Impacts of alcohol availability on Tribal lands where alcohol is prohibited: A community-partnered qualitative investigation
Impacts of alcohol availability on Tribal lands where alcohol is prohibited: A community-partnered qualitative investigation
复制标题
DOI：
10.1016/j.drugpo.2018.01.010
复制
发表时间：
2018-04-01
影响因子：
4.4
通讯作者：
Gruenewald, Paul
中科院分区：
文献类型：
--
作者：
Lee, Juliet P.;Pagano, Anna;Gruenewald, Paul
在北方平原保留地禁止饮酒，我们调查了社区成员对酒精供应影响的看法。我们的方法结合了部落社区参与性研究的元素，定性调查，以引出这些观点。我们使用快速评估技术与31位代表7个相关主要社区系统的关键领导人进行了保密访谈，并代表了各种观点。主题包括受访者对保留地现有酒精供应和使用系统的理解，这些系统对保留地居民的影响，以及衡量这些影响的可能方法。受访者报告了对个人、家庭和部落的影响。与酒精有关的问题塑造了一系列社会生态条件：亲属关系、住房、就业、公共/社会服务能力、附近非保留区的酒精供应，以及政府间关系和保留区居民的精神生活。各种社会结构决定因素放大了酒精的影响，因此少数人的饮酒问题可能对其家庭和整个社区产生广泛影响。我们的参与式定性方法使我们能够直接将社区成员的声音以及个人经验和专业知识纳入本次演示。这些方法可以广泛应用于政策分析，以确定如何减少与酒精和其他药物有关的土著社区的危害。
On a Northern Plains reservation where alcohol was prohibited, we investigated community members' views on the impacts of alcohol availability. Our methods combined elements of Tribal community participatory research with qualitative inquiry to elicit these perspectives. We used rapid appraisal techniques to conduct confidential interviews with 31 key leaders representing 7 relevant major community systems, and representing a variety of perspectives. Topics included respondents' understandings of the current systems of alcohol availability and use on the reservation, the impacts of these systems on reservation residents, and possible ways to measure these impacts. Respondents reported impacts on individuals, families, and the tribe overall. Alcohol-related problems shaped and were shaped by a constellation of social-ecological conditions: kinship, housing, employment, public/social service capacity, and the supply of alcohol in nearby off-reservation areas, as well as inter-governmental relationships and the spiritual life of reservation residents. A variety of social-structural determinants magnified alcohol impacts, so that the problem drinking of a small number of individuals could have broad effects on their families and the entire community. Our participatory qualitative methods enabled us to directly include the voices as well as the personal experiences and expertise of community members in this presentation. These methods may be broadly applied within policy analysis to identify ways to reduce harms related to alcohol and other drugs for Indigenous communities.