Analyze Tribal alcohol policy environments
- Obtain and analyze alcohol policies (a.k.a. liquor ordinances) of the 55 participating Tribes
- Code and sort these policies in terms of their intensity
- Interview leaders from the 55 Tribes who have specific knowledge about their Tribe’s laws codes and alcohol policy environment
- Survey Tribal and Local law enforcement officials in the 55 Tribes on alcohol policy enforcement conditions
- Use the results of Key Leader Interviews and Enforcement Surveys to create a Tribally-appropriate scoring system
- Score the 55 Tribal alcohol policy environments
Assess alcohol policy environments by outcomes
Compare state and Tribal Alcohol Policy Scores with state-level data on alcohol-related problems (emergency department and hospital admissions, motor vehicle crashes), using zip code and race/ethnic identifiers in these datasets to assess the association of outcomes with Tribal or non-Tribal lands
- Peer-reviewed scientific reports to support incorporating alcohol policy environments into epidemiological assessments of alcohol-related outcomes among tribal communities
- Tribal Leader Policy Briefs for improving Tribal alcohol policy environments
Healthcare-Seeking and Violence against American Indian and Alaska Native Women: Examining the Impact of the COVID-19 Pandemic
(August 2022-July 2023)
With additional funds from the NIH Office of Research on Women’s Health, we are obtaining additional hospital records from the state of Arizona to examine rates of injurious for American Indian/Alaska Native (AIAN) women residing on and off American Indian reservations, before and during the COVID-19 pandemic (2006-2020). To our interviews with Tribal key leaders in Arizona we are adding a few questions about women’s access to emergency healthcare services on and near their reservations, and Tribal COVID-19 emergency response measures that might have limited or improved women’s emergency healthcare access.
Public Heath Need
The majority of American Indians and Alaska Natives (AIAN) do not drink alcohol. AIAN who do drink report higher rates of alcohol dependence and alcohol-related health problems compared to non-Hispanic Whites of the same age and gender. Research has focused on individual-level determinants of problem drinking—such as trauma response and coping—and the majority of alcohol intervention programs for AIANs focus on behavior change. Few studies consider social-political determinants of alcohol issues that may be specific to AIAN communities. This research is critical to identify and scale environmental-level opportunities to reduce the risk of alcohol-related harm in AIAN communities.
Opportunity to Reduce the Risk of Alcohol-Related Harms
Research on alcohol regulatory policies has shown that policies are related to problem drinking and related health outcomes. States have adopted a range of alcohol policies to restrict the economic, social, physical, and legal availability of alcohol. These policies have been assessed and scored and shown to have an impact on alcohol use and alcohol-related outcomes.
No studies have assessed the impacts of state and Tribal alcohol policy environments on alcohol-related problems on Tribal lands. Researchers at Pacific Institute for Research and Evaluation (PIRE)’s Prevention Research Center have developed and tested geospatial methods needed to study the combined effects of state and tribal alcohol policies on drinking and alcohol-related outcomes. PIRE also has access to a uniform health outcomes dataset for 13 US states co-located with 55 Tribal nations, and has traffic records for these areas. We combine these resources and our expertise in alcohol policy research with expertise in Federal Indian law and Tribal community engagement developed by scientists at the University of Washington’s Indigenous Wellness Research Institute and Seven Directions Center for Indigenous Public Health.
More intense state Alcohol Policies are associated with:
- less underage drinking
- less drink-driving
- fewer alcohol-involved crashes
- less alcohol dependence and abuse
- less alcohol-involved violence (e.g., homicides and child abuse and neglect).
Tribal sovereignty provides the basis for tribal governments to establish alcohol control policies on tribal lands. Tribal policies reflect the unique interests and contexts of their Tribal communities. Tribal alcohol policies may align with or differ from the policies of nearby states.
Staff and Advisors
Juliet P. Lee is a Senior Research Scientist and Study Director at the Prevention Research Center of PIRE. Her work…
Myra Parker JD, MPH, PhD, is an enrolled member of the Mandan and Hidatsa tribes and serves as an Associate Professor in…
Dr. Rachell Tenorio is an enrolled member of Santo Domingo Pueblo (Kewa), New Mexico. Dr. Tenorio received a Master`s degree…
Emily A. Haozous, PhD, RN, FAAN (Chiricahua Fort Sill Apache) is a nurse and Research Scientist with the Pacific Institute…
William R. Ponicki, M.A., is a Research Scientist at Prevention Research Center, Pacific Institute for Research and Evaluation. He has extensive experience applying econometric…
April Schweinhart, PhD., is a Research Scientist at the Louisville, KY Center of the Pacific Institute for Research and Evaluation with a background…
Dr. Paul J. Gruenewald has worked as a Senior Research Scientist at Prevention Research Center (PRC), Pacific Institute for Research…
Institution: University of Washington Graduate Student. Concentration: School Psychology program. Personal Interests: I like to play soccer and bake in…
Tribal Community Advisory Board
Joseph Thomas Flies-Away, MPA, JD (Hualapai), formerly served as Chief Judge of the Hualapai Tribal Court and as pro tem…
Ray Daw, MA (Navajo, or Diné), is originally from Houck, Arizona. A graduate from boarding school and UNM, he also…
Bill has served the Sycuan Band of the Kumeyaay Nation as Chief of Police for the past 16 years. He…
Nadine Tafoya, MSW, LCSW (Mescalero Apache), is a wife, mother, and grandmother. She lives in a rural Pueblo village in…
Jeffrey Henderson, MD, MPH, is Lakota and an enrolled member of the Cheyenne River Sioux Tribe. Dr. Henderson acquired both…
Nan Benally, MC, (Diné) serves as the Juvenile Healing to Wellness Court TTA Specialist for the Tribal Leader Policy Institute’s…