Instrumentos para a Avaliação do Uso de Álcool em Comunidades Indígenas – Revisão Sistemática

Souza, Ronaldo Santhiago Bonfim de; Oliveira, Júlia Costa de; Araújo, Vânia Eloisa de; Teodoro, Maycoln Leôni Martins

doi:10.9788/TP2018.3-16En

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Artigos • Trends Psychol. 26 (3) • Jul-Sep 2018 • https://doi.org/10.9788/TP2018.3-16En copiar

Instrumentos para a Avaliação do Uso de Álcool em Comunidades Indígenas – Revisão Sistemática

Autoria SCIMAGO INSTITUTIONS RANKINGS

Resumo

A mensuração do consumo de álcool nas populações indígenas tem sido importante para entender suas razões e pensamentos sobre o uso de álcool, bem como as perdas resultantes. Este estudo teve como objetivo verificar instrumentos de coleta de dados utilizados na avaliação do consumo de álcool em populações indígenas nacional e internacionalmente. Para isso, foi realizada uma revisão sistemática de estudos que avaliaram o uso de álcool em populações indígenas, nas bases de dados Medline (Pubmed), biblioteca Cochrane, PsycINFO, Lilacs, incluindo literatura cinza e busca manual. Foram identificadas 716 publicações selecionadas e, após uma avaliação escalonada, a análise final incluiu 30 estudos que atenderam aos critérios de inclusão. Vinte instrumentos diferentes foram utilizados nos estudos para avaliar o consumo de álcool em povos indígenas, como questionários criados a partir das especificidades desses grupos e instrumentos comumente utilizados em populações não indígenas, sendo alguns preconizados pela Organização Mundial de Saúde. Ao permitir um maior conhecimento sobre os instrumentos validados para entender o consumo de bebidas alcoólicas nessas populações, este estudo contribui para a pesquisa sobre os processos de alcoolização indígena, permitindo progresso no desenvolvimento de intervenções. Fornece, ademais, uma importante discussão na área de avaliação psicológica e uso de instrumentos em diferentes contextos culturais.

Palavras-chave:
Alcoolismo; população indígena; detecção de abuso de substância; revisão sistemática

Electronic Databases	Search Strategies	Studies
Medline (Pubmed)	((((((((((((((((((("Alcoholism"[Mesh]) OR "alcohol dependence"[Text Word]) OR "dependence, alcohol"[Text Word]) OR "alcoholic intoxications"[Text Word]) OR "chronic alcoholic intoxication"[Text Word]) OR "alcohol addiction"[Text Word]) OR "addiction, alcohol"[Text Word]) OR "alcohol abuse/alcohol dependence syndrome"[Text Word]) OR "abuse, alcohol"[Text Word]) OR "abuse, alcoholism"[Text Word]) OR "drinking, alcoholics"[Text Word]) OR "alcohol consumption"[Text Word]) OR "alcohol consumption/ abuse"[Text Word]) OR "consumption, alcohol"[Text Word]) OR "drinking/abuse"[Text Word]) OR "drinking/alcohol"[Text Word])) AND (((((((((((((((((((((((((("population groups"[MeSH Terms]) OR "group, population"[Text Word]) OR "population group"[Text Word]) OR "tribes"[Text Word]) OR "tribes/ethnic"[Text Word]) OR "natives"[Text Word]) OR "native born"[Text Word]) OR "indigenous population"[Text Word]) OR "indigenous populations"[Text Word]) OR Services, Indigenous Health[Text Word])) OR "american indians"[Text Word]) OR "american indians/alaska"[Text Word]) OR "american indians/alaska natives"[Text Word]) OR "american indians/alaskan natives"[Text Word]) OR "american indians 45"[Text Word]) OR "american indians alaska"[Text Word]) OR "american indians alaska natives"[Text Word]) OR "american indigenous populations"[Text Word]) OR "american indigenous adolescents"[Text Word]) OR "american indigenous peoples"[Text Word]) OR "native american"[Text Word]) OR "indigenous adolescents"[Text Word]) OR "aboriginum"[Text Word]) OR "aboriginal"[Text Word]))) AND (((((((((("substance abuse detection"[MeSH Terms]) OR "questionnaire"[Text Word]) OR "substance abuse screening instruments"[Text Word]) OR "substance abuse screening"[Text Word]) OR "substance abuse testing"[Text Word]) OR "drug abuse screening"[Text Word]) OR "drug abuse screening instruments"[Text Word]) OR "drug abuse screening test"[Text Word]) OR "drug abuse screening scale"[Text Word]) OR "drug abuse testing"[Text Word]))	258
