Register      Login
Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association
RESEARCH ARTICLE

Developing a guide for community-based groups to reduce alcohol-related harm among African migrants

Alison Jaworski A G , Tony Brown B , Catherine Norman C , Kiri Hata D , Mark Toohey E F , Dubravka Vasiljevic C and Rachel Rowe A
+ Author Affiliations
- Author Affiliations

A Drug and Alcohol Multicultural Education Centre, PO Box 2315, Strawberry Hills NSW 2012, Australia.

B Hunter Multicultural Community Drug Action Team, c/o Hunter Multicultural Community Drug Action Team Secretary, PO Box 119, Wallsend, NSW 2287, Australia.

C Hunter New England Local Health District, PO Box 119, Wallsend, NSW 2287, Australia.

D Penola House, Catholic Diocese of Maitland/Newcastle, 3 Wilson Street, Mayfield, NSW 2304, Australia.

E Ethnic Communities Council Newcastle & Hunter Inc., 2a Platt Street, Waratah, NSW 2298, Australia.

F Present address: Catholic Mission, PO Box 768, Newcastle, NSW 2300, Australia.

G Corresponding author. Email: alisonj@damec.org.au

Health Promotion Journal of Australia 27(1) 21-28 https://doi.org/10.1071/HE15030
Submitted: 30 April 2015  Accepted: 15 October 2015   Published: 5 January 2016

Abstract

Issue addressed: Alcohol-related harm is an issue of concern for African migrant communities living in Australia. However, there has been little information available to guide workers in developing culturally sensitive health promotion strategies.

Methods: A three-step approach, comprising a literature review, community consultations and an external review, was undertaken to develop a guide to assist organisations and health promotion groups working with African migrant communities to address alcohol-related harms.

Discussion: There was a high level of agreement between the three steps. Addressing alcohol harms with African migrant communities requires approaches that are sensitive to the needs, structures and experiences of communities. The process should incorporate targeted approaches that enable communities to achieve their resettlement goals as well as strengthening mainstream health promotion efforts.

Conclusions: The resource produced guides alcohol harm prevention coalitions and workers from the first steps of understanding the influences of acculturation and resettlement on alcohol consumption, through to planning, developing and evaluating an intervention in partnership with communities.

So what?: This paper advances knowledge by providing a precise summary of Australian African migrant focused alcohol and other drug research to date. It also describes a three-step approach that aimed to incorporate a diversity of community views in the creation of a health promotion and community capacity-building resource.


References

[1]  Resnicow K, Soler R, Braithwaite RL, Ahluwalia JS, Butler J (2000) Cultural sensitivity in substance use prevention. J Community Psychol 28, 271–90.
Cultural sensitivity in substance use prevention.Crossref | GoogleScholarGoogle Scholar |

[2]  National Health and Medical Research Council (NHMRC). Cultural competency in health: a guide for policy, partnerships and participation. Canberra: NHMRC; 2006.

[3]  Demaio A, Drysdale M, de Courten M (2012) Appropriate health promotion for Australian Aboriginal and Torres Strait Islander communities: crucial for closing the gap. Glob Health Promot 19, 58–62.
Appropriate health promotion for Australian Aboriginal and Torres Strait Islander communities: crucial for closing the gap.Crossref | GoogleScholarGoogle Scholar | 24801784PubMed |

[4]  Castro FG, Barrera M, Steiker LKH (2010) Issues and challenges in the design of culturally adapted evidence-based interventions. Annu Rev Clin Psychol 6, 213–39.
Issues and challenges in the design of culturally adapted evidence-based interventions.Crossref | GoogleScholarGoogle Scholar | 20192800PubMed |

[5]  Hodge DR, Jackson KF, Vaughn MG (2010) Culturally sensitive interventions and health and behavioral health youth outcomes: a meta-analytic review. Soc Work Health Care 49, 401–23.
Culturally sensitive interventions and health and behavioral health youth outcomes: a meta-analytic review.Crossref | GoogleScholarGoogle Scholar | 20521205PubMed |

[6]  Agic B, Mann RE, Kobus-Matthews M (2011) Alcohol use in seven ethnic communities in Ontario: a qualitative investigation. Drugs 18, 116–23.

