Drug and alcohol review最新文献

{"title":"Estimating the number and growth of tobacconists and vape stores in Queensland in the absence of a retailer licensing database.","authors":"Hollie Bendotti, David Ireland, Coral Gartner, Henry M Marshall, Sheleigh Lawler","doi":"10.1111/dar.14038","DOIUrl":"https://doi.org/10.1111/dar.14038","url":null,"abstract":"<p><strong>Introduction: </strong>In 2022, Queensland had not implemented a tobacco retailer licensing scheme. This study aimed to develop a prototype system to periodically collect geolocations of tobacconists and/or vape retailers (TVR) in Queensland over a 12-month period.</p><p><strong>Methods: </strong>The 'Text Search' function on Google Maps application programming interface was used to return business information based on a string query with a specific latitude and longitude coordinate (search points) (n = 3481). Monthly searches of TVRs were repeated from July 2022 to June 2023. Retailers that likely sold tobacco products but were not specialty stores (e.g., supermarkets) were excluded. Two team members independently and manually checked, confirmed and categorised 'New' entries.</p><p><strong>Results: </strong>From July 2022 to June 2023 confirmed TVRs in Queensland increased by 14.3% from 624 to 713, a mean of 7.4 new TVRs per month. Of the total stores collected in the initial search (July 2022), 71.5% were manually confirmed as TVRs. Most stores were categorised as 'tobacco only', yet the proportion of confirmed TVRs categorised as 'tobacco and vape' and 'vape only' increased and decreased, respectively, over 12-months.</p><p><strong>Discussion and conclusions: </strong>The prototype system effectively identified and tracked the longitudinal growth of tobacco/vape specialty stores in Queensland over 12 months. Future research using the system will analyse TVR density and proximity relative to population characteristics and locations of interest. The system will also provide baseline data to assist compliance following the Queensland smoking product licensing scheme and longitudinal data to supplement evaluations of the state and federal supply policies.</p>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540546","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}

{"title":"Examining the role of social bonds on prescription misuse among adolescents in the United States.","authors":"Islam Khalil, Mariana Sanchez, Jessy Devieux, Florence George, Patria Rojas","doi":"10.1111/dar.14034","DOIUrl":"https://doi.org/10.1111/dar.14034","url":null,"abstract":"<p><strong>Introduction: </strong>Prescription misuse (PM) among adolescents in the United States is a significant public health issue, with a reported prevalence of 4.9% in 2022. Understanding the role of social bonds such as parental attachment, peer influence and school engagement is crucial for developing effective prevention strategies.</p><p><strong>Methods: </strong>Data from the 2019 National Survey on Drug Use and Health comprised 11,997 adolescents aged 12-17 years. PM was measured as a binary variable, and social bonds were assessed through scales measuring school bonds, parental bonds and community engagement. Binary logistic regression was employed to examine the impact of social bonds on PM while controlling demographics and peer influence.</p><p><strong>Results: </strong>Findings indicated that adolescents with higher levels of social bonds, specifically school bonds (adjusted odds ratio [AOR] 0.66, 95% confidence interval [CI] [0.53, 0.83], p < 0.05), parental bonds (AOR 0.59, 95% CI [0.45, 0.77], p < 0.001) and positive peer influence (AOR 0.55, 95% CI [0.43, 0.70], p < 0.0001) are less likely to engage in PM. Females (AOR 1.86, 95% CI [1.39, 2.48], p = 0.0001) and low-income adolescents (AOR 2.05, 95% CI [1.36, 3.08], p = 0.0009) were more likely to engage in PM compared to male and high-income counterparts. No significant associations were found between community engagement and PM in adjusted analyses.</p><p><strong>Discussion and conclusions: </strong>This study highlights the protective role of strong parental and social bonds in reducing the risk of PM among US adolescents. The findings highlight the need for income and gender-specific interventions.</p>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143540547","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}

