First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination?

Alcohol is the leading cause of healthy years lost. There is significant variation in alcohol consumption patterns and harms in Australia, with those residing in the Northern Territory (NT), particularly First Nations Australians, experiencing higher alcohol-attributable harms than other Australians...

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Published in:International Journal for Equity in Health
Main Authors: Stearne, Annalee E., Lee, KS Kylie, Allsop, Steve, Shakeshaft, Anthony, Wright, Michael
Format: Text
Language:English
Published: BioMed Central 2022
Subjects:
Research
First Nations
Online Access:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453735/
https://doi.org/10.1186/s12939-022-01719-z
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spelling ftpubmed:oai:pubmedcentral.nih.gov:9453735 2023-05-15T16:14:02+02:00 First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination? Stearne, Annalee E. Lee, KS Kylie Allsop, Steve Shakeshaft, Anthony Wright, Michael 2022-09-08 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453735/ https://doi.org/10.1186/s12939-022-01719-z en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453735/ http://dx.doi.org/10.1186/s12939-022-01719-z © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY Int J Equity Health Research Text 2022 ftpubmed https://doi.org/10.1186/s12939-022-01719-z 2022-09-11T01:03:43Z Alcohol is the leading cause of healthy years lost. There is significant variation in alcohol consumption patterns and harms in Australia, with those residing in the Northern Territory (NT), particularly First Nations Australians, experiencing higher alcohol-attributable harms than other Australians. Community leadership in the planning and implementation of health, including alcohol, policy is important to health outcomes for First Nations Australians. Self-determination, a cornerstone of the structural and social determinants of health, is necessary in the development of alcohol-related policy. However, there is a paucity of published literature regarding Indigenous Peoples self-determination in alcohol policy development. This study aims to identify the extent to which First Nations Australians experience self-determination in relation to current alcohol policy in Alice Springs/Mbantua (Northern Territory, Australia). Semi-structured qualitative yarns with First Nations Australian community members (n = 21) were undertaken. A framework of elements needed for self-determination in health and alcohol policy were applied to interview transcripts to assess the degree of self-determination in current alcohol policy in Alice Springs/Mbantua. Of the 36 elements, 33% were not mentioned in the interviews at all, 20% were mentioned as being present, and 75% were absent. This analysis identified issues of policy implementation, need for First Nations Australian leadership, and representation. Alcohol policy for First Nations Australians in the NT is nuanced and complicated. A conscious approach is needed to recognise and implement the right to self-determination, which must be led and defined by First Nations Australians. First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination? Text First Nations PubMed Central (PMC) International Journal for Equity in Health 21 1
institution Open Polar
collection PubMed Central (PMC)
op_collection_id ftpubmed
language English
topic Research
spellingShingle Research
Stearne, Annalee E.
Lee, KS Kylie
Allsop, Steve
Shakeshaft, Anthony
Wright, Michael
First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination?
topic_facet Research
description Alcohol is the leading cause of healthy years lost. There is significant variation in alcohol consumption patterns and harms in Australia, with those residing in the Northern Territory (NT), particularly First Nations Australians, experiencing higher alcohol-attributable harms than other Australians. Community leadership in the planning and implementation of health, including alcohol, policy is important to health outcomes for First Nations Australians. Self-determination, a cornerstone of the structural and social determinants of health, is necessary in the development of alcohol-related policy. However, there is a paucity of published literature regarding Indigenous Peoples self-determination in alcohol policy development. This study aims to identify the extent to which First Nations Australians experience self-determination in relation to current alcohol policy in Alice Springs/Mbantua (Northern Territory, Australia). Semi-structured qualitative yarns with First Nations Australian community members (n = 21) were undertaken. A framework of elements needed for self-determination in health and alcohol policy were applied to interview transcripts to assess the degree of self-determination in current alcohol policy in Alice Springs/Mbantua. Of the 36 elements, 33% were not mentioned in the interviews at all, 20% were mentioned as being present, and 75% were absent. This analysis identified issues of policy implementation, need for First Nations Australian leadership, and representation. Alcohol policy for First Nations Australians in the NT is nuanced and complicated. A conscious approach is needed to recognise and implement the right to self-determination, which must be led and defined by First Nations Australians. First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination?
format Text
author Stearne, Annalee E.
Lee, KS Kylie
Allsop, Steve
Shakeshaft, Anthony
Wright, Michael
author_facet Stearne, Annalee E.
Lee, KS Kylie
Allsop, Steve
Shakeshaft, Anthony
Wright, Michael
author_sort Stearne, Annalee E.
title First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination?
title_short First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination?
title_full First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination?
title_fullStr First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination?
title_full_unstemmed First Nations Australians’ experiences of current alcohol policy in Central Australia: evidence of self-determination?
title_sort first nations australians’ experiences of current alcohol policy in central australia: evidence of self-determination?
publisher BioMed Central
publishDate 2022
url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453735/
https://doi.org/10.1186/s12939-022-01719-z
genre First Nations
genre_facet First Nations
op_source Int J Equity Health
op_relation http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9453735/
http://dx.doi.org/10.1186/s12939-022-01719-z
op_rights © The Author(s) 2022
https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
op_rightsnorm CC0
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CC-BY
op_doi https://doi.org/10.1186/s12939-022-01719-z
container_title International Journal for Equity in Health
container_volume 21
container_issue 1
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