scholarly journals Māori perspectives on alcohol

2021 ◽  
Vol 14 (1) ◽  
pp. 51-64
Author(s):  
Tayla Darrah ◽  
Andrew Waa ◽  
Amanda Jones ◽  
Anja Mizdrak
Keyword(s):  
Alcohol Use ◽  
Historical Trauma ◽  
Alcohol Policy ◽  
Aotearoa New Zealand ◽  
Alcohol Interventions ◽  
Kaupapa Māori ◽  
Fitting In ◽  
And Coping ◽  
Alcohol Related Harm ◽  
Related Harm

ABSTRACTAimMāori suffer disproportionately from alcohol-related harm in Aotearoa New Zealand. With the view toward informing potential alcohol interventions for Māori, this study synthesises studies on alcohol and alcohol-related harm. MethodsUsing a Māori-centered approach, a narrative review of qualitative studies of Māori perspectives on alcohol was conducted. Journal databases, repositories, and websites were searched for relevant studies published since 2000. A thematic analysis was conducted and emergent themes were synthesised. ResultsEight studies were identified for inclusion. Whanaungatanga was identified as a contributor to alcohol use in included studies. Other motivations were ‘fitting in’, escape from stress, achieving ‘the buzz’, and coping with historical trauma. Among included literature, a strong cultural identity was a deterrent to alcohol overuse. Māori voiced a desire to be involved with local alcohol policy decisions. ConclusionAlthough Māori are a high-priority group, there remains a substantial gap in research on Māori perspectives toward alcohol interventions which is reflective of an underinvestment in Kaupapa Māori research. Future interventions for Māori may be more effective if these interventions focus on enhancing whanaungatanga without the presence of alcohol, consider the variable motivations for drinking, and utilise culturally appropriate methods to encourage reduced harm from alcohol use.

scholarly journals Exploring the use of workplaces to recruit “hard-to-reach” male drinkers to a survey on alcohol use and awareness of health messages

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sarah Dance ◽  
Charlotte Dack ◽  
Celia Lasheras ◽  
Cathy McMahon ◽  
Paul Scott ◽  
...  
Keyword(s):  
Public Health ◽  
Alcohol Use ◽  
Financial Incentive ◽  
Health Messages ◽  
Heavy Episodic Drinking ◽  
Future Research ◽  
Recruitment Strategies ◽  
Public Health Messages ◽  
Alcohol Related Harm ◽  
Related Harm

Abstract Background Lower socioeconomic status (SES) groups, particularly lower SES males, are at greater risk of alcohol-related harm than higher SES groups, despite drinking at the same level or less. However, they are rarely recruited for research through typical recruitment strategies. Consequently, limited evidence exists on patterns of alcohol use and effectiveness of public health messages for these groups. Using workplaces to recruit male drinkers from lower SES backgrounds may provide a feasible and accessible approach to research participation and enable improved understanding of alcohol use, drinking motives and acceptance of alcohol-related public health messages in this underrepresented and high-risk group. We investigated workplace-based strategies to recruit male drinkers from lower SES backgrounds. We also investigated their experiences and motivations for alcohol use, and acceptance of alcohol-related public health messages. Methods A feasibility element investigated the effectiveness of workplace-based strategies to recruit male drinkers from lower SES backgrounds in the south west of England. A pilot element investigated this population’s experiences and motivations for alcohol use, and acceptance of alcohol-related public health messages, through a mixed-methods survey. Results Feasibility results indicated that workplace-based recruitment strategies, including recruiting participants in person at their workplace and providing a financial incentive, effectively led to the recruitment of 84 male drinkers (70% recruitment rate), predominately from lower SES backgrounds, to a survey. Pilot results indicated that more than half of participants were at increasing risk of alcohol-related harm, and approximately one fifth engaged in weekly heavy episodic drinking. Participation in campaigns aimed at reducing alcohol use, and knowledge of government alcohol consumption guidelines, were low. Participants reported negative beliefs about alcohol including health effects, dependency and excess use, and financial and occupational effects. Positive beliefs about alcohol included relaxation, socialising, and enjoyment. Conclusions Workplace-based recruitment, using in-person recruitment and a financial incentive, may be a feasible strategy to recruit male drinkers from lower SES backgrounds. Pilot results may direct larger scale research aiming to understand alcohol use in this population and inform targeted public health messages. Workplace-based recruitment may represent a promising avenue for future research aiming to tackle inequalities in participation in alcohol research.

scholarly journals The Finnish Drinking Habits Survey: Implications for alcohol policy and prevention

