Social Impacts

Alcohol and other drug (AOD) use contributes to a range of harms for both non-Indigenous and Aboriginal and Torres Strait Islander people [35376][50834]. High levels of alcohol and drug use are linked to chronic disease, hospitalisation for mental health issues, deaths due to overdose and a greater risk of injury, and violence. Alcohol and other drug use not only impacts on the physical and mental health of individuals but also affects the care of children, family safety and community wellbeing [29075]. It can also adversely affect a person’s opportunities in life for education and employment, and is associated with an increased risk of involvement with the criminal justice [48039][35376].

While harms from AOD use affect the whole community, Aboriginal and Torres Strait Islander people are disproportionately affected by the negative effects of alcohol and other drug use [48574][30136]. Aboriginal and Torres Strait Islander people experiencing social disadvantage are more likely to have been exposed to chronic stress, have less access to support services, and to experience intergenerational trauma. All of these factors influence whether a person is at risk of developing problematic alcohol or other drug use [34309].

Addressing harmful social impacts from AOD use involves investing in the health of communities across the life span including: early childhood, education, employment and training, housing and community and economic development [30136].

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Living and Hunting Together by Melanie Robinson

Health Impacts

Alcohol, tobacco and illicit drug use is strongly linked with increased risk of chronic disease and blood borne viruses, as well as poor social and emotional wellbeing, potential harms to unborn children, disability,  injury and death [34653][29610][27521].

Alcohol, tobacco and illicit drugs have been linked to a greater likelihood of developing a chronic disease or worsening the symptoms of an existing chronic disease such as cancer, heart disease and diabetes [33425].

Risky drug use and unsafe injection practices with some illicit drugs can cause the transmission of blood-borne viruses, including Hepatitis C, Hepatitis B and HIV [34653].

Alcohol and other drug use can have serious negative impacts on a person’s mental health [23503][18216]. The use of some illicit drugs such as cannabis and amphetamines, as well as alcohol, have been linked to mental health conditions like anxiety, depression and psychosis [33486].

Drinking alcohol during pregnancy can cause a range of mental and physical effects on the developing unborn baby, leading to learning and developmental disorders like Fetal alcohol spectrum disorder [31432].

Smoking in pregnancy is a concern because the poisons contained in tobacco and cigarettes can be passed onto the unborn baby [23503]. This can lead to complications during pregnancy and poor outcomes for babies [26473].

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Feeding the Family Pets by Brian Robinson

Harm Reduction

Harm reduction is an approach that aims to reduce the risks that arise from alcohol and other drug use [33425]. The focus of harm reduction is on encouraging safer behaviours and settings, to prevent harms from alcohol and other drug use to the person, their family members and the broader community.

Some examples of harm reduction programs are [34324]:

  • clean needle and syringe programs to reduce the risk of spreading blood borne viruses
  • supervised injecting rooms
  • drug checking
  • mobile patrols to remove people from risky environments
  • overdose education programs
  • pharmacotherapies such as opioid substitution therapy or nicotine replacement therapy.

Harm reduction is one of three strategies (demand reduction, supply reduction and harm reduction) within the National Drug Strategy which is guided by an overall principle to minimise the harms from alcohol and other drug use [33425].

For information on preventing maternal smoking please see our Smoking and pregnancy portal. For information on regulation of tobacco please see the Regulation and control section in the Tobacco portal.

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Mina Mina Jukurrpa (Mina Mina Dreaming) by John Japangardi Lewis

Illicit Drugs – General

An illicit drug is one that is illegal to have (for example, methamphetamine, heroin, and cocaine), and the non-medical use of drugs that are legally available such as pain killers and sleeping pills [22491][33425].

What are the harms from using illicit drugs?

Using illicit drugs can lead to health problems including [22491][49345]:

  • risk of overdose
  • chronic disease (heart and liver problems)
  • blood-borne viruses (infections like hepatitis and HIV)
  • lower levels of social and emotional wellbeing (mental health problems)
  • increased risk of suicide.

The whole community can be affected by the negative impacts associated with illicit drug use such as; an increased risk of harm to children and families as well as violence, assault and crime [33425].

Australia has a harm minimisation approach to addressing harms from illicit drug use which includes [33425]:

  • demand reduction – preventing uptake of first use and supporting people to recover
  • supply reduction – controlling and reducing illicit drug availability
  • harm reduction – reducing risky behaviour and providing safer settings.

This approach requires a coordinated multi agency response across jurisdictions.

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Turtle Dreaming by Donna Rioli

Kava

Kava is a drug made from the roots of a type of pepper plant (called Piper methysticum) that grows in the Pacific Islands [36943]. The roots of the pepper plant are ground up or crushed and added to water and then drunk. The kava drink is traditionally used for cultural events in the Pacific Islands and drunk as part of a ceremony. Kava was introduced to the Aboriginal people in northern Australia as an alternative to alcohol in the 1980s.