LILACS	((indigenous population OR Services, Indigenous Health OR american indians OR american indians/Alaska OR american indigenous populations OR american indigenous adolescents OR native American OR indigenous adolescents OR aboriginum OR aboriginal) AND (Alcoholism OR alcohol dependence OR abuse, alcohol OR abuse, alcoholism OR drinking, alcoholics OR alcohol consumption) AND (questionnaire OR screening instruments OR test))	16
Cochrane	ID Search #1 MeSH descriptor: [Alcoholism] explode all trees #2 "alcohol":ti,ab,kw (Word variations have been searched) #3 "alcohol abuse":ti,ab,kw (Word variations have been searched) #4 "alcohol dependence":ti,ab,kw (Word variations have been searched) #5 "alcohol addiction":ti,ab,kw (Word variations have been searched) #6 "Alcohol Dependence Scale":ti,ab,kw (Word variations have been searched) #7 "substance abuse":ti,ab,kw (Word variations have been searched) #8 "audit":ti,ab,kw (Word variations have been searched) #9 "questionnaire":ti,ab,kw (Word variations have been searched) #10 "Alcohol Use Disorders Identification Test":ti,ab,kw (Word variations have been searched) #11 "Alcohol Use Inventories":ti,ab,kw (Word variations have been searched) #12 "alcohol consumption":ti,ab,kw (Word variations have been searched) #13 "screening test":ti,ab,kw (Word variations have been searched) #14 "test":ti,ab,kw (Word variations have been searched) #15 "alcohol abstinence syndrome":ti,ab,kw (Word variations have been searched) #16 "indigenous":ti,ab,kw (Word variations have been searched) #17 "American Indian":ti,ab,kw (Word variations have been searched) #18 "aboriginal":ti,ab,kw (Word variations have been searched) #19 "aborigine":ti,ab,kw (Word variations have been searched) #20 "Native American":ti,ab,kw (Word variations have been searched) #21 "indigene":ti,ab,kw (Word variations have been searched) #22 "alcohol related":ti,ab,kw (Word variations have been searched) #23 "alcohol related problem":ti,ab,kw (Word variations have been searched) #24 "psychotropic drug":ti,ab,kw (Word variations have been searched) #25 "validation studies":ti,ab,kw (Word variations have been searched) #26 "validation study":ti,ab,kw (Word variations have been searched) #27 "alcohol abstinence syndrome":ti,ab,kw (Word variations have been searched) #28 MeSH descriptor: [Population Groups] explode all trees #29 MeSH descriptor: [Cross-Cultural Comparison] explode all trees #30 #1 or #2 or #3 or #4 or #5 or #6 or #7 or #10 or #11 or #12 or #15 or #24 or #27 #31 #16 or #17 or #18 or #19 or #20 or #21 or #28 #32 #8 or #9 or #13 or #14 or #22 or #23 or #25 or #26 or #29 #33 #30 and #31 and #32	132
PSICOInfo	Any Field: indigenous populations OR american indians OR Native americans OR indigenous health services OR indigenous OR aboriginal OR aboriginal populations	254

Study	Local	Ethnicity	Sample size (indígenous)	Instruments	Collection method	Cross-cultural validation	Study design
Khan, Robinson, Smith, & Dillard, 2013Khan, B. A., Robinson, R. F., Smith, J. J., & Dillard, D. A. (2013). Prenatal alcohol exposure among Alaska Native/American Indian infants. International Journal of Circumpolar Health, 72. doi: 10.3402/ijch.v72i0.20973 https://doi.org/10.3402/ijch.v72i0.20973...	Alaska/USA	NE	125	Questionnaire	Self-applied	DR	Transversal/ Quantitative
