Drug and alcohol review最新文献_第10页

A 3-year retrospective review of hospital admissions involving opioid toxicity in South Australia 对南澳大利亚州阿片类药物中毒住院病例的三年回顾。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-29 DOI: 10.1111/dar.13913

Maria Sarantou, Anne L. J. Burke, Tim Semple, Jacinta L. Johnson

Introduction

This article aims to characterise hospital admissions involving opioid toxicity across South Australia to guide future implementation and evaluation of risk mitigation strategies.

Methods

International Classification of Diseases, 10th Edition codes (T40.0–T40.4) were used to identify admissions involving pre-hospital opioid toxicity in public hospitals across South Australia from 1 June 2017 to 30 August 2020. Demographic and episode of care data were extracted and summarised using descriptive statistics. Admission cost estimates were calculated using Independent Hospital Pricing Authority data.

Results

A total of 2046 cases met the criteria for inclusion; over half (56%) were female and median age on admission was 44 years (interquartile range 27 years). Where opioid toxicity was the primary diagnosis, 70% of admissions did not specify the responsible opioid and 23% were related to heroin use. One-fifth of admissions occurred outside of metropolitan Adelaide. Individuals living in an area of relative socio-economic disadvantage were over-represented. Over half of admissions required a stay >24 h; 19% were admitted for ≥5 days, 22% required intensive care and ~10% required mechanical ventilation. The total estimated cost of admissions involving opioid toxicity in South Australia over the 3-year period was $18,230,546.50, equating to $5.6 million per annum.

Discussions and Conclusions

These findings highlight the significant personal, fiscal, and systemic impacts of opioid toxicity-related hospital admissions in South Australia and provide a baseline to evaluate the effectiveness of initiatives to reduce opioid-related harm, including real-time prescription monitoring and take-home naloxone supply.

导言：本文旨在描述南澳大利亚州涉及阿片类药物中毒的入院情况，以指导未来风险缓解策略的实施和评估：方法：采用《国际疾病分类》第10版代码（T40.0-T40.4）识别2017年6月1日至2020年8月30日期间南澳大利亚州公立医院中涉及院前阿片类药物中毒的入院病例。采用描述性统计方法提取并汇总了人口统计学数据和医疗事件数据。入院成本估算采用独立医院定价局的数据进行计算：共有 2046 个病例符合纳入标准；一半以上（56%）为女性，入院年龄中位数为 44 岁（四分位数间距为 27 岁）。在以阿片类药物中毒为主要诊断的病例中，70%的入院病例没有说明是哪种阿片类药物引起的，23%的病例与海洛因的使用有关。五分之一的入院患者居住在阿德莱德市区以外。生活在社会经济相对落后地区的患者比例较高。超过一半的入院患者需要住院超过24小时；19%的患者住院时间超过5天，22%的患者需要重症监护，约10%的患者需要机械通气。在这3年期间，南澳大利亚州涉及阿片类药物中毒的住院总费用估计为18,230,546.50澳元，相当于每年560万澳元：这些研究结果突显了南澳大利亚州与阿片类药物中毒相关的入院治疗对个人、财政和系统造成的重大影响，并为评估减少阿片类药物相关伤害的措施（包括实时处方监控和带回家的纳洛酮供应）的有效性提供了基准。

{"title":"A 3-year retrospective review of hospital admissions involving opioid toxicity in South Australia","authors":"Maria Sarantou, Anne L. J. Burke, Tim Semple, Jacinta L. Johnson","doi":"10.1111/dar.13913","DOIUrl":"10.1111/dar.13913","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This article aims to characterise hospital admissions involving opioid toxicity across South Australia to guide future implementation and evaluation of risk mitigation strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>International Classification of Diseases, 10th Edition codes (T40.0–T40.4) were used to identify admissions involving pre-hospital opioid toxicity in public hospitals across South Australia from 1 June 2017 to 30 August 2020. Demographic and episode of care data were extracted and summarised using descriptive statistics. Admission cost estimates were calculated using Independent Hospital Pricing Authority data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 2046 cases met the criteria for inclusion; over half (56%) were female and median age on admission was 44 years (interquartile range 27 years). Where opioid toxicity was the primary diagnosis, 70% of admissions did not specify the responsible opioid and 23% were related to heroin use. One-fifth of admissions occurred outside of metropolitan Adelaide. Individuals living in an area of relative socio-economic disadvantage were over-represented. Over half of admissions required a stay >24 h; 19% were admitted for ≥5 days, 22% required intensive care and ~10% required mechanical ventilation. The total estimated cost of admissions involving opioid toxicity in South Australia over the 3-year period was $18,230,546.50, equating to $5.6 million per annum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussions and Conclusions</h3>\u0000 \u0000 <p>These findings highlight the significant personal, fiscal, and systemic impacts of opioid toxicity-related hospital admissions in South Australia and provide a baseline to evaluate the effectiveness of initiatives to reduce opioid-related harm, including real-time prescription monitoring and take-home naloxone supply.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 6","pages":"1607-1612"},"PeriodicalIF":3.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Consumption of alcohol-free and alcoholic beverages among Dutch university students: Substitution or addition? 荷兰大学生饮用无酒精饮料和含酒精饮料的情况：替代还是补充？

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-26 DOI: 10.1111/dar.13905

Martine M. Groefsema, Kirsten J. M. van Hooijdonk, Carmen V. Voogt, Hanneke Hendriks, Jacqueline M. Vink

Introduction

Alcohol-free drinks are suggested as healthy alternatives for alcohol consumption. To achieve benefits, alcohol-free beverages must be consumed as a substitute for alcoholic beverages, not in addition. This study examined in a student sample (i) the frequency/quantity of alcohol(-free) consumption; (ii) the relationship between alcohol-free and alcohol consumption; (iii) alcohol-free drinks as substitution or in addition to alcoholic drinks; and (iv) possible gender differences.

Methods

Survey data regarding alcohol(-free) consumption (May–June 2022) of Dutch university students (N = 4.318, females 70.2%; males 28.5%, average age 22.6 years [SD = 2.4]).

