Effects of the ‘Circle of Life’ HIV-prevention program on marijuana use among American Indian middle school youths: a group randomized trial in a Northern Plains tribe

摘要

BackgroundEarly substance use threatens many American Indian/Alaska Native (AI/AN) communities, as it is a risk factor for maladaptive use and adverse health outcomes. Marijuana is among the first substances used by AI/AN youth and its use becomes widespread during adolescence. Interventions that delay or reduce marijuana use hold the promise of curbing substance disorders and other health risk disparities in AI/AN populations.