Currie et al., 2011Currie, C. L., Wild, T. C., Schopflocher, D. P., Laing, L., Veugelers, P. J., Parlee, B., & McKennitt, D. W. (2011). Enculturation and Alcohol Use Problems among Aboriginal University Students. The Canadian Journal of Psychiatry, 56(12),735-742.	Canada	NE	60	AUDIT	Self-applied	DR	Longitudinal/ Quantitative
Kassab, 2011Kassab, M. S. (2011). Identificar o consumo de álcool entre adolescentes indígenas da etnia Terena nas aldeias do município de Sidrolandia (Monography, Universidade Federal de Mato Grosso do Sul/Fundação Oswaldo Cruz- Unidade Cerrado Pantanal, Curso de Pós-Graduação em Atenção Básica em Saúde da Família. Sidrolândia, MS, Brazil).	Brazil	Terena	30	Questionnaire	Self-applied	DR	Transversal/ Quantitative
Melo, Maciel, Oliveira, & Silva, 2011Melo, J. R. F., Maciel, S. C., Oliveira, R. C. C., & Silva, A. O. (2011). Implicações do uso do álcool na comunidade indígena Potiguara. Physis Revista de Saúde Coletiva, 21(1),319-333. doi: 10.1590/S0103-73312011000100019 https://doi.org/10.1590/S0103-7331201100...	Brazil	Potiguara	55	Semi-structured interview	Home interview	DR	Transversal/ Qualitative
Seale et al., 2010Seale, J. P., Shellenberger, S., Sanchez, N., Vogel, R. L., Villalobos, E., Girton, F.S., Seale, D. M., & Okosun, I. S. (2010). Characteristics of problem drinking in an urban South American indigenous population. Substance Use & Misuse, 45(13), 2185-2202. doi: 10.3109/10826081003682891 https://doi.org/10.3109/1082608100368289...	Venezuela	Arawak	32	AUDIT; CAGE; Questionnaire	Home interview	DR	Transversal/ Quali-quantitate
MacMillan et al., 2008MacMillan, H. L., Jamieson, E., Walsh, C. A., Wong, M. Y., Faries, E. J., McCue, H., MacMillan, A. B., & Offord, D. R. (2008). First Nations women's mental health: Results from an Ontario survey. Archives of Women's Mental Health, 11(2),109-115. doi: 10.1007/s00737-008-0004-y https://doi.org/10.1007/s00737-008-0004-...	Canada	NE	769	OFNRHS	Home interview	DR	Transversal/ Quantitative
O'Malley et al., 2008O'Malley, S. S., Robin, R. W., Levenson, A. L., GreyWolf, I., Chance, L. E., Hodgkinson, C. A., ...Goldman, D. (2008). Naltrexone alone and with sertraline for the treatment of alcohol dependence in Alaska natives and non-natives residing in rural settings: A randomized controlled trial. Alcoholism: Clinical and Experimental Research, 32(7),1271-1283. doi: 10.1111/j.15300277.2008.00682.x https://doi.org/10.1111/j.15300277.2008....	Alaska/USA	NE	101	Questionnaire	Clinical interview	DR	Transversal/ Quantitative
Yen et al., 2008Yen, C., Hsiao, R. C., Ries, R., Liu, S., Huang, C., Chang, Y., & Yu, M. (2008). Insight into alcohol-related problems and its associations with se verity of alcohol consumption, mental health status, race, and level of acculturation in southern Taiwanese indigenous people with alcoholism. The American Journal of Drug and Alcohol Abuse, 34(5),553-556. doi: 10.1080/00952990802295220 https://doi.org/10.1080/0095299080229522...	Taiwan	Bunun, Rukai, e Paiwan	401	AUDIT; HAIS	Clinical interview	DR	Transversal/ Quantitative
Tann, Yabiku, Okamoto, & Yanow, 2007Tann, S. S., Yabiku, S. T., Okamoto, S. K., & Ya-now, J. (2007). TRIADD: The risk for alcohol abuse, depression, and diabetes multimorbidity in the American Indian and Alaska native population. American Indian and Alaska Native Mental Health Research, 14(1),1-23. doi: 10.5820/aian.1401.2007.5 https://doi.org/10.5820/aian.1401.2007.5...	USA	NE	-	BRFSS	Telephone interview	DR	Transversal/ Quantitative
Schlesinger,Ober, McCarthy, Watson, & Seinen, 2007McMahon, B. J., Parkinson, A. J., Bulkow, L., David-son, M., Wainright, K., Wolfe, P., & Schiffman, P. G. S. (1993). Immunogenicity of the 23-valent pneumococcal polysaccharide vaccine in Alaska Native chronic alcoholics compared with nonalcoholic Native and non-Native controls. American Journal of Medicine, 95(6),589-594. doi: 10.1016/0002-9343(93)90354-R https://doi.org/10.1016/0002-9343(93)903...	Alaska/USA	NE	175	IRIS	Computer interview	DR	Transversal/ Quantitative
