Faculty of Medicine and Health, Central Clinical School, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Drug Health Services, Level 6 King George V Building, 83-117 Missenden Road, Camperdown, 2050, NSW, Australia.
The Edith Collins Centre (Translational Research in Alcohol, Drugs and Toxicology), Drug Health Services, Sydney Local Health District, Sydney, NSW, Australia.
Addict Sci Clin Pract. 2021 Apr 13;16(1):23. doi: 10.1186/s13722-021-00231-z.
Unhealthy alcohol use is a key concern for Aboriginal and Torres Strait Islander ('Indigenous Australian') communities. Due to systematic disadvantage and inter-generational trauma, Indigenous Australians may be less likely to have satisfied basic psychological needs (autonomy, competence, and relatedness). When people are need-thwarted, they may engage in compensatory behaviours to feel better in the short-term. We explore the relationship between perceived basic psychological needs satisfaction and alcohol consumption use among Indigenous Australians. Better understanding the functions that alcohol may play for some Indigenous Australian drinkers may aid communities, clinicians, and policy makers in improving programs for reducing drinking-related harms.
We performed a cross-sectional survey of Indigenous Australians (aged 16 years or older) living in two South Australian communities. Participants were eligible if they had consumed any alcohol in the past 12 months. Spearman correlations and linear regressions were used to determine if feeling more autonomous, competent, and related to others (need satisfied) while drinking, was linked to alcohol consumption and dependence.
Controlling for participant demographics, reporting feeling need satisfied while drinking was linked to drinking more alcohol per day, reporting more frequent symptoms of alcohol dependence, spending more money on alcohol, and scoring higher on the AUDIT-C.
Unhealthy drinking may partly stem from attempts to satisfy basic psychological needs. Programs which support Indigenous Australians to meet basic psychological needs could reduce attempts to meet psychological needs through alcohol consumption.
饮酒不健康是原住民和托雷斯海峡岛民（“澳大利亚原住民”）社区关注的一个主要问题。由于系统性劣势和代际创伤，澳大利亚原住民可能不太可能满足基本心理需求（自主性、能力和关联性）。当人们的需求受到阻碍时，他们可能会采取补偿行为来在短期内感觉更好。我们探讨了澳大利亚原住民中感知到的基本心理需求满足感与饮酒之间的关系。更好地了解酒精对一些澳大利亚原住民饮酒者可能发挥的作用，可能有助于社区、临床医生和政策制定者改善减少与饮酒相关伤害的计划。
我们对居住在南澳大利亚州两个社区的澳大利亚原住民（年龄在 16 岁或以上）进行了横断面调查。如果参与者在过去 12 个月内有任何饮酒行为，则符合资格。使用 Spearman 相关系数和线性回归来确定在饮酒时感觉更自主、更有能力和更与他人相关（需求得到满足）是否与饮酒和依赖有关。
在控制参与者人口统计学特征的情况下，报告在饮酒时感到需求得到满足与每天饮酒量更多、更频繁出现酒精依赖症状、花更多钱买酒以及 AUDIT-C 评分更高有关。
不健康的饮酒可能部分源于试图满足基本的心理需求。支持澳大利亚原住民满足基本心理需求的计划可能会减少通过饮酒来满足心理需求的尝试。
