Perceived Discrimination and Early Substance Abuse among American Indian Children

This study investigated internalizing and externalizing symptoms as potential mediators of the relationship between perceived discrimination and early substance use among 195 American Indian 5 through 8 graders from three reservations that share a common culture (e.g. language, spiritual beliefs, and traditional practices) in the upper Midwest. The findings indicate that, although perceived discrimination contributed significantly to internalizing symptoms among the adolescents, internalizing symptoms were unrelated to early substance use. Rather, the effects of perceived discrimination on early substance abuse were mediated by adolescent anger and delinquent behaviors. The results are discussed in terms of the consequences of perceived discrimination on the development of American Indian early adolescents. 


This study investigated internalizing and externalizing symptoms as potential mediators of the relationship between perceived discrimination and early substance use among 195 American Indian 5th through 8th graders from three reservations that share a common culture (e.g., language, spiritual beliefs, and traditional practices) in the upper Midwest.

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Overdose Prevention Hub for Tribes and Native Communities

Seven Directions: A Center for Indigenous Public Health
Center for the Study of Health & Risk Behaviors (CSHRB)
Department of Psychiatry & Behavioral Sciences, UW Medicine
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