The impact of substances abuse to a cultural group can create problems in the long run such as the integration of the substance into the cultural patterns. Native Americans are the most prevalent to become dependent on alcohol among minority groups. Many of the side effects of alcohol abuse include teen suicide, birth defects, break up of families, violence in the home, high incarceration rates and affect the education of the youth. Among Native Americans and Alaska Natives 11.7 percent of deaths were alcohol-related, compared with 3.3 percent for the U.S.A as a whole, out of those mortality rates 66 percent of victims of alcohol were younger than 50 while seven percent were less than 20 years old. Many people turn to substance abuse for the
