Programs focused on sexually transmitted infections (STIs) reduction may benefit substance-using, particularly binge substance-using, adults. This is especially true for rural Native American communities who endure sexual and substance use disparities and have few STI risk reduction programs. This study explores factors predicting retention in an STI risk reduction program among rural Native adults engaged in binge substance use. We analyzed data from 150 Native adults ages 18-55 participating in an evaluation of "EMPWR," a 2-session STI risk reduction program in a rural, reservation-based community. Multivariate logistic regression models were used to estimate associations between independent variables and program completion across demographics, sexual behaviors, substance use behaviors, mental health, recent health care utilization, and perceived enculturation and discrimination. The sample was 49.2% (n = 59) female with a mean age of 33.61 years (SD = 8.25). Twenty-six completed only the first EMPWR session, 94 completed both EMPWR sessions, and 30 were randomized but completed 0 sessions. Being married/cohabiting (adjusted odds ratio [AOR] = 6.40, P = .0063) and living with an older generation (AOR = 4.86, P = .0058) were significantly associated with higher odds of completing EMPWR. Findings provide insight on factors driving retention of Natives with recent binge substance use in STI risk reduction programming. An important contribution to Native health literature is that living with an older generation positively predicted EMPWR program completion, suggesting that STI risk reduction programs should harness the strength of families to ensure program attendance and optimize impacts in rural reservation contexts.
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
323-335Informations de copyright
© 2021 The Authors. The Journal of Rural Health published by Wiley Periodicals LLC on behalf of National Rural Health Association.
Références
Baskin-Sommers A, Sommers I. The co-occurrence of substance use and high-risk behaviors. J Adolesc Health. 2006;38(5):609-611.
Tapert SF, Aarons GA, Sedlar GR, Brown SA. Adolescent substance use and sexual risk-taking behavior. J Adolesc Health. 2001;28(3):181-189.
Beals J, Spicer P, Mitchell CM, Novins DK, Manson SM, Team A-S. Racial disparities in alcohol use: comparison of 2 American Indian reservation populations with national data. Am J Public Health. 2003;93(10):1683-1685.
Whitesell NR, Beals J, Crow CB, Mitchell CM, Novins DK. Epidemiology and etiology of substance use among American Indians and Alaska Natives: risk, protection, and implications for prevention. Am J Drug Alcohol Abuse. 2012;38(5):376-382.
Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol, Suppl. 2002(14):101-117.
Cook RL, Clark DB. Is there an association between alcohol consumption and sexually transmitted diseases? A systematic review. Sex Transm Dis. 2005;32(3):156-164.
Hutton HE, McCaul ME, Santora PB, Erbelding EJ. The relationship between recent alcohol use and sexual behaviors: gender differences among sexually transmitted disease clinic patients. Alcohol Clin Exp Res. 2008;32(11):2008-2015.
Mitchell CM, Beals J, Novins DK, Spicer P, Team A-S. Drug use among two American Indian populations: prevalence of lifetime use and DSM-IV substance use disorders. Drug Alcohol Depend. 2003;69(1):29-41.
SAMHSA. Key substance use and mental health indicators in the United States: results from the 2018 National Survey on Drug Use and Health. HHS Publication No PEP19-5068, NSDUH Series H-54. 2019.
Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2018. Atlanta, GA; 2019.
de Ravello L, Everett Jones S, Tulloch S, Taylor M, Doshi S. Substance use and sexual risk behaviors among American Indian and Alaska Native high school students. J Sch Health. 2014;84(1):25-32.
Kaufman CE, Shelby L, Mosure DJ, et al. Within the hidden epidemic: sexually transmitted diseases and HIV/AIDS among American Indians and Alaska Natives. Sex Transm Dis. 2007;34(10):767-777.
Rink E, Tricker R, Harvey SM. Onset of sexual intercourse among female adolescents: the influence of perceptions, depression, and ecological factors. J Adolesc Health 2007;41(4):398-406.
Hellerstedt WL, Peterson-Hickey M, Rhodes KL, Garwick A. Environmental, social, and personal correlates of having ever had sexual intercourse among American Indian youths. Am J Public Health. 2006;96(12):2228-2234.
Ehlers CL, Gizer IR, Gilder DA, Ellingson JM, Yehuda R. Measuring historical trauma in an American Indian community sample: contributions of substance dependence, affective disorder, conduct disorder and PTSD. Drug Alcohol Depend. 2013;133(1):180-187.
Tingey L, Chambers R, Littlepage S, et al. Empowering our people’ to address depression, violence, and sexual risk among Native Americans with recent binge alcohol use. Ethn Health. 2020:1-15. https://doi.org/10.1080/13557858.2020.1740177.
Semega JL, Fontenot KR, Kollar MA. Income and poverty in the United States: 2016. Curr Popul Rep. 2017:P60-259.
Harling G, Subramanian SV, Bärnighausen T, Kawachi I. Socioeconomic disparities in sexually transmitted infections among young adults in the United States: examining the interaction between income and race/ethnicity. Sex Transm Dis. 2013;40(7):575.
Centers for Disease Control and Prevention. Morbidity and mortality weekly report CDC health disparities and inequalities report - United States, 2013. MMWR Morb Mort Wkly Rep. 2013;62(Suppl 3):1-184.
Levine WC, Dicker LW, Devine O, Mosure DJ. Indirect estimation of chlamydia screening coverage using public health surveillance data. Am J Epidemiol. 2004;160(1):91-96.
