Robertson Jan A, Fitts Michelle S, Clough Alan R
Community-based Health Promotion and Prevention Studies Group, College of Public Health, Medical & Veterinary Sciences and Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, Queensland 4870, Australia.
Community-based Health Promotion and Prevention Studies Group, College of Public Health, Medical & Veterinary Sciences and Australian Institute of Tropical Health and Medicine, James Cook University, Cairns, Queensland 4870, Australia.
Int J Drug Policy. 2017 Mar;41:34-40. doi: 10.1016/j.drugpo.2016.11.014. Epub 2017 Jan 4.
'Alcohol Management Plans' (AMPs) with a focus on alcohol restrictions were implemented in 19 discrete Indigenous communities, in 15 Local Government Areas, by the Queensland Government from 2002. Community residents' perceptions and experiences of the impacts of AMPs on local alcohol and drug use are documented.
A cross-sectional study used quantitative and qualitative survey data collected during 2014-2015 in 10 affected communities. Five had some alcohol available. Five had total prohibition. Participant responses were assessed and compared by prohibition status.
Overall, less than 50% of 1098 participants agreed that: i) the restrictions had reduced alcohol availability in their community and ii) that people were drinking less. Nearly three quarters agreed that binge-drinking had increased, attributed to increased availability of illicit alcohol. There were no statistically significant differences between communities with prohibition and those with some access to alcohol. Participants agreed overall that cannabis use had increased but were more equivocal that new drugs were being used. These views were less frequently reported in prohibition communities.
Contrary to what was intended, Queensland's alcohol restrictions in Indigenous communities were viewed by community residents as not significantly reducing the availability and use of alcohol. Furthermore, this was compounded by perceived increases in binge drinking and cannabis use; also unintended. There is a need to strengthen resolve at all levels to reduce the supply of illicit alcohol in restricted areas.
2002年起，昆士兰州政府在15个地方政府辖区的19个分散的原住民社区实施了以酒精限制为重点的“酒精管理计划”（AMPs）。记录了社区居民对AMPs对当地酒精和药物使用影响的看法和经历。
一项横断面研究使用了2014 - 2015年期间在10个受影响社区收集的定量和定性调查数据。其中5个社区有一些酒精供应，5个社区完全禁酒。根据禁酒状况对参与者的回答进行评估和比较。
总体而言，1098名参与者中不到50%的人同意：i）这些限制措施减少了他们社区的酒精供应，ii）人们饮酒量减少。近四分之三的人认为，由于非法酒精供应增加，暴饮现象有所增加。禁酒社区和有酒精供应社区之间没有统计学上的显著差异。参与者总体上同意大麻使用有所增加，但对于是否有新毒品被使用则看法不一。在禁酒社区，这些观点的报告频率较低。
与预期相反，社区居民认为昆士兰州在原住民社区实施的酒精限制措施并未显著减少酒精的供应和使用。此外，暴饮和大麻使用的增加加剧了这种情况，这也是意料之外的。有必要加强各级的决心，以减少受限地区非法酒精的供应。