Souza, Schweickardt, & Garnelo, 2006Souza, M. L. P., Schweickardt, C., & Garnelo, L. (2006). O processo de alcoolização em populações indígenas do Alto Rio Negro e as limitações do CAGE como instrumento de screening para dependência ao álcool. Revista Psiquiatria Clínica, 34(2),90-96. doi: 10.1590/S010160832007000200005 https://doi.org/10.1590/S010160832007000...	Brazil	Tukano	28	CAGE	Home interview	VA	Transversal/ Qualitative
O'Connell et al., 2006O'Connell, J., Novins, D. K., Beals, J., Croy, C., Barón, A. E., Spicer, P., Buchwald, D., & the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project Team. (2006). The relationship between patterns of alcohol use and mental and physical health disorders in two American Indian populations. Addiction, 101(1),69-83. doi: 10.1111/j.1360-0443.2005.01308.x https://doi.org/10.1111/j.1360-0443.2005...	USA	NE	1287	AI-SUPERPFP	Computer interview	DR	Transversal/ Quantitative
Wardman & Quantz, 2005Wardman, D., & Quantz, D. (2005). An Exploratory Study of Binge Drinking in the Aboriginal Population. American Indian and Alaska Native Mental Health Research, 12(1), 49-61. doi: 10.5820/aian.1201.2005.49 https://doi.org/10.5820/aian.1201.2005.4...	Canada	NE	15	Semi-structured interview	Home interview	DR	Transversal/ Qualitative
Shore & Spicer, 2004Shore, J. H., & Spicer, P. (2004). A model for alcohol-mediated violence in an Australian Aboriginal community. Social Science & Medicine, 58(12), 2509-2521. doi: 10.1016/j.socscimed.2003.09.022 https://doi.org/10.1016/j.socscimed.2003...	Australia	NE	39	Questionnaire	Home interview	DR	Transversal/ Qualitative
Duran et al., 2004Duran, B., Sanders, M., Skipper, B., Waitzkin, H., Malcoe, L. H., Paine, S., & Yager, J. (2004). Prevalence and Correlates of Mental Disorders among Native American Women in Primary Care. Journal of Public Health, 94(1),71-77. doi: 10.2105/AJPH.94.1.71 https://doi.org/10.2105/AJPH.94.1.71...	USA	NE	234	CIDI	Clinical interview	DR	Transversal/ Quantitative
Seale, Seale, Alvarado, Vogel, & Terry, 2002Seale, J. P., Seale, J. D., Alvarado, M., Vogel, R. L., & Terry, N. E. (2002). Prevalence of problem drinking in a Venezuelan Native American population. Alcohol and Alcholism, 37(2),198-204. doi: 10.1093/alcalc/37.2.198 https://doi.org/10.1093/alcalc/37.2.198...	Venezuela	NE	211	AUDIT	Home interview	DR	Transversal/ Quantitative
Shore, Manson, & Buchwald, 2002Shore, J. H., Manson, S. M., & Buchwald, D. (2002) Screening for alcohol abuse among urban Native Americans in a primary care setting. Psychiatric Services, 53(6), 757-760. doi: 10.1176/appi.ps.53.6.757 https://doi.org/10.1176/appi.ps.53.6.757...	Alaska/USA	NE	754	Screening questionnaire	Clinical interview	DR	Transversal/ Quantitative
Saremi et al., 2001Saremi, A., Hanson, R. L., Williams, D. E., Roumain, J., Robin, R. W., Long, J. C., Goldman, D., & Knowler, W. C. (2001). Validity of the CAGE questionnaire in an American Indian population. Journal of Studies on Alcohol and Drugs, 62(3),294-300. doi: 10.15288/jsa.2001.62.294 https://doi.org/10.15288/jsa.2001.62.294...	USA	NE	275	CAGE-T	Clinical interview	PE	Transversal/ Quantitative
Baldwin, Maxwell, Fenaughty, Trotter, & Stevens, 2000Baldwin, J. A., Maxwell, J. C. C., Fenaughty, A. M., Trotter, R. T., & Stevens, S. J. (2000). Alcohol as a risk factor for HIV transmission among American Indian and Alaska Native drug users. American Indian and Alaska Native Mental Health Research, 9(1),1-16.	Alaska/USA	NE	147	RBA	Home interview	DR	Transversal/ Quantitative