{"title":"Cannabis use and illicit opioid cessation among people who use drugs living with chronic pain","authors":"Chenai Kitchen,&nbsp;Eugenia Socias,&nbsp;Eric C. Sayre,&nbsp;Kanna Hayashi,&nbsp;Kora DeBeck,&nbsp;M.-J. Milloy,&nbsp;Thomas Kerr,&nbsp;Hudson Reddon","doi":"10.1111/dar.14014","DOIUrl":"10.1111/dar.14014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Amidst the opioid overdose crisis, there is interest in cannabis use for pain management and harm reduction. We investigated the relationship between cannabis use and cessation of unregulated opioid use among people who use drugs (PWUD) living with chronic pain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data for analyses were collected from three prospective cohort studies in Vancouver, Canada. All cohort participants who completed at least two study visits and reported both pain and unregulated opioid use in the past 6 months were included in the present study. We analysed the association between cannabis use frequency and opioid cessation rates using extended Cox regression models with time-updated covariates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Between June 2014 and May 2022, 2340 PWUD were initially recruited and of those 1242 PWUD reported chronic pain, use of unregulated opioids and completed at least two follow-up visits. Of these 1242 participants, 764 experienced a cessation event over 1038.2 person-years resulting in a cessation rate of 28.5 per 100 person-years (95% confidence interval [CI] 25.4–31.9). Daily cannabis use was positively associated with opioid cessation (adjusted hazard ratio 1.40, 95% CI 1.08–1.81; <i>p</i> = 0.011). In the sex-stratified sub-analyses, daily cannabis use was significantly associated with increased rates of opioid cessation among males (adjusted hazard ratio 1.50, 95% CI 1.09–2.08; <i>p</i> = 0.014).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Participants reporting daily cannabis use exhibited higher rates of cessation compared to less frequent users or non-users. Observed sex-specific differences in cannabis use and opioid cessation suggest potential differences in cannabis use behaviours and effects. Our findings add to the growing evidence supporting the potential benefits of cannabis use among PWUD, underlining the need for further research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"44 3","pages":"799-810"},"PeriodicalIF":3.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515057","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}

{"title":"Expanded access to intranasal naloxone and training among police officers in Western Australia: A pilot evaluation study.","authors":"Seraina Agramunt, Simon Lenton","doi":"10.1111/dar.14032","DOIUrl":"https://doi.org/10.1111/dar.14032","url":null,"abstract":"<p><strong>Introduction: </strong>Naloxone has been recognised as a vital medicine in reducing opioid-related deaths by reversing the effects of opioid overdose. This study evaluates the effectiveness of a police naloxone administration pilot program in Western Australia in which officers were trained in opioid overdose management and administering intranasal naloxone. Based on similar programs in other countries, this was the first of its kind in Australia.</p><p><strong>Methods: </strong>This pilot evaluation spanned July 2021-2022, involving pre- and post-training surveys and an online follow-up survey. A total of 229 police officers completed the pre- and post-training surveys, while 117 completed the online follow-up survey. Data collected included questions about overdose management, naloxone administration, training quality, and naloxone access and availability.</p><p><strong>Results: </strong>There was a significant improvement in officers' knowledge and readiness to manage opioid overdose situations, particularly in recognising signs and symptoms of an opioid overdose, factors increasing the risk of opioid overdose, and appropriate actions to take in such situations after training. Among the 117 police officers who completed the online survey, 23 reported witnessing an opioid overdose and 16 reported having administered naloxone since their training. The positive impact of the training was further evident in the increased willingness of police officers to administer naloxone when encountering an opioid overdose.</p><p><strong>Discussion and conclusions: </strong>The findings demonstrate the acceptability and training effectiveness of a police force naloxone administration program in Australia. The pilot emphasises the life-saving potential of equipping police officers with naloxone and serves as an example for police departments in other Australian jurisdictions to roll out similar programs customised to the Australian context and beyond.</p>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515058","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}

