Department of Health, Sport and Exercise Science, School of Health Sciences, Waterford Institute of Technology, Ireland.
Drug Alcohol Rev. 2010 Jan;29(1):59-63. doi: 10.1111/j.1465-3362.2009.00085.x.
The Traveller community as ethnic minority is vulnerable to problematic alcohol use, because of social exclusion, discrimination, lack of awareness and difficulties in engaging with addiction treatment protocols.
This research yielded an exploratory account of Travellers and alcohol use according to the perspectives of the Travellers and key service providers in the west of Ireland, within the context of a large-scale study on Travellers and substance use. The research consisted of 12 peer-accompanied focus groups of Traveller men and women (n = 57) and 45 semistructured interviews with a self-selecting sample of key service agencies. The research themes related to Traveller culture and alcohol use, sex differences, reasons for consuming alcohol, attitude to alcohol use, problematic alcohol use, levels of alcohol harm-related knowledge, perceptions of alcohol-related risk and experiences of addiction services. A thematic analysis of the information garnered guided this comparative analysis.
The Traveller community, and in particular Traveller men, are presenting with increasingly problematic alcohol use, because of dissipation of their culture and their experiences of marginalisation, discrimination, depression, illiteracy and poverty. Difficulties engaging with law enforcement, community health and addiction services compromise their efforts to deal with this problem and home detoxification attempts are common.
Services must aim to take into consideration the cultural needs of Travellers and provide appropriate educational materials, peer education programs and flexible treatment approaches for those Travellers experiencing problematic alcohol use.
旅行者群体作为少数民族，由于社会排斥、歧视、缺乏意识以及难以参与成瘾治疗方案，容易出现问题性饮酒。
本研究根据爱尔兰西部旅行者和关键服务提供者的观点，对旅行者和酒精使用情况进行了探索性描述，这是一项关于旅行者和物质使用的大型研究的一部分。研究包括 12 次旅行者男女同行的焦点小组（n=57）和 45 次与自我选择的关键服务机构的半结构化访谈。研究主题涉及旅行者文化和酒精使用、性别差异、饮酒原因、对酒精使用的态度、问题性饮酒、酒精危害相关知识水平、对酒精相关风险的看法以及成瘾服务的体验。所收集信息的主题分析指导了这一比较分析。
由于旅行者文化的消解以及边缘化、歧视、抑郁、文盲和贫困等经历，旅行者群体，特别是旅行者男性，饮酒问题日益严重。他们难以与执法部门、社区卫生和成瘾服务机构接触，这影响了他们解决这一问题的努力，家庭戒毒尝试也很常见。
服务必须旨在考虑旅行者的文化需求，并为那些有问题性饮酒的旅行者提供适当的教育材料、同伴教育计划和灵活的治疗方法。
