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Between acute medicine and municipal alcohol treatment: Cross-sectoral collaborations regarding patients with alcohol problems 急症医学与市政酒精治疗之间的关系:针对酗酒患者的跨部门合作
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-05-24 DOI: 10.1177/14550725241252256
Ditte Maria Sivertsen, Ulrik Becker, Ove Andersen, J. Kirk
Aim: The aim was to examine cross-sectoral collaborations of a Danish emergency department (ED) and two municipal treatment centres in the uptake area regarding patients with alcohol problems. Methods: The study was a qualitative exploratory study. We conducted individual interviews with ED nurses and secretaries ( n = 21) and group interviews ( n = 2) in municipal alcohol treatment centres with three and four participants, respectively. Interviews were analysed, first with qualitative content analysis, then by applying the analytical concept “boundary object”. Results: Three themes emerged: (1) Responsibilities in practice; (2) Professional contrasts; and (3) The social nurse in a unique position. Themes illuminated a low degree of collaboration characterising the intersectoral work. Blurred responsibilities, challenged communication and acute versus long-term focus were some of the factors not supporting cross-sector collaborations. However, the function of the social nurse was highly appreciated in both sectors and plays a central role. Nonetheless, implicit limitations of this function entail that not all patients with alcohol problems are referred and handled within an ED setting. Conclusions: Overall, we found a lack of collaborative work between healthcare professionals in ED and municipalities for patients with alcohol problems. However, the “social nurse” function was greatly valued in both sectors due to a mediating role, since healthcare professionals in both sectors experienced lack of organisational structures supporting collaborative network, perceived temporal barriers, limited knowledge exchange and differences in approaches to patients.
目的:旨在研究丹麦一家急诊科(ED)和两个市政治疗中心在收治酒精问题患者方面的跨部门合作。研究方法本研究是一项定性探索性研究。我们对急诊科护士和秘书进行了个别访谈(21 人),并在市级酒精治疗中心进行了小组访谈(2 人),分别有 3 人和 4 人参加。首先对访谈内容进行定性分析,然后运用 "边界对象 "这一分析概念进行分析。结果:出现了三个主题:(1) 实践中的责任;(2) 专业对比;(3) 社会护士的独特地位。这些主题揭示了跨部门工作协作程度低的特点。责任模糊、沟通困难以及急性与长期关注点的对比是不支持跨部门合作的一些因素。不过,社会护士的职能在两个部门都得到了高度评价,并发挥了核心作用。然而,这一职能的隐性局限性导致并非所有有酒精问题的患者都能在急诊室环境中得到转诊和处理。结论:总体而言,我们发现急诊室和市政当局的医护人员之间缺乏针对酒精问题患者的合作。然而,"社会护士 "的功能在这两个部门都受到了极大的重视,因为它起到了中介的作用,因为这两个部门的医护人员都经历了缺乏支持合作网络的组织结构、感知到的时间障碍、有限的知识交流以及对待病人的方法不同等问题。
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引用次数: 0
North America's fentanyl death crisis: Selected lessons for Europe's future? 北美的芬太尼死亡危机:欧洲未来的部分经验教训?
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-05-22 DOI: 10.1177/14550725241253362
Benedikt Fischer, Didier Jutras-Aswad, Bernard LeFoll, Tessa Robinson
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引用次数: 0
The legal framework for the production of alcohol for personal use within the European Union 欧盟内部生产自用酒精的法律框架
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-04-24 DOI: 10.1177/14550725241246133
C. Kilian, F. Braddick, Jürgen Rehm
Aim: This paper provides an overview of the legal framework for alcohol produced for personal use in European Union (EU) Member States. Methods: We reviewed the national excise duty legislations of EU Member States and conducted an online mapping survey, in which 10 alcohol experts from seven EU Member States plus Iceland participated. Results: We found that the production of alcohol for personal use is tax exempt in 12 jurisdictions, with four countries stipulating a maximum volume of alcohol that can be produced for personal use. The most common alcoholic beverages concerned were beer and wine, while only one country set a tax exemption for spirits. The results were complemented by the alcohol expert mapping survey; tax exemptions were reported for two additional Member States. Conclusion: Legal exemptions for the production of alcohol for personal use were established in every second EU Member State and may therefore contribute to the unrecorded consumption of alcohol in these countries. In light of the detrimental health effects of alcohol, economic interests to support the local small-scale production of alcohol have to be carefully evaluated against public health interests.