Bull, Kvigne, Leonardson, Lacina, & Welty, 1999Bull, L. B. H., Kvigne, V. L., Leonardson, G. R., Lacina, L., & Welty, T. K. (1999). Validation of a self-administered questionnaire to screen for prenatal alcohol use in Northern Plains Indian women. American Journal of Preventive Medicine, 16(3),240-243. doi: 10.1016/S07493797(98)00158-5 https://doi.org/10.1016/S07493797(98)001...	USA	NE	208	SAQ	Clinical interview	VA	Transversal/ Quantitative
Giuliano, Papenfuss, Zapien, Tilousi, & Nuvayestewa, 1998Giuliano, A., Papenfuss, M., Zapien, J. G., Tilousi, S., & Nuvayestewa, L. (1998). Prevalence of chronic disease risk and protective behaviors among American Indian women living on the Hopi reservation. American Indian Women's Health, 8(3),160-167. doi: 10.1016/S10472797(97)00200-7 https://doi.org/10.1016/S10472797(97)002...	USA	Hopi	559	Questionnaire	Home interview	DR	Transversal/ Quantitative
Ehlers, Garcia-Andrade, Wall, Sobel, & Phillips, 1998Ehlers, C. L., Garcia-Andrade, C., Wall, T. L., Sobel, D. F., & Phillips, E. (1998). Determinants of P3 amplitude and response to alcohol in Native American Mission Indians. Neuropsychopharmacology, 184),282-292. doi: 10.1016/S0893133X(97)00160-7 https://doi.org/10.1016/S0893133X(97)001...	USA	NE	47	Screening questionnaire	Clinical interview	DR	Transversal/ Quantitative
Robin, Long, Rasmussen, Albaugh, & Goldman,1998Robin, R. W., Long, J. C., Rasmussen, J. K., Albaugh, B., & Goldman, D. (1998). Relationship of binge drinking to alcohol dependence, other psychiatric disorders, and behavioral problems in an American Indian tribe. Alcoholism: Clinical and Experimental Research, 22(2), 518-523. doi: 10.1111/j.1530-0277.1998.tb03682.x https://doi.org/10.1111/j.1530-0277.1998...	USA	NE	582	SMAST	Clinical interview	DR	Transversal/ Quantitative
Garcia-Andrade, Wall, & Ehlers, 1997Garcia-Andrade, C., Wall, T. L., & Ehlers, C. L. (1997). The firewater myth and response to alcohol in Mission Indians. American Journal of Psychiatry, 154(7),983-938. doi: 10.1176/ajp.154.7.983 https://doi.org/10.1176/ajp.154.7.983...	USA	NE	40	Rating Scale Auto Subjective	Self-applied	DR	Transversal/ Quali-quantitative
Lowe, Long, Wallace, & Welty, 1997Lowe, L., Long, C. R., Wallace, R. B., & Welty, T. K. (1997). Epidemiology of alcohol use in a group of older American Indians. Annals of Epidemiology, 7(4),241-248. doi: 10.1016/S10472797(97)00003-3 https://doi.org/10.1016/S10472797(97)000...	USA	NE	161	SMAST; Questionnaire	Clinical interview	DR	Transversal/ Quantitative
McMahon et al., 1993McMahon, B. J., Parkinson, A. J., Bulkow, L., David-son, M., Wainright, K., Wolfe, P., & Schiffman, P. G. S. (1993). Immunogenicity of the 23-valent pneumococcal polysaccharide vaccine in Alaska Native chronic alcoholics compared with nonalcoholic Native and non-Native controls. American Journal of Medicine, 95(6),589-594. doi: 10.1016/0002-9343(93)90354-R https://doi.org/10.1016/0002-9343(93)903...	Alaska/USA	NE	85	ADS	Clinical interview	DR	Transversal/ Quantitative
May & Smith, 1988May, P. A., & Smith, M. B. (1988). Some Navajo Indian opinions about alcohol abuse and prohibition: A survey and recommendations for policy. Journal of Studies on Alcohol, 49(4),324-334. doi: 10.15288/jsa.1988.49.324 https://doi.org/10.15288/jsa.1988.49.324...	USA	Navajo	174	Questionnaire	Self-applied	DR	Transversal/ Quantitative
Hughes & Dodder, 1984Hughes, S. P., & Dodder, R. A. (1984). Alcohol consumption patterns among American Indian and White college students. Journal of Studies on Alcohol, 45(5),433-439. doi: 10.15288/jsa.1984.45.433 https://doi.org/10.15288/jsa.1984.45.433...	USA	Prairie	58	Questionnaire	Self-applied	DR	Transversal/ Quantitative
