Thommasen Harvey V, Hanlon Neil, Thommasen Carol, Zhang William
Faculty of Medicine, University of British Columbia, Vancouver, BC.
Can J Rural Med. 2006 Winter;11(1):15-22.
This study surveyed the residents of the rural and remote communities in the Bella Coola Valley, British Columbia, on their alcohol drinking habits and on their opinions as to which of a list of health issues were the most important considerations for the well-being of the community.
People aged 17 years and older living in the Bella Coola Valley were asked to complete a detailed Health and Quality of Life Survey during the period August 2001 to May 2002. This included two separate mailouts. Alcohol drinking habits; and ratings on whether or not people believed that alcohol abuse, drug abuse, family violence, unemployment, sexual abuse and racial discrimination were surveyed.
A total of 674 adults age 17 years and older (39% response rate) completed an 11-page questionnaire. Results from the survey indicate that unemployment, alcohol abuse and drug abuse are seen as the most important community health problems by the majority of residents. Eighty-eight percent of respondents agree or strongly agree that unemployment is a problem; for alcohol abuse it was 83%, for drug abuse 77%, for both family violence and sexual abuse 58%, and for racial discrimination it was 53%. Patterns of drinking habits vary considerably between Aboriginal peoples and non-Aboriginal people. More Aboriginal respondents abstained from drinking alcoholic beverages (54%) than non-Aboriginal respondents (22%). Among the Aboriginal peoples who did drink alcohol, there were relatively more heavy drinkers (36%) compared with non-Aboriginal people (7%). There were more heavy drinkers among men than among women.
Patterns of drinking habits vary between men and women and between Aboriginal and non-Aboriginal people. The majority of residents agree that alcohol is a problem in these communities. Unemployment, drug abuse, family violence, sexual abuse and racial discrimination are also believed to be important issues for the Bella Coola Valley. This information should be used to set priorities for future health and wellness programs.
本研究对不列颠哥伦比亚省贝拉库拉山谷农村和偏远社区的居民进行了调查，了解他们的饮酒习惯以及对于一系列健康问题中哪些是社区福祉最重要考量因素的看法。
2001年8月至2002年5月期间，要求居住在贝拉库拉山谷17岁及以上的居民完成一份详细的健康与生活质量调查问卷。这包括两次单独的邮寄调查。调查内容包括饮酒习惯；以及人们对酗酒、药物滥用、家庭暴力、失业、性虐待和种族歧视是否存在的评级。
共有674名17岁及以上的成年人（回复率为39%）完成了一份11页的问卷。调查结果表明，大多数居民认为失业、酗酒和药物滥用是最重要的社区健康问题。88%的受访者同意或强烈同意失业是一个问题；酗酒方面为83%，药物滥用为77%，家庭暴力和性虐待均为58%，种族歧视为53%。原住民和非原住民的饮酒习惯模式差异很大。戒酒的原住民受访者（54%）比非原住民受访者（22%）更多。在饮酒的原住民中，重度饮酒者（36%）相对多于非原住民（7%）。男性中的重度饮酒者比女性更多。
男女之间以及原住民和非原住民之间的饮酒习惯模式存在差异。大多数居民认为酒精在这些社区是个问题。失业、药物滥用、家庭暴力、性虐待和种族歧视也被认为是贝拉库拉山谷的重要问题。这些信息应用于为未来的健康与福祉项目确定优先事项。