Tulloch S, Taylor M. P5-S7. 10 Chlamydia screening coverage among American Indian and Alaska Native women in the USA. Sex Transm Infect. 2011;87(Suppl 1):A345-A346.
National Research Council and Institute of Medicine. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington, DC: National Academies Press (US); 2009.
Carmona J, Slesnick N, Guo X, Letcher A. Reducing high risk behaviors among street living youth: outcomes of an integrated prevention intervention. Child Youth Serv Rev. 2014;43:118-123.
McKay JR. Is there a case for extended interventions for alcohol and drug use disorders? Addiction. 2005;100(11):1594-1610.
U.S. Census Bureau. American Indian and Alaska Native heritage month. Facts Featur. 2011:1-6. https://www.census.gov/newsroom/releases/pdf/cb11ff-22_aian.pdf.
Warne D, Frizzell LB. American Indian health policy: historical trends and contemporary issues. Am J Public Health. 2014;104(Suppl):S263-S267.
Incze MA, Tobey ML, Sequist TD. Investing in the health of American Indians and Alaska Natives. JAMA Intern Med. 2020;180(5):633-634.
United States Government Accountability Office. Health Care Services Are Not Always Available to Native Americans. Vol GAO-05-789. Washington, DC; 2005.
Call KT, McAlpine DD, Johnson PJ, Beebe TJ, McRae JA, Song Y. Barriers to care among American Indians in public health care programs. Med Care. 2006;44:595-600.
Owusu-Edusei K Jr, Chang BA. Investigating multiple-reported bacterial sexually transmitted infection hot spot counties in the United States: ordered spatial logistic regression. Sex Transm Dis. 2019;46(12):771-776.
Chambers R, Tingey L, Beach A, Barlow A, Rompalo A. Testing the efficacy of a brief sexual risk reduction intervention among high-risk American Indian adults: study protocol for a randomized controlled trial. BMC Public Health. 2016;16:366.
Tingey L, Chambers R, Littlepage S, Lee A, Slimp A, Melgar L, Cwik M, Gaydos C, Rompalo A, Rosenstock S. “Empowering Our People: ‘Impact of a Culturally Adapted Evidence-Based Intervention on STI Risks Among Native Americans with Recent Binge Substance Use”. [epub ahead of print]: Sexually Transmitted Diseases.
Rink E, FourStar K, Anastario MP. The relationship between pregnancy prevention and STI/HIV prevention and sexual risk behavior among American Indian men. J Rural Health. 2017;33(1):50-61.
Chambers R, Tingey L, Mullany B, Parker S, Lee A, Barlow A. Exploring sexual risk taking among American Indian adolescents through protection motivation theory. AIDS Care. 2016;28(9):1089-1096.
Cwik MF, Barlow A, Goklish N, et al. Community-based surveillance and case management for suicide prevention: an American Indian tribally initiated system. Am J Public Health. 2014;104(S3):e18-e23.
Kamb ML, Fishbein M, Douglas John MJ, et al. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: a randomized controlled trial. JAMA. 1998;280(13):1161-1167.
Beebe LA, Vesely SK, Oman RF, Tolma E, Aspy CB, Rodine S. Protective assets for non-use of alcohol, tobacco and other drugs among urban American Indian youth in Oklahoma. Matern Child Health J. 2008;12(Suppl 1):82-90.
Whitesell NR, Asdigian NL, Kaufman CE, et al. Trajectories of substance use among young American Indian adolescents: patterns and predictors. J Youth Adolesc. 2014;43(3):437-453.
Tingey L, Cwik MF, Rosenstock S, et al. Risk and protective factors for heavy binge alcohol use among American Indian adolescents utilizing emergency health services. Am J Drug Alcohol Abuse. 2016:1-11. https://doi.org/10.1080/00952990.2016.1181762. June.
Dobkin PL, Civita MD, Paraherakis A, Gill K. The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers. Addiction. 2002;97(3):347-356.
Cajete G. Indigenous Community: Rekindling the Teachings of the Seventh Fire. 1st ed. St. Paul, MN: Living Justice Press; 2015.
Sonenstein FL. Involving Males in Preventing Teen Pregnancy: A Guide for Program Planners. The Urban Institute; 1997.
Pulerwitz J, Michaelis A, Verma R, Weiss E. Addressing gender dynamics and engaging men in HIV programs: lessons learned from horizons research. Public Health Rep. 2010;125(2):282-292.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12(1):38-48.
Light H, Martin R. American Indian families. J Am Indian Educ. 1986;26(1):1-5.
Rosessel R. Women in Navajo Society. 1st ed. Rough Rock, AZ: Navajo Resource Center; 1981.
Glover G. Parenting in Native American families. In N. B. Webb (Ed.), Culturally diverse parent-child and family relationships: A guide for social workers and other practitioners. Columbia University Press; 2001:205-231.
Pindus N, Kingsley T, Biess J, Levy D, Simington J, Hayes C. Housing needs of American Indians and Alaska Natives in tribal areas: a report from the assessment of American Indian, Alaska Native, and Native Hawaiian housing needs: executive summary. US Department of Housing and Urban Development; 2017.
Hindhede AL, Aagaard-Hansen J. Using social network analysis as a method to assess and strengthen participation in health promotion programs in vulnerable areas. Health Promot Pract. 2017;18(2):175-183.