Drug and alcohol review最新文献

Exploring housing instability through a gender lens among people who inject drugs in Montreal, Canada. 通过性别视角探索加拿大蒙特利尔注射毒品人群的住房不稳定性。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-04-02 DOI: 10.1111/dar.14050

Farzaneh Vakili, Stine Bordier Høj, Nanor Minoyan, Sasha Udhesister, Valérie Martel Laferrière, Julie Bruneau, Sarah Larney

{"title":"Exploring housing instability through a gender lens among people who inject drugs in Montreal, Canada.","authors":"Farzaneh Vakili, Stine Bordier Høj, Nanor Minoyan, Sasha Udhesister, Valérie Martel Laferrière, Julie Bruneau, Sarah Larney","doi":"10.1111/dar.14050","DOIUrl":"https://doi.org/10.1111/dar.14050","url":null,"abstract":"Introduction: Housing instability contributes to harm among people who inject drugs (PWID). We examined determinants of varying levels of housing instability and explored gender differences in housing instability and associated determinants among PWID.Method: We used baseline data from HEPCO, a community-based cohort of PWID in Montreal, Canada (2011-2022). Housing (past 3 months) was categorised as stable, precarious (i.e., temporary accommodation) or unsheltered. Multinomial logistic regression was used to assess relationships between sociodemographic factors, recent drug use, and housing instability. A multivariable model was constructed using the full sample. Gender differences were explored via stratified and unadjusted analyses given the relatively small number of women.Results: A total of 911 PWID (748 men and 163 women) were included. In the multivariable model, not living in a marriage-like relationship, recent incarceration, and not reporting recent heroin use were associated with both precarious housing and being unsheltered, relative to stable housing. Employment, consumption of cocaine, amphetamines, and other opioids were only associated with being unsheltered. In stratified analyses, precarious and unsheltered housing was reported by 14.1% and 23.3% of women and 20.9% and 30.9% of men. Sociodemographic factors and drug use patterns also differed by gender. Although most associations with housing instability were in similar directions for men and women, several estimates differed in magnitude, denoting some signals of gender differences.Discussion and conclusion: Almost half the sample was unsheltered or precariously housed. Studies with larger samples of women should formally examine the relevance of developing gender-specific responses to housing instability.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763394","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

Smoking cessation services and willingness to receive quitting support among people living in prison in Finland. 芬兰监狱服刑人员的戒烟服务和接受戒烟支持的意愿。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-31 DOI: 10.1111/dar.14051

Otto Ruokolainen, Hanna Ollila, Patrick Sandström, Tommi Härkänen, Mika Rautanen

{"title":"Smoking cessation services and willingness to receive quitting support among people living in prison in Finland.","authors":"Otto Ruokolainen, Hanna Ollila, Patrick Sandström, Tommi Härkänen, Mika Rautanen","doi":"10.1111/dar.14051","DOIUrl":"https://doi.org/10.1111/dar.14051","url":null,"abstract":"Introduction: Smoking is frequent among people living in prison (PLIP) yet little is known about smoking cessation support in prison. This study aims to investigate correlates of being offered help for smoking cessation and willingness to receive smoking cessation support among PLIP.Methods: A cross-sectional, nationally representative study of Finnish PLIP in 2020-2022 was used (N = 529 of whom n = 364 (69%) smoked daily) (response rate 82.5%). Dependent variables included not having been offered help for smoking cessation during the prison time and willingness to receive cessation support. Independent variables included socio-demographic, health- and wellbeing-related, and prison-related variables. Regression analyses were utilised.Results: Of daily smoking PLIP, 75% were not offered support for smoking cessation. In the multiple adjusted model, women had a higher prevalence of not being offered help for smoking cessation than men. Among men, the use of pharmacotherapy for smoking cessation (vs. never use) or longer imprisonment time (vs. shorter imprisonment time) were associated with a lower prevalence of being offered help for smoking cessation. Among both genders, at least moderate willingness to stop smoking (vs. low) was associated with a higher prevalence of wishing to receive support for smoking cessation, while smoking 11-20 cigarettes per day (vs. 1-10 cigarettes per day) was associated with a higher willingness to receive cessation support among men.Discussion and conclusions: Smoking cessation support is wanted among PLIP who are willing to quit smoking, while support services should be targeted more for women and for men who have spent relatively little time in prison.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143751327","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