Weisner, Wiebel-Orlando, & Long, 1984Weisner, T. S., Wiebel-Orlando, J. C., & Long, J. (1984). "Serious drinking" "White man's drinkings" and "teetotaling": Drinking levels and style in an urban American Indian population. Journal of Studies on Alcohol, 45(3), 237-250. doi: 10.15288/jsa.1984.45.237 https://doi.org/10.15288/jsa.1984.45.237...	USA	NE	155	Self-reporting scale	Clinical interview	DR	Transversal/ Quantitative
Forslundl, 1978Forslundl, M. A. (1978). Functions of drinking for Native American and White youth. Journal of Youth and Adoleseence, 7(3),327-332. doi: 10.1007/BF01537983 https://doi.org/10.1007/BF01537983...	USA	Shoshone e Arapahoe	120	Questionnaire	Self-applied	DR	Transversal/ Quantitative

Instruments	Studies
Questionnaire	Forslundl, 1978Forslundl, M. A. (1978). Functions of drinking for Native American and White youth. Journal of Youth and Adoleseence, 7(3),327-332. doi: 10.1007/BF01537983 https://doi.org/10.1007/BF01537983... ; Giuliano et al., 1998Giuliano, A., Papenfuss, M., Zapien, J. G., Tilousi, S., & Nuvayestewa, L. (1998). Prevalence of chronic disease risk and protective behaviors among American Indian women living on the Hopi reservation. American Indian Women's Health, 8(3),160-167. doi: 10.1016/S10472797(97)00200-7 https://doi.org/10.1016/S10472797(97)002... ; Hughes & Dodder, 1984Hughes, S. P., & Dodder, R. A. (1984). Alcohol consumption patterns among American Indian and White college students. Journal of Studies on Alcohol, 45(5),433-439. doi: 10.15288/jsa.1984.45.433 https://doi.org/10.15288/jsa.1984.45.433... ; Kassab, 2011Kassab, M. S. (2011). Identificar o consumo de álcool entre adolescentes indígenas da etnia Terena nas aldeias do município de Sidrolandia (Monography, Universidade Federal de Mato Grosso do Sul/Fundação Oswaldo Cruz- Unidade Cerrado Pantanal, Curso de Pós-Graduação em Atenção Básica em Saúde da Família. Sidrolândia, MS, Brazil).; Khan et al., 2013Khan, B. A., Robinson, R. F., Smith, J. J., & Dillard, D. A. (2013). Prenatal alcohol exposure among Alaska Native/American Indian infants. International Journal of Circumpolar Health, 72. doi: 10.3402/ijch.v72i0.20973 https://doi.org/10.3402/ijch.v72i0.20973... ; Lowe et al., 1997Lowe, L., Long, C. R., Wallace, R. B., & Welty, T. K. (1997). Epidemiology of alcohol use in a group of older American Indians. Annals of Epidemiology, 7(4),241-248. doi: 10.1016/S10472797(97)00003-3 https://doi.org/10.1016/S10472797(97)000... ; May & Smith, 1988May, P. A., & Smith, M. B. (1988). Some Navajo Indian opinions about alcohol abuse and prohibition: A survey and recommendations for policy. Journal of Studies on Alcohol, 49(4),324-334. doi: 10.15288/jsa.1988.49.324 https://doi.org/10.15288/jsa.1988.49.324... ; O'Malley et al., 2008O'Malley, S. S., Robin, R. W., Levenson, A. L., GreyWolf, I., Chance, L. E., Hodgkinson, C. A., ...Goldman, D. (2008). Naltrexone alone and with sertraline for the treatment of alcohol dependence in Alaska natives and non-natives residing in rural settings: A randomized controlled trial. Alcoholism: Clinical and Experimental Research, 32(7),1271-1283. doi: 10.1111/j.15300277.2008.00682.x https://doi.org/10.1111/j.15300277.2008.... ; Seale et al., 2010Seale, J. P., Shellenberger, S., Sanchez, N., Vogel, R. L., Villalobos, E., Girton, F.S., Seale, D. M., & Okosun, I. S. (2010). Characteristics of problem drinking in an urban South American indigenous population. Substance Use & Misuse, 45(13), 2185-2202. doi: 10.3109/10826081003682891 https://doi.org/10.3109/1082608100368289... ; Shore & Spicer, 2004Shore, J. H., & Spicer, P. (2004). A model for alcohol-mediated violence in an Australian Aboriginal community. Social Science & Medicine, 58(12), 2509-2521. doi: 10.1016/j.socscimed.2003.09.022 https://doi.org/10.1016/j.socscimed.2003...
