American Journal of Community Psychology

, Volume 54, Issue 1–2, pp 125–139 | Cite as

A Protective Factors Model for Alcohol Abuse and Suicide Prevention Among Alaska Native Youth

  • James Allen
  • Gerald V. Mohatt
  • Carlotta Ching Ting Fok
  • David Henry
  • Rebekah Burkett
  • People Awakening Team
Original Article

Abstract

This study provides an empirical test of a culturally grounded theoretical model for prevention of alcohol abuse and suicide risk with Alaska Native youth, using a promising set of culturally appropriate measures for the study of the process of change and outcome. This model is derived from qualitative work that generated an heuristic model of protective factors from alcohol (Allen et al. in J Prev Interv Commun 32:41–59, 2006; Mohatt et al. in Am J Commun Psychol 33:263–273, 2004a; Harm Reduct 1, 2004b). Participants included 413 rural Alaska Native youth ages 12–18 who assisted in testing a predictive model of Reasons for Life and Reflective Processes about alcohol abuse consequences as co-occurring outcomes. Specific individual, family, peer, and community level protective factor variables predicted these outcomes. Results suggest prominent roles for these predictor variables as intermediate prevention strategy target variables in a theoretical model for a multilevel intervention. The model guides understanding of underlying change processes in an intervention to increase the ultimate outcome variables of Reasons for Life and Reflective Processes regarding the consequences of alcohol abuse.

Keywords

American Indian and Alaska Native Community based participatory research Path analysis Suicide Suicide prevention Alcohol Alcohol prevention Community intervention 

Notes

Acknowledgments

This research was funded by the National Institute of Alcohol Abuse and Alcoholism, the National Institute for Minority Health and Health Disparities, and the National Center for Research Resources [R21AA016098-01, RO1AA11446; R21AA016098; R24MD001626; P20RR061430]. We also want to thank all of the People Awakening Team including participants, community co-researchers, community planning groups, our councils and our project staff for their assistance in completing this research.

Supplementary material

10464_2014_9661_MOESM1_ESM.docx (75 kb)
Supplementary material 1 (DOCX 74 kb)