Tobacco smoking in Sub-Saharan Africa: A systematic review and meta-analysis. 撒哈拉以南非洲的吸烟情况：系统回顾和荟萃分析。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-26 DOI: 10.1111/dar.14040

Habte Belete, Tesfa Mekonen, Jason P Connor, Gary Chan, Leanne Hides, Janni Leung

{"title":"Tobacco smoking in Sub-Saharan Africa: A systematic review and meta-analysis.","authors":"Habte Belete, Tesfa Mekonen, Jason P Connor, Gary Chan, Leanne Hides, Janni Leung","doi":"10.1111/dar.14040","DOIUrl":"https://doi.org/10.1111/dar.14040","url":null,"abstract":"Introduction: Population-level smoking (cigarette or tobacco or nicotine use) has reduced in high-income nations, but not proportionally compared to less developed regions. This study aimed to estimate smoking prevalence in Sub-Saharan Africa (SSA).Approach: Databases searched included PubMed, EMBASE, PsycINFO, African Journal Online, the Global Health Data Exchange and Google Scholar. The search terms included 'cigarette', 'smoking', 'tobacco', 'nicotine', 'prevalence' and 'Sub-Saharan Africa'. Prevalence data on smoking was extracted separately for adolescents (10-17) and adults (18+). Prevalence of lifetime, past 12- and 6-month smoking was included. Weighted pooled prevalence was calculated using MetaXL, while meta-regression analysis was conducted with Stata version 17. For the estimation of pooled prevalence, we employed a DerSimonian-Laird estimation method. The risk of bias tool was utilised to assess the quality of the studies.Key findings: We included 195 papers. Overall, between 2018 and 2023, the weighted lifetime smoking prevalence was 8.8% (95% confidence interval [CI] 5.1, 13.4%), with a past-year prevalence of 10.8% (CI 4.0%, 19.9%), and daily smoking was 3.5% (CI 0.0%, 9.5%) in SSA. Among adolescents, the lifetime prevalence was 4.5% (CI 2.0%, 8.0%), with a past-year prevalence of 4.1% (CI 0.0%, 13.4%) and daily smoking was 4.7% (CI 1.0%, 10.6%). Among adults, the lifetime prevalence of smoking was 12.7% (CI 6.6%, 20.4%), 12.1% (CI 2.6%, 26.2%) in the past year and daily smoking was 3.3% (CI 0.0%, 9.8%).Implications: These findings highlight the importance of maintaining consistent monitoring and ensuring timely follow-up in implementing smoking prevention measures and regulations in SSA countries.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709113","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

Changing patterns of opioid agonist therapy prescribing in a network of specialised clinics providing care to people with opioid use disorder in Victoria, Australia, 2015 to 2023. 2015年至2023年澳大利亚维多利亚州为阿片类药物使用障碍患者提供护理的专业诊所网络中阿片类药物激动剂治疗处方模式的变化

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-26 DOI: 10.1111/dar.14049

Joshua Dawe, Anna Lee Wilkinson, Michael Curtis, Jason Asselin, Charles Henderson, Eric Makoni, Paul Dietze, Margaret Hellard, Mark Stoové

{"title":"Changing patterns of opioid agonist therapy prescribing in a network of specialised clinics providing care to people with opioid use disorder in Victoria, Australia, 2015 to 2023.","authors":"Joshua Dawe, Anna Lee Wilkinson, Michael Curtis, Jason Asselin, Charles Henderson, Eric Makoni, Paul Dietze, Margaret Hellard, Mark Stoové","doi":"10.1111/dar.14049","DOIUrl":"https://doi.org/10.1111/dar.14049","url":null,"abstract":"Introduction: Long-acting injectable buprenorphine (LAIB) reduces the frequency of contact with opioid agonist therapy (OAT) service providers. Limited data exist on OAT prescribing in Australia after the introduction of subsidised LAIB prescribing in September 2019. This ecological study describes trends in OAT prescribing between 2015 and 2023 across a network of primary care services in Victoria, Australia.Methods: We utilised electronic medical records from 17 clinics in Victoria that provide services to people with opioid dependence to describe OAT prescribing patterns. We described the annual number and type (methadone, buprenorphine, LAIB) of OAT prescriptions issued, individuals prescribed, and individuals initiating OAT. Interrupted time series assessed changes in quarterly OAT prescribing following the introduction of LAIB.Results: Between 2015 and 2023, the average annual number of OAT prescriptions issued, and the average number of recipients prescribed OAT were 47,648 and 6470, respectively. Between 2020 and 2023, the proportion of individuals initiating on LAIB increased from 7% (73/1078) to 31% (357/1146). There was increasing quarterly OAT prescribing before the introduction of LAIB, after which methadone and buprenorphine prescribing declined by 2.6% (CR 0.974; 95% CI 0.968-0.980) and 3.2% (CR 0.968; 95% CI 0.963-0.973), respectively. After being introduced, quarterly LAIB prescribing increased by 13.1% (CR 1.131; 95% CI 1.096-1.167).Discussion and conclusions: We found substantial changes in OAT prescribing patterns in Victoria between 2015 and 2023, with shifts away from oral methadone and sublingual buprenorphine to LAIB. Alongside ongoing monitoring of prescribing patterns, future research should assess how LAIB impacts patient health and social outcomes.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708964","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

