Ni, C.-F., Harrington, C.E. and Wilkins-Turner, F. (2017), Mental Health Conditions and Substance Use Among American Indians From Eastern Tribes. Journal of Multicultural Counseling and Development, 45: 20-36.

Abstract

This study examined the differences in mental health and substance use by gender and across education levels of 634 American Indians from 4 eastern tribes. Multivariate analysis of variance indicated that men self-rated significantly better mental health but binge drank and used illicit drugs more often compared with women. Participants with a post–high school degree had significantly better mental health than those without a high school diploma. As education increased, cigarette smoking significantly decreased. Implications for culturally appropriate interventions are discussed.