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

Nicole P. Yuan, Bonnie M. Duran, Karina L. Walters, Cynthia R. Pearson and Tessa A. Evans-Campbell
Additional contact information
Nicole P. Yuan: Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 North Martin Avenue, P.O. Box 245209, Tucson, AZ 85724, USA
Bonnie M. Duran: School of Public Health, University of Washington, 1959 NE Pacific Street, Box 357660, Seattle, WA 98195, USA
Karina L. Walters: Indigenous Wellness Research Institute, School of Social Work, University of Washington, 4101 15th Avenue NE, Box 354900, Seattle, WA 98105, USA
Cynthia R. Pearson: Indigenous Wellness Research Institute, School of Social Work, University of Washington, 4101 15th Avenue NE, Box 354900, Seattle, WA 98105, USA
Tessa A. Evans-Campbell: Indigenous Wellness Research Institute, School of Social Work, University of Washington, 4101 15th Avenue NE, Box 354900, Seattle, WA 98105, USA

IJERPH, 2014, vol. 11, issue 10, 1-19

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.

Keywords: alcohol misuse; child maltreatment; out-of-home placement; American Indian; sexual minority (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2014
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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