Sociocultural context of SMART recovery in Singapore: A qualitative exploration of members and facilitators perspectives and experiences. 新加坡SMART恢复的社会文化背景：成员和促进者的观点和经验的定性探索。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-26 DOI: 10.1111/dar.14048

Wan Jie Tan, Briony Larance, Matthew J Schweickle, Angie S X Lim, Kate Lowe, Peter J Kelly

{"title":"Sociocultural context of SMART recovery in Singapore: A qualitative exploration of members and facilitators perspectives and experiences.","authors":"Wan Jie Tan, Briony Larance, Matthew J Schweickle, Angie S X Lim, Kate Lowe, Peter J Kelly","doi":"10.1111/dar.14048","DOIUrl":"https://doi.org/10.1111/dar.14048","url":null,"abstract":"Introduction: Various services and mutual-aid groups, such as SMART Recovery, provide support for substance use rehabilitation in Singapore. Despite this, substance use remains a growing public health concern with a large treatment gap. This suggests potential barriers to accessing substance use treatment unique to Singapore's sociocultural context. Culture can play a significant role in shaping members' experiences. Hence, this study sought to explore members' and facilitators' experiences and perspectives of SMART Recovery within Singapore's sociocultural context.Methods: A critical realist position guided the present study. Semi-structured, in-depth interviews were conducted with 18 participants (14 members and 4 facilitators) in 2023. Data were analysed using reflexive thematic analysis.Results: Five themes were generated from the data: (i) Non-disclosure from fear of negative social evaluation; (ii) Stigma and shame surrounding the use of substances; (iii) Linguistic challenges as a barrier to participation; (iv) A 'second family' fostered through continued engagement with SMART Recovery; and (v) Facilitation approach and quality affected by sociocultural factors (e.g., sensitivity to relational cues). Although there were initial sociocultural challenges, this improved through continued engagement, and the experience of SMART Recovery was largely positive. Facilitators also identified that their facilitation style is influenced by sociocultural factors, which in turn affects members' experience of SMART Recovery.Discussion and conclusions: Members and facilitators in Singapore face sociocultural challenges that influence their experience of SMART Recovery. This study highlights the need to optimise services to the needs of this population. Future research can identify processes of change that foster members' engagement in SMART Recovery.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709004","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

Excess mortality in people hospitalised for alcohol use disorders before and during the pandemic - A registry-based retrospective cohort study. 在大流行之前和期间因酒精使用障碍住院的人死亡率过高——一项基于登记的回顾性队列研究。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-25 DOI: 10.1111/dar.14045

Ladislav Kážmér, Ondřej Šíba, Barbora Orlíková

{"title":"Excess mortality in people hospitalised for alcohol use disorders before and during the pandemic - A registry-based retrospective cohort study.","authors":"Ladislav Kážmér, Ondřej Šíba, Barbora Orlíková","doi":"10.1111/dar.14045","DOIUrl":"https://doi.org/10.1111/dar.14045","url":null,"abstract":"Introduction: The aim was to analyse mortality and estimate the life expectancy among people hospitalised for alcohol use disorders (AUD) compared with the general Czech population aged ≥20 years. A temporal perspective on excess mortality was used, covering three recent calendar periods before and during the pandemic.Methods: Three retrospective cohorts of the target population were constructed using registry-based data. The target population was defined as all adult patients (aged ≥20 years) admitted to the hospital for AUD (ICD-10 dg. of F10.x) between 2010 and 2021. Age-adjusted mortality rates and life expectancies were calculated for the comparative analysis. Official Czech mortality and vital statistics were used for the comparison. A Poisson log-linear regression model was used to test the effect of the pandemic period (2020-2021) on mortality in the AUD target population.Results: At age 20, the estimated life expectancy of the AUD target was 21-27 years less than that of the Czech general population. Excess mortality was relatively highest in young people aged 20-34 years and in adults aged 35-49 years. During the pandemic period 2020-2021, mortality rates in the target AUD increased significantly. However, relative inequalities with the general Czech population did not change significantly.Discussion and conclusions: People hospitalised for AUD have much higher mortality rates, resulting in markedly reduced life expectancy. During the pandemic, their mortality rates increased even more. However, the increase was no greater than in the general Czech population.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708965","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

