Sadath Anvar, Jose Kurian, Meethal Shibukumar Theertamkara, Mathai Jiji Kavanakudi, Venugopal Aswati Paroor, Xavier Neethumol
Department of Psychiatric Social Work, Institute of Mental Health and Neurosciences, Kozhikode, Kerala, India.
Indian J Psychol Med. 2019 Nov 11;41(6):516-522. doi: 10.4103/IJPSYM.IJPSYM_326_19. eCollection 2019 Nov-Dec.
Disproportionate level of alcohol misuse is reported among indigenous people all over the world. A few available studies from India also support higher alcohol misuse among tribal men, but the reason for it is largely unexplored. Thus, we explored the factors associated with alcohol misuse among indigenous tribal men in Wayanad, Kerala.
Using a qualitative phenomenological method and purposive sampling techniques, we recruited seven tribal men with a history of alcohol misuse and 28 tribal promoters from the identified tribal colonies in Wayanad, Kerala, India. Data collection was done with a combination of focus group discussions and in-depth interviews. Thematic analysis was applied to the data for identifying core themes.
We identified the important trajectories of alcohol consumption among tribal men. They initiated alcohol misuse at a younger age due to parental influence, home environment, and peer pressure. Alcohol misuse associated with their traditional rituals and practices, exploitation of landlords, occupational factors, and saving habits. It caused a substantial burden to their spouses and children.
Alcohol consumption often initiated in their young age was associated with socio-cultural rituals, practices, and exploitation.
世界各地的原住民中都有报告称酒精滥用情况严重。印度的一些现有研究也支持部落男性中酒精滥用情况更为严重，但其中原因很大程度上尚未得到探究。因此，我们探究了印度喀拉拉邦韦亚纳德地区原住民部落男性中与酒精滥用相关的因素。
我们采用定性现象学方法和目的抽样技术，从印度喀拉拉邦韦亚纳德地区已确定的部落聚居地招募了7名有酒精滥用史的部落男性和28名部落倡导者。通过焦点小组讨论和深入访谈相结合的方式进行数据收集。对数据应用主题分析法以确定核心主题。
我们确定了部落男性饮酒的重要轨迹。由于父母的影响、家庭环境和同伴压力，他们在年轻时就开始滥用酒精。酒精滥用与他们的传统仪式和习俗、地主的剥削、职业因素以及储蓄习惯有关。这给他们的配偶和子女带来了沉重负担。
年轻时开始饮酒往往与社会文化仪式、习俗和剥削有关。
