American Indian (AI) adolescents experience disproportionately higher rates of alcohol use and related consequences. While self-esteem has been found to be associated with alcohol use in non-AI samples, little is known about this relationship in AI adolescents. Further, there is a dearth of literature examining the psychometric properties of self-esteem measures for AI adolescents. The current study aims to examine the factor structure of the self-esteem items of the American Drug and Alcohol Survey (ADAS) and to better understand the relationships among self-esteem, alcohol use, and alcohol-related problems in AI adolescents. The present study represents secondary analyses of cross-sectional data collected between 2009 and 2013. Participants (n = 3,498) were AI adolescents (Mage = 14.8, 47.7% female) attending schools on or near reservations across 11 states. Participants completed the American Drug and Alcohol Survey. Factor analytic results suggested 2 factors, representing intrapersonal (from intrinsic sources) and interpersonal self-esteem (from extrinsic sources). Multilevel regression analyses revealed that, with both factors entered into the model, intrapersonal self-esteem was negatively associated with alcohol consumption and alcohol-related problems, while interpersonal self-esteem was positively associated with alcohol consumption and alcohol-related problems. Results suggest the importance of examining the properties of assessment tools before they are used with a community for whom they were not developed. Further, self-esteem does not appear to be universally protective. Rather, interventions should aim to consider sources from which AI adolescents are drawing self-esteem and focus on promoting more intrinsic sources rather than aiming to increase self-esteem in general. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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美洲印第安人（AI）青少年自尊的因素结构及其与饮酒的关系。

美洲印第安人 (AI) 青少年的饮酒率和相关后果要高得多。虽然在非人工智能样本中发现自尊与饮酒有关，但人们对人工智能青少年中的这种关系知之甚少。此外，缺乏研究人工智能青少年自尊测量的心理测量特性的文献。本研究旨在考察美国毒品和酒精调查（ADAS）自尊项目的因素结构，并更好地了解人工智能青少年的自尊、饮酒和酒精相关问题之间的关系。本研究对 2009 年至 2013 年期间收集的横截面数据进行了二次分析。参与者（n = 3,498）是在 11 个州的保留地或附近学校上学的 AI 青少年（法师 = 14.8，47.7% 为女性）。参与者完成了美国毒品和酒精调查。因素分析结果表明有两个因素，分别代表个人内部（来自内在来源）和人际自尊（来自外在来源）。多水平回归分析显示，将这两个因素纳入模型后，个人自尊与饮酒和酒精相关问题呈负相关，而人际自尊与饮酒和酒精相关问题呈正相关。结果表明，在将评估工具用于并非为其开发的社区之前，检查评估工具的属性非常重要。此外，自尊似乎并不具有普遍的保护作用。相反，干预措施应旨在考虑人工智能青少年获得自尊的来源，并侧重于促进更内在的来源，而不是旨在总体上提高自尊。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。