@article{fd01d8f9d8fd4c76b7c057e4e46ed3fe,
title = "{"}Alcohol is something that been with us like a common cold{"}: Community perceptions of American Indian drinking",
abstract = "This study examined tribal members' perspectives on alcohol, risk factors, consequences, and community responses. Focus groups were conducted with five American Indian tribes between 1997 and 2001. Participants were knowledgeable of the cultural lives of their reservation communities. Although there was agreement regarding the pervasiveness of heavy drinking, participants reported different opinions about the meaning of alcohol and appropriate intervention strategies. Three dilemmas were identified, suggesting that community ambivalence may serve as a barrier to reducing problem drinking. Implications, limitations, and future research directions are discussed. The study was funded by the National Institute on Alcohol Abuse and Alcoholism.",
keywords = "Alcohol, American Indian, Prevention, Qualitative research",
author = "Yuan, {Nicole P.} and Eaves, {Emery R.} and Koss, {Mary P.} and Mona Polacca and Keith Bletzer and David Goldman",
note = "Funding Information: Nicole P. Yuan, Ph.D., is an assistant professor in the Mel and Enid Zuckerman College of Public Health at the University of Arizona. She is a recipient of a Mentored Patient-Oriented Research Career Development Award funded by the National Institute on Alcohol Abuse and Alcoholism. She is also principal investigator of a sexual violence prevention and education program supported by the Arizona Department of Health Services with pass through funds from the Centers for Disease Control and Prevention. Her research interests include alcohol abuse, interpersonal violence, American Indian health, and community-based participatory research methods. Funding Information: This paper was supported by Grant Number K23AA014606 from the National Institute on Alcohol Abuse and Alcoholism to the first author. The Ten Tribes Study was funded by Contract Number N01AA51012 from the same institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Alcohol Abuse and Alcoholism or the National Institutes of Health. We express sincere gratitude to the tribal members who shared their opinions and experiences to inform the main study design and the tribes for providing tribal council support. Appreciation also goes to Christiane Pretzinger and JoLene Unruh for transcribing the interviews and Dr. Nicky Teufel-Shone for consultation on qualitative analysis. Thanks are also due to Dr. Bonnie Duran for her insightful reading of the manuscript. Funding Information: Keith V. Bletzer, Ph.D., M.P.H., is an adjunct faculty in the School of Human Evolution and Social Change at Arizona State University. He has conducted extended fieldwork in Central America, and worked on field projects in four regions of the United States. He was a recent recipient of a National Research Service Award through Arizona State University and has received intermittent funding for field research. His substantive interests include medical anthropology, social adversity in resource-poor communities, and narrative analysis.",
year = "2010",
month = jul,
doi = "10.3109/10826081003682115",
language = "English (US)",
volume = "45",
pages = "1909--1929",
journal = "Substance Use and Misuse",
issn = "1082-6084",
publisher = "Informa Healthcare",
number = "12",
}