Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, Australia.
The Edith Collins Centre (Translation Research in Alcohol, Drugs and Toxicology), Sydney Local Health District, Sydney, Australia.
Drug Alcohol Rev. 2024 Sep;43(6):1523-1533. doi: 10.1111/dar.13907. Epub 2024 Jul 23.
Contrary to stereotypes, Aboriginal and Torres Strait Islander Australians are more likely to abstain from drinking than other Australians. We explored characteristics and experiences of Aboriginal and Torres Strait Islander Australians who do not drink alcohol.
We conducted a cross-sectional, representative survey of 775 Aboriginal and Torres Strait Islander Australians (16+ years) in remote and urban South Australia. We explore correlates of not drinking alcohol using multi-level logistic regression. We describe reasons for non-drinking and harms participants experienced in past 12 months from others' drinking.
Non-drinking participants were more likely to be older (OR 1.35 [95% CI 1.21, 1.50] per decade) and unemployed (OR 2.72 [95% CI 1.77, 4.20]). Participants who spoke Aboriginal Australian languages at home were three times more likely to be lifetime abstainers from drinking (OR 3.07 [95% CI 1.52, 6.21]). Common reasons for not drinking alcohol were health and family. Most did not report harms from others' alcohol consumption (79.6%, 76.9%, urban and remote respectively). Stress from others' alcohol consumption was the most reported harm by non-drinkers (14.5% and 23.1%, urban and remote, respectively).
Culture such as speaking Aboriginal Australian languages might have protective effects that promote abstaining but was rarely explicitly cited as a reason for not drinking. A greater understanding of local values held by people who do not drink alcohol could help inform health messaging and other interventions to reduce alcohol-related harms. Understanding local reasons for abstaining can help tailor health messaging to suit local contexts.
与刻板印象相反，澳大利亚原住民和托雷斯海峡岛民更有可能滴酒不沾，而不是其他澳大利亚人。我们探讨了不饮酒的澳大利亚原住民和托雷斯海峡岛民的特征和经历。
我们对南澳大利亚偏远和城市地区的 775 名原住民和托雷斯海峡岛民（16 岁以上）进行了横断面、代表性调查。我们使用多水平逻辑回归分析了不饮酒的相关因素。我们描述了不饮酒者的原因以及在过去 12 个月中因他人饮酒而遭受的伤害。
不饮酒的参与者更有可能年龄较大（每十年增加 1.35 [95%CI 1.21, 1.50]）且失业（OR 2.72 [95%CI 1.77, 4.20]）。在家中说澳大利亚原住民语言的参与者终生戒酒的可能性是三倍（OR 3.07 [95%CI 1.52, 6.21]）。不饮酒的常见原因是健康和家庭。大多数人没有报告因他人饮酒而造成的伤害（分别为 79.6%、76.9%，城市和偏远地区）。非饮酒者报告最多的是他人饮酒带来的压力（分别为 14.5%和 23.1%，城市和偏远地区）。
像说澳大利亚原住民语言这样的文化可能具有促进戒酒的保护作用，但很少被明确作为不饮酒的原因。更多地了解不饮酒者所秉持的当地价值观，可以帮助为减少与酒精相关的伤害提供健康信息和其他干预措施。了解戒酒的当地原因可以帮助针对当地情况定制健康信息。
