In assessing a 13-year-old Native American boy who lives on a reservation, the nurse finds that he regularly drinks alcohol and smokes cannabis. He says that most of his friends do so, as well
The nurse is aware that this rate of prevalence is far higher than that for 13-year-olds of all ethnicities nationwide. Which social conditions have researchers associated with this health disparity? (Select all that apply.)
A) Greater availability of cannabis from local farms
B) Higher socioeconomic status
C) Lower academic attainment
D) Proximity to Mexico and drug gangs
E) College enrollment
Ans: A, C, D
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Substance misuse is a major public health concern for Native American youth on reservations, where more than half of eighth graders report alcohol and cannabis use, a pronounced increase from overall national prevalence rates for eighth graders of all ethnicities. While there is no causal model to explain the higher rates of substance use among youth on reservations, social factors including greater availability from local cannabis farms, proximity to Mexico and drug gangs, lower (not higher) socioeconomic status, and lower academic attainment (not college enrollment) are some of the social conditions that researchers have associated with this pronounced health disparity.
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