北美原住民保留地社区中减少伤害措施的可接受性与可行性
Harm reduction acceptability and feasibility in a North American indigenous reserve community.
作者信息
Goldstein Silvi C, Spillane Nichea S, Nalven Tessa, Weiss Nicole H
机构信息
Department of Psychology, University of Rhode Island, Kingston, Rhode Island, USA.
出版信息
J Community Psychol. 2022 Sep;50(8):3607-3624. doi: 10.1002/jcop.22859. Epub 2022 Apr 14.
AIMS
The present study assessed community and culturally specific alcohol-related harm among North American Indigenous (NAI) individuals, as well as the acceptability and feasibility of harm reduction approaches in one reserve-based NAI community.
METHODS
Participants lived on or near a NAI reserve in Canada. Semi-structured focus groups were conducted with health care workers (N = 8, 75% NAI) and community members (N = 9, 100% NAI). Self-report questionnaires were administered that measured acceptability and feasibility of harm reduction strategies.
RESULTS
Conventional content analysis revealed loss of culture as culturally specific alcohol-related harm. Health care workers rated harm reduction approaches to be acceptable and feasible, while community participants were more mixed. Majority of participants felt that some harm reduction strategies could provide opportunities for individuals who use alcohol to connect to Indigenous culture and traditions. However, there were mixed findings on whether harm reduction strategies are consistent with Indigenous cultural traditions and values.
CONCLUSION
Future research is needed to evaluate potential utility of harm-reduction approaches for NAI communities.
目的
本研究评估了北美原住民（NAI）个体中与酒精相关的特定社区和文化危害，以及在一个基于保留地的NAI社区中减少危害方法的可接受性和可行性。
方法
参与者生活在加拿大的一个NAI保留地或其附近。对医护人员（N = 8，75%为NAI）和社区成员（N = 9，100%为NAI）进行了半结构化焦点小组访谈。发放了自我报告问卷，以测量减少危害策略的可接受性和可行性。
结果
传统内容分析揭示了文化丧失是与酒精相关的特定文化危害。医护人员认为减少危害方法是可接受和可行的，而社区参与者的看法则较为混杂。大多数参与者认为一些减少危害策略可以为饮酒者提供与原住民文化和传统建立联系的机会。然而，关于减少危害策略是否与原住民文化传统和价值观一致，研究结果不一。
结论
需要进一步的研究来评估减少危害方法对NAI社区的潜在效用。
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