{"title":"Hospital admission costs of acute injection-related infections among people who inject drugs","authors":"Freya J. Langham,&nbsp;Stephanie J. Curtis,&nbsp;Mei Jie Tang,&nbsp;Bismi Jomon,&nbsp;Joseph S. Doyle,&nbsp;Olga Vujovic,&nbsp;Andrew J. Stewardson,&nbsp;Hannah E. Carter","doi":"10.1111/dar.14025","DOIUrl":"10.1111/dar.14025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There are limited existing data regarding the financial costs associated with hospitalisation for injection-related infection (IRI) in Australia. We aimed to estimate the cost, from the healthcare funder perspective, of admissions to treat IRI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed a retrospective audit of 226 admissions with an IRI at the Alfred Hospital (Melbourne, Australia), from January 2017 to April 2019. Eligibility criteria included admission for management of an IRI and current injecting drug use, defined as self-reported injecting drug use within the preceding 6 months, documented in the medical record. We estimated the cost of each hospital admission, using national hospital price weights that accounted for the Australian Refined Diagnosis Related Groups and length of stay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among admissions with IRI, the median (interquartile range; IQR) cost of admissions with uncomplicated skin and soft tissue infection and complicated infection were AU$8416 (IQR $4132–$8611) and AU$31,938 (IQR $14,301–$54,397), respectively. Admissions requiring intensive care or surgery were associated with higher costs. The most expensive infection based on hospital cost was spinal infections (median AU$58,366 [IQR 31,938–$69,001]), despite endocarditis having higher median length of stay (38 days [IQR 18–46] vs. 24 [15–32]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>We demonstrate the costs associated with hospital admissions for IRI, including the substantial increased costs associated with complicated IRI. This highlights the opportunity for cost savings associated with harm minimisation interventions to avoid infections and their sequelae.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"44 3","pages":"704-710"},"PeriodicalIF":3.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.14025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491341","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}

{"title":"A comparison of the United Kingdom, Australian and Japanese hangover product market.","authors":"Maureen N Zijlstra, Sanne E Schulz, Emina Išerić, Quinten Barré, Andrew Scholey, Joris C Verster","doi":"10.1111/dar.14030","DOIUrl":"https://doi.org/10.1111/dar.14030","url":null,"abstract":"<p><strong>Introduction: </strong>The use of products to prevent or reduce alcohol hangovers is increasingly popular. The aim of this study was to evaluate and compare the alcohol hangover product markets of the United Kingdom, Australia and Japan.</p><p><strong>Methods: </strong>The website www.Amazon.com was searched, using the terms 'hangover treatment' and 'hangover cure', to identify hangover products sold in the United Kingdom, Australia and Japan. Dosage forms, ingredients and their amounts per serving were recorded and compared between the three countries.</p><p><strong>Results: </strong>The market evaluations for the United Kingdom and Australia each revealed N = 19 hangover products, and 24 hangover products were found for Japan. The products from the three markets were quite distinct, with none of the hangover products being marketed in all three countries. The most popular ingredients in United Kingdom were potassium (63.2%), sodium (57.9%) and vitamin C (52.6%). The most common ingredients in Australia were vitamin B1, vitamin B6, vitamin B12 and sodium (all 47.4%). In Japan, curcumin (45.8%), L-ornithine (29.2%), vitamin C (20.8%) and vitamin B2 (20.8%) were the most popular ingredients. Most popular dosage forms also differed between the countries, with powders being most popular in the United Kingdom (42.1%), tablets in Japan (50.0%), and capsules (31.6%) and drinks (26.3%) in Australia.</p><p><strong>Discussion and conclusions: </strong>Both ingredients and dosage forms of hangover products differed between the United Kingdom, Australia and Japan. Products also differed from the United States, illustrating the importance of cross-cultural comparisons. As these are currently lacking, double-blind, placebo-controlled clinical trials are needed to demonstrate the efficacy and safety of marketed hangover products.</p>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491339","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}

