Publications by Colleges and Departments (MSU - Bozeman)
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Item Association of racism and substance use treatment with belief in the myth of an American Indian/Alaska Native biological vulnerability to alcohol problems(American Psychological Association, 2023-06) Gonzalez, Vivian M.; Skewes, Monica C.Objectives: Belief in an American Indian/Alaska Native (AIAN) specific biological vulnerability (BV) to alcohol problems is associated with worse alcohol outcomes among AIANs. Despite a notable lack of evidence that biogenetic factors play a greater role in the development of alcohol problems among AIANs than other groups, many people still believe this myth. Consistent with theory and evidence that greater experiences with discrimination leads to the internalization of stereotypes and oppression, we hypothesized that greater perceived racial discrimination (racism) would be associated with greater BV belief, but that having a stronger ethnic identity would weaken this association. We also examined whether previous substance use treatment as well as participation in Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) was associated with BV belief. Method: Participants were 198 reservation-dwelling AI adults with a substance use problem who completed a survey as part of a larger community-based participatory study. Results: A multiple regression analysis revealed that greater systemic racism was associated with greater belief in a BV; this association was not moderated by ethnic identity. Greater interpersonal racism was also associated with greater BV belief—but only among those low in ethnic identity. A regression analysis revealed that previous treatment, AA, and NA participation were not associated with BV belief. Conclusions: Greater systemic and interpersonal racism were associated with belief in a BV, and greater ethnic identity buffered the association between interpersonal racism and BV belief. This suggests that both combatting racism and fostering positive ethnic identity may help to lessen BV belief. (PsycInfo Database Record (c) 2023 APA, all rights reserved)Item Development and Feasibility Pilot Study of Indigenous Recovery Planning: A Community-Engaged Approach to Addressing Substance Use in a Native Community(SAGE Publications, 2023-02) Skewes, Monica C.; Gonzalez, Vivian M.; Gameon, Julie A.; Ricker, Adriann; Martell, Shannon; Reum, Martel; Holder, ShannonAlthough Native (American Indian [AI] and Alaska Native [AN]) populations have high rates of abstinence from alcohol, health problems associated with substance use remain a pressing concern in many AI/AN communities. As part of a longstanding community-based participatory research project involving 5 years of relationship building and three preliminary studies, our team of academic and community coresearchers developed a culturally grounded intervention to facilitate recovery from substance use disorders among tribal members from a rural AI reservation. Our Indigenous Recovery Planning (IRP) intervention consists of six weekly sessions and is designed to provide inroads to existing resources in the community, affirm and enhance Native identity, address culturally relevant risk factors, and build on strengths. Results from a feasibility pilot study (N = 15) suggest that IRP is feasible to implement and acceptable to the community. Although there was insufficient statistical power to conduct hypothesis testing, there were changes between pretest and posttest scores in the expected directions. Future directions and limitations of this research are discussed.Item Belief in the myth of an American Indian/Alaska Native biological vulnerability to alcohol problems among reservation‐dwelling participants with a substance use problem(Wiley, 2021-11) Gonzalez, Vivian M.; Skewes, Monica C.Belief in the myth of an American Indian/Alaska Native (AIAN) specific biological vulnerability (BV) to alcohol problems is associated with worse alcohol outcomes among AIAN college students who drink, despite also being associated with greater attempts to reduce drinking. This study examined the association of belief in a BV with alcohol use among reservation-dwelling AI adults with a substance use problem. Methods: Participants (n=141) who drank alcohol in the past 90 days were selected from a larger AI sample who self-identified as having a substance use problem. Moderated-mediation analyses examined whether belief in a BV was positively associated with alcohol use and substance use consequences, as well as whether self-efficacy and craving mediated the association of belief in a BV with alcohol use. Results: Among participants who reported using alcohol but not hard drugs (e.g., methamphetamine, opioids), greater belief in a BV was associated with greater drinking days, which in turn was associated with greater consequences. Among participants who used alcohol only, belief in a BV was also significantly associated with greater craving, and in turn with greater drinking days. Among those who used both alcohol and hard drugs, greater belief in a BV was associated with fewer drinking days, but was not significantly associated with consequences. No association was found between belief in a BV and self-efficacy to avoid alcohol or drug use. Conclusions: Among those who use only alcohol, belief in a BV may contribute to greater drinking days and consequences through its association with greater craving. This study provides further evidence of the potential harm of internalizing the belief that being AIAN contributes to risk for alcohol