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Alcohol and Native Americans


Alcohol and Native Americans

Native Americans in the United States have historically had extreme difficulty with the use of alcohol.[1] Problems continue among contemporary Native Americans; 12% of the deaths among Native Americans and Alaska Natives are alcohol-related. Use of alcohol varies by age, gender and tribe with women, and older women in particular, being least likely to be regular drinkers. Native Americans, particularly women, are more likely to abstain entirely from alcohol than the general US population. Frequency of use among Native Americans is generally less than the general population, but the quantity consumed when it is consumed is generally greater.[2]

A survey of death certificates over a four-year period showed that deaths among Native Americans due to alcohol are about four times as common as in the general US population and are often due to traffic collisions and liver disease with homicide, suicide, and falls also contributing. Deaths due to alcohol among Native Americans are more common in men and among Northern Plains Indians. Alaska Natives showed the least incidence of death.[3] Alcohol abuse by Native Americans has been shown to be associated with development of disease, including sprains and muscle strains, hearing and vision problems, kidney and bladder problems, head injuries, pneumonia, tuberculosis, dental problems, liver problems, and pancreatitis.[4] In some tribes, the rate of fetal alcohol spectrum disorder is as high as 1.5 to 2.5 per 1000 live births, more than seven times the national average,[5] while among Alaska natives, the rate of fetal alcohol spectrum disorder is 5.6 per 1000 live births.[6]

Native American youth are far more likely to experiment with alcohol than other youth with 80% alcohol use reported. Low self-esteem is thought to be one cause. Active efforts are underway to build self-esteem among youth and to combat alcoholism among Native Americans.[7]


  • History 1
    • Precolonial Alcohol Production 1.1
    • Influence of Colonialism 1.2
    • Influence of Mesoamerica 1.3
    • Alcohol Consumption Patterns 1.4
    • Firewater Myths 1.5
  • Contributing factors 2
    • Binge drinking 2.1
    • Disease and Death 2.2
    • Domestic Violence 2.3
    • Fetal Alcohol Syndrome (FAS) 2.4
  • Alcohol and Substance Abuse Programs 3
    • Indian Health Services 3.1
    • Tribal Action Plan 3.2
  • See also 4
  • Citations 5
  • References 6


Precolonial Alcohol Production

Prior to contact with colonists, alcohol use and production was mainly concentrated in the southwestern United States.Some tribes produced weak beers, wine and other fermented beverages, but these had low alcohol concentrations (8%-14$) and were to be used only for ceremonial purposes. The distillation technique required to make stronger, potent forms of alcohol was unknown. It was well documented that Mexican Native Americans prepared over forty different alcoholic beverages from a variety of plant substances, such as honey, palm sap, wild plum, and pineapple. In the Southwestern U.S., the Papago, Piman, Apache and Maricopa all used the saguaro cactus to produce a wine, sometimes called haren a pitahaya.The Coahuiltecan in Texas combined mountain laurel with the Agave plant to create an alcoholic drink, and the Pueblos and Zunis were believed to have made fermented beverages from aloe, maguey, corn, prickly pear, pitahaya and even grapes.To the east, the Creek of Georgia and Cherokee of the Carolinas used berries and other fruits to make alcoholic beverages, and in the Northeast, “there is some evidence that the Huron made a mild beer made from corn.” In addition, despite the fact that they had little to no agriculture, both the Aleuts and Yuit of Alaska were believed to have made alcoholic drinks from fermented berries.

Influence of Colonialism

When various European colonists suddenly made large amounts of distilled spirits and wine available to American Indians, the tribes had little time to develop social, legal, or moral guidelines to regulate alcohol use. Early traders quickly established a demand for alcohol by introducing it as a medium of trade, often using it in exchange for highly sought-after animal skins and other resources. Traders also found that providing free alcohol during trading sessions gave them a distinct advantage in their negotiations. Extreme intoxication was common among the colonists and provided a powerful model for the social use of alcohol among the inexperienced Indian populations. Numerous historical accounts describe extremely violent bouts of drinking among Indian tribes during trading sessions and on other occasions, but at least as many accounts exist of similar behavior among the colonizing traders, military personnel, and civilians. Such modeling was not limited to the early colonial era but continued as the land was colonized from East to West; trappers, miners, soldiers, and lumbermen were well known for their heavy drinking sprees. History may have therefore sown the seeds for the prevalence of alcohol abuse in North American indigenous populations. Early demand, with no regulation and strong encouragement, may have contributed to a “tradition” of heavy alcohol use passed down from generation to generation, which has led to the current high level of alcohol-related problems.

