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Biomedical subjects

E R Oetting

Publications and source records attributed to E R Oetting.

At least 55 records · Page 3Linked to original sources

Trends in drug use of Indian adolescents living on reservations: 1975-1983.

Anonymous surveys on drug use were administered to 7th-12th grade students in Indian reservation schools. A large number of tribes were surveyed from 1975 through 1983. There is reason to believe the results are reasonably representative of Indian youth living on reservations. Lifetime prevalence for most drugs is higher than that for non-Indian youth throughout this period, and rates for alcohol, marijuana, and inhalants, the most frequently tried drugs, were particularly high. Since 1981 there has been a slight drop in lifetime prevalence for most drugs. Current use figures show the same trends, with increasing current use through 1981 and a drop since that time. Analysis of patterns of drug use, classifying youth according to number, type, and depth of involvement with drugs, shows a similar trend, with radical increases until 1981 and then a drop in all but one of the more serious drug use types. Despite this drop, 53% of Indian youth would still be classified as "at risk" in their drug involvement, compared with 35% of non-Indian youth. Reasons probably relate to severely detrimental conditions on reservations; unemployment, prejudice, poverty, and lack of optimism about the future.

Adolescent↗

The drug acquisition curve: a method for the analysis and prediction of drug epidemiology.

A method is presented to chart how a group acquires exposure to a drug. The resulting drug acquisition curve has a number of different parameters that describe the group's drug involvement. Key parameters include: (1) the age of exposure when the group begins to use the drug in greater numbers, probably because of exposure to drug-using peers; (2) the acquisition rate, the percent of the group who are newly exposed each year, a rate that is surprisingly constant over as much as 5 years; and (3) the asymptote, establishing the total percent of the group who will eventually try the drug. Acquisition curves for sequential age cohorts show changing trends in these parameters and can also be used to predict future drug epidemiology. A 4-year prediction based on this method proved to be very accurate for two of three drugs. For the third drug, a large increase in use was predicted, but the increase was even greater than expected.

Adolescent↗

Drug use among adolescents of five Southwestern Native American tribes.

Drug use by Native American adolescents from five Southwestern tribes is compared with a large national sample. Native Americans show higher use of alcohol, marijuana, and inhalants from the 7th through the 12th grade. They show lower use of barbiturates. Peyote may be seen as less dangerous than LSD. There are no significant differences for other drugs. Cultural characteristics that may inlfuence potential danger from drug use and intervention strategies are noted.

Adolescent↗

Drug use among native American young adults.

Young adult Native American students at a postsecondary educational institute showed a very high level of use of all drugs when compared with other samples of college age youth. Alcohol, marijuana, and amphetamines were drugs of choice: 31% had tried inhalants although there was little present use; 10% were involved in a drug subculture, using multiple drugs relatively heavily. The authors' interpretation of these findings is either the institution attracts drug users or young Native Americans from relatively isolated environments have higher susceptibility to drugs when they enter an urban (nonreservation) culture.

Adolescent↗

Community readiness and health services.

Community readiness theory is a practical tool for implementing changes in community health services. The theory provides methods for assessment, diagnosis, and community change. First, community key informants are asked semi-structured questions that provide information about what is occurring in the community in relation to a specific problem. The results evaluate readiness to deal with that problem on six dimensions; existing efforts, knowledge about the problem, knowledge about alternative methods or policies, leadership, resources, and community climate. The eventual result is a diagnosis of the overall stage of community readiness. There are nine stages, tolerance or no awareness, denial, vague awareness, preplanning, preparation, initiation, institutionalization or stabilization, confirmation/expansion, and professionalization. Each stage requires different forms of interventions in order to move the community to the next stage until, eventually, initiation and maintenance of health services programs and policies can be achieved.

Community Health Services↗

Psychological messages from the physical environment: the drug and alcohol treatment center environment.

The physical environment of drug and alcohol treatment centers provides a rich source for both subtle and obvious messages to clients. Photographs were taken in a sample of typical treatment centers, showing how different elements of the environment communicate messages to clients. Many of the messages from the physical environment prove to be inappropriate, confusing, or inconsistent with espoused treatment philosophy.

Alcoholism↗

Orthogonal cultural identification theory: the cultural identification of minority adolescents.

A theory of cultural identification is presented indicating that identification with different cultures is orthogonal. Instead of cultures being placed at opposite ends of a continuum, cultural identification dimensions are independent of each other, and increasing identification with one culture does not require decreasing identification with another. Studies of Native-American and Mexican-American youth show that: (1) identification with Anglo (White American) culture is related to having Anglo friends and to family acceptance of an Anglo marriage, (2) identification with either the minority or the majority culture is a source of personal and social strength, and (3) this greater strength, however, does not translate automatically into less drug use, because drug use is related to how much the culture that the person identifies with approves or disapproves of drugs.

Acculturation↗