Holland Lorelle, Reid Natasha, Hewlett Nicole, Toombs Maree, Elisara Tylissa, Thomson Amy, Humphrey Tracy, Smirnov Andrew
School of Nursing, Midwifery and Social Work, The Faculty of Health and Behavioural Sciences, The University of Queensland, St Lucia, Queensland 4006, Australia.
Child Health Research Centre, Faculty of Medicine, The University of Queensland, 62 Graham Street, South Brisbane, Queensland 4101, Australia.
Lancet Reg Health West Pac. 2023 May 17;37:100774. doi: 10.1016/j.lanwpc.2023.100774. eCollection 2023 Aug.
Harmful use of alcohol consumption in Australia is a serious socio-political and public health issue that is exacerbated by exploitative marketing campaigns by the alcohol industry. In Indigenous populations harmful alcohol use is directly related to the legacy of colonisation that has led to complex social issues and adverse intergenerational trauma. To effectively address alcohol-related harm in Australia, it is necessary to critically apply the 'Three Pillars of Harm Minimisation', which are demand reduction, supply reduction, and harm reduction. This can be facilitated through approaches such as the 'Interplay Wellbeing Framework', which situates concepts of wellbeing and risky alcohol use within the context of systemic inequities across all social determinants of health. Culturally responsive approaches embody a holistic view of community, mutually respectful collaboration, culture, healing, and self-determined change. This is underpinned by Indigenous leadership that promotes existing resistance, resilience, interpersonal relationships, and strengths that instil healing to counter the harms associated with alcohol use.
在澳大利亚，有害饮酒是一个严重的社会政治和公共卫生问题，而酒精行业的剥削性营销活动使其更加恶化。在原住民群体中，有害饮酒直接与殖民历史遗留问题相关，这些问题导致了复杂的社会问题和代际间的不良创伤。为了有效解决澳大利亚与酒精相关的危害，有必要严格应用“危害最小化三大支柱”，即减少需求、减少供应和减少危害。这可以通过“相互影响的幸福框架”等方法来推动，该框架将幸福和危险饮酒的概念置于所有健康社会决定因素的系统性不平等背景下。具有文化响应性的方法体现了对社区的整体看法、相互尊重的合作、文化、治愈和自主变革。这以原住民领导力为基础，这种领导力促进现有的抵抗、恢复力、人际关系以及能带来治愈效果的优势，以对抗与饮酒相关的危害。