目的:本文概述了欧洲联盟(EU)成员国生产自用酒类的法律框架。方法:我们查阅了欧盟成员国的国家消费税立法,并进行了在线摸底调查,来自 7 个欧盟成员国和冰岛的 10 名酒类专家参加了调查。调查结果显示我们发现,有 12 个国家对生产自用酒精免税,其中 4 个国家规定了自用酒精的最大生产量。最常见的酒精饮料是啤酒和葡萄酒,只有一个国家对烈酒规定了免税。酒类专家摸底调查对上述结果进行了补充;另外两个会员国报告了免税情况。结论每两个欧盟成员国中就有一个国家对生产自用酒类实行免税,因此可能导致这些国家的酒类消费未被记录。鉴于酒精对健康的有害影响,必须对照公共健康利益,认真评估支持当地小规模酒精生产的经济利益。
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引用次数: 0
Sales of tobacco and nicotine replacement therapy products, especially nicotine pouches, increased in Finland during the COVID-19 pandemic 在 COVID-19 大流行期间,芬兰的烟草和尼古丁替代疗法产品,尤其是尼古丁袋的销售量有所增加
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-04-18 DOI: 10.1177/14550725241243150
Miia Aro, Patrick Sandström, Timo Ståhl, Hanna Ollila, Otto Ruokolainen, Terhi Kurko, Teemu Keski-Kuha, Tuula Vasankari
Aim: Some previous studies suggest that the consumption of tobacco and nicotine products overall declined during the COVID-19 pandemic, but the results are mixed. We investigated tobacco and nicotine product sales in Finland, including the sales of nicotine replacement therapy (NRT). Our particular focus was on nicotine pouches used as NRT. We aimed to evaluate the effect of the COVID-19 pandemic on the sales of tobacco and NRT products in 2020 by comparing the sales to the previous year. Methods: The data were derived from a large sales group (S group) in Finland, representing 46% of the market share in grocery trade in 2020. The gross weekly sales of tobacco (cigarettes, loose tobacco) and NRT (patches, inhalers, tablets, gum and “other”, consisting mainly of nicotine pouches) were retrieved from February to December 2020 from 1062 points of sale throughout the country and compared to the same period in 2019. Results: During this period, there was a significant increase in cigarette sales. Moreover, the sales of NRT were significantly higher throughout 2020 compared with 2019. Specifically, the sales of nicotine pouches sold as NRT increased, especially after the travel restrictions in Finland were initiated and the national boundaries closed in the spring of 2020. Conclusions: During the COVID-19 pandemic in Finland, the sales of cigarettes and NRT products increased, especially those of nicotine pouches sold as NRT. Our findings call for further research to reveal the factors leading to this increase and to determine whether the situation is long-standing.
目的:之前的一些研究表明,在COVID-19大流行期间,烟草和尼古丁产品的消费总体上有所下降,但结果不一。我们调查了芬兰的烟草和尼古丁产品销售情况,包括尼古丁替代疗法(NRT)的销售情况。我们特别关注了作为尼古丁替代疗法使用的尼古丁袋。我们旨在通过与前一年的销售情况进行比较,评估 COVID-19 大流行对 2020 年烟草和 NRT 产品销售的影响。研究方法数据来自芬兰的一个大型销售集团(S 集团),该集团占 2020 年杂货贸易市场份额的 46%。从 2020 年 2 月到 12 月,我们从全国 1062 个销售点获取了烟草(香烟、散装烟草)和 NRT(贴片、吸入器、药片、口香糖和 "其他",主要包括尼古丁袋)的每周销售总额,并与 2019 年同期进行了比较。结果显示在此期间,香烟销售量大幅增加。此外,与 2019 年相比,整个 2020 年的尼古丁烟销量明显增加。具体而言,作为非催化还原剂销售的尼古丁袋的销量有所增加,尤其是在芬兰开始实施旅行限制并于2020年春季关闭国界之后。结论在 COVID-19 在芬兰流行期间,香烟和 NRT 产品的销量有所增加,尤其是作为 NRT 出售的尼古丁袋的销量。我们的研究结果需要进一步研究,以揭示导致这种增长的因素,并确定这种情况是否长期存在。
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引用次数: 0
Unlocking the self: Can microdosing psychedelics make one feel more authentic? 解锁自我:微剂量迷幻药能让人感觉更真实吗?