References

  1. Alcántara, C., & Gone, J. P. (2007). Reviewing suicide in Native American communities: Situating risk and protective factors within a transactional-ecological framework. Death Studies, 31, 457–477. doi: 10.1080/07481180701244587.PubMedCrossRefGoogle Scholar
  2. Allen, J., Mohatt, G. V., Beehler, S., & Rowe, H. L. (2014). People Awakening: Collaborative research with Alaska Native communities to address alcohol use disorders and suicide related health disparities. American Journal of Community Psychology. doi: 10.1007/s10464-014-9647-1.
  3. Allen, J., Mohatt, G. V., Fok, C. C. T., Henry, D., & People Awakening Team. (2012). Predictors of Alaska Native adolescent sobriety and reasons for life: A protective factors model for alcohol abuse and suicide prevention among Alaska Native youth. The American Journal of Drug and Alcohol Abuse, 38(5), 468–475. doi: 10.3109/00952990.2012.702169.PubMedCentralPubMedCrossRefGoogle Scholar
  4. Allen, J., Mohatt, G. W., Hazel, K. L., Rasmus, M., Thomas, L. R., Lindley, S., et al. (2006). The tools to understand: Community as co-researcher on culture specific protective factors for Alaska Natives. Journal of Prevention and Intervention in the Community, 32, 41–59. doi: 10.1300/J005v32n01_04.PubMedCrossRefGoogle Scholar
  5. Arbuckle, J. L. (2006). AMOS (Version 16.0) [Computer program]. Chicago, IL: SPSS.Google Scholar
  6. Beauvais, F. (1990). The need for community consensus as a condition of policy implementation in the reduction of alcohol abuse on Indian reservations. American Indian and Alaska Native Mental Health Research, 4(3), 77–81. doi: 10.5820/aian.CrossRefGoogle Scholar
  7. Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238–246. doi: 10.1037/0033-2909.107.2.238.PubMedCrossRefGoogle Scholar
  8. Brown, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage.Google Scholar
  9. Campbell, D. T., & Fiske, D. W. (1959). Convergent and discriminant validation by the multitrait-multimethod matrix. Psychological Bulletin, 56, 81–105.PubMedCrossRefGoogle Scholar
  10. Fok, C. C. T., Allen, J., Henry, D., & People Awakening Team. (2014).The Brief Family Relationship Scale: A brief measure of the relationship dimension in family functioning. Assessment, 21, 67–72. doi: 10.1177/1073191111425856.
  11. Fok, C. C. T., Allen, J., Henry, D., Jeong, A., & The People Awakening Team. (2011). The Youth Community Protective Factors Scale: A measure of community level protective factors promoting youth well-being. Unpublished manuscript, University of Alaska Fairbanks.Google Scholar
  12. Fok, C. C. T., Allen, J., Henry, D., Mohatt, G. V., & People Awakening Team. (2012). Multicultural mastery scale for youth: Multidimensional assessment of culturally mediated coping strategies. Psychological Assessment, 24, 313–327. doi: 10.1037/a0025505.
  13. Freire, P. (1970). Pedagogy of the oppressed. New York: Continuum.Google Scholar
  14. Goldston, D. B., Molock, S. D., Whitbeck, L. B., Murakami, J. L., Zayas, L. H., & Hall, G. C. (2008). Cultural considerations in adolescent suicide prevention and psychosocial treatment. American Psychologist, 14(1), 14–31. doi: 10.1037/0003-066X.63.1.14.
  15. Gonzalez, J., & Trickett, E. (2014). Collaborative measurement development as a tool in CBPR: Measurement development and adaptation within the cultures of communities. American Journal of Community Psychology. doi: 10.1007/s10464-014-9655-1.
  16. Hawkins, E. H., Cummins, L. H., & Marlatt, G. A. (2004). Preventing substance abuse in American Indian and Alaska Native Youth: Promising strategies for healthier communities. Psychological Bulletin, 130, 304–323. doi: 10.1037/0033-2909.130.2.304.PubMedCrossRefGoogle Scholar
  17. Hobfoll, E. E., Jackson, A., Hobfoll, I., Pierce, C. A., & Young, S. (2002). The impact of communal-mastery versus self-mastery on emotional outcomes during stressful conditions: A prospective study of Native American women. American Journal of Community Psychology, 30, 853–871. doi: 10.1023/A:1020209220214.PubMedCrossRefGoogle Scholar
  18. Jackson, T., McKenzie, J., & Hobfoll, S. E. (2000). Communal aspects of self-regulation. In M. Boekaerts, P. R. Pintrich, & M. Zeider (Eds.), Handbook of self-regulation. San Diego, CA: Academic Press.Google Scholar
  19. Jöreskog, K. G., & Sörbom, D. (1989). LISREL 7: A guide to the program and applications (2nd ed.). Chicago, IL: SPSS Inc.Google Scholar
  20. Jöreskog, K. G., & Sörbom, D. (1996). LISREL 8: User’s reference guide (2nd ed.). Chicago, IL: Scientific Software International.Google Scholar
  21. LaFromboise, T. D., Hoyt, D. R., Oliver, L., & Whitbeck, L. B. (2006). Family, community, and school influences on resilience among American Indian adolescents in the Upper Midwest. Journal of Community Psychology, 34, 193–209. doi: 10.1002/(ISSN)1520-6629.CrossRefGoogle Scholar
  22. Linehan, M. M., Goodstein, A. J., Nielsen, S. L., & Chiles, J. A. (1983). Reasons for staying alive when you are thinking about killing yourself: The reasons for living inventory. Journal of Consulting and Clinical Psychology, 51(2), 276–286. doi: 10.1037/0022-006X.51.2.276.PubMedCrossRefGoogle Scholar
