Drug resistance strategies of rural Hawaiian youth as a function of drug offerers and substances: A community stakeholder analysis

Scott K. Okamoto, Susana Helm, Stephen Kulis, Justin A. Delp, Ay Laina Dinson

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

This study examined the variations in drug resistance strategies endorsed by community members for rural Native Hawaiian youth in drug-related problem situations. Community stakeholders completed a Web-based survey focused on drug-related problem scenarios and their matched set of responses developed by middle/intermediate school youth in prior research. Mean differences were examined based on drug offerers described in the scenarios (i.e., peers/friends, cousins, and parents) and the substances offered in the scenarios (i.e., marijuana and alcohol). Compared with other strategies, Refuse had the highest mean scores within two offerer subgroups (peers/friends and cousins) and within both substances (alcohol and marijuana). Leave had the highest mean score within scenarios describing drug offers from parents. The endorsement of different resistance strategies varied based on drug offerers and substances offered in the selected scenarios. This study suggests that resistance skills in prevention should be tailored to youths' social context in rural Hawai'i.

Original languageEnglish (US)
Pages (from-to)1239-1252
Number of pages14
JournalJournal of health care for the poor and underserved
Volume23
Issue number3
DOIs
StatePublished - Aug 2012

Keywords

  • Drug prevention
  • Hawaiian youth
  • Resistance skills
  • Stakeholder analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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