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-04-01 Epub Date: 2023-05-24 DOI: 10.1177/14550725231175353
Ioana Pop, Jannis Dinkelacker

Background and aim: In the present study, we focus on the relationship between state authenticity - the experience of being true to oneself in a particular moment - and microdosing - a practice that implies repeatedly ingesting very small doses of psychedelics that do not reach the threshold for perceptual alterations. We propose that microdosing could increase state authenticity through influencing people's mood and the number and satisfaction with daily activities. Methods: We used self-assessments of state authenticity collected from 18 microdosers in the Netherlands across the period of 1 month for a total of 192 observations. Results: We found that on the microdosing day and the day thereafter, state authenticity was significantly higher. Furthermore, the number of activities and the satisfaction with them were higher on the day when participants microdosed, while the following day only the number of activities was higher. Both the number or activities and the satisfaction with them were positively related to state authenticity. Conclusion: We propose that feeling and behaving authentically could have a central role in explaining the positive effects of microdosing on health and wellbeing that are reported by current research.

背景和目的:在目前的研究中,我们关注的是状态真实性(在特定时刻对自己真实的体验)和微剂量之间的关系。微剂量是指反复摄入非常小剂量的致幻剂,而这些致幻剂没有达到感知改变的阈值。我们提出,微剂量可以通过影响人们的情绪和日常活动的数量和满意度来增加状态真实性。方法:我们使用从荷兰18个微剂量者收集的状态真实性自我评估,为期1个月,共192次观察。结果:我们发现在微给药当天及之后一天,状态真实性显著提高。此外,活动的数量和满意度在参与者服用微剂量的当天较高,而第二天只有活动的数量较高。活动的数量和满意度都与状态真实性呈正相关。结论:我们认为,真实的感觉和行为可能在解释微剂量对健康和福祉的积极影响方面发挥核心作用,这些影响是目前研究报告的。
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引用次数: 0
The PEERCARE peer led programme for college students: A qualitative evaluation ofa “chill-out” harm reduction space 针对大学生的 PEERCARE 朋辈引导计划:对 "放松 "减低伤害空间的定性评估
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-03-24 DOI: 10.1177/14550725231225597
Coline Blanzat, Olivier Phan, Tristan Hamonniere, C. Bonnaire
Aims: Harmful patterns of alcohol consumption, such as binge drinking, are prevalent among the student population at universities. Despite the risks of this behaviour, few secondary prevention programmes have been created to meet the specific needs of this population. The PEERCARE programme is a peer-based prevention programme that seeks harm reduction for alcohol overuse in party environments, among other goals. To do so, a “chill-out” space is created by peer educators in party environments to limit the risks associated with alcohol overuse. This study sought to examine peer educators’ experience with a chill-out space to identify their specific actions, difficulties and needs, and to consider possibilities for improvement. Methods: Nine engineering students from one French grandes écoles campus trained as peer educators (six men and three women; mean age 21 years) participated. Semi-structured interviews were used for data collection. Results: The thematic analysis showed that the peer educators were highly engaged with this programme in response to alcohol overuse on their campus. The chill-out space was lauded for its non-judgemental and non-moralising nature. In addition, the numerous risk reduction activities that were enacted confirmed the benefits of these spaces during parties. The peer educators’ experience was positive, and acting as managers of the chill-out space seemed to answer to a sense of competence recognitiontion. Conclusion: This study confirms the relevance of utilising chill-out spaces during parties and provides preliminary data on the deployment and management of peer-led chill-out space approaches. Expanding the implementation of such spaces to more educational institutions is recommended.
