1 Daniel J. Kruger is with the Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, and the Department of Community Health and Health Behavior, School of Public Health and Health Professions, and the Clinical and Research Institute on Addictions at the University at Buffalo, State University of New York, Buffalo, NY. Carlton CB Bone is a graduate of the Department of Anthropology, Portland State University, Portland, OR. Jessica S. Kruger is with the Department of Community Health and Health Behavior, School of Public Health and Health Professions, at the University at Buffalo.