Taak Karamjeet, Brown Jamie, Perski Olga
Research Department of Behavioural Science and Health, University College London, London, UK.
Drug Alcohol Rev. 2020 Sep 16;40(2):231-8. doi: 10.1111/dar.13172.
We aimed to explore UK-based Punjabi-Sikh men's views on: (i) alcohol consumption within the community; (ii) available support for alcohol reduction; and (iii) an evidence-informed alcohol reduction app.
Semi-structured interviews and a think aloud method were employed. Participants (n = 15) were male, aged 18-27 years, identified as Punjabi-Sikh, were hazardous or harmful drinkers (i.e. had an Alcohol Use Disorders Identification Test-Consumption score of ≥5) and interested in using an app to reduce drinking. Interviews were audio-recorded, transcribed verbatim and analysed with inductive thematic analysis.
Six themes were developed: (i) fear of drinking to cope; (ii) clash between religious and cultural norms (i.e. an internal conflict between important values); (iii) stigmatisation of mental health issues and lack of knowledge as barriers to help seeking; (iv) perceived usefulness of goal setting, monitoring and feedback (i.e. beliefs about the utility of the app's components for reducing drinking); (v) concerns about accessibility of the app within the Punjabi-Sikh community; and (vi) desire for human support for continued app engagement.
Among UK-based, Punjabi-Sikh men, clashing religious and cultural norms give rise to internal conflict about drinking. Stigmatisation of mental health issues and lack of knowledge of available support leads to reduced help seeking. Respondents believed an evidence-informed alcohol reduction app could be useful, but were concerned about accessibility within the wider community and wanted an element of human support. The potential for a combination of digital and face-to-face support should be explored.
我们旨在探究英国的旁遮普锡克族男性对于以下方面的看法：（i）社区内的饮酒情况；（ii）现有的减少饮酒的支持措施；（iii）基于证据的减少饮酒应用程序。
采用了半结构化访谈和出声思考法。参与者（n = 15）为男性，年龄在18 - 27岁之间，被认定为旁遮普锡克族，属于危险或有害饮酒者（即酒精使用障碍识别测试 - 消费得分≥5），且有兴趣使用应用程序来减少饮酒。访谈进行了录音，逐字转录，并采用归纳主题分析法进行分析。
形成了六个主题：（i）害怕借酒消愁；（ii）宗教与文化规范的冲突（即重要价值观之间的内部冲突）；（iii）心理健康问题的污名化以及缺乏相关知识成为寻求帮助的障碍；（iv）对目标设定、监测和反馈的感知有用性（即对应用程序各组成部分在减少饮酒方面效用的信念）；（v）对该应用程序在旁遮普锡克族社区内可及性的担忧；（vi）希望获得人力支持以持续使用该应用程序。
在英国的旁遮普锡克族男性中，宗教和文化规范的冲突引发了关于饮酒的内心冲突。心理健康问题的污名化以及对现有支持措施的缺乏了解导致寻求帮助的行为减少。受访者认为基于证据的减少饮酒应用程序可能会有用，但担心在更广泛社区中的可及性，并希望有一定的人力支持元素。应探索数字支持与面对面支持相结合的可能性。
