Five‐year longitudinal study of cannabis users in three remote Aboriginal communities in Arnhem Land, Northern Territory, Australia

Lee, K. S. Kylie; Conigrave, Katherine M.; Clough, Alan R.; Dobbins, Timothy; Jaragba, Muriel; Patton, George C.

doi:10.1111/j.1465-3362.2009.00067.x

Cited by 28 publications

(31 citation statements)

References 22 publications

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“…This observation was still significant when confounding factors were taken into account. More recently, Lee et al (2008) found a strong association between heavy cannabis use and moderate-severe depressive symptoms in an Indigenous Arnhem Land community sample, with rates of depression higher in females than in males. From these longitudinal studies it appears that early onset and regular cannabis use represents an increased risk of later depression.…”

Section: Human Studiesmentioning

confidence: 97%

Adolescent exposure to cannabis as a risk factor for psychiatric disorders

2011

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Adolescence represents a critical period for brain development and the endocannabinoid system plays a crucial role in the regulation of neuronal refinement during this period. Cannabis is the most consumed drug among adolescent people and its heavy use may affect maturational refinement by disrupting the regulatory role of the endocannabinoid system. In animals, adolescent cannabinoid exposure has been reported to cause long-term impairment in specific components of learning and memory and to differentially affect emotional reactivity with milder effects on anxiety behaviour and more pronounced effects on depression-like behaviour. Moreover, adolescent exposure to cannabinoids might represent a risk factor for developing psychotic-like symptoms at adulthood. Also epidemiological studies suggest that heavy adolescent cannabis use may increase the risk of cognitive abnormalities, psychotic illness, mood disorders and other illicit substance use later in life. In conclusion, the available data point to the hypothesis that heavy cannabis use in adolescence could increase the risk of developing psychiatric disorders, especially in people who already have a vulnerability to develop a psychiatric syndrome. Only few papers have investigated the neurobiological substrates of this vulnerability, thus further studies are needed to clarify the molecular mechanisms underlying the effect of cannabis on the adolescent brain.

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Section: Human Studiesmentioning

confidence: 97%

Adolescent exposure to cannabis as a risk factor for psychiatric disorders

2011

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“…They include quantitative research targeting demographic risk factors (Australian Bureau of Statistics, 2010) and environmental risk factors (Clough et al, 2004;Dingwall & Cairney, 2011;Gault, Krupinski, & Stoller, 1970;Lee et al, 2009;McKendrick et al, 1990) as well as qualitative research focused on social risk factors (Bostock, 1924;Cawte, 1963Cawte, , 1988Eley et al, 2007;Hunter, 1991;Petchkovsky & San Roque, 2002) and clinical practice (Hunter, 1993(Hunter, , 2004Peeters & Kelly, 1999;Turale, 1994;Ypinazar, Margolis, Haswell-Elkins, & Tsey, Indigenist academics strive to add to the knowledge acquired via the Western research paradigm so that policy, practice, and evaluation may be more socially and culturally informed with respect to Indigenous Peoples. Rigney (1999) emphasises the need to liberate Australian Indigenous knowledge from the control, storage, and extraction techniques inherent in the Western academic discourse.…”

Section: Background Research Methodologies and Policies For Indigenoumentioning

confidence: 99%

Towards an Aboriginal Knowledge Place: Cultural Practices as a Pathway to Wellness in the Context of a Tertiary Hospital

Vance

McGaw

Winther

et al. 2016

IJIH

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The Indigenous community in Australia is beset by extraordinary disadvantage, with health outcomes that are substantially worse than those of non-Indigenous citizens. This issue has consequently been the subject of voluminous health research that has given rise to a range of affirmative action policies progressively implemented over the past decade. Statistics, however, remain dire. This paper argues that new models of research practice and policy are required that are inclusive of Indigenous ways of knowing, doing, and being. It proposes a new framework to promote wellness in urban hospitals for Aboriginal young people and their families modelled on equal, 2-way dialogue between Western and Indigenous ways of doing health. Cultural safety is an essential starting point, but a range of other practices is proposed including oversight by a board of Elders, inclusion of traditional healers in treatment teams, and "space, place, and base" within the hospital building and its grounds so that it can be used as a site for culturally engaged Indigenous outpatient care. Practice approaches that embed culture into assessment, formulation, and treatment are being trialled by the authors of this paper, three of whom have Aboriginal heritage. Together the authors are working toward building an Aboriginal Knowledge Place within the major teaching hospital where they work.

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“…But drinking is often to intoxication [12] and in vulnerable families or communities the harms from this can be considerable. For smoking, the persistent high prevalence is a grave concern, with still just under half of Indigenous Australians smoking [13], and pockets of far higher prevalence [14,15]. Though recent data suggest some downward trend in prevalence [13].…”

Section: S Upporting Aboriginal and Torres Strait Islandermentioning

confidence: 99%

Smoking or Alcohol Dependence Among Indigenous Australians: Treatment May Be Needed, Not Just Education

Conigrave

Lee

2012

Heart, Lung and Circulation

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Five‐year longitudinal study of cannabis users in three remote Aboriginal communities in Arnhem Land, Northern Territory, Australia

Abstract: Ongoing heavy cannabis use is commonplace in this Aboriginal cohort and raises concerns for the physical, social and psychiatric burden on these already vulnerable communities. Prevention, treatment and intervention programs developed with communities are badly needed.

Cited by 28 publications

References 22 publications

Adolescent exposure to cannabis as a risk factor for psychiatric disorders

Adolescent exposure to cannabis as a risk factor for psychiatric disorders

Towards an Aboriginal Knowledge Place: Cultural Practices as a Pathway to Wellness in the Context of a Tertiary Hospital

Smoking or Alcohol Dependence Among Indigenous Australians: Treatment May Be Needed, Not Just Education

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