Results

(i) A total of 42.8% of the students indicated they had never consumed alcohol-free versus 10.1% who never consumed alcoholic beverages; (ii) the group who recently consumed alcohol-free also most often recently consumed alcoholic beverages (42.7%). The group that had never consumed alcohol-free drank on average more alcoholic beverages (M = 3.98 on a drinking day) compared to past and recent alcohol-free drinkers (respectively, M = 3.44 and M = 3.59). (iii) Most students (54.9%) reported drinking alcohol-free beverages in addition to alcohol, 17.4% indicated using it as a substitution. Students who consumed alcohol-free as ‘substitution’ were older, more often living alone or with a partner, less often living with parents and more often involved in a steady relationship compared to students who consumed in ‘addition’. (iv) No prominent gender differences were found.

Discussion and Conclusions

The majority of students remained consuming the same number of alcoholic beverages since they started consuming alcohol-free beverages, pointing to an addition effect. A small group did use alcohol-free beverages as a substitute for their alcohol consumption.

导言：无酒精饮料被建议作为酒精消费的健康替代品。无酒精饮料必须作为含酒精饮料的替代品饮用，而不是额外饮用，才能获得益处。本研究对学生样本进行了调查：(i) 无酒精饮料的消费频率/数量；(ii) 无酒精饮料与酒精消费之间的关系；(iii) 无酒精饮料是酒精饮料的替代品还是补充品；(iv) 可能存在的性别差异：结果：(i) 共有 42.8%的学生表示从未饮用过无酒精饮料，而 10.1%的学生从未饮用过含酒精饮料；(ii) 最近饮用无酒精饮料的群体最近也最常饮用含酒精饮料（42.7%）。与过去和最近不饮酒者（分别为 M = 3.44 和 M = 3.59）相比，从未饮酒者平均饮酒量更高（饮酒日 M = 3.98）。(iii) 大部分學生（54.9%）表示除飲用酒精飲品外，還會飲用不含酒精飲品， 17.4%表示會以不含酒精飲品代替酒精飲品。与 "补充 "饮用的学生相比，"替代 "饮用不含酒精饮料的学生年龄更大，更经常独居或与伴侣同住，较少与父母同住，更经常有稳定的恋爱关系。(iv) 没有发现明显的性别差异：大多数学生自开始饮用无酒精饮料以来，饮用酒精饮料的数量保持不变，这表明存在 "加量 "效应。一小部分学生确实使用无酒精饮料作为酒精消费的替代品。

{"title":"Consumption of alcohol-free and alcoholic beverages among Dutch university students: Substitution or addition?","authors":"Martine M. Groefsema, Kirsten J. M. van Hooijdonk, Carmen V. Voogt, Hanneke Hendriks, Jacqueline M. Vink","doi":"10.1111/dar.13905","DOIUrl":"10.1111/dar.13905","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Alcohol-free drinks are suggested as healthy alternatives for alcohol consumption. To achieve benefits, alcohol-free beverages must be consumed as a substitute for alcoholic beverages, not in addition. This study examined in a student sample (i) the frequency/quantity of alcohol(-free) consumption; (ii) the relationship between alcohol-free and alcohol consumption; (iii) alcohol-free drinks as substitution or in addition to alcoholic drinks; and (iv) possible gender differences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Survey data regarding alcohol(-free) consumption (May–June 2022) of Dutch university students (<i>N</i> = 4.318, females 70.2%; males 28.5%, average age 22.6 years [<i>SD</i> = 2.4]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>(i) A total of 42.8% of the students indicated they had <i>never</i> consumed alcohol-free versus 10.1% who <i>never</i> consumed alcoholic beverages; (ii) the group who <i>recently</i> consumed alcohol-free also most often <i>recently</i> consumed alcoholic beverages (42.7%). The group that had <i>never</i> consumed alcohol-free drank on average more alcoholic beverages (<i>M</i> = 3.98 on a drinking day) compared to <i>past</i> and <i>recent</i> alcohol-free drinkers (respectively, <i>M</i> = 3.44 and <i>M</i> = 3.59). (iii) Most students (54.9%) reported drinking alcohol-free beverages in addition to alcohol, 17.4% indicated using it as a substitution. Students who consumed alcohol-free as ‘substitution’ were older, more often living alone or with a partner, less often living with parents and more often involved in a steady relationship compared to students who consumed in ‘addition’. (iv) No prominent gender differences were found.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>The majority of students remained consuming the same number of alcoholic beverages since they started consuming alcohol-free beverages, pointing to an addition effect. A small group did use alcohol-free beverages as a substitute for their alcohol consumption.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 6","pages":"1545-1558"},"PeriodicalIF":3.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13905","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Countering stereotypes: Exploring the characteristics of Aboriginal Australians who do not drink alcohol in a community representative sample 消除陈规定型观念：在社区代表性样本中探索不饮酒的澳大利亚原住民的特征。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-23 DOI: 10.1111/dar.13907

James H. Conigrave, Scott Wilson, Katherine M. Conigrave, Jimmy Perry, Noel Hayman, Tanya N. Chikritzhs, Dan Wilson, Catherine Zheng, Teagan J. Weatherall, K. S. Kylie Lee

Introduction

Contrary to stereotypes, Aboriginal and Torres Strait Islander Australians are more likely to abstain from drinking than other Australians. We explored characteristics and experiences of Aboriginal and Torres Strait Islander Australians who do not drink alcohol.

Method

We conducted a cross-sectional, representative survey of 775 Aboriginal and Torres Strait Islander Australians (16+ years) in remote and urban South Australia. We explore correlates of not drinking alcohol using multi-level logistic regression. We describe reasons for non-drinking and harms participants experienced in past 12 months from others' drinking.

Results

Non-drinking participants were more likely to be older (OR 1.35 [95% CI 1.21, 1.50] per decade) and unemployed (OR 2.72 [95% CI 1.77, 4.20]). Participants who spoke Aboriginal Australian languages at home were three times more likely to be lifetime abstainers from drinking (OR 3.07 [95% CI 1.52, 6.21]). Common reasons for not drinking alcohol were health and family. Most did not report harms from others' alcohol consumption (79.6%, 76.9%, urban and remote respectively). Stress from others' alcohol consumption was the most reported harm by non-drinkers (14.5% and 23.1%, urban and remote, respectively).

