Jacups Susan, Rogerson Bernadette
a Post-doctoral Research Fellow , The Cairns Institute, James Cook University , Queensland , Australia.
J Psychoactive Drugs. 2015 Apr-Jun;47(2):117-24. doi: 10.1080/02791072.2015.1014949.
Urban non-indigenous populations report life events (marriages, employment) as influences for self-initiated cannabis cessation. However, this hasn't been investigated in remote indigenous populations with different social paradigms.
We investigate cannabis use, harms, and poly-substance misuse in 101 consenting male incarcerated indigenous Australians. Interviews applied quantitative and qualitative questions assessing demographic characteristics, criminal history, drug use, the Marijuana Problems Inventory (MPI), and cannabis-cessation influences. Comparisons used Chi Square, Analysis of Variance, and Nvivo software.
Cannabis use groups (current users, ex-users, and never users) were demographically similar except that current users reported more juvenile legal problems, younger school departure, and lower school achievement (p < 0.05). Mean cannabis consumption was 12.3 cones/day. Incarceration and family responsibilities were the strongest cessation influences. Employment responsibilities and negative self-image were rarely cited as influences.
High cannabis use, with its associated problems, is concerning. These identified influences indicate incarceration should be used for substance reduction programs, plus post-release follow-up. Community-based programs focusing on positive influences, such as family responsibilities and social cohesion, may be successful within indigenous populations with strong kinship responsibilities, rather than programs that focus solely on substance harms.
城市中的非原住民群体称生活事件（结婚、就业）是促使他们自行停止使用大麻的因素。然而，在具有不同社会范式的偏远原住民群体中，尚未对此进行过研究。
我们对101名同意参与研究的澳大利亚原住民男性在押人员的大麻使用情况、危害及多物质滥用情况进行了调查。访谈采用了定量和定性问题，以评估人口统计学特征、犯罪史、药物使用情况、大麻问题量表（MPI）以及停止使用大麻的影响因素。比较分析使用了卡方检验、方差分析和NVivo软件。
大麻使用群体（当前使用者、曾经使用者和从未使用者）在人口统计学特征上相似，不过当前使用者报告的青少年法律问题更多、离校年龄更小且学业成绩更低（p < 0.05）。大麻的平均消费量为每天12.3筒。监禁和家庭责任是促使停止使用大麻的最主要因素。很少有人提到工作职责和负面自我形象是影响因素。
大麻的高使用率及其相关问题令人担忧。这些确定的影响因素表明，监禁应用于减少毒品使用计划以及释放后的随访。在具有强烈亲属责任的原住民群体中，侧重于家庭责任和社会凝聚力等积极影响的社区项目可能会取得成功，而不是仅仅关注毒品危害的项目。