Impulsivity traits moderate the longitudinal association between mental health and hazardous cannabis use in emerging adults. 冲动特征缓和了新兴成人心理健康和危险大麻使用之间的纵向关联。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-24 DOI: 10.1111/dar.14047

Alba González-Roz, Yasmina Castaño, Roberto Secades-Villa, Tim Janssen, Guillermo Vallejo-Seco, Carlos Blanco

{"title":"Impulsivity traits moderate the longitudinal association between mental health and hazardous cannabis use in emerging adults.","authors":"Alba González-Roz, Yasmina Castaño, Roberto Secades-Villa, Tim Janssen, Guillermo Vallejo-Seco, Carlos Blanco","doi":"10.1111/dar.14047","DOIUrl":"https://doi.org/10.1111/dar.14047","url":null,"abstract":"Introduction: The aim of this study was to examine longitudinal changes in past-month cannabis use and hazardous cannabis use over 1 year in emerging adults and to examine the prospective associations between changes in depression, anxiety, stress and hazardous cannabis use, using age, sex and impulsivity as potential moderators.Methods: Participants were 2762 college students (aged 18-25) who were surveyed three times over the course of a year (T1: September-November 2021; T2: March-May 2022; and T3: September-November 2022). Structural equation modelling and semi-parametric mixed-effects repeated measures models were used to examine the prospective associations between depression, anxiety, stress and hazardous cannabis use, moderated by time-variant (impulsivity trait and age) and time-invariant (sex at birth) variables.Results: The prevalence of past-month cannabis use was 11.5% at T1, 3.5% at T2 and 9.1% at T3. Autoregressive effects suggested that participants with elevated symptoms of depression, anxiety and stress at T2 tended to inform on similar impairment at T3. Cross-lagged relationships were found for anxiety at T2 and hazardous cannabis use at T3, and for hazardous cannabis use at T2 and stress at T3. Increases in emotional variables were indirectly associated with a higher risk of hazardous cannabis use through impulsivity traits.Discussion and conclusions: Cannabis users reported more problems in the face of worsened mental health and negative/positive urgency. Effective interventions should be framed under a transdiagnostic approach that targets emotional regulation.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699986","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

Health-care costs among people who use methamphetamine in Australia. 澳大利亚甲基苯丙胺使用者的医疗保健费用。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-20 DOI: 10.1111/dar.14043

Anh Dam Tran, Rory Chen, Grant Sara, Rebecca McKetin

{"title":"Health-care costs among people who use methamphetamine in Australia.","authors":"Anh Dam Tran, Rory Chen, Grant Sara, Rebecca McKetin","doi":"10.1111/dar.14043","DOIUrl":"https://doi.org/10.1111/dar.14043","url":null,"abstract":"Introduction: This study aims to estimate the drug treatment costs and health services utilisation costs among people who used different treatment modalities to treat methamphetamine dependence.Methods: This is a sub-study of a prospective observational cohort study MATES (n = 501), including recruitment from 15 residential rehabilitation services, 13 counselling services and 11 detoxification units in Sydney and Brisbane, Australia. Participants with methamphetamine dependence who had used methamphetamine in the 28 days before baseline assessment and completed 3- and 12-month follow-ups were included (n = 323). Unit costs per day/episode of each treatment type were taken from published literature. Self-reported health services utilisation (HSU) was collected via structured face-to-face and telephone interviews. Hospital admissions were allocated a likely diagnosis grouping from the Australian Refined Diagnosis-Related Groupings. Emergency department presentations were allocated a likely triage category.Results: Average drug treatment costs per person per year were AU$10,540 (SD 13,995), accounting for 63% of total health-care costs, which were AU$16,862 (SD 19,908). Drug treatment costs of counselling participants were only around 40% of detox and residential rehab participants. However, the HSU costs of detox and rehab participants were approximately 60% lower than those of counselling participants.Discussion and conclusions: Drug treatment costs accounted for more than half of total health care costs, representing a substantial financial burden. Detox and rehab treatment costs more but saved costs in health services use. HSU costs among people who had severe mental health problems and injected methamphetamine were substantially high. Strategies to support these groups are necessary to reduce the cost burden.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669281","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