Discussion and Conclusions

Culture such as speaking Aboriginal Australian languages might have protective effects that promote abstaining but was rarely explicitly cited as a reason for not drinking. A greater understanding of local values held by people who do not drink alcohol could help inform health messaging and other interventions to reduce alcohol-related harms. Understanding local reasons for abstaining can help tailor health messaging to suit local contexts.

导言：与刻板印象相反，澳大利亚土著居民和托雷斯海峡岛民比其他澳大利亚人更有可能戒酒。我们探讨了不饮酒的澳大利亚原住民和托雷斯海峡岛民的特点和经历：我们对南澳大利亚偏远地区和城市的 775 名澳大利亚原住民和托雷斯海峡岛民（16 岁以上）进行了横断面代表性调查。我们采用多级逻辑回归法探讨了不饮酒的相关因素。我们描述了不饮酒的原因以及参与者在过去 12 个月中因他人饮酒而受到的伤害：不饮酒的参与者更有可能年龄较大（OR 1.35 [95% CI 1.21, 1.50]/10）和失业（OR 2.72 [95% CI 1.77, 4.20]）。在家讲澳大利亚土著语言的参与者终生不饮酒的可能性是其他参与者的三倍（OR 3.07 [95% CI 1.52, 6.21]）。不饮酒的常见原因是健康和家庭。大多数人没有报告过他人饮酒造成的伤害（城市和偏远地区分别为 79.6%、76.9%）。不饮酒者报告最多的伤害是他人饮酒带来的压力（城市和偏远地区分别为 14.5%和 23.1%）：澳大利亚土著语言等文化可能具有促进戒酒的保护作用，但很少被明确作为不饮酒的原因。更深入地了解当地不饮酒者的价值观，有助于为健康信息和其他干预措施提供依据，减少酒精相关危害。了解当地人不饮酒的原因有助于因地制宜地制定健康信息。

{"title":"Countering stereotypes: Exploring the characteristics of Aboriginal Australians who do not drink alcohol in a community representative sample","authors":"James H. Conigrave, Scott Wilson, Katherine M. Conigrave, Jimmy Perry, Noel Hayman, Tanya N. Chikritzhs, Dan Wilson, Catherine Zheng, Teagan J. Weatherall, K. S. Kylie Lee","doi":"10.1111/dar.13907","DOIUrl":"10.1111/dar.13907","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Contrary to stereotypes, Aboriginal and Torres Strait Islander Australians are more likely to abstain from drinking than other Australians. We explored characteristics and experiences of Aboriginal and Torres Strait Islander Australians who do not drink alcohol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We conducted a cross-sectional, representative survey of 775 Aboriginal and Torres Strait Islander Australians (16+ years) in remote and urban South Australia. We explore correlates of not drinking alcohol using multi-level logistic regression. We describe reasons for non-drinking and harms participants experienced in past 12 months from others' drinking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Non-drinking participants were more likely to be older (OR 1.35 [95% CI 1.21, 1.50] per decade) and unemployed (OR 2.72 [95% CI 1.77, 4.20]). Participants who spoke Aboriginal Australian languages at home were three times more likely to be lifetime abstainers from drinking (OR 3.07 [95% CI 1.52, 6.21]). Common reasons for not drinking alcohol were health and family. Most did not report harms from others' alcohol consumption (79.6%, 76.9%, urban and remote respectively). Stress from others' alcohol consumption was the most reported harm by non-drinkers (14.5% and 23.1%, urban and remote, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Culture such as speaking Aboriginal Australian languages might have protective effects that promote abstaining but was rarely explicitly cited as a reason for not drinking. A greater understanding of local values held by people who do not drink alcohol could help inform health messaging and other interventions to reduce alcohol-related harms. Understanding local reasons for abstaining can help tailor health messaging to suit local contexts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 6","pages":"1523-1533"},"PeriodicalIF":3.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13907","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patterns of substance use recovery following residential treatment: A repeated measures latent profile analysis 住院治疗后的药物使用康复模式：重复测量潜在特征分析。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-23 DOI: 10.1111/dar.13904

Laura D. Robinson, Tayla J. Degan, Frank P. Deane, Peter J. Kelly

Introduction

Ongoing improvement to residential treatment for substance use disorders is critical as it typically targets people with the highest need. Assessing multiple recovery indicators, such as cravings and mental health, at intake and following discharge is important in evaluating treatment effectiveness. To refine services, research should explore whether there are subgroups of individuals with different patterns of recovery following treatment.

Methods

Participants (n = 554) were attending Australian Salvation Army residential treatment services for substance use issues. Data were collected by surveys at intake and 3-month post-discharge (‘early recovery’). Recovery indicators were cravings, confidence to resist substance use and the Depression, Anxiety and Stress Scale. Subgroups of individuals based on these recovery indicators (‘profiles’) were identified using repeated measures latent profile analysis.

Results

Five profiles were identified, three profiles improved over time (81.4%) and two (18.6%) deteriorated across all indicators. These two profiles had the poorest mental health and addiction scores at intake and reported shorter time in treatment compared to the three profiles showing improvement. There were no demographic or substance type differences between profiles.

Discussion and Conclusions

By considering initial severity and multiple recovery indicators at early recovery, this study suggests that individuals at-risk of poor early recovery can be identified at intake. This opens opportunities for tailored treatment approaches to address both mental health and substance use, thereby potentially improving treatment outcomes and reducing the risk of relapse.