AUDIT	Currie et al., 2011Currie, C. L., Wild, T. C., Schopflocher, D. P., Laing, L., Veugelers, P. J., Parlee, B., & McKennitt, D. W. (2011). Enculturation and Alcohol Use Problems among Aboriginal University Students. The Canadian Journal of Psychiatry, 56(12),735-742.; Seale et al., 2002Seale, J. P., Seale, J. D., Alvarado, M., Vogel, R. L., & Terry, N. E. (2002). Prevalence of problem drinking in a Venezuelan Native American population. Alcohol and Alcholism, 37(2),198-204. doi: 10.1093/alcalc/37.2.198 https://doi.org/10.1093/alcalc/37.2.198... ; Seale et al., 2010Seale, J. P., Shellenberger, S., Sanchez, N., Vogel, R. L., Villalobos, E., Girton, F.S., Seale, D. M., & Okosun, I. S. (2010). Characteristics of problem drinking in an urban South American indigenous population. Substance Use & Misuse, 45(13), 2185-2202. doi: 10.3109/10826081003682891 https://doi.org/10.3109/1082608100368289... ; Yen et al., 2008Yen, C., Hsiao, R. C., Ries, R., Liu, S., Huang, C., Chang, Y., & Yu, M. (2008). Insight into alcohol-related problems and its associations with se verity of alcohol consumption, mental health status, race, and level of acculturation in southern Taiwanese indigenous people with alcoholism. The American Journal of Drug and Alcohol Abuse, 34(5),553-556. doi: 10.1080/00952990802295220 https://doi.org/10.1080/0095299080229522...
Semi-structured interview	Melo et al., 2011Melo, J. R. F., Maciel, S. C., Oliveira, R. C. C., & Silva, A. O. (2011). Implicações do uso do álcool na comunidade indígena Potiguara. Physis Revista de Saúde Coletiva, 21(1),319-333. doi: 10.1590/S0103-73312011000100019 https://doi.org/10.1590/S0103-7331201100... ; Wardman & Quantz, 2005Wardman, D., & Quantz, D. (2005). An Exploratory Study of Binge Drinking in the Aboriginal Population. American Indian and Alaska Native Mental Health Research, 12(1), 49-61. doi: 10.5820/aian.1201.2005.49 https://doi.org/10.5820/aian.1201.2005.4...
Screening questionnaire	Ehlers et al., 1998Ehlers, C. L., Garcia-Andrade, C., Wall, T. L., Sobel, D. F., & Phillips, E. (1998). Determinants of P3 amplitude and response to alcohol in Native American Mission Indians. Neuropsychopharmacology, 184),282-292. doi: 10.1016/S0893133X(97)00160-7 https://doi.org/10.1016/S0893133X(97)001... ; Shore et al., 2002Shore, J. H., Manson, S. M., & Buchwald, D. (2002) Screening for alcohol abuse among urban Native Americans in a primary care setting. Psychiatric Services, 53(6), 757-760. doi: 10.1176/appi.ps.53.6.757 https://doi.org/10.1176/appi.ps.53.6.757...
CAGE	Seale et al., 2010Seale, J. P., Seale, J. D., Alvarado, M., Vogel, R. L., & Terry, N. E. (2002). Prevalence of problem drinking in a Venezuelan Native American population. Alcohol and Alcholism, 37(2),198-204. doi: 10.1093/alcalc/37.2.198 https://doi.org/10.1093/alcalc/37.2.198... ; Souza et al., 2006Souza, M. L. P., & Garnelo, L. (2006). Desconstruindo o alcoolismo: Notas a partir da construção do objeto de pesquisa no contexto da saúde indígena. Revista Latinoamericana de Psicopatologia Fundamental, l9(2),279-292.
CAGE - T	Saremi et al., 2001Saremi, A., Hanson, R. L., Williams, D. E., Roumain, J., Robin, R. W., Long, J. C., Goldman, D., & Knowler, W. C. (2001). Validity of the CAGE questionnaire in an American Indian population. Journal of Studies on Alcohol and Drugs, 62(3),294-300. doi: 10.15288/jsa.2001.62.294 https://doi.org/10.15288/jsa.2001.62.294...
SAQ	Bull et al., 1999Bull, L. B. H., Kvigne, V. L., Leonardson, G. R., Lacina, L., & Welty, T. K. (1999). Validation of a self-administered questionnaire to screen for prenatal alcohol use in Northern Plains Indian women. American Journal of Preventive Medicine, 16(3),240-243. doi: 10.1016/S07493797(98)00158-5 https://doi.org/10.1016/S07493797(98)001...
