Adolescent and young adult substance use in Australian Indigenous communities: a systematic review of demand control program outcomes

Aust N Z J Public Health. 2018 Jun;42(3):254-261. doi: 10.1111/1753-6405.12789. Epub 2018 Apr 26.

Abstract

Objective: Identifying preventative approaches to substance use in Indigenous communities is the foundation for developing evidence-based responses. This study reports the findings of a systematic review of the published literature evaluating the impact of substance use programs on Australian Indigenous youth.

Methods: Evidence about the impact of substance use programs for Indigenous young people was identified from a systematic review of the literature conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.

Results: Only four original studies that met the inclusion criteria were identified, although a further 19 papers that described characteristics of programs that may be associated with improved outcomes were reviewed.

Conclusions: Evidence relevant to the outcomes of demand control programs that target Australian Indigenous youth substance use is both weak and inconsistent. There is a need to support the type of evaluation activity required to better understand program effectiveness and build the Indigenous knowledge base. Implications for public health: These findings are discussed in relation to the development of evidence-based practice and the type of knowledge that is likely to be of most use to those seeking to address problems associated with youth substance use.

Keywords: Indigenous; programs; substance use; systematic review.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Australia / epidemiology
  • Humans
  • Native Hawaiian or Other Pacific Islander / statistics & numerical data*
  • Program Evaluation
  • Substance-Related Disorders / ethnology*
  • Substance-Related Disorders / prevention & control*
  • Young Adult