Experiences of Alcohol Use and Harm among Travellers, Roma, and Gypsies: A Participatory Qualitative Study

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Louise Condon, Suzy C. Hargreaves, Denise Barry, Jolana Curejova, Donna Leeanne Morgan, Sam Worrall, Filiz Celik, Menna Price
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Abstract

Alcohol is widely used in many cultures as part of everyday life and for special occasions. It is a leading cause of preventable death in the UK, with higher rates among socioeconomically disadvantaged people. Gypsies and Travellers are ethnic and cultural minorities who experience extreme social disadvantage but there is a lack of knowledge about their alcohol use. The study aim was to explore experiences of alcohol use and harm in these distinct groups. Taking a participatory research approach, peer researchers conducted semistructured interviews (n = 26) to explore experiences of alcohol use and harm within the following four Gypsy/Traveller communities: Irish Travellers, Boaters, Gypsies, and Slovakian Roma. Vignettes were used as a basis for interview questions. Data were analysed thematically following the framework model. Alcohol consumption was found to be fundamental to celebration in all groups and integrated within social norms. Among Gypsies, Irish Travellers and Roma, drinking was associated with masculinity and despite an increase in alcohol use among women, female drinking remains highly socially regulated. Gypsies and Irish Travellers reported being illegally excluded from public drinking venues, while Slovakian Roma experienced less discrimination towards their ethnic group in the UK. Knowledge of the risks of alcohol dependence was high in all groups, but there was little awareness of the health impact of regular heavy drinking. Shame was a barrier to help-seeking for Gypsy, Roma, and Irish Traveller men and women, while Boaters’ nomadism reduced access to both primary care and alcohol treatment services. These distinct ethnic and cultural groups are aware of the health and social risks of alcohol use but experience barriers to accessing healthcare. Each community has different needs in relation to prevention of alcohol dependence, highlighting the need for targeted health promotion to accompany national strategies to reduce alcohol harm.

游民、罗姆人和吉普赛人的饮酒经历和危害:参与式定性研究
在许多文化中,酒精被广泛用于日常生活和特殊场合。在英国,酒精是导致可预防死亡的主要原因之一,社会经济条件较差的人群饮酒率更高。吉普赛人和游民在种族和文化上属于少数群体,他们在社会上处于极端不利的地位,但人们对他们饮酒的情况却缺乏了解。这项研究旨在探索这些不同群体的饮酒经历和危害。同行研究人员采用参与式研究方法,对以下四个吉普赛人/游民社区进行了半结构式访谈(n = 26),以探讨他们饮酒和饮酒伤害的经历:爱尔兰游民、船民、吉普赛人和斯洛伐克罗姆人。访谈问题以小故事为基础。按照框架模式对数据进行了专题分析。结果发现,在所有群体中,饮酒都是庆祝活动的基本要素,并与社会规范融为一体。在吉普赛人、爱尔兰游民和罗姆人中,饮酒与男子气概有关,尽管女性饮酒量有所增加,但女性饮酒仍然受到社会的高度管制。吉普赛人和爱尔兰游民报告说,他们被非法排斥在公共饮酒场所之外,而斯洛伐克罗姆人在英国受到的歧视较少。所有群体对酒精依赖风险的了解都很高,但对经常大量饮酒对健康的影响却知之甚少。吉普赛人、罗姆人和爱尔兰游民的羞耻感是他们寻求帮助的障碍,而船民的游牧生活减少了他们获得初级保健和酒精治疗服务的机会。这些不同的种族和文化群体都意识到了饮酒对健康和社会的危害,但在获取医疗服务方面却遇到了障碍。在预防酒精依赖方面,每个社区都有不同的需求,这突出表明,在实施减少酒精危害的国家战略的同时,还需要开展有针对性的健康宣传。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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