Psychometric evaluation of protective measures in Native STAND: A multi-site cross sectional study of American Indian Alaska Native high school students

American Indian and Alaska Native (AI/AN) youth are strong in culture and rich in heritage and experience unique strengths and challenges throughout adolescence. Documenting conditions that protect against risk factors associated with poor health outcomes are needed. We explored scales that measure self esteem, culture, social support, and community from a sample of 1,456 youth involved in Native STAND, a culturally-relevant evidence based sexual health intervention