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Int. J. Environ. Res. Public Health 2014, 11(10), 10461-10479; doi:10.3390/ijerph111010461

Alcohol Misuse and Associations with Childhood Maltreatment and Out-of-Home Placement among Urban Two-Spirit American Indian and Alaska Native People

1
Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 North Martin Avenue, P.O. Box 245209, Tucson, AZ 85724, USA
2
School of Public Health, University of Washington, 1959 NE Pacific Street, Box 357660, Seattle, WA 98195, USA
3
Indigenous Wellness Research Institute, School of Social Work, University of Washington, 4101 15th Avenue NE, Box 354900, Seattle, WA 98105, USA
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Received: 4 July 2014 / Revised: 30 September 2014 / Accepted: 2 October 2014 / Published: 14 October 2014
(This article belongs to the Special Issue Substance and Drug Abuse Prevention)
View Full-Text   |   Download PDF [675 KB, uploaded 14 October 2014]

Abstract

This study examined associations between alcohol misuse and childhood maltreatment and out-of-home placement among urban lesbian, gay, and bisexual (referred to as two-spirit) American Indian and Alaska Native adults. In a multi-site study, data were obtained from 294 individuals who consumed alcohol during the past year. The results indicated that 72.3% of men and 62.4% of women engaged in hazardous and harmful alcohol use and 50.8% of men and 48.7% of women met criteria for past-year alcohol dependence. The most common types of childhood maltreatment were physical abuse among male drinkers (62.7%) and emotional abuse (71.8%) among female drinkers. Men and women reported high percentages of out-of-home placement (39% and 47%, respectively). Logistic multiple regressions found that for male drinkers boarding school attendance and foster care placement were significant predictors of past-year alcohol dependence. For female drinkers, being adopted was significantly associated with a decreased risk of past-year drinking binge or spree. Dose-response relationships, using number of childhood exposures as a predictor, were not significant. The results highlight the need for alcohol and violence prevention and intervention strategies among urban two-spirit individuals. View Full-Text
Keywords: alcohol misuse; child maltreatment; out-of-home placement; American Indian; sexual minority alcohol misuse; child maltreatment; out-of-home placement; American Indian; sexual minority
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Yuan, N.P.; Duran, B.M.; Walters, K.L.; Pearson, C.R.; Evans-Campbell, T.A. Alcohol Misuse and Associations with Childhood Maltreatment and Out-of-Home Placement among Urban Two-Spirit American Indian and Alaska Native People. Int. J. Environ. Res. Public Health 2014, 11, 10461-10479.

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