澳大利亚从未使用过大麻的年轻原住民：一种基于优势的方法。

Young Aboriginal people in Australia who have never used marijuana in the 'Next Generation Youth Well-being study': A strengths-based approach.

机构信息

Department of Infectious Diseases, Melbourne Medical School, University of Melbourne, Melbourne, Victoria Australia.

Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Melbourne, Victoria 3052, Australia.

出版信息

Int J Drug Policy. 2021 Sep;95:103258. doi: 10.1016/j.drugpo.2021.103258. Epub 2021 Apr 27.

DOI:10.1016/j.drugpo.2021.103258

PMID:33930633

Abstract

BACKGROUND

Being young is a period of experimentation which can lead to increased vulnerability to poor health choices and outcomes. Aboriginal and Torres Strait Islander (Aboriginal) people have a long and strong history of resilience; however, a deficit approach is often taken with messages of poor health and low socioeconomic status. This study takes a strengths-based approach and examines the demographic factors and behaviours associated with never using marijuana among young Aboriginal people in Australia.

METHODS

Overall, 521 Aboriginal people aged 16-24 years from Western Australia, Central Australia and New South Wales participated in the Next Generation: Youth Wellbeing Study. The baseline survey examined demographics, health-related behaviours and clinical indicators of young Aboriginal people. We calculated the number and proportion of young Aboriginal people who never used marijuana by demographics and behavioural factors. Logistic regression was used to assess the demographic and behavioural factors associated with never using marijuana.

RESULTS

Of the 521 participants, 458 (87.9%) answered the question about marijuana use of which 220 had incomplete demographic or behavioural questions, leaving a final cohort of 301 participants. A total of 174 (57.8%) had never used marijuana. A higher proportion of young Aboriginal people who never used marijuana were younger (16-19 years old), female, queer, single, lived in Central Australia, were students, had never smoked tobacco, had never drank alcohol, never had anxiety and never had depression. Never using marijuana was independently associated with being a parent or carer of a child (Adjusted Odds Ratio (AOR): 2.80, 95% CI: 1.03-7.59, p = 0.043), never smoking tobacco (AOR: 29.73, 95 CI: 13.32-66.37, p < 0.001), never drinking alcohol (AOR: 2.78, 95 CI: 1.12-6.93, p = 0.028), not having anxiety (AOR: 3.49, 95 CI: 1.19-10.23, p = 0.022), and having lower levels of distress (AOR: 2.63, 95 CI: 1.20-5.77, p = 0.016).

CONCLUSION

Our study shows that more than half of young Aboriginal people did not use marijuana, smoke, or drink alcohol and that those who had not used marijuana had lower levels of distress.

摘要

背景

年轻人正处于探索阶段，这可能会导致他们更倾向于选择不健康的生活方式，从而影响健康。原住民和托雷斯海峡岛民（Aboriginal）有着悠久而强大的适应力历史；然而，人们通常采用缺陷方法来传达原住民健康状况不佳和社会经济地位低下的信息。本研究采用基于优势的方法，考察了与澳大利亚年轻原住民从未使用过大麻相关的人口统计学因素和行为。

方法

总体而言，来自西澳大利亚、中澳大利亚和新南威尔士的 521 名年龄在 16-24 岁的原住民参加了下一代：青年幸福研究。基线调查考察了年轻原住民的人口统计学、与健康相关的行为和临床指标。我们根据人口统计学和行为因素计算了从未使用过大麻的年轻原住民的人数和比例。使用逻辑回归评估了与从未使用过大麻相关的人口统计学和行为因素。

结果

在 521 名参与者中，458 名（87.9%）回答了关于大麻使用的问题，其中 220 名参与者的人口统计学或行为问题不完整，留下了 301 名最终参与者。共有 174 名（57.8%）从未使用过大麻。从未使用过大麻的年轻原住民中，比例较高的是年龄较小（16-19 岁）、女性、同性恋、单身、居住在中澳大利亚、学生、从未吸烟、从未饮酒、从未焦虑和从未抑郁。从未使用过大麻与作为孩子的父母或照顾者（调整后的优势比（AOR）：2.80，95%置信区间：1.03-7.59，p=0.043）、从未吸烟（AOR：29.73，95%置信区间：13.32-66.37，p<0.001）、从未饮酒（AOR：2.78，95%置信区间：1.12-6.93，p=0.028）、无焦虑（AOR：3.49，95%置信区间：1.19-10.23，p=0.022）和较低的压力水平（AOR：2.63，95%置信区间：1.20-5.77，p=0.016）独立相关。