目的:在大学学生群体中,酗酒等有害的饮酒方式十分普遍。尽管这种行为存在风险,但很少有二级预防计划能满足这一人群的特殊需求。PEERCARE 计划是一项以同伴为基础的预防计划,其目标之一是减少聚会环境中过度饮酒的危害。为此,同伴教育者在聚会环境中创造了一个 "放松 "空间,以限制与酒精过度使用相关的风险。本研究试图考察同伴教育者在 "冷场 "空间中的经验,以确定他们的具体行动、困难和需求,并考虑改进的可能性。研究方法来自法国一所高等学校的九名工科学生(六男三女,平均年龄 21 岁)参加了同伴教育培训。采用半结构式访谈收集数据。结果显示专题分析表明,同伴教育者高度参与了这一针对校园酒精过度使用问题的计划。放松空间因其非评判性和非道德化的性质而备受赞誉。此外,开展的大量减少风险活动也证实了聚会期间这些空间的好处。同伴教育者的体验是积极的,作为休闲空间的管理者,他们的能力似乎得到了认可。结论本研究证实了在派对期间利用休闲空间的相关性,并提供了关于同伴主导的休闲空间的部署和管理方法的初步数据。建议在更多的教育机构中推广此类空间。
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引用次数: 0
Caring for elderly substance users: Challenges, dilemmas and recommendations 照顾老年药物使用者:挑战、困境和建议
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-03-24 DOI: 10.1177/14550725241235029
Bagga Bjerge, Jonas Strandholdt Bach, Johanne Korsdal Sørensen
Aim: To investigate the challenges and barriers in Danish care professionals’ work in relation to elderly citizens who use substances. Method: The study draws on data from a “going along” study of care professionals’ encounters with citizens as well as interviews with professionals. This was conducted in two smaller, rural municipalities in Denmark. Findings: Providing adequate care for elderly citizens who use substances can be highly challenging. This is due to a multitude of factors, especially (1) the complexity of their health conditions, (2) contradictory logics of care (autonomy vs. healthy living), (3) citizens often unpredictable behaviours, (4) lack of cooperation between welfare systems and, not least, (5) lack of knowledge and education among healthcare professionals. Conclusions: There is a need for more specialised procedures locally, the appointment of local “experts”, better cooperation between sectors and easier accessible training and information on the group on a national level.
目的:调查丹麦护理专业人员在与使用药物的老年公民相关的工作中所面临的挑战和障碍。研究方法:本研究利用了护理专业人员与市民 "同行 "的研究数据以及对专业人员的访谈。这项研究在丹麦两个较小的农村城市进行。研究结果为使用药物的老年公民提供适当的护理极具挑战性。这是由多种因素造成的,尤其是:(1)他们的健康状况十分复杂;(2)护理逻辑相互矛盾(自主与健康生活);(3)公民的行为往往难以预测;(4)福利系统之间缺乏合作;以及(5)医疗保健专业人员缺乏知识和教育。结论:当地需要更多的专业化程序,任命当地的 "专家",加强各部门之间的合作,并在全国范围内为该群体提供更便捷的培训和信息。
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引用次数: 0
Polyphonic narratives: The mixing of Alcoholics Anonymous and relapse prevention in stories about recovery and relapse 复调叙事:在有关康复和复发的故事中混合使用匿名戒酒和复发预防功能
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-03-24 DOI: 10.1177/14550725241233853
Karin Heimdahl Vepsä, Mats Ekendahl, Patrik Karlsson, Josefin Månsson
Aim: This exploratory study analyses the interplay between the treatment philosophies of Alcoholics Anonymous (AA) and Relapse Prevention (RP) in personal stories of addiction. While the basic ideas of AA and RP are compatible in many ways, they also carry some fundamental differences. Methods: The data consisted of interviews with 12 individuals recovering from substance use problems, who had experience of both AA and RP. The analysis drew on a dialogical narrative perspective, and the concept polyphony was used to shed light on the interplay between different treatment philosophies in personal stories of relapse. Findings: Although sometimes resulting in incoherence, the treatment philosophies were combined idiosyncratically, in ways that appeared productive for the participants’ self-images and recovery journeys. Conclusion: The combination of AA and RP philosophies in narratives of relapse and recovery may reflect a new treatment discourse where individualisation and responsibilisation stand in a complicated relationship with collectivism and surrendering to so-called addicting processes.
