Development and Implementation of an HPV Vaccination Survey for American Indians in Cherokee Nation

Improving human papillomavirus (HPV) vaccination rates is a public health priority and a crucial cancer prevention goal. We designed a survey to estimate HPV vaccination coverage and understand factors associated with HPV vaccination among American Indian adolescents aged 9 to 17 years in Cherokee Nation, United States. The final survey contains 37 questions across 10 content areas, including HPV vaccination awareness, initiation, reasons, recommendations, and beliefs. This process paper provides an overview of the survey development. We focus on the collaborative process of a tribal–academic partnership and discuss methodological decisions regarding survey sampling, measures, testing, and administration.

Prevalence, Co-Occurrence, and Correlates of Substance and Behavioral Addictions Among American Indian Adolescents in California

The present study investigated the prevalence and co-occurrence of addictions to tobacco, alcohol, other drugs, food/eating, the internet, texting, video games, shopping, love, sex, exercise, work, and gambling among American Indian (AI) youth in California. As with previous work in other cultural groups, the most prevalent addictions were love, internet, and exercise, though prevalence and co-occurrence of these addictions were relatively high among AI youth. A negative life events measure was associated with all the addictions, suggesting that life stressors are associated with high rates of multiple types of addictions among AI youth. There is a need for more research to better understand the relations of life stressors with multiple addictions among AI youth as well as how to remediate these behaviors.

Violent Victimization and Violence Perpetration Among American Indian Adolescents

In the current study, we propose an integrative approach, which will incorporate elements from the social learning and self-control theories of delinquency and crime to examine violence in an understudied, marginalized, and often discriminated subpopulation group—American Indian youth. The analysis is based on survey data collected between 2009 and 2013 from a sample of American Indian adolescents ( N = 3,380) enrolled in 27 school districts located in five regions of the United States (Northern Plains, Southwest, Upper Great Lakes, Southeast/Texas, and the Northeast). The main objective of the analysis is to identify the factors more likely to predict violent offending among American Indian adolescents, a vulnerable group that has an elevated risk of violent victimization. Results of the Tobit regression analysis indicate that in both gender groups a low level of self-control, association with delinquent friends, poor school performance, and underage alcohol consumption significantly predict violence perpetration. Nonetheless, experience with direct violent victimization has the largest effect on male and female adolescents’ violent behavior. Although living with both biological parents and childhood exposure to domestic violence do not influence significantly the adolescents’ aggressive behavior, parental monitoring does have a significant violence-deterrent effect in both gender groups. Findings suggest that more opportunities should be created for indigenous communities to control their education systems and ensure American Indian students achieve academic success, which is one of the violence protective factors identified in this study. Moreover, measures meant to prevent youth violence in American Indian communities should also focus on parents/caregivers who, directly and indirectly, have the capacity to reduce the adolescents’ risk of becoming victims and/or perpetrators of violence.