2020 · Study · English
Identifying risk and protective factors, including culture and identity, for methamphetamine use in Aboriginal and Torres Strait Islander communities: Relevance of the 'communities that care' model
Reilly, R., Gendera, S., Treloar, C., Roe, Y., Conigrave, K., Azzopardi, P., & Ward, J.
Reilly, R., Gendera, S., Treloar, C., Roe, Y., Conigrave, K., Azzopardi, P., & Ward, J. (2020). Identifying risk and protective factors, including culture and identity, for methamphetamine use in Aboriginal and Torres Strait Islander communities: Relevance of the 'communities that care' model. Social Science & Medicine, 266, 113451. doi.org/10.1016/j.socscimed.2020.113451
Summary
Qualitative study testing whether the Communities That Care risk-and-protective-factor framework fits the determinants of methamphetamine use as described by Aboriginal and Torres Strait Islander stakeholders in Australia. Focus groups and individual interviews were held in Aboriginal communities nationwide with 147 key stakeholders (80% Aboriginal; 44% female; aged 16–69, median 40); data were analysed thematically with the CTC domains as a deductive coding frame, leaving room for additional themes. Relevant factors emerged in all four CTC domains, community, family, school and peer/individual, but these did not capture what participants considered most important, which the authors grouped into an additional domain of culture and identity. They conclude that CTC's framework does not adequately reflect the specific drivers of use in this context and that different, community-informed models are needed. A rare critical test of the framework's cultural boundaries, relevant wherever CTC is applied with Indigenous or minority communities.