{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:16:37Z","timestamp":1777414597583,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,4,6]],"date-time":"2024-04-06T00:00:00Z","timestamp":1712361600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,4,6]],"date-time":"2024-04-06T00:00:00Z","timestamp":1712361600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001036","name":"Australian Rotary Health","doi-asserted-by":"publisher","award":["1801108"],"award-info":[{"award-number":["1801108"]}],"id":[{"id":"10.13039\/501100001036","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To determine the prevalence and demographic, social and health characteristics associated with co-occurring psychological distress symptoms, risky alcohol and\/or substance use among a national sample of Aboriginal and Torres Strait Islander people aged 15 years or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This study uses secondary cross-sectional data from the 2018-19 National Aboriginal and Torres Strait Islander Health Survey (NATSIHS). Data were collected via face-to-face interviews with those living in private dwellings across Australia. Participants were Aboriginal and Torres Strait Islander people (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10,579) aged 15 years or older. Data pertaining to psychological distress, alcohol and substance use were obtained and weighted to represent the total population of Aboriginal and Torres Strait Islander people in Australia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 20.3% participants were found to have co-occurring psychological distress, risky alcohol use and\/or substance use, and 4.0% reported co-occurrence of all three conditions. Female participants in a registered marriage and fully engaged in study or employment had lower rates of co-occurring conditions. Poorer self-rated health, one or more chronic conditions and increased experiences of unfair treatment and physical harm in the past 12 months were associated with increased rates of co-occurring conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A range of potential risk and protective factors were identified for co-occurring psychological distress, risky alcohol and\/or substance use among Aboriginal and Torres Strait Islander people. This information is critical for planning effective holistic strategies to decrease the burden of suffering imposed upon the individual, family and community members impacted by co-occurring conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674241244601","type":"journal-article","created":{"date-parts":[[2024,4,6]],"date-time":"2024-04-06T05:23:30Z","timestamp":1712381010000},"page":"668-677","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Co-occurring psychological distress and alcohol or other drug use among Indigenous Australians: Data from the National Aboriginal and Torres Strait Islander Health Survey"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8489-6152","authenticated-orcid":false,"given":"Breanne","family":"Hobden","sequence":"first","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW, Australia"},{"name":"Equity in Health and Wellbeing Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Bryant","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW, Australia"},{"name":"Equity in Health and Wellbeing Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Davis","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW, Australia"},{"name":"Equity in Health and Wellbeing Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd","family":"Heard","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW, Australia"},{"name":"Wiyiliin ta CAMHS, Hunter New England Local Health District, NSW Health, Newcastle, NSW, Australia"},{"name":"Systems Neuroscience Group, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenn","family":"Rumbel","sequence":"additional","affiliation":[{"name":"Systems Neuroscience Group, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"},{"name":"Wollotuka Institute, Purai Global Indigenous History Centre, The University of Newcastle, Callaghan, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Newman","sequence":"additional","affiliation":[{"name":"Orange Aboriginal Medical Service, Orange, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bron","family":"Rose","sequence":"additional","affiliation":[{"name":"Yimamulinbinkaan, Aboriginal Mental Health Service &amp; Social Emotional Wellbeing Workforce, Hunter New England Mental Health Service, Hunter New England Local Health District, NSW Health, Newcastle, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Lambkin","sequence":"additional","affiliation":[{"name":"Clinical Research Design and Statistics, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob","family":"Sanson-Fisher","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW, Australia"},{"name":"Equity in Health and Wellbeing Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Freund","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine, and Wellbeing, The University of Newcastle, Callaghan, NSW, Australia"},{"name":"Equity in Health and Wellbeing Program, Hunter Medical Research Institute, New Lambton Heights, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,6]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Australian Bureau of Statistics (2013) Australian Aboriginal and Torres Strait Islander Health Survey: First Results Australia 2012-13. 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