Objectives. To evaluate combined individual- and community-level interventions to reduce underage drinking by American Indian/Alaska Native (AI/AN) youths on rural California Indian reservations.
Methods. Individual-level interventions included brief motivational interviewing and psychoeducation for Tribal youths. Community-level interventions included community mobilization and awareness activities, as well as restricting alcohol sales to minors. To test effects, we compared 7 waves of California Healthy Kids Survey data (2002–2015) for 9th- and 11th-grade AI/AN and non-AI/AN students in intervention area schools with California AI/AN students outside the intervention area (n = 617, n = 33 469, and n = 976, respectively).
Results. Pre- to postintervention mean past 30-day drinking frequency declined among current drinkers in the intervention group (8.4–6.3 days) relative to comparison groups. Similarly, heavy episodic drinking frequency among current drinkers declined in the intervention group (7.0–4.8 days) versus the comparison groups.
[For more on this story by Roland S. Moore PhD, David A. Gilder MD, Joel W. Grube PhD, Juliet P. Lee PhD, Jennifer A. Geisler RN, BA, Bettina Friese PhD, Daniel J. Calac MD, Laura J. Finan PhD, and Cindy L. Ehlers PhD, go to https://ajph.aphapublications....105/AJPH.2018.304447]
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