导言：持续改善药物使用障碍的住院治疗至关重要，因为它通常针对的是需求最大的人群。在入院时和出院后评估多种康复指标（如渴望和心理健康）对于评估治疗效果非常重要。为了完善服务，研究应探讨是否存在治疗后康复模式不同的亚群体：参与者（n = 554）因药物使用问题接受了澳大利亚救世军的住院治疗服务。数据通过入院时和出院后 3 个月（"早期康复"）的调查收集。康复指标包括渴望程度、抵制药物使用的信心以及抑郁、焦虑和压力量表。根据这些康复指标（"特征"），采用重复测量潜特征分析法确定了个人的分组：结果：共确定了五个特征，其中三个特征随着时间的推移有所改善（81.4%），两个特征（18.6%）在所有指标上都有所恶化。这两例患者在入院时的心理健康和成瘾评分最差，与三例病情好转的患者相比，他们接受治疗的时间更短。不同情况之间没有人口统计或药物类型上的差异：通过考虑早期康复的初始严重程度和多种康复指标，本研究表明，可以在入院时识别出早期康复不佳的高危人群。这就为同时解决心理健康和药物使用问题的针对性治疗方法提供了机会，从而有可能改善治疗效果并降低复发风险。

{"title":"Patterns of substance use recovery following residential treatment: A repeated measures latent profile analysis","authors":"Laura D. Robinson, Tayla J. Degan, Frank P. Deane, Peter J. Kelly","doi":"10.1111/dar.13904","DOIUrl":"10.1111/dar.13904","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Ongoing improvement to residential treatment for substance use disorders is critical as it typically targets people with the highest need. Assessing multiple recovery indicators, such as cravings and mental health, at intake and following discharge is important in evaluating treatment effectiveness. To refine services, research should explore whether there are subgroups of individuals with different patterns of recovery following treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants (<i>n</i> = 554) were attending Australian Salvation Army residential treatment services for substance use issues. Data were collected by surveys at intake and 3-month post-discharge (‘early recovery’). Recovery indicators were cravings, confidence to resist substance use and the Depression, Anxiety and Stress Scale. Subgroups of individuals based on these recovery indicators (‘profiles’) were identified using repeated measures latent profile analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five profiles were identified, three profiles improved over time (81.4%) and two (18.6%) deteriorated across all indicators. These two profiles had the poorest mental health and addiction scores at intake and reported shorter time in treatment compared to the three profiles showing improvement. There were no demographic or substance type differences between profiles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>By considering initial severity and multiple recovery indicators at early recovery, this study suggests that individuals at-risk of poor early recovery can be identified at intake. This opens opportunities for tailored treatment approaches to address both mental health and substance use, thereby potentially improving treatment outcomes and reducing the risk of relapse.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 7","pages":"1985-1996"},"PeriodicalIF":3.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimating the alcohol-related burden of child maltreatment among Māori in Aotearoa, New Zealand 估算新西兰奥特亚罗瓦毛利人中与酒精有关的虐待儿童负担。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-21 DOI: 10.1111/dar.13906

Taisia Huckle, Helen Moewaka Barnes, Jose S. Romeo

Introduction

To assesses the alcohol-related burden of child maltreatment among Māori in Aotearoa New Zealand. We compared the risk of child maltreatment among Māori (0–17 years) exposed to parents with alcohol-related hospitalisation or mental health/addiction service use. We also conducted a sensitivity analysis to estimate the number of cases of maltreatment that could be attributed to alcohol among Māori.

Methods

A cohort study of 16,617 Māori aged 0–17 and their parents from 2000 to 2017 was conducted using the Statistics New Zealand Integrated Data Infrastructure. A Bayesian piecewise exponential model estimated the risk of time to first child maltreatment event. This analysis used data from child protection, hospital, mortality and police records, and specifically focused on the risk associated with exposure to parents with an alcohol-attributable hospitalisation or mental health/addiction service use event. Potential confounders for both parents and Māori (0–17 years) were included. We calculated a population-attributable fraction to estimate the proportion of maltreatment cases that could be attributed to alcohol in 2017.

Results

Results showed a 65% increased risk for young Māori exposed to parents with heavy alcohol use. We estimated 17% of substantiated child maltreatment among Māori could be attributed to parental hazardous alcohol consumption.

Discussion and Conclusions

Severe or hazardous alcohol consumption among parents is a risk factor for child maltreatment among Māori. Māori alcohol consumption and harm are symptomatic of wider inequities related, among other things, to the ongoing effects of colonisation, as well as gaps in the regulation of alcohol sales.

导言：目的：评估新西兰奥特亚罗瓦毛利人中与酒精有关的儿童虐待负担。我们比较了毛利人（0-17岁）因父母酗酒住院或使用精神健康/成瘾服务而遭受虐待的风险。我们还进行了一项敏感性分析，以估计毛利人中可归因于酒精的虐待案例数量：我们利用新西兰统计局综合数据基础设施（Statistics New Zealand Integrated Data Infrastructure）对2000年至2017年期间的16617名0-17岁毛利人及其父母进行了一项队列研究。贝叶斯片断指数模型估算了儿童首次遭受虐待的时间风险。该分析使用了来自儿童保护、医院、死亡率和警方记录的数据，并特别关注与父母因酗酒住院或使用精神健康/成瘾服务事件相关的风险。父母和毛利人（0-17 岁）的潜在混杂因素都包括在内。我们计算了人口可归因部分，以估计2017年可归因于酒精的虐待病例比例：结果显示，父母严重酗酒的毛利青少年遭受虐待的风险增加了65%。我们估计，在毛利人中，17%经证实的虐待儿童事件可归因于父母酗酒：讨论与结论：父母酗酒或严重酗酒是毛利人虐待儿童的一个危险因素。毛利人的酒精消费和伤害是更广泛的不平等的表现，除其他外，这与殖民化的持续影响以及酒精销售监管方面的差距有关。

