Abstract
Native Americans have experienced substantial problems with alcohol since its introduction to their culture by early European settlers. Epidemiological data indicate that elevated morbidity and mortality attributable to alcohol abuse among this population remain at epidemic levels. Adolescent drinking patterns and family and peer influences on alcohol use are examined. A multifactorial etiology is indicated in the origin of Native American alcohol abuse. Some scholars have ascribed this problem to historical factors such as the introduction of alcohol to Native Americans by aberrant role models, while other researchers subscribe to various physiological theories which support the “firewater myth” suggesting that Native Americans may be genetically predisposed to crave ever increasing doses of alcohol during a rapid loss of control of their senses. The physiological theories generally suggest significant differences in alcohol absorption and metabolism rates between Native Americans and caucasians. A wide variety of social factors appear to be implicated in Native American drinking problems. Cultural and social orientations, socioeconomic conditions, “stake theory,” failure to develop social sanctions regulating drunken deportment, passive-aggressive syndromes, and emotional repression contribute to Native American alcohol abuse. Treatment regimes for Native American alcoholics are examined briefly. Nativistic movements, conversion to evangelistic religions, therapies grounded in the medical model, and Native American group-oriented efforts have demonstrated varying degrees of success. Clearly, prevention would be preferable to the frustration of attempting to change the highly addictive behavior patterns characteristic of alcoholism. Suggestions for health education interventions are presented including an example of one effort currently being implemented.
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References
Lookout, M, Alcohol and the Native American.Alcohol: Technical Reports, 4: 30–37, 1975.
Indian Health Service.Alcoholism: A High Priority Health Problem. Washington, D.C.: Department of Health and Human Services, 1977.
Levy, JE, and Kunitz, SJ,Indian Drinking: Navajo Practices and Anglo-American Theories. New York: John Wiley and Sons, 1974.
Andre, JM,The Epidemiology of Alcoholism Among American Indians and Alaskan Natives. Albuquerque, N.M.: Indian Health Service, 1979.
National Institute on Alcohol Abuse and Alcoholism.Alcohol and American Indians. Rockville, MD: National Clearinghouse for Alcohol Information, 1980.
Rhoades, ER, Hammond, J, Welty, TK, Handler, AO, and Amler, RW, The Indian Burden of Illness and Future Health Interventions.Public Health Reports, 102: 361–368, 1987.
Weibel-Orlando, J, Substance Abuse Among American Indian Youth: A Continuing Crisis.Journal of Drug Issues, 14: 313–333, 1984.
Dizmang, LH, Watson, J, May, P, and Bopp, J, Adolescent Suicide at an Indian Reservation,American Journal of Orthopsychiatry, 44: 43–49, 1974.
Ogden, M, Spector, M, and Gill, C, Suicide and Homicide Among Indians.Public Health Reports, 85: 75–80, 1970.
Havighurst, R, The Extent and Significance of Suicide Among American Indians Today.Mental Hygiene, 55: 174–177, 1971.
Shore, J, Bopp, J, Waller, T, and Dawds, JA, Suicide Prevention Center on an Indian Reservation.American Journal of Psychiatry, 128: 1086–1091, 1972.
Oetting, ER, and Goldstein, GS,Native American Drug Abuse. Ft. Collins, CO, 1977.
Donovan, JE, and Jessor, P, Adolescent Drinking: Psychological Correlates in a National Sample Study.Journal of Studies on Alcohol, 39: 1506–1524, 1978.
Honigman, JJ, and Honigman, I, Arctic Townsmen. Ottowa: Canadian Research Center for Anthropology, 1970.
Longclaws, L, Barnes, GE, Grieve, L, and Dumoff, R, Alcohol and Drug Use Among the Brokenhead Ojibwa.Journal of Studies on Alcohol, 41: 21–36, 1980.
Albaugh, B, and Albaugh, P, Alcohol and Substance Sniffing Among the Cheyenne and Arapaho Indians of Oklahoma.The International Journal of the Addictions. 14: 1001–1007, 1979.
