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'Empowering our people' to address depression, violence, and sexual risk among Native Americans with recent binge alcohol use.

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Title: 'Empowering our people' to address depression, violence, and sexual risk among Native Americans with recent binge alcohol use.
Authors: Tingey, Lauren, Chambers, Rachel, Littlepage, Shea, Slimp, Anna, Lee, Angelita, Lee, Shauntel, Melgar, Laura, O'Keefe, Victoria, Craig, Mariddie, Gaydos, Charlotte, Rompalo, Anne
Source: Ethnicity & Health. Apr2022, Vol. 27 Issue 3, p733-747. 15p. 3 Charts.
Subjects: HIV infection risk factors, Risk-taking behavior, Native Americans, Binge drinking, Regression analysis, Socioeconomic factors, Alcohol drinking, Mental depression, Research funding, Action research, Comorbidity
Abstract: Background: This study was launched in response to an American Indian (AI) community's concern regarding the comorbid occurrence of substance use, poor mental health, and other risk factors on sexual health. The purpose of this manuscript was to assess the relationship between alcohol use, violence, depression and STI/HIV risk behaviors on the frequency of unprotected sex acts and number of sexual partners among AI adults. Methods: Specifically, this analysis examines sociodemographic characteristics, experience of sexual and physical violence, binge drinking, depression, and sexual risk taking among n = 281 AI adults ages 18–55. Regression models examine associations between the aforementioned risk factors, number of sex partners and number of unprotected sex acts, by depression status and sex, among participants. Results: Frequent binge drinking predicted frequency of unprotected sex for both males and females; ever experiencing physical violence was a powerful predictor of unprotected sex for females, but not males. Ever experiencing physical violence strongly predicted having multiple sexual partners for females but was related to decreased number of sexual partners for males. Females ever experiencing sexual violence had more sexual partners; this was not observed for males. Binge drinking predicted frequency of unprotected sex acts, regardless of depression status. Discussion: Interventions for AI adults seeking to reduce sexual health risk should reflect past violence victimization in sexual decision making, primarily among women. The significant role of binge alcohol use for modifying sexual decisions should be of prime focus and interventions should be personalized to address individuals' own alcohol use patterns. Additional research should explore how binge alcohol use moderates the relationship between depression and sexual risk. [ABSTRACT FROM AUTHOR]
Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: 'Empowering our people' to address depression, violence, and sexual risk among Native Americans with recent binge alcohol use.
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  Data: <searchLink fieldCode="JN" term="%22Ethnicity+%26+Health%22">Ethnicity & Health</searchLink>. Apr2022, Vol. 27 Issue 3, p733-747. 15p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22HIV+infection+risk+factors%22">HIV infection risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Native+Americans%22">Native Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Binge+drinking%22">Binge drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Alcohol+drinking%22">Alcohol drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Action+research%22">Action research</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink>
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  Data: Background: This study was launched in response to an American Indian (AI) community's concern regarding the comorbid occurrence of substance use, poor mental health, and other risk factors on sexual health. The purpose of this manuscript was to assess the relationship between alcohol use, violence, depression and STI/HIV risk behaviors on the frequency of unprotected sex acts and number of sexual partners among AI adults. Methods: Specifically, this analysis examines sociodemographic characteristics, experience of sexual and physical violence, binge drinking, depression, and sexual risk taking among n = 281 AI adults ages 18–55. Regression models examine associations between the aforementioned risk factors, number of sex partners and number of unprotected sex acts, by depression status and sex, among participants. Results: Frequent binge drinking predicted frequency of unprotected sex for both males and females; ever experiencing physical violence was a powerful predictor of unprotected sex for females, but not males. Ever experiencing physical violence strongly predicted having multiple sexual partners for females but was related to decreased number of sexual partners for males. Females ever experiencing sexual violence had more sexual partners; this was not observed for males. Binge drinking predicted frequency of unprotected sex acts, regardless of depression status. Discussion: Interventions for AI adults seeking to reduce sexual health risk should reflect past violence victimization in sexual decision making, primarily among women. The significant role of binge alcohol use for modifying sexual decisions should be of prime focus and interventions should be personalized to address individuals' own alcohol use patterns. Additional research should explore how binge alcohol use moderates the relationship between depression and sexual risk. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Ethnicity & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/13557858.2020.1740177
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      – Code: eng
        Text: English
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        PageCount: 15
        StartPage: 733
    Subjects:
      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Native Americans
        Type: general
      – SubjectFull: Binge drinking
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Socioeconomic factors
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      – SubjectFull: Alcohol drinking
        Type: general
      – SubjectFull: Mental depression
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      – SubjectFull: Research funding
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      – SubjectFull: Action research
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      – SubjectFull: Comorbidity
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      – TitleFull: 'Empowering our people' to address depression, violence, and sexual risk among Native Americans with recent binge alcohol use.
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              Text: Apr2022
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