Influence of Mesoamerica

The use of alcohol originated in Middle America but rapidly diffused to Northern Mexico and from there to the Southwestern United States. The majority of aboriginal production and use of alcoholic beverages was in this region. However, there was a surprising number of scattered accounts of intoxicating beverage use throughout the United States prior to White contact. For the most part, the use of alcoholic drinks required an agricultural base, but not in all instances. The reason for this is primarily that alcoholic beverages were made from domesticated plants, although, there are examples of liquor being derived from wild plants. Aboriginal use generally did not involve excessive drunkenness, but controlled and supervised use often in highly ritualized occasions. Further, accounts of American Indians' initial encounters with alcoholic beverages did not describe reckless or disinhibited behavior.

Alcohol Consumption Patterns

Rather than infatuation, most Native peoples initially responded to alcohol with distaste and suspicion. They considered drunkenness “degrading to free men” and questioned the motives of those who would offer a substance that was so offensive to the senses and that made men foolish. Most Native people who did drink alcohol were reported to show "remarkable restraint while in their cups.” Most drank alcohol only during social or trading contact with Whites.

Firewater Myths

After colonial contact, white drunkeness was interpreted as the misbehavior of an individual. Native drunkenness was interpreted in terms of the inferiority of a race. What emerged was a set of beliefs, known as “firewater myths,” that misrepresented the history, nature, sources and potential solutions to Native alcohol problems. These myths proclaimed that Indian people:

  • had an insatiable appetite for alcohol
  • were hypersensitive to alcohol
  • were dangerously violent when intoxicated
  • were inordinately vulnerable to addiction to alcohol
  • could not resolve such problems on their own

The scientific literature of recent decades has challenged these myths by documenting the wide variability of alcohol problems across and within Native tribes, and by refuting claims of genetic or other biological anomalies that render Native peoples particularly vulnerable to alcoholism.

Contributing factors

It has been found that the incidence of alcohol abuse varies with gender, age, and tribal culture and history.[8] While little detailed genetic research has been done, it has been shown that alcoholism tends to run in families with possible involvement of differences in alcohol metabolism and the genotype of alcohol-metabolizing enzymes.[9] There is no evidence, however, that these genetic factors are more prevalent in Native Americans than other ethnic groups.[10] According to one 2013 review of academic literature on the issue, there is a "substantial genetic component in Native Americans" but that these factors are "similar in kind and in magnitude to the genetic influences contributing to the liability for these phenotypes in other ethnic groups." [11]

Binge drinking

The National Institute on Alcohol Abuse and Alcoholism, or NIAAA, defines binge drinking as a pattern of drinking that brings blood alcohol concentration (BAC) levels to 0.08 g/dL. This typically occurs after 4 drinks for women and 5 drinks for men—in about 2 hours.

Anastasia M. Shkilnyk who conducted an observational study of the Asubpeeschoseewagong First Nation of Northwestern Ontario in the late 1970s when they were demoralized by Ontario Minamata disease has observed that heavy Native American drinkers may not be physiologically dependent on alcohol, but abuse it by engaging in binge drinking, a practice associated with child neglect, violence, and impoverishment.[12]

Minority Women's health outlined the following stages of alcohol dependence:

  • Craving: a strong need to drink
  • Loss of control: can't stop drinking once drinking has started
  • Physical dependence: having withdrawal symptoms, such as nausea, sweating, shakiness, and anxiety after a time of heavy drinking
  • Tolerance: need to drink greater amounts of alcohol in order to "get high"

Disease and Death

Compared with the U.S. population in general, the American Indian population is much more susceptible to alcohol related diseases and deaths. According to IHS records on alcohol-related illness, the mortality due to alcohol was as much as 5.6 times higher among the Indian population than among the U.S. population in general. This rate was 7.1 times higher in 1980. Disproportionately more males are affected by alcohol related conditions than females. The highest risk of alcohol-related deaths is between ages 45 and 64. Chronic liver disease and cirrhosis are 3.9 times as prevalent in the Indian population as in the general U.S. population. Alcohol-related fatal car accidents are three times as prevalent. Alcohol-related suicide is 1.4 times as prevalent and alcohol-related homicide is 2.4 times as prevalent.

