Cole Ashley B, Lopez Susanna V, Armstrong Cassidy M, Gillson Stefanie L, Weiss Nicole, Blair Alexandra L, Walls Melissa
Department of Psychology, Oklahoma State University, 116 Psychology Building, Stillwater, OK 74078, USA.
Center for Indigenous Health Research and Policy, Oklahoma State University Center for Health Sciences, 5310 E 31st St., Tulsa, OK 74135, USA.
Curr Addict Rep. 2023 Dec;10(4):702-717. doi: 10.1007/s40429-023-00520-4. Epub 2023 Nov 2.
The role of alcohol varies considerably among Indigenous Peoples and is the backdrop of persistent stereotypes despite decades of research. This paper provides an updated narrative review on the alcohol literature among Indigenous communities, highlighting recent studies published since 2017.
We examined published literature involving alcohol use rates, including abstinence; risk and protective factors; treatment; and recovery, as well as future directions for alcohol prevention and intervention efforts with Indigenous communities.
Evidence-based alcohol use prevention, intervention, and recovery strategies with Indigenous communities are outlined. Recommendations are provided for researchers, health providers, and public policy advocates to address and better understand alcohol use, treatment, prevention, and recovery among Indigenous Peoples. Specific recommendations include using community-based participatory research strategies and harm reduction approaches to prevent and treat alcohol use problems with Indigenous communities. Future research is needed to elucidate mechanisms of resilience and recovery from Alcohol Use Disorder and possible shifts in perceptions of alcohol use for Indigenous Peoples.
酒精在原住民中的作用差异很大，尽管经过数十年研究，但仍然是持续存在的刻板印象的背景。本文对原住民社区的酒精文献进行了更新的叙述性综述，重点介绍了2017年以来发表的最新研究。
我们研究了已发表的涉及酒精使用率的文献，包括戒酒情况；风险和保护因素；治疗；以及康复情况，以及针对原住民社区的酒精预防和干预工作的未来方向。
概述了针对原住民社区的基于证据的酒精使用预防、干预和康复策略。为研究人员、医疗服务提供者和公共政策倡导者提供了建议，以应对并更好地理解原住民中的酒精使用、治疗、预防和康复情况。具体建议包括采用基于社区的参与性研究策略和减少伤害的方法，以预防和治疗原住民社区的酒精使用问题。未来需要开展研究，以阐明从酒精使用障碍中恢复的复原力机制，以及原住民对酒精使用认知可能发生的变化。
