UA Open Access Publishing Fund / This study examined associations between alcohol misuse and childhood
maltreatment and out-of-home placement among urban lesbian, gay, and bisexual (referred
to as two-spirit) American Indian and Alaska Native adults. In a multi-site study, data were
obtained from 294 individuals who consumed alcohol during the past year. The results
indicated that 72.3% of men and 62.4% of women engaged in hazardous and harmful
alcohol use and 50.8% of men and 48.7% of women met criteria for past-year alcohol
dependence. The most common types of childhood maltreatment were physical abuse
among male drinkers (62.7%) and emotional abuse (71.8%) among female drinkers. Men
and women reported high percentages of out-of-home placement (39% and 47%,
respectively). Logistic multiple regressions found that for male drinkers boarding school
attendance and foster care placement were significant predictors of past-year alcohol
dependence. For female drinkers, being adopted was significantly associated with a
decreased risk of past-year drinking binge or spree. Dose-response relationships, using
number of childhood exposures as a predictor, were not significant. The results highlight
the need for alcohol and violence prevention and intervention strategies among urban
two-spirit individuals.
| Identifer | oai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/621266 |
| Date | 14 October 2014 |
| Creators | Yuan, Nicole, Duran, Bonnie, Walters, Karina, Pearson, Cynthia, Evans-Campbell, Tessa |
| Contributors | Mel and Enid Zuckerman College of Public Health, University of Arizona |
| Publisher | MDPI |
| Source Sets | University of Arizona |
| Language | English |
| Detected Language | English |
| Type | Article |
| Rights | © 2014 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/). |
| Relation | http://www.mdpi.com/1660-4601/11/10/10461/ |
Page generated in 0.002 seconds