The way in which behavioral health interventions are designed, implemented, and evaluated must be responsive to the ethnocultural characteristics of the targeted youth and their families, schools, and communities. The goal of this paper is to examine the relationship between ethnocultural identity measures and substance use among Native Hawaiian compared to non-Hawaiian youth. A cross-sectional analysis was conducted from baseline data drawn from an efficacy trial of a culturally-grounded drug prevention curriculum, Hoòuna Pono. The sample (N=486) included youth from 13 rural, public middle schools who identified as Native Hawaiian, as well as other Pacific Islander, Asian, and other ethnicities. Ethnocultural identity measures used to explore the relationship between 30-day substance use included items from the Hawaiian Culture Scale (Hishinuma et al., 2000) and from Phinney's (1992) Multigroup Ethnic Identity Measure. Among the total sample, prevalence rates indicated that 11.2% of participants reported having been offered substances, and 9.7% reported having used one or more substances in the past month. For Hawaiian youth relative to the non-Hawaiian group, higher levels of Native Hawaiian ethnocultural independent variables were moderately associated with fewer offers to use substances and less gateway drug use. Other results were mixed regarding the relationship between ethnocultural variables and substance use. The present study found that selected ethnocultural variables were moderately associated with fewer drug offers and lower levels of gateway drug use for Hawaiian versus non-Hawaiian youth.

中文翻译：

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以学校为基础的样本中民族文化认同措施与青年物质使用之间的关系：关注夏威夷原住民青年。

行为健康干预措施的设计、实施和评估方式必须适应目标青年及其家庭、学校和社区的民族文化特征。本文的目的是检查与非夏威夷青年相比，夏威夷原住民青年的民族文化认同措施与物质使用之间的关系。横断面分析是从基于文化的药物预防课程 Hoòuna Pono 的功效试验中提取的基线数据进行的。样本 (N=486) 包括来自 13 所农村公立中学的被认定为夏威夷原住民以及其他太平洋岛民、亚洲人和其他种族的青年。用于探索 30 天物质使用之间关系的民族文化认同测量包括来自夏威夷文化量表（Hishinuma 等，2000）和来自 Phinney (1992) 多群体民族认同测量的项目。在总样本中，流行率表明 11.2% 的参与者报告曾被提供过物质，9.7% 的参与者报告在过去一个月中使用过一种或多种物质。对于夏威夷青年相对于非夏威夷群体而言，较高水平的夏威夷原住民民族文化自变量与较少使用物质的提议和较少的入门药物使用适度相关。关于民族文化变量与物质使用之间的关系，其他结果喜忧参半。