{"title":"Estimating the alcohol-related burden of child maltreatment among Māori in Aotearoa, New Zealand","authors":"Taisia Huckle, Helen Moewaka Barnes, Jose S. Romeo","doi":"10.1111/dar.13906","DOIUrl":"10.1111/dar.13906","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>To assesses the alcohol-related burden of child maltreatment among Māori in Aotearoa New Zealand. We compared the risk of child maltreatment among Māori (0–17 years) exposed to parents with alcohol-related hospitalisation or mental health/addiction service use. We also conducted a sensitivity analysis to estimate the number of cases of maltreatment that could be attributed to alcohol among Māori.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cohort study of 16,617 Māori aged 0–17 and their parents from 2000 to 2017 was conducted using the Statistics New Zealand Integrated Data Infrastructure. A Bayesian piecewise exponential model estimated the risk of time to first child maltreatment event. This analysis used data from child protection, hospital, mortality and police records, and specifically focused on the risk associated with exposure to parents with an alcohol-attributable hospitalisation or mental health/addiction service use event. Potential confounders for both parents and Māori (0–17 years) were included. We calculated a population-attributable fraction to estimate the proportion of maltreatment cases that could be attributed to alcohol in 2017.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results showed a 65% increased risk for young Māori exposed to parents with heavy alcohol use. We estimated 17% of substantiated child maltreatment among Māori could be attributed to parental hazardous alcohol consumption.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Severe or hazardous alcohol consumption among parents is a risk factor for child maltreatment among Māori. Māori alcohol consumption and harm are symptomatic of wider inequities related, among other things, to the ongoing effects of colonisation, as well as gaps in the regulation of alcohol sales.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 6","pages":"1473-1482"},"PeriodicalIF":3.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13906","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exposure to parental problem drinking during adolescence and symptoms of depression and anxiety in young adulthood: A Swedish national cohort study 青少年时期父母酗酒与青少年成年后的抑郁和焦虑症状：瑞典全国队列研究。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-19 DOI: 10.1111/dar.13910

Sara Brolin Låftman, Viveca Östberg, Joakim Wahlström, Mats Ramstedt, Jonas Raninen

Introduction

Previous research has shown associations between parental problem drinking and adverse mental health outcomes in children. However, while many studies assess parental alcohol problems based on clinical measures, longitudinal studies that investigate the impact of potentially less severe levels of parental alcohol problems are scarce. The aim of this study was to examine if the existence and severity of child-reported parental problem drinking in adolescence is associated with symptoms of depression and anxiety in young adult men and women.

Methods

Data was obtained from the Swedish national cohort study Futura01, including 3143 participants born in 2001 who were surveyed in 2017 (age 15–16) and 2022 (age 20–21). Parental problem drinking was measured at age 15–16 with the short version of The Children of Alcoholics Screening Test. Depression and anxiety symptoms were measured at age 20–21 with the Patient Health Questionnaire-4. Registry information on gender, parental education and parental country of birth were included as covariates.

Results

The results demonstrated an exposure-response pattern, with greater severity of parental problem drinking associated with an increased probability of reporting depression and anxiety symptoms 5 years later. The association between parental problem drinking and subsequent depression symptoms was however present only in females.

Discussion and Conclusions

Adolescents exposed to parental problem drinking have elevated risks of long-term adverse mental health. These risks increase with greater severity of parental problem drinking. It is thus crucial with efforts preventing parental problem drinking and efforts promoting health among children and adolescents who are exposed.

导言：以往的研究表明，父母酗酒问题与儿童的不良心理健康结果之间存在关联。然而，虽然许多研究都是根据临床测量来评估父母的酗酒问题，但很少有纵向研究来调查父母酗酒问题的潜在较轻程度所产生的影响。本研究旨在探讨儿童报告的父母青少年时期酗酒问题的存在和严重程度是否与青年男女的抑郁和焦虑症状有关：数据来自瑞典国家队列研究Futura01，包括3143名2001年出生的参与者，他们分别在2017年（15-16岁）和2022年（20-21岁）接受了调查。在 15-16 岁时，使用酗酒者子女筛查测试简版对父母的酗酒问题进行了测量。20-21岁时的抑郁和焦虑症状通过《患者健康问卷-4》进行测量，性别、父母受教育程度和父母出生国等登记信息作为协变量被纳入其中：结果：研究结果显示了一种暴露-反应模式，父母酗酒问题越严重，5 年后报告抑郁和焦虑症状的概率越高。然而，父母酗酒与随后的抑郁症状之间的关联仅出现在女性身上：讨论与结论：父母酗酒对青少年的心理健康造成长期不利影响的风险较高。这些风险随着父母酗酒问题的严重程度而增加。因此，预防父母问题饮酒和促进接触问题饮酒的儿童和青少年的健康至关重要。

{"title":"Exposure to parental problem drinking during adolescence and symptoms of depression and anxiety in young adulthood: A Swedish national cohort study","authors":"Sara Brolin Låftman, Viveca Östberg, Joakim Wahlström, Mats Ramstedt, Jonas Raninen","doi":"10.1111/dar.13910","DOIUrl":"10.1111/dar.13910","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Previous research has shown associations between parental problem drinking and adverse mental health outcomes in children. However, while many studies assess parental alcohol problems based on clinical measures, longitudinal studies that investigate the impact of potentially less severe levels of parental alcohol problems are scarce. The aim of this study was to examine if the existence and severity of child-reported parental problem drinking in adolescence is associated with symptoms of depression and anxiety in young adult men and women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data was obtained from the Swedish national cohort study Futura01, including 3143 participants born in 2001 who were surveyed in 2017 (age 15–16) and 2022 (age 20–21). Parental problem drinking was measured at age 15–16 with the short version of The Children of Alcoholics Screening Test. Depression and anxiety symptoms were measured at age 20–21 with the Patient Health Questionnaire-4. Registry information on gender, parental education and parental country of birth were included as covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results demonstrated an exposure-response pattern, with greater severity of parental problem drinking associated with an increased probability of reporting depression and anxiety symptoms 5 years later. The association between parental problem drinking and subsequent depression symptoms was however present only in females.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Adolescents exposed to parental problem drinking have elevated risks of long-term adverse mental health. These risks increase with greater severity of parental problem drinking. It is thus crucial with efforts preventing parental problem drinking and efforts promoting health among children and adolescents who are exposed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 6","pages":"1461-1472"},"PeriodicalIF":3.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of on-site drug analysis within supervised injecting facilities: A case presentation of an adverse event highlighting need 现场药物分析在受监督注射机构中的作用：不良事件案例介绍，凸显需求。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-19 DOI: 10.1111/dar.13909

Robert Page, Marianne Jauncey, Jonathan Brett, Will Wood, Amanda Roxburgh

Introduction

The Sydney Medically Supervised Injecting Centre provides a safe, non-judgemental space where people can inject pre-obtained substances under the supervision of trained staff. This article describes an unusual incident occurring at the Medically Supervised Injecting Centre in January 2023.