Domestic Violence

During the past twenty years, there has been growing recognition among health care professionals that domestic violence is a highly prevalent public health problem with devastating effects on individuals, families and communities. The health care setting offers a critical opportunity for early identification and even primary prevention of abuse.[13] Alcohol and drugs use is attributed higher rates of domestic violence among Native Americans compared to many other demographics. Over two-thirds (68%) of American Indian and Alaska Native sexual assault victims attribute their attacker's actions to drinking and/or taking drugs before the offense[14]

Fetal Alcohol Syndrome (FAS)

Native Americans have one of the highest rates of fetal alcohol syndrome record. According to the Centers for Disease Control and Prevention, from 1981 to 1991, the prevalence of FAS in the overall U.S. population per 10,000 births was 2.1. Among American Indians, that number was 31.0. The significant difference between the FAS rates of the U.S. population and American Indians has been attributed to a lack of healthcare, high poverty levels, and a young average population. Healthcare spending for an average American on Medicare is about $11,762 whereas average spending on healthcare for a Native American is $2,782. And in a 2007 document titled “Fetal Alcohol Spectrum Disorders among Native Americans,” the U.S. Department of Health and Human Services reported that the prevalence of FAS in Alaska was 1.5 per 1,000 live births; but among American Indians and Alaska Natives, the rate was 5.6.

Alcohol and Substance Abuse Programs

Indian Health Services

The Alcohol and Substance Abuse Program (ASAP) is a program for American Indian and Alaska Native individuals that was made to reduce the incidence and prevalence of alcohol and substance abuse. These programs are administered in tribal communities, including emergency, inpatient and outpatient treatment, and rehabilitation services for individuals covered under the Indian Health Services.[1] The Indian Health Service addresses and treats alcoholism from a disease model perspective. Alcoholism to the (IHS) is a primary chronic disease with genetic, psychosocial, and environmental factors influencing its development and appearance.

Tribal Action Plan

The Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986 was updated to make requirements that the Office of Indian Alcohol and Substance Abuse (OIASA) is to work with federal agencies to assist Native American communities in developing a Tribal Action Plan or TAP. The TAP coordinates resources and funding required to help mitigates levels of alcohol and substance abuse among the Native American population.

See also


  1. ^
  2. ^
  3. ^ "Study: 12 percent of Indian deaths due to alcohol" Associated Press article by Mary Clare Jalonick Washington, D.C. (AP) 9-08 News From Indian Country accessed October 7, 2009
  4. ^ "Native Americans with alcohol problems have more medical conditions" Jay Shore, M.D., M.P.H., University of Colorado Health Sciences Center March 26, 2006, accessed October 7, 2009
  5. ^
  6. ^
  7. ^ "Fighting Alcohol and Substance Abuse among Native Americans and Alaskan Native Youth. ERIC Digest."
  8. ^
  9. ^
  10. ^ Caetano, Raul, Catherine L. Clark, and Tammy Tam. "Alcohol consumption among racial/ethnic minorities." Alcohol health and research world 22.4 (1998): 233-241.
  11. ^ Ehlers, Cindy L., and Ian R. Gizer. “Evidence for a Genetic Component for Substance Dependence in Native Americans”. American Journal of Psychiatry 2013 170:2 , 154-164. Web. Dec. 4, 2014.
  12. ^
  13. ^ Building Domestic Violence Health Care Responses in Indian Country: A Promising Practices Report. Family Violence Prevention Fund, 2010.
  14. ^ U.S. Department of Justice. Violence Against Ameri can Indian and Alaska Native Women and the Criminal Justice Response: What is known. 2008:39


  • "Alcohol among Native Americans"
  • "Fighting Alcohol and Substance Abuse among American Indian and Alaskan Native Youth. ERIC Digest."
  • "How to Address Alcoholism on Indian Reservations" "Room for Debate", The New York Times May 16, 2012
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