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          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
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              <elementText elementTextId="3959">
                <text>Multigenerational Legacies of Trauma of American Indians</text>
              </elementText>
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    <name>Electronic Resource</name>
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        <name>View Source</name>
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          <elementText elementTextId="9730">
            <text>&lt;a href="https://doi.org/10.5820/aian.3204.2026.57"&gt;https://doi.org/10.5820/aian.3204.2026.57&lt;/a&gt;</text>
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        <name>Document Type</name>
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        <name>Author(s)</name>
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          <elementText elementTextId="9733">
            <text>Damian M. Chase-Begay, Julie Cahoon, Jeffery C. Peterson, Annie Belcourt, Curtis Noonan, Blakely Brown</text>
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      <element elementId="58">
        <name>Volume</name>
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          <elementText elementTextId="9734">
            <text>Vol. 32</text>
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        <name>Issue</name>
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          <elementText elementTextId="9735">
            <text>No. 4</text>
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        <name>Publisher</name>
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          <elementText elementTextId="9736">
            <text>Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus (Aurora, Colo.)</text>
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      <element elementId="57">
        <name>Journal Name</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="9737">
            <text>American Indian and Alaska Native Mental Health Research</text>
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      <element elementId="53">
        <name>Publication Date</name>
        <description/>
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          <elementText elementTextId="9738">
            <text>2026</text>
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      <element elementId="69">
        <name>ISBN</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="9739">
            <text>15337731</text>
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      <element elementId="67">
        <name>Region</name>
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          <elementText elementTextId="9741">
            <text>Montana, United States</text>
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      <element elementId="75">
        <name>Language</name>
        <description/>
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          <elementText elementTextId="9743">
            <text>English</text>
          </elementText>
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        <name>Access</name>
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        <name>Abstract</name>
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            <text>American Indian and Alaska Native (AI/AN) communities have&#13;
relied on traditional ceremonial practices (TCPs) for survival and&#13;
resilience for generations. Research examining the role of TCPs on&#13;
wellness in urban, multi-tribal communities, however, has only recently&#13;
emerged over the last several decades. This study explored the association&#13;
between TCP-related variables and substance use in an urban AI/AN&#13;
community in Montana. Specifically, participant knowledge, attitudes, and&#13;
beliefs (KAB) regarding TCPs, their level of intent to participate in TCPs,&#13;
and past year substance use were measured. This cross-sectionalstudy used&#13;
survey data from 194 AI/AN adults (66% female, 5% nonbinary; M age =&#13;
44). Positive KAB toward TCPs was found in 56.4% of respondents.&#13;
Greater level of intent to participate in TCPs was found in 36.7% of&#13;
respondents. Multivariate logistic regression showed individuals with&#13;
positive KAB were less likely to report past year alcohol [adjusted odds&#13;
ratio (AOR): 0.49; 95% confidence interval (95% CI): 0.26, 0.93] or other&#13;
drug use (AOR: 0.30; 95% CI: 0.11, 0.76). Individuals who reported a&#13;
greater level of intent to participate in TCPs were also less likely to report&#13;
past year alcohol (AOR: 0.51; 95% CI: 0.26, 0.98) or other drug use (AOR:&#13;
0.31; 95% CI: 0.08, 0.91). The findings highlight a need for further&#13;
examination of the potential effectiveness of substance use interventions for&#13;
urban AI/AN adults that incorporate TCP-related factors.</text>
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        <name>Cataloger</name>
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          <elementText elementTextId="9746">
            <text>Haley Lesemann</text>
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        <element elementId="50">
          <name>Title</name>
          <description>A name given to the resource</description>
          <elementTextContainer>
            <elementText elementTextId="9731">
              <text>Assessing American Indian Traditional Ceremonial Practices and Substance Use Behaviors in an Urban, Multi-Tribal Setting: Results from a Community Survey</text>
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        </element>
        <element elementId="49">
          <name>Subject</name>
          <description>The topic of the resource</description>
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            <elementText elementTextId="9740">
              <text>Substance abuse--Montana--Prevention</text>
            </elementText>
          </elementTextContainer>
        </element>
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    <tag tagId="475">
      <name>Addiction</name>
    </tag>
    <tag tagId="137">
      <name>Alcohol Abuse</name>
    </tag>
    <tag tagId="33">
      <name>Indigenous Communities</name>
    </tag>
    <tag tagId="3">
      <name>Indigenous peoples</name>
    </tag>
    <tag tagId="86">
      <name>Substance Abuse</name>
    </tag>
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