Heath, DB, Prohibition and Post-Repeal Drinking Patterns Among American Indians Today.Mental Hygiene. 55: 174–177, 1971.
Winkler, AM, Drinking on the American Frontier.Journal of Studies on Alcohol. 29: 413–445, 1968.
Wissler, C,Indians of the United States. Four Centuries of Their History and Culture. New York: Doubleday and Company, 1940.
Peckham, HH,Pontiac and the Indian Uprising. Chicago: University of Chicago Press, 1947.
Leland, J,Firewater Myths. New Brunswick, NJ: Publishing Division of Rutgers Center of Alcohol Studies, 1976.
Lewis, RG, Alcoholism and the Native American—A Review of the Literature.Alcohol and Health Monograph No. 4: Special Population Issues. Washington, D.C.: U.S. Government Printing Office, 1982.
McCleod, J, and Clark, S. It's in the Blood.Canadian Welfare. 5: 17–20, 1974.
Fenna, D, Mix, I., Schaefer, O, and Gilbert, AL, Ethanol Metabolism in Various Racial Groups.Canadian Medical Association Journal, 105: 472–475, 1971.
Reed, TE, Ethnic Differences in Alcohol Use, Abuse, and Sensitivity: A Review with Genetic Interpretation.Social Biology, 32: 195–209, 1985.
Bennion, LJ, and Li, T, Alcohol Metabolism in American Indians and Whites.New England Journal of Medicine, 294: 9–13, 1976.
Benedict, R, Patterns of Culture. New York: Houghton, Mifflin, 1961.
Jilet-Aall, L, Psychosocial Aspects of Drinking Among Coast Salish Indians.Canadian Psychological Association. 19: 357–361, 1974.
Price, JA, Applied Analysis of North American Indian Drinking Patterns.Human Organization, 1: 17–26, 1975.
Beltrame, T, and McQueen, DV, Urban and Rural Indian Drinking Patterns: The Special Case of the Lumbee.The International Journal of the Addictions, 14: 533–548, 1979.
Ferguson, FM, Stake Theory as an Explanatory Device in Navajo Alcoholism Treatment Response.Human Oraganization, 35: 65–78, 1976.
Burnette, R, and Kastner, J,The Road to Wounded Knee. New York: Bantam Books, 1974.
Dozier, EP, Problem Drinking Among American Indians.Journal of Studies on Alcohol, 27: 72–87, 1966.
Shoenfeld, LS, and Miller, SL, The Navajo Indian: A Descriptive Study of the Psychiatric Population.International Journal of Social Psychiatry, 19: 31–37, 1973.
Rosenthal, BG, Development of Self-Identification in Relation to Attitudes Toward the Self in Chippewa Indians.Genetic Psychology Monographs, 90: 43–141, 1974.
Howell, FB, A Comparative Self-Concept Study Between Denver's Indian Children and Others in Grades Four Through Six Using the Coopersmith Self-Esteem Inventory. Doctoral dissertation University of Northern Colorado, Dissertation Abstracts International, 39, 4694, 1979.
Lamarine, RJ, Predictors of Health-Related Attitudes and Behavioral Intentions Among Fourth, Fifth, and Sixth Grade Native American Children in New Mexico, Unpublished doctoral dissertation, Indiana University, Bloomington, IN 47405, 1987.
Lamarine, RJ, The Ramah Navajo CHILD-to-child Program.International Quarterly of Community Health Education, 6: 85–92, 1985/86.
Festinger, L,A Theory of Cognitive Dissonance. Stanford, CA: Stanford University Press, 1957.
Saslow, HL, and Harrover, MJ, Research on Psychosocial Adjustment of Indian Youth.American Journal of Psychiatry, 125: 224–231, 1978.
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Roland J. Lamarine, H.S.D. is Assistant Professor Department of Health and Community Services, California State University, Chico, Chico, California 95929-0505
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Lamarine, R.J. Alcohol abuse among Native Americans. J Community Health 13, 143–155 (1988). https://doi.org/10.1007/BF01324240
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DOI: https://doi.org/10.1007/BF01324240