Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones
Abstract Background In Australia, ‘Alcohol Management Plans’ (AMPs) provide the policy infrastructure for State and Commonwealth Governments to address problematic alcohol use among Aboriginal and Torres Strait Islanders. We report community residents’ experiences of AMPs in 10 of Queensland’s 15 re...
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Online Access: | http://link.springer.com/article/10.1186/s12889-016-3995-8 |
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record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alan R. Clough Stephen A. Margolis Adrian Miller Anthony Shakeshaft Christopher M. Doran Robyn McDermott Robert Sanson-Fisher Valmae Ypinazar David Martin Jan A. Robertson Michelle S. Fitts Katrina Bird Bronwyn Honorato Simon Towle Caryn West |
spellingShingle |
Alan R. Clough Stephen A. Margolis Adrian Miller Anthony Shakeshaft Christopher M. Doran Robyn McDermott Robert Sanson-Fisher Valmae Ypinazar David Martin Jan A. Robertson Michelle S. Fitts Katrina Bird Bronwyn Honorato Simon Towle Caryn West Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones BMC Public Health Alcohol Indigenous Aboriginal and Torres Strait Islander Australian Legal intervention Evaluation |
author_facet |
Alan R. Clough Stephen A. Margolis Adrian Miller Anthony Shakeshaft Christopher M. Doran Robyn McDermott Robert Sanson-Fisher Valmae Ypinazar David Martin Jan A. Robertson Michelle S. Fitts Katrina Bird Bronwyn Honorato Simon Towle Caryn West |
author_sort |
Alan R. Clough |
title |
Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones |
title_short |
Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones |
title_full |
Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones |
title_fullStr |
Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones |
title_full_unstemmed |
Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable ones |
title_sort |
alcohol management plans in aboriginal and torres strait islander (indigenous) australian communities in queensland: community residents have experienced favourable impacts but also suffered unfavourable ones |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2017-01-01 |
description |
Abstract Background In Australia, ‘Alcohol Management Plans’ (AMPs) provide the policy infrastructure for State and Commonwealth Governments to address problematic alcohol use among Aboriginal and Torres Strait Islanders. We report community residents’ experiences of AMPs in 10 of Queensland’s 15 remote Indigenous communities. Methods This cross-sectional study used a two-stage sampling strategy: N = 1211; 588 (48%) males, 623 (52%) females aged ≥18 years in 10 communities. Seven propositions about ‘favourable’ impacts and seven about ‘unfavourable’ impacts were developed from semi-structured interviews. For each proposition, one-sample tests of proportions examined participant agreement and multivariable binary logistic regressions assessed influences of gender, age (18–24, 25–44, 45–64, ≥65 years), residence (≥6 years), current drinking and Indigenous status. Confirmatory factor analyses estimated scale reliability (ρ), item loadings and covariances. Results Slim majorities agreed that: AMPs reduced violence (53%, p = 0.024); community a better place to live (54%, 0.012); and children were safer (56%, p < 0.001). More agreed that: school attendance improved (66%, p < 0.001); and awareness of alcohol’s harms increased (71%, p < 0.001). Participants were equivocal about improved personal safety (53%, p = 0.097) and reduced violence against women (49%, p = 0.362). The seven ‘favourable’ items reliably summarized participants’ experiences of reduced violence and improved community amenity (ρ = 0.90). Stronger agreement was found for six ‘unfavourable’ items: alcohol availability not reduced (58%, p < 0.001); drinking not reduced (56%, p < 0.001)); cannabis use increased (69%, p < 0.001); more binge drinking (73%, p < 0.001); discrimination experienced (77%, p < 0.001); increased fines, convictions and criminal records for breaching restrictions (90%, p < 0.001). Participants were equivocal (51% agreed, p = 0.365) that police could enforce restrictions effectively. ‘Unfavourable’ items were not reliably reflected in one group (ρ = 0.48) but in: i) alcohol availability and consumption not reduced and ii) criminalization and discrimination. In logistic regressions, longer-term (≥ 6 years) residents more likely agreed that violence against women had reduced and that personal safety had improved but also that criminalization and binge drinking had increased. Younger people disagreed that their community was a better place to live and strongly agreed about discrimination. Current drinkers’ views differed little from the sample overall. Conclusions The present Government review provides an opportunity to reinforce ‘favourable’ outcomes while targeting: illicit alcohol, treatment and diversion services and reconciliation of criminalization and discrimination issues. |
topic |
