Alcohol dependence in a community sample of Aboriginal and Torres Strait Islander Australians: harms, getting help and awareness of local treatments.

Alcoholism / epidemiology Australia / epidemiology Humans Logistic Models Native Hawaiian or Other Pacific Islander Surveys and Questionnaires
Aboriginal and Torres Strait Islander Alcohol dependence Harms Indigenous Treatment

Journal

Addiction science & clinical practice
ISSN: 1940-0640
Titre abrégé: Addict Sci Clin Pract
Pays: England
ID NLM: 101316917

Informations de publication

Date de publication:
29 10 2021
Historique:
received: 15 07 2021
accepted: 21 10 2021
entrez: 30 10 2021
pubmed: 31 10 2021
medline: 12 11 2021
Statut: epublish

Résumé

Few studies have examined links between current alcohol dependence and specific harms among Indigenous Australians. We investigated these associations as well as help seeking for drinking, awareness of local treatments and recommendations to help family or friends cut down or stop drinking in two Indigenous communities. A representative sample of Indigenous Australians was surveyed in one urban and one remote community in South Australia. Data were collected via the Grog Survey App. Participants were dependent if they reported two or more symptoms of alcohol dependence (ICD-11). Pearson chi-square tests were used to describe relationships between employment by gender, and dependence by awareness of medicines and local treatment options. Multivariate logistic regressions were used to predict the odds of dependent drinkers experiencing harms and getting help for drinking, controlling for age, gender, schooling and income. A total of 775 Indigenous Australians took part in the study. After controlling for confounders, dependent drinkers were nearly eight times more likely to report a harm and nearly three times more likely to get help for their drinking-compared with non-dependent drinkers. Participants recommended accessing local support from an Aboriginal alcohol and other drugs worker, or a detoxification/ rehabilitation service. More support and funding is needed for Indigenous Australians to ensure local treatment options for dependent drinkers are readily available, appropriate and accessible. Involvement of local Aboriginal or Torres Strait Islander health professionals in delivery of care can help ensure that it is appropriate to an individual's culture and context.

Sections du résumé

BACKGROUND
Few studies have examined links between current alcohol dependence and specific harms among Indigenous Australians. We investigated these associations as well as help seeking for drinking, awareness of local treatments and recommendations to help family or friends cut down or stop drinking in two Indigenous communities.
METHODS
A representative sample of Indigenous Australians was surveyed in one urban and one remote community in South Australia. Data were collected via the Grog Survey App. Participants were dependent if they reported two or more symptoms of alcohol dependence (ICD-11). Pearson chi-square tests were used to describe relationships between employment by gender, and dependence by awareness of medicines and local treatment options. Multivariate logistic regressions were used to predict the odds of dependent drinkers experiencing harms and getting help for drinking, controlling for age, gender, schooling and income.
RESULTS
A total of 775 Indigenous Australians took part in the study. After controlling for confounders, dependent drinkers were nearly eight times more likely to report a harm and nearly three times more likely to get help for their drinking-compared with non-dependent drinkers. Participants recommended accessing local support from an Aboriginal alcohol and other drugs worker, or a detoxification/ rehabilitation service.
DISCUSSION AND CONCLUSIONS
More support and funding is needed for Indigenous Australians to ensure local treatment options for dependent drinkers are readily available, appropriate and accessible. Involvement of local Aboriginal or Torres Strait Islander health professionals in delivery of care can help ensure that it is appropriate to an individual's culture and context.

Identifiants

DOI: 10.1186/s13722-021-00274-2 PMID: 34715909 PMC: PMC8555222
pubmed: 34715909
doi: 10.1186/s13722-021-00274-2
pii: 10.1186/s13722-021-00274-2
pmc: PMC8555222
doi:

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

65

Informations de copyright

© 2021. The Author(s).

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Auteurs

Teagan J Weatherall (TJ)

Faculty of Medicine and Health, Discipline of Addiction Medicine, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Sydney, NSW, Australia. teagan.weatherall@sydney.edu.au.
The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Sydney, NSW, Australia. teagan.weatherall@sydney.edu.au.
Faculty of Medicine and Health, Discipline of Addiction Medicine, Indigenous Health and Substance Use, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, King George V Building, 83-117 Missenden Road, Camperdown, NSW, 2050, Australia. teagan.weatherall@sydney.edu.au.
ORCID: 0000-0002-3224-5761

James H Conigrave (JH)

Faculty of Medicine and Health, Discipline of Addiction Medicine, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Sydney, NSW, Australia.
The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Sydney, NSW, Australia.

Katherine M Conigrave (KM)

Faculty of Medicine and Health, Discipline of Addiction Medicine, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Sydney, NSW, Australia.
The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Sydney, NSW, Australia.
Drug Health Services, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.

Jimmy Perry (J)

Aboriginal Drug and Alcohol Council South Australia, Underdale, SA, Australia.

Scott Wilson (S)

Faculty of Medicine and Health, Discipline of Addiction Medicine, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Sydney, NSW, Australia.
The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Sydney, NSW, Australia.
Aboriginal Drug and Alcohol Council South Australia, Underdale, SA, Australia.

Robin Room (R)

Centre for Alcohol Policy Research, La Trobe University, Bundoora, VIC, Australia.
Department of Public Health Sciences, Centre for Social Research on Alcohol and Drugs, Stockholm University, Stockholm, Sweden.

Tanya Chikritzhs (T)

National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.

K S Kylie Lee (KS)

Faculty of Medicine and Health, Discipline of Addiction Medicine, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Sydney, NSW, Australia.
The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Sydney, NSW, Australia.
Centre for Alcohol Policy Research, La Trobe University, Bundoora, VIC, Australia.
National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.
Burnet Institute, Melbourne, VIC, Australia.

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Classifications MeSH

questionsmedicales.fr › Troubles mentaux › Troubles liés à une substance › Troubles liés à l'alcool › Alcoolisme › Alcohol dependence in a community sample of...
questionsmedicales.fr › Régions géographiques › Océanie › Australasie › Australie › Alcohol dependence in a community sample of...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Alcohol dependence in a community sample of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Analyse de régression › Modèles logistiques › Alcohol dependence in a community sample of...
questionsmedicales.fr › Personnes › Populations d'Océanie › Populations d'Australasie › Population originaire des îles du Pacifique › Hawaïen autochtone ou autre insulaire du Pacifique › Alcohol dependence in a community sample of...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enquêtes et questionnaires › Alcohol dependence in a community sample of...