Heavy alcohol consumption among marginalised African refugee young people in Melbourne, Australia: motivations for drinking, experiences of alcohol-related problems and strategies for managing drinking
Heavy alcohol consumption among marginalised African refugee young people in Melbourne, Australia: motivations for drinking, experiences of alcohol-related problems and strategies for managing drinking
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DOI：
10.1080/13557858.2015.1061105
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发表时间：
2016-05-03
影响因子：
3.1
通讯作者：
Bofu, Tapuwa
中科院分区：
文献类型：
--
作者：
Horyniak, Danielle;Higgs, Peter;Bofu, Tapuwa
Objective.对重新安置的难民人口中的药物使用情况知之甚少。本研究旨在描述饮酒的动机，酒精相关问题的经验和策略，管理饮酒的边缘化非洲难民年轻人在澳大利亚墨尔本。对2012-2013年从街头招募的16名自我认定的非洲难民进行了面对面访谈。访谈记录进行归纳分析，以确定关键主题。参与者聚集在公共场所，每天或几乎每天饮酒。研究发现，大量饮酒的三个主要动机是：为了科普创伤而饮酒，为了科普无聊和沮丧而饮酒，以及作为一种社交体验而饮酒。参与者报告说，他们经历了一系列饮酒的健康和社会后果，包括家庭关系破裂、无家可归、人际暴力、与司法系统接触和健康状况不佳。管理饮酒的策略包括参加咨询或住院戒毒计划、自我实施身体隔离以及故意犯罪以被监禁。结论。这些研究结果突出表明，迫切需要对饮酒的非洲年轻人进行有针对性的减少伤害教育。考虑到社会关系在这个社区中的重要性，使用基于同伴的策略可能特别有效。还需要制定和执行方案，解决酗酒的基本健康和心理社会原因及后果。
Objective. Little is known about substance use among resettled refugee populations. This study aimed to describe motivations for drinking, experiences of alcohol-related problems and strategies for managing drinking among marginalised African refugee young people in Melbourne, Australia.Design. Face-to-face interviews were conducted with 16 self-identified African refugees recruited from street-based settings in 2012-2013. Interview transcripts were analysed inductively to identify key themes.Results. Participants gathered in public spaces to consume alcohol on a daily or near-daily basis. Three key motivations for heavy alcohol consumption were identified: drinking to cope with trauma, drinking to cope with boredom and frustration and drinking as a social experience. Participants reported experiencing a range of health and social consequences of their alcohol consumption, including breakdown of family relationships, homelessness, interpersonal violence, contact with the justice system and poor health. Strategies for managing drinking included attending counselling or residential detoxification programmes, self-imposed physical isolation and intentionally committing crime in order to be incarcerated.Conclusion. These findings highlight the urgent need for targeted harm reduction education for African young people who consume alcohol. Given the importance of social relationships within this community, use of peer-based strategies are likely to be particularly effective. Development and implementation of programmes that address the underlying health and psychosocial causes and consequences of heavy alcohol use are also needed.