目的:这项探索性研究分析了匿名戒酒协会(AA)和复吸预防协会(RP)的治疗理念在个人毒瘾故事中的相互作用。虽然戒酒互助会和复吸预防的基本理念在很多方面是一致的,但它们也存在一些根本性的差异。研究方法数据包括对 12 名药物使用问题康复者的访谈,他们都有 AA 和 RP 的经历。分析采用了对话叙事的视角,并使用了复调的概念来揭示不同治疗理念在个人复吸故事中的相互作用。研究结果虽然有时会出现不一致的情况,但不同的治疗理念以独特的方式结合在一起,对参与者的自我形象和康复历程似乎很有帮助。结论AA 和 RP 哲学在复发和康复叙述中的结合可能反映了一种新的治疗论述,在这种论述中,个性化和责任感与集体主义和屈服于所谓的成瘾过程之间存在着复杂的关系。
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引用次数: 0
Snow season: The normalisation of cocaine 雪季:可卡因的正常化
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-03-18 DOI: 10.1177/14550725241234732
Matilda Hellman
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引用次数: 0
Implications of the decline in adolescent drinking on the experience of alcohol-related consequences in the Nordic countries: A study based on data from the ESPAD project 北欧国家青少年饮酒量下降对酒精相关后果体验的影响:基于 ESPAD 项目数据的研究
IF 1.7 3区 社会学 Q2 Social Sciences Pub Date : 2024-02-08 DOI: 10.1177/14550725241229016
Ola Ekholm, V. Pisinger, H. R. Jensen, Kim Bloomfield
Aims: The aim of this study was to investigate: (1) whether self-reported acute alcohol-related consequences among adolescents in the Nordic countries have declined in concert with the decline in alcohol consumption; (2) whether the relationship between alcohol consumption and alcohol-related consequences has strengthened; and (3) whether the decline in alcohol-related consequences can be attributed to the decline in alcohol consumption. Methods: Data are from the European School Survey Project on Alcohol and Other Drugs (ESPAD) cross-sectional surveys in 2007, 2011 and 2015. Participants were students aged 15–16 years in 2007 (n = 16,035), 2011 (n = 14,765) and 2015 (n = 13,517). Alcohol consumption variables included lifetime and 12-month alcohol use, volume ethanol at last drinking occasion and heavy episodic drinking in the past 30 days. Self-reported acute alcohol-related consequences were measured as a sum index of experiencing the following at least once within the last 12 months: (1) an accident or injury; (2) being victimised by robbery or theft; or (3) had trouble with the police. Results: For all alcohol indicators, adolescent alcohol use decreased between 2007 and 2015. The highest prevalence estimates were found in Denmark, and here only the number of current drinkers decreased significantly. In addition, a decreasing trend in self-reported acute alcohol-related consequences was observed. We did not find a strengthening of the alcohol consumption consequences association from 2007 to 2015, except in Iceland. When all surveys were combined, the decrease in alcohol-related consequences could be explained by a decrease in alcohol consumption. Conclusions: Overall, adolescents aged 15–16 years exhibited decreasing trends in both alcohol consumption, less markedly in Denmark, and in our sum index of alcohol-related consequences between 2007 and 2015. Except for Iceland, we found no support for a strengthening of the alcohol-consequences association with declining drinking among adolescents.
目的:本研究旨在调查:(1) 北欧国家青少年自我报告的急性酒精相关后果是否与酒精消费量的下降同步;(2) 酒精消费量与酒精相关后果之间的关系是否有所加强;(3) 酒精相关后果的下降是否可归因于酒精消费量的下降。研究方法:数据来自 2007 年、2011 年和 2015 年欧洲学校酒精和其他药物调查项目(ESPAD)的横断面调查。参与者为 2007 年(n = 16,035 人)、2011 年(n = 14,765 人)和 2015 年(n = 13,517 人)15-16 岁的学生。饮酒变量包括终生和 12 个月内的饮酒量、最后一次饮酒时的乙醇量以及过去 30 天内的大量偶发性饮酒。自我报告的与酒精有关的急性后果以过去 12 个月内至少经历过一次以下情况的总和指数来衡量:(1) 事故或受伤;(2) 遭受抢劫或盗窃;或 (3) 与警察发生纠纷。结果:就所有酒精指标而言,2007 年至 2015 年间青少年酒精使用率均有所下降。丹麦的流行率最高,但只有当前饮酒者的人数有显著下降。此外,我们还观察到自我报告的与酒精相关的急性后果呈下降趋势。从 2007 年到 2015 年,除冰岛外,我们没有发现与饮酒相关后果的关联性增强。综合所有调查,酒精相关后果的减少可以用酒精消费量的减少来解释。结论:总体而言,2007 年至 2015 年间,15-16 岁青少年的饮酒量和酒精相关后果总指数均呈下降趋势(丹麦的下降趋势较不明显)。除冰岛外,我们没有发现其他国家的青少年饮酒量下降与酒精相关后果的关联性增强。
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引用次数: 0
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Nordic Studies on Alcohol and Drugs
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