Weatherall Teagan J, Conigrave James H, Conigrave Katherine M, Perry Jimmy, Wilson Scott, Room Robin, Chikritzhs Tanya, Kylie Lee K S
Faculty of Medicine and Health, Discipline of Addiction Medicine, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Sydney, NSW, Australia.
The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Sydney, NSW, Australia.
Addict Sci Clin Pract. 2021 Oct 29;16(1):65. doi: 10.1186/s13722-021-00274-2.
Few studies have examined links between current alcohol dependence and specific harms among Indigenous Australians. We investigated these associations as well as help seeking for drinking, awareness of local treatments and recommendations to help family or friends cut down or stop drinking in two Indigenous communities.
A representative sample of Indigenous Australians was surveyed in one urban and one remote community in South Australia. Data were collected via the Grog Survey App. Participants were dependent if they reported two or more symptoms of alcohol dependence (ICD-11). Pearson chi-square tests were used to describe relationships between employment by gender, and dependence by awareness of medicines and local treatment options. Multivariate logistic regressions were used to predict the odds of dependent drinkers experiencing harms and getting help for drinking, controlling for age, gender, schooling and income.
A total of 775 Indigenous Australians took part in the study. After controlling for confounders, dependent drinkers were nearly eight times more likely to report a harm and nearly three times more likely to get help for their drinking-compared with non-dependent drinkers. Participants recommended accessing local support from an Aboriginal alcohol and other drugs worker, or a detoxification/ rehabilitation service.
More support and funding is needed for Indigenous Australians to ensure local treatment options for dependent drinkers are readily available, appropriate and accessible. Involvement of local Aboriginal or Torres Strait Islander health professionals in delivery of care can help ensure that it is appropriate to an individual's culture and context.
很少有研究探讨澳大利亚原住民当前的酒精依赖与特定危害之间的联系。我们调查了这些关联，以及在两个原住民社区中寻求饮酒帮助的情况、对当地治疗方法的认知，以及帮助家人或朋友减少或戒酒的建议。
在南澳大利亚的一个城市社区和一个偏远社区对澳大利亚原住民的代表性样本进行了调查。数据通过“格罗格调查应用程序”收集。如果参与者报告有两种或更多酒精依赖症状（国际疾病分类第11版），则被视为有酒精依赖。使用Pearson卡方检验来描述按性别划分的就业情况与按对药物和当地治疗选择的认知划分的酒精依赖情况之间的关系。使用多变量逻辑回归来预测依赖饮酒者遭受危害并获得饮酒帮助的几率，同时控制年龄、性别、受教育程度和收入。
共有775名澳大利亚原住民参与了该研究。在控制混杂因素后，与非依赖饮酒者相比，依赖饮酒者报告遭受危害的可能性几乎高出八倍，获得饮酒帮助的可能性几乎高出两倍。参与者建议从原住民酒精及其他药物工作者或戒毒/康复服务机构获得当地支持。
需要为澳大利亚原住民提供更多支持和资金，以确保为依赖饮酒者提供随时可用、合适且可及的当地治疗选择。让当地原住民或托雷斯海峡岛民健康专业人员参与护理服务的提供，有助于确保其符合个人的文化和背景。