Case Presentation

Two regular male clients attending the Medically Supervised Injecting Centre injected a substance they believed to be cocaine. Both clients experienced adverse reactions; one was transported to hospital, while the other became extremely distressed and agitated. Paraphernalia sent for testing returned a result of tiletamine (a dissociative used in veterinary medicine) and no cocaine, 30 h after the incident.

Discussion and Conclusions

Where substances are novel or unknown, adverse events are often unexpected and may be more difficult to prepare for. Substance-induced acute agitation can be alarming and hazardous for people consuming drugs and those around them and may pose challenges for staff. There is a substantial evidence base for the benefits of on-site drug analysis and drug checking in reducing harms related to drug use, and in enhancing drug market monitoring. This incident was successfully managed by Medically Supervised Injecting Centre and hospital staff, with no major consequence, however clinical management could have been improved using point of care drug testing.

简介：悉尼医疗监督注射中心为人们提供了一个安全、不受评判的空间，人们可以在训练有素的工作人员监督下注射预先获得的物质。本文描述了 2023 年 1 月在医疗监督注射中心发生的一起不寻常事件：两名经常光顾医疗监督注射中心的男性客户注射了一种他们认为是可卡因的物质。两名客户都出现了不良反应；其中一人被送往医院，另一人则变得极度痛苦和焦躁。事件发生 30 小时后，送去检测的用具检测结果为瓦他敏（一种用于兽医的解离剂），没有可卡因：如果使用的物质是新的或未知的，不良事件往往会出乎意料，而且可能更难防范。药物诱发的急性躁动可能会让吸毒者及其周围的人感到震惊和危险，也可能会给工作人员带来挑战。有大量证据表明，现场药物分析和药物检查可减少与吸毒有关的危害，并加强对毒品市场的监控。医疗监督注射中心和医院工作人员成功地处理了这一事件，没有造成重大后果，但临床管理本可以通过使用护理点药物检测加以改进。

{"title":"The role of on-site drug analysis within supervised injecting facilities: A case presentation of an adverse event highlighting need","authors":"Robert Page, Marianne Jauncey, Jonathan Brett, Will Wood, Amanda Roxburgh","doi":"10.1111/dar.13909","DOIUrl":"10.1111/dar.13909","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The Sydney Medically Supervised Injecting Centre provides a safe, non-judgemental space where people can inject pre-obtained substances under the supervision of trained staff. This article describes an unusual incident occurring at the Medically Supervised Injecting Centre in January 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentation</h3>\u0000 \u0000 <p>Two regular male clients attending the Medically Supervised Injecting Centre injected a substance they believed to be cocaine. Both clients experienced adverse reactions; one was transported to hospital, while the other became extremely distressed and agitated. Paraphernalia sent for testing returned a result of tiletamine (a dissociative used in veterinary medicine) and no cocaine, 30 h after the incident.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Where substances are novel or unknown, adverse events are often unexpected and may be more difficult to prepare for. Substance-induced acute agitation can be alarming and hazardous for people consuming drugs and those around them and may pose challenges for staff. There is a substantial evidence base for the benefits of on-site drug analysis and drug checking in reducing harms related to drug use, and in enhancing drug market monitoring. This incident was successfully managed by Medically Supervised Injecting Centre and hospital staff, with no major consequence, however clinical management could have been improved using point of care drug testing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 6","pages":"1592-1596"},"PeriodicalIF":3.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13909","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alcohol control policy and alcohol-attributable disease burden in Finland and the Baltic countries: A longitudinal study 1995–2019 芬兰和波罗的海国家的酒精控制政策与酒精所致疾病负担：1995-2019 年纵向研究。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-15 DOI: 10.1111/dar.13901

Anastasia Månsson, Lode van der Velde, Thomas Karlsson, Lauri Beekmann, Elsa Jonsson Stenberg, Juanita Haagsma, Giulio Castelpietra, Emilie E. Agardh, Peter Allebeck

Introduction

Alcohol remains a significant contributor to mortality and morbidity in Finland and the Baltic countries, particularly among men. This study aimed to assess alcohol policy restrictiveness in this region from 1995 to 2019 using a modified version of the Bridging the Gap (BtG-M) policy scale and examine its association with alcohol-related disease burden.

Methods

The study utilised national laws to score policy restrictiveness (higher BtG-M scores mean stricter policies) and age-standardised rates of disability-adjusted life years (DALY), years of life lost, years lived with disability and deaths per 100,000 from the 2019 Global Burden of Disease Study (GBD). Spearman correlation tests and panel data regression models were applied to assess the association between policy score and burden of disease.

Results

Finland maintained a high BtG-M score, while the Baltic countries experienced recent increases from initially lower scores. Alcohol-related disease burden showed an inverse association with policy changes in these countries. Strongest association was seen between the BtG-M score and DALY rates attributed to injuries. Premature mortality among men constituted the largest proportion of disease burden.

Discussion and Conclusions

Despite challenges in accessing and comparing policy data over time, we showed a strong association between alcohol policy and alcohol-related harm in Finland and the Baltic countries. This study is one of the first to use the BtG-M scale to monitor changes in alcohol policies over time and their relationship to alcohol-related harm using GBD methodology. The study highlights the effects of national alcohol policies on levels of alcohol-related harm.