[7]  Pittaway E, Bartolomei L, Hugman R (2010) ‘Stop stealing our stories’: the ethics of research with vulnerable groups. J Human Rights Practice 2, 229–51.
‘Stop stealing our stories’: the ethics of research with vulnerable groups.Crossref | GoogleScholarGoogle Scholar |

[8]  National Health and Medical Research Council (NHMRC). Ethical considerations in quality assurance and evaluation activities. Canberra: NHMRC; 2014. Available from: https://www.nhmrc.gov.au/guidelines-publications/e111 [Verified 2 July 2015].

[9]  Horyniak D, Higgs P, Cogger S, Dietze P, Bofu T, Seid G (2014) Experiences of and attitudes toward injecting drug use among marginalized African migrant and refugee youth in Melbourne, Australia. J Ethn Subst Abuse 13, 405–29.
Experiences of and attitudes toward injecting drug use among marginalized African migrant and refugee youth in Melbourne, Australia.Crossref | GoogleScholarGoogle Scholar | 25397639PubMed |

[10]  Melville F. Responding to challenges of misuse of alcohol and other drugs by young people of refugee backgrounds: reflections from two projects. Melbourne: The Victorian Foundation for Survivors of Torture Inc., Centre for Multicultural Youth; 2013. Available from: http://www.mhima.org.au/pdfs/responding%20to%20challenges%20of%20misuse%20of%20AOD%20young%20refugee.pdf [Verified 20 January 2015].

[11]  Turnbull M, Stokes H. Evaluation of the Brimbank young men’s project: final report. Melbourne: Youth Research Centre, University of Melbourne; 2011. Available from: http://www.cmy.net.au/sites/default/files/publication-documents/Brimbank%20Young%20Men%E2%80%99s%20Project%202011.pdf [Verified 20 January 2015].

[12]  Ethnic Communities Council of Queensland. African Alcohol Awareness (AAA) study: an exploratory pilot study in partnership with Ethnic Communities Council of Queensland, Queensland Health, Griffith University, DRUG ARM Australasia and Queensland African Communities Council. Brisbane: Ethnic Communities Council of Queensland; 2012.

[13]  Awet MD. NSW Southern Sudanese youth drug and alcohol issues report. Sydney: Bahr El Ghazal Youth Union Inc.; 2007.

[14]  Sowey H. The African companions project: a guide for practitioners. Sydney: Drug and Alcohol Multicultural Education Centre; 2007.

[15]  Goren N (2006) Newly arrived refugees and drug prevention. Prev Res Quart June, 1–26.

[16]  Gibson M, Mario-Ring A, Belay D, Nyiransabimana I, Otto J, Bangura J, Robe Z. Fun and forgetting: alcohol and other drug use by African young people in Hobart. Hobart: The Link Youth Health Service; 2005.

[17]  Henderson S, Kendall E (2011) ‘Community navigators’: making a difference by promoting health in culturally and linguistically diverse (CALD) communities in Logan, Queensland. Aust J Prim Health 17, 347–54.
‘Community navigators’: making a difference by promoting health in culturally and linguistically diverse (CALD) communities in Logan, Queensland.Crossref | GoogleScholarGoogle Scholar | 22112703PubMed |

[18]  Smith J, Field-Thorne J, Kumbin C, Elmi M, Didar M, Ali F, et al. Community engagement project: report of the drugs misuse needs assessment carried out by Nilaari Agency and Black Orchid amongst the Somali community in Bristol, UK. 2001. Available from: http://repository.forcedmigration.org/show_metadata.jsp?pid=fmo:5164 [Verified 1 November 2013].

