Akron, Ohio, is home to many who came to the United States as refugees from Bhutan. Originally of Nepali background, they fled Bhutan during a period of ethnic cleansing beginning in the 1990s. As the Nepali/Bhutanese population grew, local providers (e.g., resettlement agencies, social services, emergency room personnel) noted significant levels of problem drinking compared to other local refugee populations. We use a Critical Medical Anthropology framework informed by intersectionality to illuminate the ways that both the intersecting identities and the interlocking systems of oppression experienced by refugees shape Nepali/Bhutanese experiences in the United States, particularly relating to drinking as a coping mechanism. This study focused on gaining local understandings surrounding alcohol use in the Nepali/Bhutanese community in order to inform culturally sustaining solutions for those who suffer from alcohol misuse. We found demographic variables of the Nepali/Bhutanese, particularly those related to gender and generation, intersect with additional identities acquired in the sociocultural system of the United States, such as that of “refugee,” resulting in unique reasons for problem drinking. Results indicate that these unique reasons for problem drinking necessitate a range of interventions. We provide recommendations for providers, community members, and future research.

中文翻译：

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俄亥俄州东北部尼泊尔/不丹社区饮酒问题的交叉方法

俄亥俄州的阿克伦是许多从不丹来到美国的难民的家园。他们最初具有尼泊尔背景，在 1990 年代开始的种族清洗期间逃离不丹。随着尼泊尔/不丹人口的增长，与其他当地难民人口相比，当地提供者（例如，重新安置机构、社会服务、急诊室人员）注意到饮酒问题的严重程度。我们使用以交叉性为基础的批判性医学人类学框架来阐明难民所经历的交叉身份和相互联系的压迫系统如何塑造尼泊尔/不丹人在美国的经历，特别是与饮酒作为一种应对机制有关的方式。这项研究的重点是在尼泊尔/不丹社区获得当地对酒精使用的了解，以便为遭受酒精滥用的人提供文化上可持续的解决方案。我们发现尼泊尔/不丹人的人口统计变量，特别是与性别和世代相关的变量，与美国社会文化系统中获得的其他身份（例如“难民”）相交，导致饮酒问题的独特原因。结果表明，这些导致饮酒问题的独特原因需要一系列干预措施。我们为提供者、社区成员和未来研究提供建议。与在美国社会文化体系中获得的其他身份相交叉，例如“难民”，导致饮酒问题的独特原因。结果表明，这些导致饮酒问题的独特原因需要一系列干预措施。我们为提供者、社区成员和未来研究提供建议。与在美国社会文化体系中获得的其他身份相交叉，例如“难民”，导致饮酒问题的独特原因。结果表明，这些导致饮酒问题的独特原因需要一系列干预措施。我们为提供者、社区成员和未来研究提供建议。