Survey methods and characteristics of a sample of Aboriginal and Torres Strait Islander and non-Indigenous people who have recently used methamphetamine: the NIMAC survey.


Journal

Drug and alcohol review
ISSN: 1465-3362
Titre abrégé: Drug Alcohol Rev
Pays: Australia
ID NLM: 9015440

Informations de publication

Date de publication:
09 2020
Historique:
received: 30 09 2019
revised: 10 02 2020
accepted: 08 04 2020
pubmed: 24 6 2020
medline: 9 11 2021
entrez: 24 6 2020
Statut: ppublish

Résumé

There is a need for detailed information on methamphetamine use in Aboriginal and Torres Strait Islander communities. We describe a national survey on methamphetamine use among Aboriginal and Torres Strait Islander people and non-Indigenous people. Participants aged 16 years or older who reported using methamphetamine in the past year were recruited for a cross-sectional survey through 10 Aboriginal Community Controlled Organisations. Surveys were completed anonymously on electronic tablets. Measures included the Australian Treatment Outcomes Profile, the Severity of Dependence Scale, subscales from Opiate Treatment Index and the Kessler 10. A Chronic Stress Scale was used to assess culturally situated chronic stress factors. Of the 734 participants, 416 (59%) were Aboriginal or Torres Strait Islander and 331 (45%) were female. In the previous year, most participants reported smoking (48.7%) or injecting (34%) methamphetamine and 17.4% reported daily use. Aboriginal and Torres Strait Islander people did not differ significantly from non-Indigenous participants on methamphetamine use patterns (age at first use, frequency of use, main mode of use, injecting risk, poly drug use). Aboriginal and Torres Strait Islander participants felt less able to access health care (32% vs. 48%, P < 0.001), including mental health services (19% vs. 29%, P < 0.002), were less likely to report a mental health diagnosis (50% vs. 60%, P < 0.002) and were more likely to turn to family for support (52% vs. 34%, P < 0.001). We recruited and surveyed a large sample of Aboriginal and Torres Strait Islander people from which we can derive detailed comparative data on methamphetamine use and related health service needs for Aboriginal and Torres Strait Islander and non-Indigenous Australians.

Identifiants

pubmed: 32573069
doi: 10.1111/dar.13085
doi:

Substances chimiques

Methamphetamine 44RAL3456C

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

646-655

Subventions

Organisme : National Health and Medical Research Council
ID : APP#1100696
Pays : International
Organisme : Sylvia and Charles Viertel Senior Medical Research Fellowship
Pays : International

Informations de copyright

© 2020 Australasian Professional Society on Alcohol and other Drugs.

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Auteurs

Rachel Reilly (R)

Infectious Diseases Aboriginal Health Research, Aboriginal Health Equity Unit, South Australian Health and Medical Research Institute, Adelaide, Australia.
College and Medicine and Public Health, Flinders University, Adelaide, Australia.

Handan Wand (H)

Kirby Institute, UNSW Sydney, Sydney, Australia.

Rebecca McKetin (R)

National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia.

Brendan Quinn (B)

Longitudinal and Lifecourse Studies, Australian Institute of Family Studies, Melbourne, Australia.

Nadine Ezard (N)

National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, Australia.
Alcohol and Drug Service, St Vincent's Hospital, Sydney, Australia.

Adrian Dunlop (A)

School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.

Kate Conigrave (K)

School of Medicine, The University of Sydney, Sydney, Australia.
Drug Health Services, Royal Prince Alfred Hospital, Sydney, Australia.

Carla Treloar (C)

Centre for Social Research in Health, UNSW Sydney, Sydney, Australia.

Yvette Roe (Y)

Molly Wardaguga Research Centre, Charles Darwin University, Darwin, Australia.

Dennis Gray (D)

National Drug Research Institute, Curtin University, Perth, Australia.

Jacqueline Stephens (J)

Infectious Diseases Aboriginal Health Research, Aboriginal Health Equity Unit, South Australian Health and Medical Research Institute, Adelaide, Australia.
School of Medicine, University of Adelaide, Adelaide, Australia.

James Ward (J)

Infectious Diseases Aboriginal Health Research, Aboriginal Health Equity Unit, South Australian Health and Medical Research Institute, Adelaide, Australia.
College and Medicine and Public Health, Flinders University, Adelaide, Australia.

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