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Principal Investigator: Cindy L.
Ehlers, PhD
Adolescent Marijuana Use in Native
Americans
Grant #: NIDA 019333
Although tribes differ with
regard to the use of alcohol and drugs, the U.S. Indian
Health Service has cited substance abuse as one of the most
urgent health problems facing Native Americans. Morbidity
and mortality rates attributable to alcohol and drugs among
certain segments of the Native American population are at
epidemic levels. Survey data suggest that American Indian
youths’ use of drugs is generally higher than any
other ethnic group particularly for marijuana. Despite the
devastating impact that alcohol and drugs has had in some
tribes, how and why substance abuse is more prevalent in
some Native American communities remains unclear. It appears
from studies in the majority population that approximately
50-60% of the variance for drug dependence may be explained
by genetic/biological factors. The overall objective of
the research plan is to enhance understanding of the neurobehavioral
risk factors for, and consequences of, marijuana use and
use disorders in reservation dwelling Indians indigenous
to San Diego county. A 33% lifetime prevalence rate for
marijuana dependence, based on DSM IV, has been found in
the currently assessed population. In addition to the already
high rates of use and abuse, initiation of marijuana use
during adolescence is particularly malignant for Mission
Indians. Our current data demonstrate that Mission Indian
adolescent users are highly significantly more likely to
develop marijuana dependence when compared to young adults.
Additionally, data are converging from a number of human
and animal studies to suggest that adolescence, like the
peri-natal period, is an epoch of high brain vulnerability
to the toxic effects of drug exposure due to rapidly changing
brain development. Thus, during adolescence drugs may be
both more addicting and more neurotoxic, a combination that
makes drug abuse particularly dangerous for adolescents.
Studies are proposed in this application aimed at finding
identifiable neurobiological (EEG, ERPs, candidate gene
polymorphisms (FAAH, CNR1) and/or behavioral cognitive (neuropsychological
measures of subjective effects) markers for those Native
American youth who progress from marijuana use to abuse,
and to dependence. As well as identify any long-term neuroadaptive
changes in Mission Indians after repeated adolescent marijuana
exposure as indexed by MRI, EEG, ERPs, neuropsyhchological
and behavioral functioning. We believe these studies will
not only allow for the indentification of factors associated
with risk for and consequences of marijuana dependence in
these tribes but eventually should also guide the development
of prevention and intervention programs.
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