The chemicals contained in kava, called kavalactones, are absorbed in the stomach and travel in the bloodstream to the brain [326]. The kavalactones have a painkilling, numbing effect which also relaxes the muscles, much like alcohol. The strength of the kava drink can vary greatly depending on the variety of plant used and how it is prepared [31403].

Some people who use kava regularly over a long period of time may experience health issues such as:

  • scaly skin rash
  • sore red eyes
  • loss of body fat (losing weight)
  • increased risk of infections.

Kava use affects liver function and there is a possibility that long term or high use of kava can lead to liver damage [31403][35590][36943]. However the evidence for kava being toxic to the liver is unclear. Using kava with other kinds of medicines, such as prescription drugs, or alcohol may lead to an increased risk of liver damage because it can change the way the liver processes these substances.

Kava has a complex regulatory history [36943]. It is not grown or produced in Australia, but can be imported as a food under a permit system.

When travelling to Australia, people over the age of 18 years are allowed to bring up to 4kg of kava powder in their accompanied luggage [34711]. Restrictions in the Northern Territory mean that kava cannot be brought into this jurisdiction.

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Ngurlu Jukurrpa (Native Seed Dreaming) by Linny Nampijinpa Frank

Amphetamines and Cocaine

Amphetamines and cocaine are both stimulants [26504]. Stimulants are drugs that speed up the messages travelling between the brain and the body. They can increase energy and concentration and reduce hunger and the need to sleep [23510].

Crystal methamphetamine or ‘ice’ is the most common form of methamphetamine used in Australia [48572]. It is also the most potent and addictive stimulant, which is associated with long term negative effects on mental and physical health [37676]. The most common form of cocaine used in Australia is cocaine hydrochloride, a salt that comes from the coca plant [47961].

What are the effects of amphetamines and cocaine?

The more crystal methamphetamine or cocaine are used, the more likely a person will develop physical or mental health problems [23510].

Physical harms may include:

  • heart, lung and kidney problems
  • risk of stroke
  • fits (seizures)
  • risks of overdose and blood-borne viruses from injecting.

Psychological harms may include:

  • depression
  • anxiety and panic attacks
  • paranoia
  • psychosis
  • aggression [49463][49478].
How does it affect communities?

The regular use of amphetamines or cocaine can lead to social problems for the individual, as well as families and communities [23510].These can include [49599][1]:

  • stigma or shame if loved ones are using drugs
  • relationships and family connections can break down
  • housing instability
  • problems with money and finances
  • community safety concerns because of increased crime, aggression or violence
  • increased contact with the criminal justice system.

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Bush Potato Dreaming by Rene Dixon

Cannabis

The term cannabis refers to the plant Cannabis sativa L, and its products including dried leaf, bud matter and resin. It is known by different names such as gunja, yarndi, marijuana, pot and weed [43145]. Cannabis can be smoked or added to foods and eaten [49601].

Over the last two decades the strength of cannabis has increased with a corresponding increased risk to health [43145]. Young people are particularly vulnerable to mental health risks from cannabis use.

Short term effects of using cannabis

The short term effects of cannabis are different for everyone but can include [26504]:

  • feeling happy, talkative and less self-conscious
  • decreased nausea
  • feeling hungry
  • lack of coordination
  • feeling suspicious about other people (paranoia).
Long term harms of using cannabis

Harms to mental health include [43145][26504]:

  • increased risk of psychotic episodes
  • increased risk of anxiety and panic attacks
  • increased risk of depression
  • problems with memory and paying attention
  • not wanting to do things (lethargy)
  • increased risk of suicide.

Potential harms to physical health include:

  • damage to lungs
  • increased risk of cancer
  • damage to the heart.

Family and community life may be affected by increased fighting over cannabis supply, money problems due to buying cannabis and contact with the criminal justice system [43145].

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Ngapa Jukurrpa (Water Dreaming) - Puyurru by Chantelle Nampijinpa Robertson

Opioids

Opioids are a group of natural and synthetic drugs that are made from the poppy plant (Papaver somniferum) or synthetic compounds with similar properties [26504][49604]. They can be legal medicines (pharmaceutical opioids) used for pain relief which are prescribed by a doctor (such as fentanyl and oxycodone), or illegal drugs, like heroin [26504]. Opioids are considered depressant drugs because they slow down the messages travelling between the brain and the body.

Opioids are highly addictive and  regular use of these drugs for non-medical purposes can lead to dependence and other health and social problems, including a higher chance of death at a young age [27894].

Some of the health harms from dependent opioid use include; overdose, organ damage, blood-borne viruses from injecting, infertility, dental problems (opioids dry up saliva), and depression [49605].

