Emerging patterns of cannabis and other substance use in Aboriginal communities in Arnhem Land, Northern Territory: a study of two communities

Clough, Alan R., D'Abbs, Peter , Cairney, Sheree, Gray, Dennis, Maruff, Paul, Parker, Robert, and O'Reilly, Bridie (2004) Emerging patterns of cannabis and other substance use in Aboriginal communities in Arnhem Land, Northern Territory: a study of two communities. Drug and Alcohol Review, 23 (4). pp. 381-390.

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Abstract

A recent rise in cannabis use in Indigenous communities in northern Australia may have compounded existing patterns of other substance use. This paper describes these patterns in Arnhem Land in the 'Top End' of the Northern Territory (NT). Economic impacts of the cannabis trade are also described. In a descriptive cross-sectional study, random samples included 336 people (169 males, 167 females) aged 13-36 years. Consensus classification of lifetime and current use of cannabis, alcohol, tobacco, kava, inhalants (petrol) and other drugs was derived based on health workers' proxy assessments. A sample (n =180, aged 13-36) was recruited opportunistically for interview. Lifetime cannabis users among those interviewed (n=131, 81 males, 50 females) described their current cannabis use, usual quantities purchased and consumed, frequency and duration of cannabis use and other substance use. In the random samples, 69% (63-75%) of males and 26% (20-31%) of females were lifetime cannabis users (OR=7.4, 4.5-12.1, p<0.001). The proportion of males currently using cannabis was 67% (60-73%) while the proportion of females currently using cannabis was 22% (16-27%) (OR=7.9, 4.8-13.1, p<0.001). Current cannabis users were more likely than non-users to be also using alcohol (OR=10.4, 4.7-23.3, p<0.001), tobacco (OR=19.0, 7.9-45.8, p<0.001) and to have sniffed petrol (OR=9.1, 4.6-18.0, p<0.001) but were less likely to be using kava (OR=0.4, 0.2-0.9, p<0.001). Among those interviewed, higher tobacco consumption in current users and greater alcohol use in lifetime users was associated with increased cannabis use. Action is required to reduce cannabis use, especially in combination with other substances.

Item ID: 6220
Item Type: Article (Refereed Research - C1)
Keywords: Arnhem Land; Australia; cannabis; Indigenous communities; substance abuse
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ISSN: 1465-3362
Date Deposited: 19 Mar 2010 23:38
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920414 Substance Abuse @ 51%
92 HEALTH > 9203 Indigenous Health > 920399 Indigenous Health not elsewhere classified @ 49%
Citation Count from Web of Science Web of Science 27
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