2020 ◽  
Vol 37 (6) ◽  
pp. 619-631
Author(s):  
Katariina Warpenius ◽  
Pia Mäkelä
Keyword(s):  
Alcohol Consumption ◽  
Risk Perceptions ◽  
Population Level ◽  
Alcohol Policy ◽  
Alcohol Prevention ◽  
Drinking Patterns ◽  
Policy Debate ◽  
Drinking Habits ◽  
Alcohol Related Harm ◽  
Related Harm

Aims/materials: This reflection piece reviews some of the key results and conclusions from the book Näin Suomi juo ( This is how Finns drink, 2018), based on the Finnish Drinking Habits Survey. Our aim was to go through the results taking the perspective of prevention workers and policymakers: how could they benefit from the scientific findings when tackling alcohol-related harm? Results/reflections: The reflections displayed in this article provide some useful arguments and justifications for population-level alcohol policy in the controversial alcohol policy debate. Harms do not only arise among the heaviest drinkers, and efficient methods to prevent harm may be found among the prevention efforts that apply to populations rather than only to the heaviest drinkers. The article also illustrates how the results from a population survey can be used in order to identify specific challenges and solutions for alcohol prevention in a given population. The results help in identifying the population groups and situations with an elevated risk of alcohol-related harm and in characterising the drinking patterns and social situations in which drinking takes place in these vulnerable parts of the population. Conclusions: The review illustrates that a many-sided understanding of alcohol consumption and the related harm, based on survey results, is more far-reaching in terms of prevention and policy than a knowledge base built solely on register data on the development of alcohol consumption and harm. For example, the respondents’ drinking patterns are linked not only to their attitudes and risk perceptions but also to what people consider to be appropriate means to reduce alcohol use and the related harm in terms of alcohol policy, informal social control and people’s life management.

scholarly journals “He reached across the river and healed the generations of hara”: Structural violence, historical trauma, and healing among contemporary Whanganui Māori

2021 ◽  
Author(s):  
◽  
Tarapuhi Vaeau
Keyword(s):  
Lived Experience ◽  
Public Discourse ◽  
Structural Violence ◽  
Participant Observation ◽  
Historical Trauma ◽  
Aotearoa New Zealand ◽  
Kaupapa Māori ◽  
Space State ◽  
The Media ◽  
Relations Of Power

<p>This thesis provides insights into the unique forms of oppression that Māori face today. It explores how Māori experience, understand, and heal from historical trauma in contemporary Aotearoa/New Zealand. It does this by arguing that space, state bureaucracies, and public discourse can be violent, and considering sites of (re)traumatisation for my participants, specifically by examining the internalisation of responsibilisation and colonial discourse disseminated through the media and government processes, underlining the implications for health care. I show the ways that space constructs and reproduces relations of power and surveillance. As well I explore spaces that act as living symbols of inequality. This thesis uses structural violence and historical trauma to frame this analysis and thus highlights the lived experience where neoliberalism and colonialism intersect. The understandings that are presented here are informed by seven months of fieldwork which was guided by a kaupapa Māori framework and used participant observation and interviews with Māori who have iwi affiliations to the Whanganui River. Using stories from eleven participants, as well as autoethnography, this thesis demonstrates the importance of whakapapa, whanaungatanga, and wairuatanga in healing for Māori.</p>

scholarly journals Patterns of alcohol consumption and alcohol-related harm among European university students

2019 ◽  
Vol 29 (6) ◽  
pp. 1125-1129 ◽  
Author(s):  
Richard Cooke ◽  
Franca Beccaria ◽  
Jakob Demant ◽  
Maria Fernandes-Jesus ◽  
Lena Fleig ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
University Students ◽  
Ethnic Group ◽  
Age Of Onset ◽  
Alcohol Use Disorders ◽  
European Countries ◽  
Alcohol Related Harm ◽  
European University ◽  
Related Harm

