Browsing by Author "Gray D."
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Item Addressing Indigenous substance misuse and related harms.Gray D.; Pulver L.J.; Saggers S.; Waldon J.Substance misuse and its consequences among Indigenous minority populations in countries such as Australia, New Zealand/Aotearoa, Canada and the United States is a major health and social problem. We were approached by the Editorial Board of Drug and Alcohol Review to edit this Special Section of Indigenous Substance Misuse Issues. The work described in the papers cover a range of substances-petrol, tobacco, alcohol and illicit drugs. Seven of the eight papers presented are authored or co-authored by Indigenous people. One of the papers focuses on the reduction of alcohol-related harm in a remote community. Another paper focuses upon an attempt to reduce alcohol-related harm in Alice Springs by means of a number of additional restrictions on licensed liquor outlets. The papers in this Special Section illustrate some important lessons for the drug and alcohol field about interventions and conducting research on substance misuse with Indigenous communities. However, the papers in this Special Section do not provide 'the answers' to substance misuse and related harms among Indigenous peoples. (PsycInfo Database Record (c) 2022 APA, all rights reserved)Item Measuring exposure to cannabis use and other substance use in remote Aboriginal populations in northern Australia: evaluation of a "community epidemiology" approach using proxy respondents.Clough A.R.; Cairney S.; D'Abbs P.; Parker R.; Maruff P.; Gray D.; O'Reilly B.We evaluate a method to describe changing substance use patterns in northern Australia's remote Aboriginal communities. Substance use was assessed in random samples in two communities A and B. Five Aboriginal health workers made assessments independently of each other in community A. A different group of three health workers made independent assessments in community B. Sub-samples were opportunistically recruited for interview community B. In community C, 101 people were interviewed and were also assessed by four local health workers working together. Proportional agreements among health workers for a history of substance use and current use, varied from kappa=0.207 for petrol sniffing (P=0.006) up to kappa=0.749 for cannabis use (P<0.001), all better than would be expected by chance. In communities A and B, agreement between health workers' consensus and self-reported substance use was weaker (0.103