Alcohol Indigenous Aboriginal and Torres Strait Islander Australian Legal intervention Evaluation |
url |
http://link.springer.com/article/10.1186/s12889-016-3995-8 |
work_keys_str_mv |
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doaj-7e43e9c52a1e4f9b91cacf3a4bc5101d2020-11-24T23:02:35ZengBMCBMC Public Health1471-24582017-01-0117111410.1186/s12889-016-3995-8Alcohol management plans in Aboriginal and Torres Strait Islander (Indigenous) Australian communities in Queensland: community residents have experienced favourable impacts but also suffered unfavourable onesAlan R. Clough0Stephen A. Margolis1Adrian Miller2Anthony Shakeshaft3Christopher M. Doran4Robyn McDermott5Robert Sanson-Fisher6Valmae Ypinazar7David Martin8Jan A. Robertson9Michelle S. Fitts10Katrina Bird11Bronwyn Honorato12Simon Towle13Caryn West14Community-based Health Promotion and Prevention Studies Group, Australian Institute of Tropical Health and Medicine, James Cook UniversitySchool of Medicine, Griffith UniversityIndigenous Research Unit, Griffith UniversityNational Drug and Alcohol Research Centre, University of New South WalesHealth Economics, Central Queensland UniversityCentre for Chronic Disease Prevention, Australian Institute of Tropical Health and Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook UniversitySchool of Medicine and Public Health (Public Health), University of NewcastleSchool of Medicine, Griffith UniversityCollege of Arts and Social Sciences, Australian National UniversityDivision of Tropical Health and Medicine, College of Public Health, Medical & Veterinary Sciences, James Cook UniversityDivision of Tropical Health and Medicine, College of Public Health, Medical & Veterinary Sciences, James Cook UniversityDivision of Tropical Health and Medicine, College of Public Health, Medical & Veterinary Sciences, James Cook UniversityDivision of Tropical Health and Medicine, College of Public Health, Medical & Veterinary Sciences, James Cook UniversityDivision of Tropical Health and Medicine, College of Public Health, Medical & Veterinary Sciences, James Cook UniversityDivision of Tropical Health and Medicine, College of Healthcare Sciences, James Cook UniversityAbstract Background In Australia, ‘Alcohol Management Plans’ (AMPs) provide the policy infrastructure for State and Commonwealth Governments to address problematic alcohol use among Aboriginal and Torres Strait Islanders. We report community residents’ experiences of AMPs in 10 of Queensland’s 15 remote Indigenous communities. Methods This cross-sectional study used a two-stage sampling strategy: N = 1211; 588 (48%) males, 623 (52%) females aged ≥18 years in 10 communities. Seven propositions about ‘favourable’ impacts and seven about ‘unfavourable’ impacts were developed from semi-structured interviews. For each proposition, one-sample tests of proportions examined participant agreement and multivariable binary logistic regressions assessed influences of gender, age (18–24, 25–44, 45–64, ≥65 years), residence (≥6 years), current drinking and Indigenous status. Confirmatory factor analyses estimated scale reliability (ρ), item loadings and covariances. Results Slim majorities agreed that: AMPs reduced violence (53%, p = 0.024); community a better place to live (54%, 0.012); and children were safer (56%, p < 0.001). More agreed that: school attendance improved (66%, p < 0.001); and awareness of alcohol’s harms increased (71%, p < 0.001). Participants were equivocal about improved personal safety (53%, p = 0.097) and reduced violence against women (49%, p = 0.362). The seven ‘favourable’ items reliably summarized participants’ experiences of reduced violence and improved community amenity (ρ = 0.90). Stronger agreement was found for six ‘unfavourable’ items: alcohol availability not reduced (58%, p < 0.001); drinking not reduced (56%, p < 0.001)); cannabis use increased (69%, p < 0.001); more binge drinking (73%, p < 0.001); discrimination experienced (77%, p < 0.001); increased fines, convictions and criminal records for breaching restrictions (90%, p < 0.001). Participants were equivocal (51% agreed, p = 0.365) that police could enforce restrictions effectively. ‘Unfavourable’ items were not reliably reflected in one group (ρ = 0.48) but in: i) alcohol availability and consumption not reduced and ii) criminalization and discrimination. In logistic regressions, longer-term (≥ 6 years) residents more likely agreed that violence against women had reduced and that personal safety had improved but also that criminalization and binge drinking had increased. Younger people disagreed that their community was a better place to live and strongly agreed about discrimination. Current drinkers’ views differed little from the sample overall. Conclusions The present Government review provides an opportunity to reinforce ‘favourable’ outcomes while targeting: illicit alcohol, treatment and diversion services and reconciliation of criminalization and discrimination issues.http://link.springer.com/article/10.1186/s12889-016-3995-8AlcoholIndigenousAboriginal and Torres Strait IslanderAustralianLegal interventionEvaluation |