Primary Health Care

Introduction to Global Health Concern of Substance Use

This Health Literacy Project will discuss the global health concern of substance use among Indigenous Australians. A prevention promotional poster will be developed to educate the target population in Australia. It is selected because it has been seen that Indigenous Australians are encountered with the substance use higher than non-Indigenous Australians.

Topic

The significant identified global health concern is the illicit substance use among the Indigenous Australians. This topic has been selected because it has been seen that Indigenous Australians are encountered with the substance use higher than non-Indigenous Australians and this is also a biggest reason behind various mental and physical health disparities among them.

Substance use disorders occurs when an individual’s use of alcohol or drugs that results in serious health issues or disabilities (McLellan, 2017). This global health concern for this population group is significant because the substance use contributes considerably to the gap in the life expectancy among the Indigenous Australians and non-Indigenous Australians. Substance use is responsible for various chronic illnesses, higher rates of injury, abuse, violence and crime that significantly harm the physical, social and psychological health of the individuals as well as their communities (Public Health Association Australia, 2013). Substance use has been recognised as a global health concern by the World Health Organization, (2018). This global health concern can be addressed by the effective and evidence-based interventions, for this certain behavioral (motivational interviewing and matrix model) as well as pharmacotherapies (Methadone, Buprenorphine, etc.) must be implemented. In a study presented by Rawson, Reickmann & Gust (2014) it has stated that the early “talk therapies” are effective and were mostly based on certain peer-supported therapeutic approaches such as motivational interviewing and matrix model. While, there are also certain pharmacotherapies that have been proven safe and helped in overcoming the substance use. Primary health care has recognised that this has substantial health impacts and an effective approach to treat this entails a coherent framework for the identification and management of substance use disparities along with certain considerable strategies to promote the behavior change (Shapiro, Coffa & McCance-Katz, 2013).

Population

The combined evidences from the Public Health Association Australia (2013) reflects that the prominence on the social determinants of substance use such as cognitive limitations, poor parenting, low socio-economic status are considered as most appropriate in the context of emerging approaches and they successfully address the substance use within communities. The most important thing to be considered while implementing the above stated intervention is the maintenance of cultural safety as it leads to equity as well as social justice (Curtis et al., 2019).

Delivery

The Indigenous Australians are more into the substance use and due lack of health literacy and equity this graph keeps on growing, to create awareness regarding the same (AIHW, 2020) this poster has been made. An example of this health promotion by AIHW, (2020).

Conclusion on Global Health Concern of Substance Use

This Health Literacy Project has discussed the global health concern of substance use among Indigenous Australians. A prevention promotional poster will be developed to educate the target population in Australia. The interventions were behavioral and pharmacotherapy based approaches. Addressing the social determinants was discussed in the poster. Maintaining cultural safety leads to social justice and equity among the community members.

References for Global Health Concern of Substance Use

Australian Institute of Health and Welfare. (2020). Alcohol and other drug treatment services in Australia, 2018–19. Retrieved from https://www.aihw.gov.au/reports/alcohol-other-drug-treatment-services/alcohol-other-drug-treatment-services-2018-19/contents/summary

Curtis, E., Jones, R., Tipene-Leach, D., Walker, C., Loring, B., Paine, S., & Reid, P. (2019). Why cultural safety rather than cultural competency is required to achieve health equity: A literature review and recommended definition. International Journal of Equity in Health,18, 174. https://doi.org/10.1186/s12939-019-1082-3

McLellan A. T. (2017). Substance misuse and substance use disorders: Why do they matter in healthcare?. Transactions of the American Clinical and Climatological Association128, 112–130.

Public Health Association Australia. (2013). Public health association of Australia: Policy-at-a-glance – Aboriginal and Torres Strait Islander peoples substance use policy. Retrieved from https://www.phaa.net.au/documents/item/241

Rawson, R. A., Rieckmann, T., & Gust, S. W. (2014). Addiction science: A rationale and tools for a public health response to drug abuse. Public Health Reviews, 35(2), http://www.publichealthreviews.eu/upload/pdf_files/14/00_Rawson_etal.pdf. https://doi.org/10.1007/BF03391705

Shapiro, B., Coffa, D., & McCance-Katz, E. F. (2013). A primary care approach to substance misuse. American Family Physician88(2), 113–121.

World Health Organization. (2018). Management of substance abuse. Retrieved from https://www.who.int/substance_abuse/publications/drugs/en/

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