心理社会压力和甲基胺使用:对交叉耻辱和土著和托雷斯海峡岛民甲基胺使用的混合方法研究
Leda Sivak1, Rachel Reilly2, Jane Lockton3
1Wardliparingga Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Australia.
The International journal on drug policy
|September 14, 2023
概括
甲基使用严重损害了土著和托雷斯海峡岛民,加剧了现有的耻辱和增加了心理社会压力因素. 解决耻辱问题对于改善这一群体获得治疗和福祉至关重要.
科学领域:
- 公共卫生 公共卫生
- 土著健康土著健康
- 成 药物 药物 药物 药物
背景情况:
- 经常使用甲基胺会导致严重的身体,心理和社会伤害.
- 围绕药物使用的耻辱感阻碍了治疗的参与和成功.
- 原住民和托雷斯海峡岛民因历史边缘化和殖民化而面临复杂的耻辱,加剧了与甲基胺有关的伤害,并限制了生活质量.
研究的目的:
- 为了探索甲基胺使用对土著和托雷斯海峡岛民的累积和复合影响,对土著和托雷斯海峡岛民的耻辱.
- 调查澳大利亚土著居民所经历的吸毒污名和人口级别污名的交叉点.
- 确定影响甲基胺使用者的心理社会压力因素,特别是在土著人口中.
主要方法:
- 在10个国家站点进行了一项横截面调查,调查了734名甲基胺使用者.
- 该调查包括433名土著和托雷斯海峡岛民参与者,评估了心理社会压力.
- 通过19个重点小组和7次采访,收集了147名参与者的定性数据,其中包括社区成员和服务提供者.
主要成果:
- 与非土著参与者相比,土著和托雷斯海峡岛民参与者报告的心理社会压力因素的比率明显更高.
- 主要压力因素包括医疗保健的减少 (33%),种族主义 (34%),悲伤 (39%),家庭担忧 (46%) 和儿童福利问题 (46%).
- 定性发现强调了历史,政治和社会压力因素对这种已经被污名化的人口的累积影响.
结论:
- 甲基胺使用严重扰乱了使用者及其家人的生活.
- 对寻求帮助解决与毒品有关的问题的个人来说,耻辱是一个很大的障碍.
- 社区参与和减少污名的干预措施对于支持受甲基胺使用影响的土著和托雷斯海峡岛民个人,家庭和社区至关重要.
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