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第一民族澳大利亚人在酒精政策中的自决权:来自 Mbantua/爱丽丝泉(澳大利亚北领地)的经验教训。

Self-determination by First Nations Australians in alcohol policy: Lessons from Mbantua/Alice Springs (Northern Territory, Australia).

机构信息

Curtin University, Faculty of Health Sciences, National Drug Research Institute, Perth, 6845, Western Australia, Australia; Curtin University, Faculty of Health Sciences, enAble Institute, Perth, 6845, Western Australia, Australia.

Curtin University, Faculty of Health Sciences, National Drug Research Institute, Perth, 6845, Western Australia, Australia; Curtin University, Faculty of Health Sciences, enAble Institute, Perth, 6845, Western Australia, Australia; The University of Sydney, Faculty of Medicine and Health, Central Clinical School, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, Sydney, New South Wales, Australia; The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Sydney, New South Wales, Australia; Burnet Institute, Melbourne, Victoria, Australia; La Trobe University, Centre for Alcohol Policy Research, Melbourne, Victoria, Australia.

出版信息

Int J Drug Policy. 2022 Oct;108:103822. doi: 10.1016/j.drugpo.2022.103822. Epub 2022 Aug 16.

Abstract

BACKGROUND

First Nations Australians have an internationally-recognised right to self-determination - a key social determinant of health. The recognition and application of this right varies within different regions and policy contexts but is currently unknown for First Nations Australians' engagement in alcohol policy development. This study seeks to: explore First Nations Australians' experiences of alcohol policy in Central Australia (Northern Territory); and identify how First Nations Australians' right to self-determination can be recognised and applied in the development of alcohol policy in Mbantua/Alice Springs.

METHODS

Using a blended yarning and appreciative inquiry approach, 24 interviews were conducted. Interviews were thematically coded in multiple stages, using diagrammatic methods.

RESULTS

Four key themes emerged: (i) experiences of purchasing alcohol; (ii)communication of the current alcohol policy; (iii) experiences of policy described by participants (and their community); and (iv) self-determination in alcohol policy.

CONCLUSIONS

Current pathways for contributing to alcohol policy have been ineffective in achieving meaningful engagement with Australia's First Nations community members. This study provides some guidance as to how self-determination can more effectively be incorporated in the development of alcohol policy in the NT.

摘要

背景

澳大利亚原住民拥有国际公认的自决权,这是健康的一个关键社会决定因素。这种权利在不同地区和政策背景下的承认和应用有所不同,但目前尚不清楚原住民在制定酒精政策方面的参与情况。本研究旨在:探讨澳大利亚中部原住民(北领地)的酒精政策经验;并确定在 Mbantua/爱丽丝泉制定酒精政策时如何承认和应用原住民的自决权。

方法

采用混合的讨论和欣赏式探究方法,进行了 24 次访谈。访谈在多个阶段使用图表方法进行主题编码。

结果

出现了四个主要主题:(i)购买酒精的经验;(ii)当前酒精政策的沟通;(iii)参与者(及其社区)描述的政策经验;以及(iv)酒精政策中的自决权。

结论

目前参与制定酒精政策的途径在实现与澳大利亚原住民社区成员的有意义接触方面效果不佳。本研究就如何更有效地将自决权纳入北领地的酒精政策制定提供了一些指导。

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