"Slowed right down": Insights into the use of alcohol from research with Aboriginal Australians living with HIV

Objective. To describe the role that alcohol plays in the lives of Aboriginal people living with HIV in Western Australia. Methods. Semi-structured interviews were conducted between February and September 2003 with 20 Aboriginal people who were HIV-positive; almost half the total number of Aborigina...

Full description

Bibliographic Details
Main Authors: Thompson, Sandra, Bonar, Maria, Greville, Heath, Bessarab, Dawn, Gilles, Marissa, D'antoine, Heather, Maycock, Bruce
Format: Journal Article
Published: Elsevier BV 2009
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/45815
_version_ 1848757389953597440
author Thompson, Sandra
Bonar, Maria
Greville, Heath
Bessarab, Dawn
Gilles, Marissa
D'antoine, Heather
Maycock, Bruce
author_facet Thompson, Sandra
Bonar, Maria
Greville, Heath
Bessarab, Dawn
Gilles, Marissa
D'antoine, Heather
Maycock, Bruce
author_sort Thompson, Sandra
building Curtin Institutional Repository
collection Online Access
description Objective. To describe the role that alcohol plays in the lives of Aboriginal people living with HIV in Western Australia. Methods. Semi-structured interviews were conducted between February and September 2003 with 20 Aboriginal people who were HIV-positive; almost half the total number of Aboriginal people known to be living with HIV in Western Australia at that time. The main purpose of the study was to document their experiences of living with HIV and aspects of health service delivery.Results. Drinking emerged as a key theme in the majority of interviews. Alcohol had a major role in disinhibition and risk-taking behaviour of both the participants and those they socialised with. It was perceived as a commodity, a way of altering reality, and a pathway through which social connection was maintained and was central to the common narratives of loss, chaos and transformation. Post-diagnosis, alcohol helped with disclosure and temporary blunting of distress as a result of the HIV diagnosis. It also contributed to a lack of capacity to comply with anti-retroviral therapy although narratives also included personal growth and restoration of physical health. Conclusions. Effective strategies to reduce risk of STIs and HIV and prevent other health problems need to address substance use issues but this also requires amelioration of the structural inequalities that make minority groups vulnerable.
first_indexed 2025-11-14T09:27:20Z
format Journal Article
id curtin-20.500.11937-45815
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T09:27:20Z
publishDate 2009
publisher Elsevier BV
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-458152019-02-19T04:27:30Z "Slowed right down": Insights into the use of alcohol from research with Aboriginal Australians living with HIV Thompson, Sandra Bonar, Maria Greville, Heath Bessarab, Dawn Gilles, Marissa D'antoine, Heather Maycock, Bruce Alcohol Risk behaviour Indigenous HIV Aboriginal Objective. To describe the role that alcohol plays in the lives of Aboriginal people living with HIV in Western Australia. Methods. Semi-structured interviews were conducted between February and September 2003 with 20 Aboriginal people who were HIV-positive; almost half the total number of Aboriginal people known to be living with HIV in Western Australia at that time. The main purpose of the study was to document their experiences of living with HIV and aspects of health service delivery.Results. Drinking emerged as a key theme in the majority of interviews. Alcohol had a major role in disinhibition and risk-taking behaviour of both the participants and those they socialised with. It was perceived as a commodity, a way of altering reality, and a pathway through which social connection was maintained and was central to the common narratives of loss, chaos and transformation. Post-diagnosis, alcohol helped with disclosure and temporary blunting of distress as a result of the HIV diagnosis. It also contributed to a lack of capacity to comply with anti-retroviral therapy although narratives also included personal growth and restoration of physical health. Conclusions. Effective strategies to reduce risk of STIs and HIV and prevent other health problems need to address substance use issues but this also requires amelioration of the structural inequalities that make minority groups vulnerable. 2009 Journal Article http://hdl.handle.net/20.500.11937/45815 10.1016/j.drugpo.2008.02.003 Elsevier BV fulltext
spellingShingle Alcohol
Risk behaviour
Indigenous
HIV
Aboriginal
Thompson, Sandra
Bonar, Maria
Greville, Heath
Bessarab, Dawn
Gilles, Marissa
D'antoine, Heather
Maycock, Bruce
"Slowed right down": Insights into the use of alcohol from research with Aboriginal Australians living with HIV
title "Slowed right down": Insights into the use of alcohol from research with Aboriginal Australians living with HIV
title_full "Slowed right down": Insights into the use of alcohol from research with Aboriginal Australians living with HIV
title_fullStr "Slowed right down": Insights into the use of alcohol from research with Aboriginal Australians living with HIV
title_full_unstemmed "Slowed right down": Insights into the use of alcohol from research with Aboriginal Australians living with HIV
title_short "Slowed right down": Insights into the use of alcohol from research with Aboriginal Australians living with HIV
title_sort "slowed right down": insights into the use of alcohol from research with aboriginal australians living with hiv
topic Alcohol
Risk behaviour
Indigenous
HIV
Aboriginal
url http://hdl.handle.net/20.500.11937/45815