There are ways to reduce possible harms related to opioid dependence, such as [26504]:

  • avoid combining opioids with other depressant drugs like alcohol or benzodiazepines
  • using clean needles and other injecting equipment and not sharing with others
  • avoid injury by not driving or using machinery while intoxicated
  • seek treatment support from a doctor.

In addition to the health costs, the non-medical use of opioids is associated with a number of social and economic costs [23503] [27894]. These include:

  • family and community disruption
  • harms to the welfare of children
  • drug-related crime
  • issues with money
  • contact with the criminal justice system.

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Mina Mina Jukurrpa (Mina Mina Dreaming) by Sabrina Napangardi Granites

Tobacco

Tobacco comes from the dried leaves of the tobacco plant. It contains nicotine, a stimulant drug that speeds up messages travelling between the brain and the body. Nicotine is the drug in tobacco that causes addiction [31577].

As well as nicotine, there are more than 7000 chemicals in tobacco, and at least 250 are known to be harmful [31575]. Of these 250 harmful chemicals, at least 60 can cause cancer. These chemicals are the reason why people get sick and experience long term harms from smoking.

Smoking can contribute to a number of short and long term harms. Short terms harms include: increased heart beat; reduced appetite; stomach cramps and nausea; and loss of taste and smell. In the long term smoking can cause cancer and lung disease, among many other conditions [31577].

Tobacco and Aboriginal and Torres Strait Islander people

In recent years, about a third of the Aboriginal and Torres Strait Islander population aged 15 smoked daily [40728][39231]. Tobacco control efforts have seen a substantial drop in the number of Aboriginal and Torres Strait Islander people smoking, especially in the younger age groups. However the number of Aboriginal and Torres Strait Islander people smoking in rural and remote areas is a concern, as the proportion of people who currently smoke in remote areas remains high (up to 50%) [39231].

Smoking is the leading modifiable risk factor contributing to burden of disease for Aboriginal and Torres Strait Islander people [43959]. There are a number of reasons why smoking is so high in Aboriginal and Torres Strait Islander communities, including:

  • higher levels of stress
  • the normalisation of smoking in some communities (like flour and sugar, tobacco was given out as part of rations for labour)
  • experiences of grief, loss and trauma
  • social disadvantage such as poor housing or unemployment [29610][29689][34613].

For a summary of statistical information updated yearly on tobacco use and vaping among Aboriginal and Torres Strait Islander people, see also our latest Overview of Aboriginal and Torres Strait Islander health status.

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Panarringkarra by Jukuja Dolly Snell

Community Portal

The AOD Knowledge Centre Community Portal is for Elders and community members who may be concerned about alcohol and drug use in their community. Family, friends and Elders may be worried about someone’s drug use, looking for support and want to find out more on how others are taking action in their communities.

Find information here on useful resources, community-based organisations, programs to support people, funding opportunities and training for community members who want to learn new skills.

Featured resource

This video from the Queensland Aboriginal and Islander Health Council provides some steps family members, carers or friends can take if they are worried about someone’s drug use.

AOD The 4Rs Animation from Queensland Aboriginal and Islander Health Council on YouTube

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Families coming together by Melanie Robinson

Workforce Development

Workforce development in the alcohol and other drugs (AOD) field aims to build the capacity of organisations and individuals to prevent and respond to AOD-related problems and to promote evidence-based practice. It adopts a systems approach that goes beyond the provision of education and training to include issues such as recruitment and retention, workforce planning, professional and career development and worker wellbeing. Without addressing these underpinning and contextual factors, the ultimate aim of increasing the workforce’s effectiveness is unlikely to be achieved [33154].

The concept of workforce development is dynamic and has evolved over time.

As such, workforce development can be defined as:

a multi-faceted approach which addresses the range of factors impacting on the ability of the workforce to function with maximum effectiveness in responding to alcohol and other drug related problems. Workforce development should have a systems focus. Unlike traditional approaches, this is broad and comprehensive, targeting individual, organisational and structural factors, rather than just addressing education and training of individual mainstream workers [18400]

This broad definition of workforce development involves an extensive range of individual, organisational, structural and systematic factors that impact on the ability of the workforce to effectively prevent and respond to AOD issues. Without addressing these underpinning and contextual factors, the ultimate aim of increasing the workforce’s effectiveness is unlikely to be achieved [34733].

The key issues impacting current and future workforce development initiatives include:

  • the need for workforce development processes to be informed by systems thinking
  • workforce development at organisation, sector and systems levels being based on comprehensive workforce planning
  • undertaking a gap analysis to determine what needs to be done to attain the requisite workforce profile
  • evidence-based activities aimed at recruitment and retention and maintaining the wellbeing of the workforce
  • using evidence-based innovation dissemination processes [34733].

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Like to see more?

The funds provided by the Australian Department of Health and Aged Care enable good coverage of many areas, particularly those within the direct responsibility of the health system. However there are other health topics which require additional funding.