Thou doth protest too much: How the minimum unit price affected retailers' revenue. 你抗议得太多了：最低单价是如何影响零售商的收入的。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-20 DOI: 10.1111/dar.14041

Nicholas Taylor, Ryan Baldwin, Emma Vieira, Michael Livingston

{"title":"Thou doth protest too much: How the minimum unit price affected retailers' revenue.","authors":"Nicholas Taylor, Ryan Baldwin, Emma Vieira, Michael Livingston","doi":"10.1111/dar.14041","DOIUrl":"https://doi.org/10.1111/dar.14041","url":null,"abstract":"Introduction: The Northern Territory (NT) set a minimum unit price (MUP) of alcohol in 2018. This measure has been strongly opposed by alcohol retailers, prior to and post-implementation of the policy. However, exact estimates on the impact of the MUP on alcohol retailers are yet to be made. This study aims to estimate the impact of the MUP on retail sales.Method: The 3-year evaluation of the MUP used sales data from two major retailers to display alcohol consumption in the NT by beverage category and price point the year before and after the MUP. This data was extracted from the report and used to estimate the total retail value of alcohol sold before and after the MUP by category. State-wide alcohol wholesaler data was used to evaluate the representativeness of the retail data.Results: The retail data used in the study accounts for 31% of the total alcohol market in the NT. Retail data substantially over-represents the drop in cask wine consumption (71%) compared to wholesaler data (51%). Revenue from cask wine dropped by 42% after the introduction of the MUP, but these reductions were offset by increases in revenue from spirit sales. Overall, despite a 6% decrease in sales of pure alcohol, the two retailers had an increase in revenue of 1%.Discussion and conclusions: The MUP appears to have had a negligible impact on the revenue of alcohol retailers in the NT.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669283","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

Addiction specialists' perspectives on digital contingency management and its role within UK drug and alcohol services: A qualitative exploration. 成瘾专家对数字应急管理的看法及其在英国毒品和酒精服务中的作用：定性探索。

IF 3 3区医学

Drug and alcohol review Pub Date : 2025-03-18 DOI: 10.1111/dar.14046

Carol-Ann Getty, Nicola Metrebian, Joanne Neale, Tim Weaver, John Strang

{"title":"Addiction specialists' perspectives on digital contingency management and its role within UK drug and alcohol services: A qualitative exploration.","authors":"Carol-Ann Getty, Nicola Metrebian, Joanne Neale, Tim Weaver, John Strang","doi":"10.1111/dar.14046","DOIUrl":"https://doi.org/10.1111/dar.14046","url":null,"abstract":"Introduction: Contingency management (CM), based on the principles of operant conditioning, uses positive reinforcement to promote behaviour change in individuals with substance use disorder. Research on CM has grown exponentially, with technology being used to expand the reach and scope of these interventions. The views of policy professionals and treatment providers on the remote delivery of CM are likely to play an important role in the development and application of these interventions.Methods: Semi-structured qualitative interviews, analysed using framework analysis, were conducted with 22 UK-based addiction specialists to explore their views on digital CM, including its place within UK drug and alcohol services and future developments. Participants included commissioners, policy professionals and clinicians.Results: CM was widely acknowledged as an effective, scientifically grounded and appropriate treatment approach for drug treatment and recovery. While addiction specialists see CM as a powerful tool in a comprehensive addiction treatment toolkit, they identify the barriers impeding its implementation, including a lack of awareness among treatment providers, commissioning challenges, resource constraints and ethical concerns. Remote delivery of CM was considered a promising approach for overcoming some of these barriers and enhancing CM delivery and engagement.Discussion and conclusions: Technology needs to be integrated into clinical practice to expand the reach of treatment. While current evidence supports digital CM, concerns about digital literacy, technological barriers, resource constraints, public acceptability and political hesitancy highlight the need for further research to validate its feasibility and to explore the extent to which it should complement, rather than replace, in-person treatment options.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656421","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