This Tribal Community-Engaged project assess the differential relationships of state and tribal alcohol policies to alcohol- related health risks for residents of American Indian reservations. This study will support spatial and legal epidemiological research that will:
(1) summarize tribal alcohol policies across 56 tribal nations collocated in 13 US states,
(2) perform qualitative and quantitative studies of the local contexts and enforcement implementation of alcohol policies across these 56 tribal nations, and
(3) assess relationships of state and tribal alcohol policies to alcohol related health outcomes using hospital discharge and traffic injury data.
Results will advance methods for understanding alcohol regulation and measures of population health among communities experiencing some of the most disparate health inequities in the United States, demonstrate the utility of including community voices to enrich our empirical assessments of contextual factors associated with alcohol-related outcomes, and support community advocacy for policy change by improving understanding of policy effects on health outcomes.