We seek your assistance to fund this topic to support us in helping to improve health outcomes for Aboriginal and Torres Strait Islander people.

Artwork

Ngurlu Jukurrpa (Native Seed Dreaming) by Glenys Napanangka Brown

Volatile Substance Use

Volatile substance use (VSU) is the intentional breathing in of chemical substances by a person to feel drunk, buzzing or excited [23513]. Because the chemical substance is breathed in (or inhaled), these substances are also known as ‘inhalants’. Other terms include ‘sniffing’, ‘chroming’, and ‘huffing’. Every-day products used for sniffing include:

  • deodorant
  • air freshener
  • lighter fluid
  • fly spray
  • petrol [23513].

As volatile substances are typically first used at a young age, the health effects of sniffing have implications for the developing brain and long term health of young people [38141][32216]. Exposure to toluene through sniffing volatile substances has been shown to be associated with impaired growth for both height and weight and a ‘failure to thrive’ in adolescents [32216]. Excessive harmful inhalant use has also been shown to lead to permanent acquired brain injury [32216][29075][24947].

Sniffing volatile substances, particularly butane, propane and aerosols, can cause sudden death [20888][30967]. Sudden sniffing death can happen from accidental poisoning, suffocation or being involved in an accident while intoxicated [46980]. Sudden death can also happen when a person who has been sniffing does some exercise, or is stressed or scared (because this puts extra pressure on their heart).

The short-term effects from sniffing inhalants include:

  • tiredness
  • feeling nauseous (sick)
  • irregular heart beat (arrythmia)
  • memory loss (forgetful)
  • loss of consciousness
  • feelings of wellbeing.

Long term harms that can come from sniffing inhalants include:

  • brain damage
  • loss of hearing, vision or sense of smell
  • damage to the liver, kidneys and heart
  • damage to respiratory system
  • muscle weakness
  • developmental harm during pregnancy
  • increased risk of infections due to poor immunity
  • depression [23505][41612].

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Rain Meets Creek, Creek Meets River, River Meets Sea by William Miller

Prescription Drugs

The most commonly used prescription drugs for non-medical purposes are benzodiazepines (sometimes called benzos) and opioids (oxycodone, fentanyl, morphine and codeine) [40728]. Benzodiazepines (such as Diazepam or Valium) are drugs that are usually prescribed by a doctor to calm people down or help people sleep. Prescription opioids are usually prescribed for pain relief. Other prescription drugs used for non-medical purposes include stimulants like dexamphetamine [40728].

Long term use of prescription drugs can lead to physical and psychological dependence (addiction) and other harms including overdose [23503]. Some of the harms from regular use of prescription drugs include:

  • sleep problems
  • hormonal changes
  • dental decay (due to dry mouth caused by opioid use)
  • increased anxiety
  • seizures – if a person suddenly stops taking a prescription drug such as a benzodiazepine.

There are treatment options available for people who are dependent on prescription drugs [23503]. This treatment usually involves some kind of counselling and support. Medically supervised withdrawal may be needed for people who are dependent on benzodiazepines [36693]. For opioid addiction, opioid agonist treatment provides long term, structured support to reduce harms from opioid dependence [35303]. The type of treatment and support offered will depend on the needs of the person and where they are in their treatment journey [35303]. For more information on opioid agonist treatment see also the section on Pharmacotherapies in the Harm Reduction Portal

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Water Dreaming by Shanna Napanangka Williams

Alcohol

Alcohol is a drink made from the fermentation of grains (beer), vegetables (vodka) and fruits (wine) [39259]. The ingredient of ethanol (ethyl alcohol) contained in alcohol is the active ingredient that causes people to feel drunk when alcohol is consumed [34322]. Alcohol acts as a depressant on the central nervous system, slowing down the messages between the brain and the body [23503].

What are the harms to health from alcohol use?

In small amounts, drinking alcohol can make a person feel relaxed and sociable [34322]. Larger amounts of alcohol affect muscle control, balance and decision making. People drinking large amounts of alcohol are more likely to have accidents or falls, get into fights or do things they regret [23503].

Over time, regular alcohol use contributes to the risk of serious health problems such as:

  • cancer of the mouth, throat and oesophagus
  • cardiovascular disease (stroke and heart failure)
  • liver disease (such as cirrhosis)
  • cognitive decline and dementia
  • mental health conditions such as anxiety and depression
  • increased problems with diabetes [48135][34320].

Drinking alcohol while pregnant can also harm the unborn baby [31432]. If a woman drinks while pregnant she risks having a baby with Fetal alcohol spectrum disorder (FASD). For more information, please refer to the FASD section in the Health Impacts portal.

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Ngapa Jukurrpa (Water Dreaming) - Pirlinyarnu by Juliette Nampijinpa Brown

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