Substance use among American Indians and Alaska Natives: Incorporating culture in an “Indigenist” stress-coping paradigm. Public Health Reports

Objectives: This article proposes a new stress-coping model for American Indians and Alaska Natives (Als) that reflects a paradigmatic shift in the conceptualization of Native health. It reviews sociodemographic information on Als, rates of substance abuse and related health outcomes, and the research supporting the model's pathways. Drs. Walters and Evans-Campbell are at the School of Social Work at the University of Washington, and Dr. Simoni is in th