Sydney Local Health District, Public Health Unit, Sydney, Australia.
Department of Public Health, La Trobe University, Bundoora, Australia.
Drug Alcohol Rev. 2019 Jul;38(5):482-493. doi: 10.1111/dar.12957.
Substance use significantly contributes to increasing the disease burden experienced by young Aboriginal and Torres Strait Islander (Aboriginal) Australians. Little is known about the primary healthcare needs of young Aboriginal people who use drugs. The aim of this study was to pilot Audio Computer Assisted Self-Interviewing (ACASI) as a method of asking young Aboriginal people who use illicit drugs about their health concerns and service preferences, in inner-Sydney, New South Wales.
We employed a sequential mixed methods exploratory study design. Qualitative data was collected using a focus group and in-depth interviews. These findings informed the development of the ACASI survey, which asked questions on substance use, health concerns, health service usage, barriers and preferences for services. Recruitment sites included youth and health services. Qualitative results were analysed thematically, and survey results using descriptive statistics.
Eight people participated in the focus group and two in in-depth interviews. Of the 38 survey respondents, 68% reported illicit drug use. Reported barriers to service access included waiting time and services seeming unfriendly or not understanding Aboriginal people. Participants expressed preferences for Aboriginal-friendly health services that provide internet access, literacy skill development and opportunities to learn about Aboriginal culture. Participants found the ACASI survey user-friendly.
This is the first report describing health concerns and service preferences of young Aboriginal people who use illicit drugs. The ACASI survey appears to be an appropriate and efficient approach to giving a voice to young Aboriginal people.
物质使用极大地增加了年轻的澳大利亚原住民和托雷斯海峡岛民（原住民）所经历的疾病负担。对于使用毒品的年轻原住民的主要医疗需求知之甚少。本研究的目的是在新南威尔士州悉尼市中心试用音频计算机辅助自我访谈（ACASI），以了解使用非法药物的年轻原住民的健康问题和服务偏好。
我们采用了顺序混合方法探索性研究设计。使用焦点小组和深入访谈收集定性数据。这些发现为 ACASI 调查的开发提供了信息，该调查询问了关于物质使用、健康问题、卫生服务使用、服务障碍和偏好的问题。招募地点包括青年和卫生服务机构。定性结果进行了主题分析，调查结果采用描述性统计。
八人参加了焦点小组，两人参加了深入访谈。在 38 名调查参与者中，68%报告使用了非法药物。报告的服务获取障碍包括等待时间和服务似乎不友好或不了解原住民。参与者表示希望获得对原住民友好的卫生服务，这些服务提供互联网接入、扫盲技能发展和了解原住民文化的机会。参与者发现 ACASI 调查易于使用。
这是第一项描述使用非法药物的年轻原住民的健康问题和服务偏好的报告。ACASI 调查似乎是一种合适且有效的方法，可以让年轻的原住民发声。
