Alcohol Policy Issues for Indigenous People in the United States, Canada, Australia and New Zealand

Abstract

This paper reviews the literature on alcohol consumption, alcohol-related problems, and national and local policy issues for indigenous people in four developed countries (United States, Canada, Australia and New Zealand). The growth of domestic self-determination and self-management policies within these countries has had an impact on the relationships between these groups and their national governments, which raises a number of questions regarding the influence of national alcohol policies on indigenous citizens. National “native” policies as well as discriminatory alcohol prohibitions have had long-standing effects, influencing indigenous responses to contemporary interventions in alcohol misuse. While national alcohol policies have had mixed impact, indigenous groups have focused on their own attempts at control, which emphasize local controls over supply; these are particularly prevalent in the far north of Canada and in Australia. Local control policies have been well evaluated in Australia, providing an evidence-based grounding for further interventions.