HAIS	Yen et al., 2008Yen, C., Hsiao, R. C., Ries, R., Liu, S., Huang, C., Chang, Y., & Yu, M. (2008). Insight into alcohol-related problems and its associations with se verity of alcohol consumption, mental health status, race, and level of acculturation in southern Taiwanese indigenous people with alcoholism. The American Journal of Drug and Alcohol Abuse, 34(5),553-556. doi: 10.1080/00952990802295220 https://doi.org/10.1080/0095299080229522...
Self-reporting scale	Weisner et al., 1984Weisner, T. S., Wiebel-Orlando, J. C., & Long, J. (1984). "Serious drinking" "White man's drinkings" and "teetotaling": Drinking levels and style in an urban American Indian population. Journal of Studies on Alcohol, 45(3), 237-250. doi: 10.15288/jsa.1984.45.237 https://doi.org/10.15288/jsa.1984.45.237...
Rating Scale Auto Subjective	Garcia-Andrade et al., 1997Garcia-Andrade, C., Wall, T. L., & Ehlers, C. L. (1997). The firewater myth and response to alcohol in Mission Indians. American Journal of Psychiatry, 154(7),983-938. doi: 10.1176/ajp.154.7.983 https://doi.org/10.1176/ajp.154.7.983...
ADS	McMahon et al., 1993McMahon, B. J., Parkinson, A. J., Bulkow, L., David-son, M., Wainright, K., Wolfe, P., & Schiffman, P. G. S. (1993). Immunogenicity of the 23-valent pneumococcal polysaccharide vaccine in Alaska Native chronic alcoholics compared with nonalcoholic Native and non-Native controls. American Journal of Medicine, 95(6),589-594. doi: 10.1016/0002-9343(93)90354-R https://doi.org/10.1016/0002-9343(93)903...
IRIS	Schlesinger et al., 2007Schlesinger, C. M., Ober, C., McCarthy, M. M., Watson, J. D., & Seinen, A. (2007). The development and validation of the Indigenous Risk Impact Screen (IRIS): A 13-item screening instrument for alcohol and drug and mental health risk. Drug and Alcohol Review, 26(2),109-117. doi: 10.1080/09595230601146611 https://doi.org/10.1080/0959523060114661...
OFNRHS	MacMillan et al., 2008MacMillan, H. L., Jamieson, E., Walsh, C. A., Wong, M. Y., Faries, E. J., McCue, H., MacMillan, A. B., & Offord, D. R. (2008). First Nations women's mental health: Results from an Ontario survey. Archives of Women's Mental Health, 11(2),109-115. doi: 10.1007/s00737-008-0004-y https://doi.org/10.1007/s00737-008-0004-...
RBA	Baldwin et al., 2000Baldwin, J. A., Maxwell, J. C. C., Fenaughty, A. M., Trotter, R. T., & Stevens, S. J. (2000). Alcohol as a risk factor for HIV transmission among American Indian and Alaska Native drug users. American Indian and Alaska Native Mental Health Research, 9(1),1-16.
BRFSS	Tann et al., 2007Tann, S. S., Yabiku, S. T., Okamoto, S. K., & Ya-now, J. (2007). TRIADD: The risk for alcohol abuse, depression, and diabetes multimorbidity in the American Indian and Alaska native population. American Indian and Alaska Native Mental Health Research, 14(1),1-23. doi: 10.5820/aian.1401.2007.5 https://doi.org/10.5820/aian.1401.2007.5...
SMAST	Lowe et al., 1997; Robin et al., 1998Lowe, L., Long, C. R., Wallace, R. B., & Welty, T. K. (1997). Epidemiology of alcohol use in a group of older American Indians. Annals of Epidemiology, 7(4),241-248. doi: 10.1016/S10472797(97)00003-3 https://doi.org/10.1016/S10472797(97)000...
AI-SUPERPFP	O'Connell et al., 2006O'Connell, J., Novins, D. K., Beals, J., Croy, C., Barón, A. E., Spicer, P., Buchwald, D., & the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project Team. (2006). The relationship between patterns of alcohol use and mental and physical health disorders in two American Indian populations. Addiction, 101(1),69-83. doi: 10.1111/j.1360-0443.2005.01308.x https://doi.org/10.1111/j.1360-0443.2005...
CIDI	Duran et al., 2004Duran, B., Sanders, M., Skipper, B., Waitzkin, H., Malcoe, L. H., Paine, S., & Yager, J. (2004). Prevalence and Correlates of Mental Disorders among Native American Women in Primary Care. Journal of Public Health, 94(1),71-77. doi: 10.2105/AJPH.94.1.71 https://doi.org/10.2105/AJPH.94.1.71...

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