  23. MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7(1), 83–104. doi: 10.1037/1082-989X.7.1.83.PubMedCentralPubMedCrossRefGoogle Scholar
  24. McDonald, R. P., & Ho, M. R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7(1), 64–82. doi: 10.1037/1082-989X.7.1.64.PubMedCrossRefGoogle Scholar
  25. Mohatt, G. V., Allen, J., Fok, C. C. T., Henry, D., & People Awakening Team. (2014). Evaluating the feasibility and effects of a cultural intervention for the prevention of suicide and alcohol abuse with Yup’ik Alaska Native youth: The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies. American Journal of Community Psychology. doi: 10.1007/s10464-014-9646-2.
  26. Mohatt, G. V., Hazel, K. L., Allen, J., Stachelrodt, M., Hensel, C., & Fath, R. (2004a). Unheard Alaska: Culturally anchored participatory action research on sobriety with Alaska Natives. American Journal of Community Psychology, 33(3–4), 263–273. doi: 10.1186/1477-7517-1-10.PubMedCrossRefGoogle Scholar
  27. Mohatt, G. V., Rasmus, S. M., Thomas, L. R., Allen J., Hazel K. L., & Hensel, C. (2004b). “Tied Together Like a Woven Hat:” Protective Pathways to Alaska Native Sobriety. Harm Reduction, 1. Retrieved from http://www.harmreductionjournal.com/content/1/1/10.
  28. Moos, R. H., & Moos, B. S. (1994). Family environment scale manual (3rd ed.). Palo Alto, CA: Consulting Psychologists Press.Google Scholar
  29. Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York, NY: McGraw-Hill.Google Scholar
  30. Oetting, E. R., & Beauvais, F. (1990). Adolescent drug use: Findings of national and local surveys. Journal of Consulting and Clinical Psychology, 58(4), 385–394. doi: 10.1037/0022-006X.58.4.385.PubMedCrossRefGoogle Scholar
  31. Osman, A., Kopper, B., Barrios, F., Osman, J., Besett, T., & Linehan, M. (1996). The brief reasons for living inventory for adolescents (BRFL-A). Journal of Abnormal Child Psychology, 24, 433–443. doi: 10.1007/bf01441566.PubMedCrossRefGoogle Scholar
  32. Oyserman, D., Coon, H., & Kemmelmeier, M. (2002). Rethinking individualism and collectivism: Evaluation of theoretical assumptions and meta-analyses. Psychological Bulletin, 128, 3–72. doi: 10.1037/0033-2909.128.1.3.PubMedCrossRefGoogle Scholar
  33. Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22, 337–356. doi: 10.2307/2136676.PubMedCrossRefGoogle Scholar
  34. Pettingell, S. L., Bearinger, L. H., Skay, C. L., Resnick, M. D., Potthoff, S. J., & Eichhorn, J. (2008). Protecting urban American Indian young people from suicide. American Journal of Health Behavior, 32, 465–476.PubMedCrossRefGoogle Scholar
  35. Rasmus, S. M., Charles, B., Mohatt, G. V. (2014). Elluam Tungiinun Community Planning Group, Yupiucimta Asvairtuumallerkaa Community Planning Group, & People Awakening Team. Creating Qungasvik (a Yup’ik intervention “toolbox”): Case examples from a community-developed and culturally-driven intervention. American Journal of Community Psychology. doi: 10.1007/s10464-014-9651-5.
  36. Reise, S. P., Moore, T. M., & Haviland, M. G. (2010). Bifactor models and rotations: Exploring the extent to which multidimensional data yield univocal scale scores. Journal of Personality Assessment, 92, 544–559. doi: 10.1080/00223891.2010.496477.PubMedCentralPubMedCrossRefGoogle Scholar
  37. Reise, S. P., Morizot, J., & Hays, R. D. (2007). The role of the bifactor model in resolving dimensionality issues in health outcomes measures. Qualitative Life Research, 16, 19–31. doi: 10.1007/s11136-007-9183-7.CrossRefGoogle Scholar
  38. Savin-Williams, R. C., & Berndt, T. J. (1990). Friendship and peer relations. In S. S. Feldman & G. R. Elliott (Eds.), At the threshold: The developing adolescent (pp. 277–307). Cambridge, MA: Harvard University Press.Google Scholar
  39. Stiffman, A. R., Brown, E., Freedenthal, S., House, L., Ostmann, E., & Yu, M. S. (2007). American Indian youth: Personal, familial, & environmental strengths. Journal of Child and Family Studies, 16, 331–346. doi: 10.1007/s10826-006-9089-y.CrossRefGoogle Scholar
  40. Teufel-Shone, N. I., Staten, L. K., Irwin, S., Rawiel, U., Bravo, A. B., & Waykayuta, S. (2005). Family cohesion and conflict in an American Indian community. American Journal of Health Behavior, 29, 413–422.PubMedCrossRefGoogle Scholar
  41. Werner, E. E., & Smith, R. S. (2001). Journeys from childhood to midlife: Risk, resilience, and recovery. Ithaca, NY: Cornell University Press.Google Scholar
  42. Whitbeck, L., Hoyt, D., Stubben, J., & LaFromboise, T. (2001). Traditional culture and academic success among American Indian children in the Upper Midwest. Journal of American Indian Education, 40, 48–60.Google Scholar
  43. Wilson, M. (2005). Constructing measures: An item response modeling approach. Mahwah, NJ: Erlbaum.Google Scholar

Copyright information

© Society for Community Research and Action 2014

Authors and Affiliations

  • James Allen
    • 1
    • 2
  • Gerald V. Mohatt
    • 2
  • Carlotta Ching Ting Fok
    • 2
  • David Henry
    • 3
  • Rebekah Burkett
    • 2
  • People Awakening Team
  1. 1.University of Minnesota Medical SchoolDuluthUSA
  2. 2.Canter for Alaska Native Health ResearchUniversity of Alaska FairbanksFairbanksUSA
  3. 3.University of Illinois at ChicagoChicagoUSA

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