Psychosocial Intervention Psychosocial Intervention
Psychosocial Intervention 25 (2016) 45-54 - Vol. 25 No.1 DOI: 10.1016/j.psi.2015.08.002
Relationship of Social Network to Protective Factors in Suicide and Alcohol Use Disorder Intervention for Rural Yup’ik Alaska Native Youth
Relación de la red social con los factores protectores del sucidio: Intervención en los trastornos de consumo de alcohol de jóvenes nativos Yup’ik de Alaska
Jacques Philipa,, , Tara Fordb, David Henryc, Stacy Rasmusa, James Allend
a Center for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, United States
b Aleutian Pribilof Islands Association, United States
c Department of Psychology and Institute for Health Research and Policy, University of Illinois at Chicago, United States
d University of Minnesota Medical School, Duluth Campus, United States
Received 11 July 2015, Accepted 28 August 2015
Abstract

Suicide and alcohol use disorders are significant Alaska Native health disparities, yet there is limited understanding of protection and no studies about social network factors in protection in this or other populations. The Qungasvik intervention enhances protective factors from suicide and alcohol use disorders through activities grounded in Yup’ik cultural practices and values. Identification of social network factors associated with protection within the cultural context of these tight, close knit, and high density rural Yup’ik Alaska Native communities in southwest Alaska can help identify effective prevention strategies for suicide and alcohol use disorder risk. Using data from ego-centered social network and protective factors from suicide and alcohol use disorders surveys with 50 Yup’ik adolescents, we provide descriptive data on structural and network composition variables, identify key network variables that explain major proportions of the variance in a four principal component structure of these network variables, and demonstrate the utility of these key network variables as predictors of family and community protective factors from suicide and alcohol use disorder risk. Connections to adults and connections to elders, but not peer connections, emerged as predictors of family and community level protection, suggesting these network factors as important intervention targets for intervention.

Keywords
  • American Indian/Alaska Native
  • Suicide
  • Alcohol use disorder
  • Social networks
  • Prevention
Resumen

El suicido y los trastornos en el consumo de alcohol son disparidades de salud significativas entre los nativos de Alaska. Sin embargo, hay una comprensión limitada de las dinámicas de protección y no hay estudios sobre el papel de las redes sociales en esta población o en otras poblaciones. La intervención Qungasvik mejora los factores de protección contra el suicidio y los problemas de consumo de alcohol a través de actividades basadas en las prácticas y los valores culturales de los Yup’ik. La identificación de factores de redes sociales de carácter protector en los contextos culturales de comunidades Yup’ik muy unidas y densas del suroeste de Alaska pueden ayudar a identificar estrategias de prevención efectivas contra el riesgo de suicidio y los problemas con el alcohol. Con datos de redes egocéntricas e indicadores de encuesta sobre los factores protectores contra el suicidio y el abuso de alcohol en 50 adolescentes Yup’ik, proporcionamos datos descriptivos de las variables de composición y estructura de la red, identificamos aquellas variables claves de la red social que explican una mayor proporción de la varianza en la estructura de cuatro componentes principales de dichas variables, y demostramos la utilidad de dichos indicadores como predictores de los factores familiares y comunitarios de protección contra el suicidio y el riesgo de consumo abusivo de alcohol. Las conexiones con adultos y las conexiones con ancianos, pero no las conexiones con iguales, emergieron como predictores de la protección a nivel familiar y comunitario, lo que sugiere que estos factores de la red son un objetivo importante de la intervención.

Keywords
  • Indios americanos/Nativos de Alaska
  • Suicidio
  • Trastorno por consumo de alcoho
  • Redes sociales
  • Intervención
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Appendix A
Supplementary data

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This research was supported by grants R01AA11446, R21AA015541, R21AA0016098, R01AA023754 National Institute on Alcohol Abuse and Alcoholism, R24MD001626 National Institute on Minority Health and Health Disparities, T32 DA037183 National Institute on Drug Abuse, 5P20RR016430 National Center for Research Resources, and 1P30GM103325 National Institute of General Medical Sciences.

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Psychosocial Intervention 25 (2016) 45-54 - Vol. 25 No.1 DOI: 10.1016/j.psi.2015.08.002