导言：在芬兰和波罗的海国家，酒精仍然是导致死亡和发病的重要因素，尤其是在男性中。本研究旨在使用 "缩小差距"（BtG-M）政策量表的修订版评估该地区 1995 年至 2019 年的酒精政策限制性，并研究其与酒精相关疾病负担的关系：研究利用国家法律对政策限制性进行评分（BtG-M 评分越高，表示政策越严格），并利用《2019 年全球疾病负担研究》（GBD）中每 10 万人的残疾调整生命年（DALY）、丧失生命年数、残疾生存年数和死亡人数的年龄标准化比率。斯皮尔曼相关检验和面板数据回归模型用于评估政策得分与疾病负担之间的关联：结果：芬兰保持了较高的 BtG-M 分数，而波罗的海国家则从最初的较低分数上升到最近的较高分数。在这些国家，与酒精相关的疾病负担与政策变化呈反向关系。BtG-M 分数与因伤害造成的残疾调整寿命年数之间的关系最为密切。男性过早死亡在疾病负担中所占比例最大：尽管在获取和比较不同时期的政策数据方面存在挑战，但我们发现芬兰和波罗的海国家的酒精政策与酒精相关伤害之间存在密切联系。这项研究是首批使用 BtG-M 量表监测酒精政策随时间推移的变化及其与酒精相关危害之间关系的研究之一。该研究强调了国家酒精政策对酒精相关危害水平的影响。

{"title":"Alcohol control policy and alcohol-attributable disease burden in Finland and the Baltic countries: A longitudinal study 1995–2019","authors":"Anastasia Månsson, Lode van der Velde, Thomas Karlsson, Lauri Beekmann, Elsa Jonsson Stenberg, Juanita Haagsma, Giulio Castelpietra, Emilie E. Agardh, Peter Allebeck","doi":"10.1111/dar.13901","DOIUrl":"10.1111/dar.13901","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Alcohol remains a significant contributor to mortality and morbidity in Finland and the Baltic countries, particularly among men. This study aimed to assess alcohol policy restrictiveness in this region from 1995 to 2019 using a modified version of the Bridging the Gap (BtG-M) policy scale and examine its association with alcohol-related disease burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study utilised national laws to score policy restrictiveness (higher BtG-M scores mean stricter policies) and age-standardised rates of disability-adjusted life years (DALY), years of life lost, years lived with disability and deaths per 100,000 from the 2019 Global Burden of Disease Study (GBD). Spearman correlation tests and panel data regression models were applied to assess the association between policy score and burden of disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Finland maintained a high BtG-M score, while the Baltic countries experienced recent increases from initially lower scores. Alcohol-related disease burden showed an inverse association with policy changes in these countries. Strongest association was seen between the BtG-M score and DALY rates attributed to injuries. Premature mortality among men constituted the largest proportion of disease burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Despite challenges in accessing and comparing policy data over time, we showed a strong association between alcohol policy and alcohol-related harm in Finland and the Baltic countries. This study is one of the first to use the BtG-M scale to monitor changes in alcohol policies over time and their relationship to alcohol-related harm using GBD methodology. The study highlights the effects of national alcohol policies on levels of alcohol-related harm.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 6","pages":"1338-1348"},"PeriodicalIF":3.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accessing supports due to others' harmful drinking 因他人有害饮酒而获得支持。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-15 DOI: 10.1111/dar.13898

Jade Rintala, Koen Smit, Robin Room, Heng Jiang, Anne-Marie Laslett

Introduction

Alcohol's harm to others (AHTO) refers to harms caused to those other than the drinker. The current paper estimates the prevalence of formal and informal supports sought due to AHTO and examines whether the type of support accessed varies by sociodemographic, economic and harm-related characteristics.

Methods

An Australian sample of 2574 people completed the 2021 AHTO survey, out of which 888 perceived they experienced harm from another's drinking. Prevalence of accessing services and supports was measured. Additionally, several sociodemographic factors, economic factors and harm-related factors were included in multivariable logistic regression models predicting service/support use. Specifically, four models were constructed probing use of any service/support, use of police, use of counselling services and use of family/friend support.

Results

Of the survey sample, 12.4% accessed any support/service. Seeking support from family and/or friends was most common, followed by police, counselling, healthcare services and being admitted to hospital. Women had higher odds of accessing counselling and family/friend support. Respondents with a higher education level and two or more financial stressors had higher odds of accessing police and counselling. Respondents harmed by a stranger had higher odds of accessing police, whereas respondents harmed by someone they know had higher odds of seeking support from family/friends. Experiencing more severe harm was associated with greater odds of accessing any support.

Discussion and Conclusions

Several sociodemographic and economic factors were associated with accessing different supports. These findings may inform service development, interventions and policy changes for people affected by others' drinking.

导言：酒精对他人的伤害（AHTO）是指对饮酒者以外的其他人造成的伤害。本文估算了因酒精对他人造成的伤害而寻求正式和非正式支持的普遍程度，并研究了获得支持的类型是否因社会人口、经济和伤害相关特征而有所不同：澳大利亚有 2574 人完成了 2021 年澳大利亚酗酒者健康状况调查，其中 888 人认为自己受到了他人酗酒的伤害。调查测量了获得服务和支持的普遍程度。此外，一些社会人口因素、经济因素和与伤害相关的因素也被纳入了预测服务/支持使用情况的多变量逻辑回归模型中。具体来说，我们构建了四个模型，分别探究任何服务/支持的使用情况、警方的使用情况、咨询服务的使用情况以及家庭/朋友支持的使用情况：在调查样本中，12.4%的人使用过任何支持/服务。向家人和/或朋友寻求支持最常见，其次是报警、咨询、医疗服务和入院。女性获得咨询和家人/朋友支持的几率更高。受教育程度较高且有两个或两个以上经济压力的受访者向警方求助和寻求咨询的几率较高。受到陌生人伤害的受访者向警方求助的几率更高，而受到熟人伤害的受访者向家人/朋友寻求支持的几率更高。受到更严重伤害的受访者寻求任何支持的几率更高：一些社会人口和经济因素与获得不同的支持有关。这些发现可以为受他人饮酒影响者的服务发展、干预措施和政策改变提供参考。

