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Multilevel prevention trial of alcohol use among American Indian and white high school students in the Cherokee nation

Author

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  • Komro, K.A.
  • Livingston, M.D.
  • Wagenaar, A.C.
  • Kominsky, T.K.
  • Pettigrew, D.W.
  • Garrett, B.A.
  • Boyd, B.J.
  • Boyd, M.L.
  • Livingston, B.J.
  • Lynne, S.D.
  • Molina, M.M.
  • Merlo, L.J.
  • Tobler, A.L.

Abstract

Objectives. To evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation. Methods. We randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol access) only, CONNECT (a school-based universal screening and brief intervention) only, or a combined condition. We collected quarterly surveys 2012-2015 from students starting in 9th and 10th grades and ending in 11th and 12th grades. Response rates ranged from 83% to 90%; 46% of students were American Indian (of which 80% were Cherokee) and 46% were White only. Results. Students exposed to CMCA, CONNECT, and both showed a significant reduction in the probability over time of 30-day alcohol use (25%, 22%, and 12% reduction, respectively) and heavy episodic drinking (24%, 19%, and 13% reduction) compared with students in the control condition, with variation in magnitude of effects over the 2.5-year intervention period. Conclusions. CMCA and CONNECT are effective interventions for reducing alcohol use among American Indian and other youths living in rural communities. Challenges remain for sustaining intervention effects.

Suggested Citation

  • Komro, K.A. & Livingston, M.D. & Wagenaar, A.C. & Kominsky, T.K. & Pettigrew, D.W. & Garrett, B.A. & Boyd, B.J. & Boyd, M.L. & Livingston, B.J. & Lynne, S.D. & Molina, M.M. & Merlo, L.J. & Tobler, A.L, 2017. "Multilevel prevention trial of alcohol use among American Indian and white high school students in the Cherokee nation," American Journal of Public Health, American Public Health Association, vol. 107(3), pages 453-459.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303603_6
    DOI: 10.2105/AJPH.2016.303603
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    Cited by:

    1. Umit Shrestha & Jessica Hanson & Tess Weber & Karen Ingersoll, 2019. "Community Perceptions of Alcohol Exposed Pregnancy Prevention Program for American Indian and Alaska Native Teens," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    2. Mi-Kyoung Cho & Yoon-Hee Cho, 2021. "Do Alcohol Prevention Programs Influence Adolescents’ Drinking Behaviors? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(16), pages 1-14, August.

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