ABSTRACT

Purpose

The top causes of death for American Indians (AIs), including heart and liver disease, are associated with alcohol use. Using the culturally based Framework of Historical Oppression, Resilience, and Transcendence (FHORT), the purpose of this article was to examine AI alcohol use from a sex-specific wellness approach, exploring its associated physical, behavioral, and mental risk and protective factors.

Method

Data were drawn from a cross-sectional survey with 479 AI adults in South Dakota. We employed a series of multiple hierarchical regression analyses to assess the associations of demographic (sex, age, marital status, income, and educational attainment), physical (Body Mass Index and cardiovascular risk), behavioral (smoking and health self-efficacy) and mental (depressive symptoms) factors with alcohol use.

Results

Results indicated that surveyed males tended to drink three times that of females, and depressive symptoms were associated with higher levels of alcohol use.

Discussion

This study highlights the need to examine AI alcohol use with sex in mind.

中文翻译：

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从性别特定的健康方法中美洲印第安人饮酒：探索其相关的身体、行为和心理风险和保护因素

摘要

目的

美国印第安人 (AI) 的主要死因，包括心脏病和肝病，都与饮酒有关。使用基于文化的历史压迫、复原力和超越框架 (FHORT)，本文的目的是从特定性别的健康方法检查 AI 酒精使用，探索其相关的身体、行为和心理风险和保护因素。

方法

数据来自对南达科他州 479 名 AI 成年人的横断面调查。我们采用了一系列多元层次回归分析来评估人口统计学（性别、年龄、婚姻状况、收入和教育程度）、身体（身体质量指数和心血管风险）、行为（吸烟和健康自我效能）和酒精使用的精神（抑郁症状）因素。

结果

结果表明，接受调查的男性饮酒量是女性的三倍，抑郁症状与更高水平的酒精使用有关。

讨论

这项研究强调了在考虑性行为的情况下检查 AI 饮酒的必要性。