problems, a notion that lacks scientific evidence despite decades of research. The findings highlight the importance of combating societal myths regarding AIAN peoples and the internalization of these stereotypes.Item Health Disparities Research with American Indian Communities: The Importance of Trust and Transparency(2021) Skewes, Monica C.; Gonzalez, Vivian M.; Gameon, Julie A.; FireMoon, Paula; Salois, Emily; Rasmus, Stacy M.; Lewis, Jordan P.; Gardner, Scott A.; Ricker, Adriann; Reum, MartelAmerican Indian and Alaska Native (AI/AN) communities experience notable health disparities associated with substance use, including disproportionate rates of accidents/injuries, diabetes, liver disease, suicide, and substance use disorders. Effective treatments for substance use are needed to improve health equity for AI/AN communities. However, an unfortunate history of unethical and stigmatizing research has engendered distrust and reluctance to participate in research among many Native communities. In recent years, researchers have made progress toward engaging in ethical health disparities research by using a community-based participatory research (CBPR) framework to work in close partnership with community members throughout the research process. In this methodological process paper, we discuss the collaborative development of a quantitative survey aimed at understanding risk and protective factors for substance use among a sample of tribal members residing on a rural AI reservation with numerous systems-level barriers to recovery and limited access to treatment. By using a CBPR approach and prioritizing trust and transparency with community partners and participants, we were able to successfully recruit our target sample and collect quality data from nearly 200 tribal members who self-identified as having a substance use problem. Strategies for enhancing buy-in and recruiting a community sample are discussed.Item Belief in the American Indian/Alaska Native biological vulnerability myth and drinking to cope: Does stereotype threat play a role?(2021-01) Gonzalez, Vivian M.; Burroughs, Adrienne; Skewes, Monica C.Objectives: The effects of stereotype threat and internalized alcohol stereotypes on negative affect and negative affect-related drinking have not been examined in American Indians/Alaska Natives (AI/ANs), despite their frequently being subjected to alcohol stereotypes. The current study examined the association of belief in the myth of an AI/AN specific biological vulnerability (BV) with alcohol consequences through its effect on depression and drinking to cope with negative affect. Method: In this cross-sectional study, a moderated mediation model examined the association of belief in a BV with alcohol consequences via sequential mediators of depression and drinking to cope. It was hypothesized that the positive association of belief in a BV with depression would be stronger among individuals who engaged in more frequent heavy episodic drinking. Participants were 109 female (69.9%) and 47 male (30.1%) AI/AN college students (Mage = 27.1 years, range 18 to 61) who reported having at least 1 drink in the past month. Results: Belief in a BV was positively associated with depression symptoms among participants reporting average or high frequency of heavy episodic drinking. Greater depression symptoms predicted greater drinking to cope, which in turn predicted greater alcohol consequences. Conclusion: Belief in the BV myth may act as a type of stereotype threat, contributing to alcohol consequences by increasing negative affect and drinking to cope. These results suggest that for AI/ANs who drink, there are psychological and behavioral health ramifications of believing in the notion of a BV, and a need to debunk this myth.Item Association of belief in the "firewater myth" with strategies to avoid alcohol consequences among American Indian and Alaska Native college students who drink(2018-05) Gonzalez, Vivian M.; Skewes, Monica C.Belief in an American Indian/Alaska Native (AI/AN) specific biological vulnerability (BV) to alcohol problems (aka the "firewater myth") is associated with worse alcohol outcomes among AI/AN college students who drink, despite also being associated with greater attempts to reduce drinking. The current study examined how belief in a BV may have affected how 157 AI/AN college students who drink (a) attempted to moderate their alcohol use and avoid alcohol-related problems using abstinence-based and harm reduction strategies, and (b) attitudes toward these strategies as a means of addressing alcohol problems. Contrary to our hypotheses, belief in a BV was not found to be associated with use of harm reduction strategies or with how effective students believed these strategies to be. However, greater belief in a BV was associated with lower self-efficacy for the use of harm reduction strategies among more frequent heavy episodic drinkers. This is concerning, as the use of harm reduction strategies was associated with less frequent heavy episodic drinking in this sample. In contrast, belief in a BV was positively associated with the use of abstinence-based strategies and with how effective these strategies were perceived to be. However, for individuals with average or greater belief in a BV, abstinence-based strategies were associated with greater alcohol consequences. The results suggest that for AI/AN students who drink, belief in a BV may be influencing the strategies used to moderate alcohol use and avoid alcohol-related harm, as well as attitudes toward these strategies, in ways that do not appear helpful.