Abstract Background To compare patterns of alcohol consumption and alcohol-related harm from a survey of university students sampled from universities in Denmark, England, Germany, Italy, Portugal and Switzerland. Methods A total of 2191 university students (70% female, 90% white ethnic group, age range 18–25) completed the survey. Participants completed measures of demographic variables (age, age of onset, ethnic group and sex) and the Alcohol Use Disorders Identification Test (AUDIT), which was the primary outcome. Results Sixty-three percent of the sample scored negative for harmful drinking on the AUDIT (&lt;8), with 30% categorized as hazardous drinkers, 4% harmful drinkers and 3% with probable dependence. Analysis of variance, including demographic factors as covariates, identified a main effect of country on AUDIT scores F(5, 2086) = 70.97, P &lt; 0.001, partial eta square = 0.15. AUDIT scores were highest in England (M = 9.99; SD = 6.17) and Denmark (M = 9.52; SD = 4.86) and lowest in Portugal (M = 4.90; ° = 4.60). Post hoc tests indicated large effect size differences between scores in Denmark and England and scores in all other countries (0.79 &lt; d &lt; 0.94; all P’s &lt; 0.001). Conclusions European university students in our sample mainly reported low risk patterns of alcohol consumption and alcohol-related harm. However, students from Northern European countries had significantly higher AUDIT scores compared with students from Central and Southern European countries. Research is needed to replicate the present study using nationally representative samples to estimate the prevalence of alcohol use disorders among university students in different European countries.

scholarly journals Alcohol use and alcohol-related harm in rural and remote communities: protocol for a scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e036753
Author(s):  
Erik Loewen Friesen ◽  
Paul Kurdyak
Keyword(s):  
Public Health ◽  
Alcohol Use ◽  
Scoping Review ◽  
Emergency Department Visits ◽  
Health Concern ◽  
Rural And Remote ◽  
Remote Communities ◽  
Scoping Reviews ◽  
Alcohol Related Harm ◽  
Related Harm

IntroductionAlcohol-related harm is a major public health concern and appears to be particularly problematic in rural and remote communities. Evidence from several countries has shown that the prevalence of harmful alcohol use and alcohol-attributable hospitalisations and emergency department visits are higher in rural and remote communities than in urban centres. The extents of this rural–urban disparity in alcohol-related harm as well as the factors that mediate it are poorly understood. The objective of this scoping review is to synthesise the international research on the factors that influence the prevalence or risk of alcohol-related harm in rural and remote communities. This will help to clarify the conceptual landscape of rural and remote alcohol research and identify the gaps in knowledge that need to be addressed.Methods and analysisThis scoping review will access published literature through search strategies developed for Medline, PsycINFO, Embase, CINAHL and Sociological Abstracts. There will be no date, country or language restrictions placed on the search. Title and abstract, followed by full-text screening, will be conducted by two independent reviewers to evaluate all identified articles against a set of prespecified inclusion and exclusion criteria. Data from selected articles will be extracted and compiled into a final manuscript that adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist guidelines.Ethics and disseminationThe results of this review will be helpful in guiding future research on rural and remote alcohol use and alcohol-related harm, which will inform more effective, evidence-based public health strategies to reduce alcohol-related harm in rural and remote communities. The results will be disseminated via field-specific conference presentations and peer-reviewed publication.

Evidence into action: implementing alcohol screening and brief interventions in the UK Armed Forces

2020 ◽  
Vol 166 (3) ◽  
pp. 187-192 ◽  
Author(s):  
Mark Andrew Dermont ◽  
P Field ◽  
J Shepherd ◽  
R Rushton
Keyword(s):  
Public Health ◽  
Alcohol Use ◽  
Armed Forces ◽  
Alcohol Screening ◽  
Public Health Approach ◽  
Service Personnel ◽  
Increased Risk ◽  
The Uk ◽  
Alcohol Related Harm ◽  
Related Harm

IntroductionAlcohol-related harm continues to represent a major public health problem and previous evidence suggests that alcohol misuse within the UK Armed Forces is higher than in the general population. The aim was to introduce a population-level primary care intervention with an existing evidence base to identify and support Service Personnel whose drinking places them at greater risk of harm.ImplementationFollowing successful piloting, the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) brief screening tool was introduced as part of routine dental inspections by Defence Primary Healthcare (DPHC) dentists. Alcohol brief intervention (ABI) advice and signposting to support services was offered to personnel identified as being at increased risk and recorded in the patient’s electronic health record.Achievements to datePatients attending DPHC Dental Centres are now routinely offered AUDIT-C with 74% (109 459) personnel screened in the first 12 months rising to over 276 000 at 24 months, representing the single largest use of AUDIT-C and ABIs in a military population to date.DiscussionIntroduction of AUDIT-C has seen Defence successfully deliver a whole population alcohol initiative, overcoming implementation barriers to demonstrate the flexibility of a dental workforce to deliver a public health intervention at scale and contributing towards promoting positive attitudes towards alcohol use. The initiative represents a first step towards the goal of a standardised alcohol screening and treatment pathway across DPHC while recognising that the Defence Medical Services are only one aspect of the broader public health approach required to tackle alcohol-related harm in Service Personnel.

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