[19]  Kobus-Matthews M, Agic B, Tate M. Culture counts: a roadmap to health promotion. Toronto: Centre for Addiction and Mental Health; 2012.

[20]  Centre for Culture, Ethnicity and Health. Cultural competence series. 2010. Available from: http://ceh.org.au/culturalcompetence [Verified 17 July 2015].

[21]  Berry JW, Kim U, Minde T, Mok D (1987) Comparative studies of acculturative stress. Int Migr Rev 21, 491–511.
Comparative studies of acculturative stress.Crossref | GoogleScholarGoogle Scholar |

[22]  Johnson TP (1996) Alcohol and drug use among displaced persons: an overview. Subst Use Misuse 31, 1853–89.
Alcohol and drug use among displaced persons: an overview.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2s7hslKjsQ%3D%3D&md5=e3615ad18fb3f477ac2dc9cf72e4f881CAS | 8958640PubMed |

[23]  Browne JL, Renzaho AMN (2010) Prevention of alcohol and other drug problems in culturally and linguistically diverse communities. Prev Res Quart 13, 1–24.

[24]  Smit E, Verdurmen J, Monshouwer K, Smit F (2008) Family interventions and their effect on adolescent alcohol use in general populations; a meta-analysis of randomized controlled trials. Drug Alcohol Depend 97, 195–206.
Family interventions and their effect on adolescent alcohol use in general populations; a meta-analysis of randomized controlled trials.Crossref | GoogleScholarGoogle Scholar | 18485621PubMed |

[25]  Foxcroft DR, Tsertsvadze A (2011) Universal family-based prevention programs for alcohol misuse in young people. Cochrane Database Syst Rev 9, CD009308
Universal family-based prevention programs for alcohol misuse in young people.Crossref | GoogleScholarGoogle Scholar | 21901733PubMed |

[26]  Cordova D, Huang S, Pantin H, Prado G (2012) Do the effects of a family intervention on alcohol and drug use vary by nativity status? Psychol Addict Behav 26, 655–60.
Do the effects of a family intervention on alcohol and drug use vary by nativity status?Crossref | GoogleScholarGoogle Scholar | 22141423PubMed |

[27]  Renzaho A, Renzaho C, Polonsky M (2012) Left out, left off, left over: why migrants from non-English speaking backgrounds are not adequately recognised in health promotion policy and programs. Health Promot J Austr 23, 84–5.

[28]  Halliday JA, Green J, Mellor D, Mutowo MP, De Courten M, Renzaho AM (2014) Developing programs for African families, by African families: engaging African migrant families in Melbourne in health promotion interventions. Fam Community Health 37, 60–73.

[29]  Fountain J. Issues surrounding drug use and drug services among the Black African communities in England. London: NHS National Treatment Agency for Substance Misuse; 2009. Available from: http://www.nta.nhs.uk/uploads/2_black_african_final.pdf [Verified 20 January 2015].

[30]  Gallard A, Rowe R. From first contact: a snapshot of current NSW AOD service standards and practices with culturally and linguistically diverse clients and carers. Sydney: Drug and Alcohol Multicultural Education Centre; 2013.

[31]  NSW Refugee Health Service, NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS). Working with refugees: a guide for social workers. 2004. Available from: http://www.startts.org.au/resources/resources-for-free [Verified 5 May 2015].

[32]  Gifford SM, Bakopanos C, Kaplan I, Correa-Velez I (2007) Meaning or measurement? Researching the social contexts of health and settlement among newly-arrived refugee youth in Melbourne, Australia. J Refug Stud 20, 414–40.
Meaning or measurement? Researching the social contexts of health and settlement among newly-arrived refugee youth in Melbourne, Australia.Crossref | GoogleScholarGoogle Scholar |

[33]  NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS). STARTTS Southern Sudanese women consultation report. Sydney: STARTTS; 2004.