{"title":"Accessing supports due to others' harmful drinking","authors":"Jade Rintala, Koen Smit, Robin Room, Heng Jiang, Anne-Marie Laslett","doi":"10.1111/dar.13898","DOIUrl":"10.1111/dar.13898","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Alcohol's harm to others (AHTO) refers to harms caused to those other than the drinker. The current paper estimates the prevalence of formal and informal supports sought due to AHTO and examines whether the type of support accessed varies by sociodemographic, economic and harm-related characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An Australian sample of 2574 people completed the 2021 AHTO survey, out of which 888 perceived they experienced harm from another's drinking. Prevalence of accessing services and supports was measured. Additionally, several sociodemographic factors, economic factors and harm-related factors were included in multivariable logistic regression models predicting service/support use. Specifically, four models were constructed probing use of any service/support, use of police, use of counselling services and use of family/friend support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the survey sample, 12.4% accessed any support/service. Seeking support from family and/or friends was most common, followed by police, counselling, healthcare services and being admitted to hospital. Women had higher odds of accessing counselling and family/friend support. Respondents with a higher education level and two or more financial stressors had higher odds of accessing police and counselling. Respondents harmed by a stranger had higher odds of accessing police, whereas respondents harmed by someone they know had higher odds of seeking support from family/friends. Experiencing more severe harm was associated with greater odds of accessing any support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Several sociodemographic and economic factors were associated with accessing different supports. These findings may inform service development, interventions and policy changes for people affected by others' drinking.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 6","pages":"1493-1504"},"PeriodicalIF":3.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13898","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Young people's experiences of addiction to nicotine vaping products: A qualitative analysis from Aotearoa New Zealand 年轻人对尼古丁吸食产品上瘾的经历：来自新西兰奥特亚罗瓦的定性分析。

IF 3 3区医学 Q2 SUBSTANCE ABUSE

Drug and alcohol review

Pub Date : 2024-07-15 DOI: 10.1111/dar.13902

Anna Graham-DeMello, Olivia Sloan, Katie Frost, Janet Hoek

Introduction

Young people who use nicotine-containing electronic cigarettes, or ‘vapes’, risk becoming addicted to these products. While several studies document dependency symptoms, few report in-depth qualitative analyses of addiction.

Methods

We explored experiences of self-reported vaping addiction using in-depth interviews with 22 young people aged 16–20 years who vaped and lived in Aotearoa New Zealand. Our semi-structured interview guide probed participants' early experiences and how they progressed from experimentation to addiction and explored how addiction affected their perceptions and daily routines. We used an inductive reflexive thematic analysis approach to interpret the data.

Results

Vaping's pervasiveness piqued participants' curiosity and encouraged trial. Most transitioned from experimentation to addiction within a couple of months; while a minority described a slower progression, nearly all felt irritable, angry or uncomfortable if they had to delay vaping. Intense cravings disrupted school and work routines and dictated how they spent their time. Many deeply regretted vaping and some suffered shame and embarrassment. These participants saw vaping as a threat to the well-being of younger youth, which they tried to shield from addiction.

Discussion and Conclusions

We go beyond earlier studies by probing the burden vaping comes to represent, offering new insights into young people's everyday experiences of vaping addiction. In addition to informing health promotion campaigns, our findings could inform policy directions. Understanding the speed with which addiction can occur, its impact on daily life, and the considerable regret many felt could help inform a more strategic and sorely needed approach to reducing youth vaping.

导言：使用含尼古丁电子香烟或 "vapes "的年轻人有可能对这些产品上瘾。虽然有几项研究记录了依赖症状，但很少有报告对成瘾进行深入的定性分析：我们对 22 名居住在新西兰奥特亚罗瓦、年龄在 16-20 岁之间的吸食者进行了深入访谈，探讨了他们自我报告的吸食成瘾经历。我们的半结构式访谈指南探究了参与者的早期经历以及他们是如何从尝试发展到上瘾的，并探讨了上瘾是如何影响他们的观念和日常生活的。我们采用归纳式反思主题分析方法来解释数据：结果：吸食电子烟的普遍性激发了参与者的好奇心并鼓励他们尝试。大多数人在几个月内从尝试过渡到上瘾；少数人描述了一个缓慢的过程，但几乎所有人都感到烦躁、愤怒或不舒服，如果他们不得不推迟吸食。强烈的渴望打乱了他们的学习和工作计划，也决定了他们如何打发时间。许多人对吸烟深感后悔，有些人感到羞耻和尴尬。这些参与者将吸食电子烟视为对年轻一代福祉的威胁，他们试图保护年轻一代不染上毒瘾：我们超越了之前的研究，探究了吸烟带来的负担，为年轻人日常的吸烟成瘾经历提供了新的见解。除了为健康宣传活动提供信息外，我们的研究结果还可以为政策制定提供参考。了解上瘾发生的速度、上瘾对日常生活的影响以及许多人感到的巨大遗憾，有助于为减少青少年吸烟提供更具战略性且亟需的方法。

{"title":"Young people's experiences of addiction to nicotine vaping products: A qualitative analysis from Aotearoa New Zealand","authors":"Anna Graham-DeMello, Olivia Sloan, Katie Frost, Janet Hoek","doi":"10.1111/dar.13902","DOIUrl":"10.1111/dar.13902","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Young people who use nicotine-containing electronic cigarettes, or ‘vapes’, risk becoming addicted to these products. While several studies document dependency symptoms, few report in-depth qualitative analyses of addiction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We explored experiences of self-reported vaping addiction using in-depth interviews with 22 young people aged 16–20 years who vaped and lived in Aotearoa New Zealand. Our semi-structured interview guide probed participants' early experiences and how they progressed from experimentation to addiction and explored how addiction affected their perceptions and daily routines. We used an inductive reflexive thematic analysis approach to interpret the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Vaping's pervasiveness piqued participants' curiosity and encouraged trial. Most transitioned from experimentation to addiction within a couple of months; while a minority described a slower progression, nearly all felt irritable, angry or uncomfortable if they had to delay vaping. Intense cravings disrupted school and work routines and dictated how they spent their time. Many deeply regretted vaping and some suffered shame and embarrassment. These participants saw vaping as a threat to the well-being of younger youth, which they tried to shield from addiction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>We go beyond earlier studies by probing the burden vaping comes to represent, offering new insights into young people's everyday experiences of vaping addiction. In addition to informing health promotion campaigns, our findings could inform policy directions. Understanding the speed with which addiction can occur, its impact on daily life, and the considerable regret many felt could help inform a more strategic and sorely needed approach to reducing youth vaping.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"43 7","pages":"1710-1717"},"PeriodicalIF":3.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.13902","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0