{"title":"Evaluation of an online postal take-home naloxone service","authors":"Mary Ellen Harrod,&nbsp;Sandra Sunjic,&nbsp;Lucy Pepolim,&nbsp;Rochelle Aylmer,&nbsp;Nicole Skelley,&nbsp;Nicholas Lintzeris","doi":"10.1111/dar.14017","DOIUrl":"10.1111/dar.14017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>New South Wales User AIDS Association established a pilot postal take-home naloxone (THN) service to enhance access to THN for people unable or unwilling to attend existing services providing THN (e.g., community pharmacies, needle syringe programs). The service included online registration, educational video and assessment of consumer knowledge regarding THN.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The evaluation examined the first 10 months of operation (May 2022 to March 2023) and examined service utilisation, the characteristics, motivations and experiences of consumers using the service. The evaluation included service utilisation data, structured online questionnaire and semi-structured telephone interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two hundred forty-five individuals registered on the online platform, 222 commenced the course, 170 completed viewing the online educational video and commenced the knowledge assessment, and 95 completed the course and ordered 194 THN packs (59% intranasal, 41% intramuscular). Forty-eight percent of service users were women, and 37% were from regional or rural locations. Key motivations for using the postal service included greater accessibility and convenience (especially for regional and rural participants), greater confidentiality and reduced stigma. There were high levels of satisfaction with the service from consumers, and high levels of confidence that they could respond to a suspected overdose.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusion</h3>\u0000 \u0000 <p>The postal service enhanced access to THN, addressing many of the barriers of existing face-to-face services, including geography, convenience, stigma and confidentiality. The postal THN service meets the needs of particular groups of consumers who may otherwise not have accessed THN, and forms an important piece of the puzzle for THN distribution in the community.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"44 3","pages":"696-703"},"PeriodicalIF":3.0,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482490","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}

{"title":"Comparing alcohol policy environments in high-income jurisdictions with the International Alcohol Control Policy Index","authors":"Sally Casswell,&nbsp;Steve Randerson,&nbsp;Karl Parker,&nbsp;Taisia Huckle,&nbsp;Sarah Callinan,&nbsp;Orfhlaith Campbell,&nbsp;Thomas Karlsson,&nbsp;Ingeborg Rossow,&nbsp;Gillian Shorter,&nbsp;Mindaugas Štelemėkas,&nbsp;Kate Vallance,&nbsp;Wim van Dalen,&nbsp;Ashley Wettlaufer","doi":"10.1111/dar.14020","DOIUrl":"10.1111/dar.14020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Considerable evidence exists on the most effective policy to reduce alcohol harm; however, a tool and index to allow comparisons of policy status of the most effective policies between similar jurisdictions and change over time within a jurisdiction has not been widely used. The International Alcohol Control (IAC) Policy Index is designed to address this gap and monitor the alcohol policy environment with regard to four effective policy domains (tax/pricing, availability, marketing and drink driving).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study compares IAC Policy Index scores across 11 high-income jurisdictions: Aotearoa (Māori language name for New Zealand); Australia; Finland; Norway; the Netherlands; (Republic of Ireland; Lithuania; Ontario; Alberta; Quebec; British Columbia). Collaborators in the 11 high-income jurisdictions populated the online Alcohol Policy Tool with available indicators. The team in Aotearoa New Zealand sought to validate information and worked with collaborators to clarify any uncertainties in the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Lithuania, Norway, Finland and Ireland scored above average on the IAC Policy Index. The jurisdictions varied in terms of the strength of policy in different domains, with drink driving legislation showing the greatest consistency and marketing the strongest relationship between stringency of policy and impact on the ground.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Results in high-income jurisdictions suggested the IAC Policy Index provides a useful overview of core alcohol policy status, allows for comparisons between jurisdictions and has the potential to be useful in alcohol policy debate.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"44 3","pages":"881-890"},"PeriodicalIF":3.0,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.14020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482444","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}

{"title":"Alcohol use in Iraq: Perceptions of interviewed students at three Iraqi universities.","authors":"Mustafa Al Ansari, Angela Dawson, Mohammed S AbdulZahra, Katherine M Conigrave","doi":"10.1111/dar.14026","DOIUrl":"https://doi.org/10.1111/dar.14026","url":null,"abstract":"<p><strong>Introduction: </strong>Iraq has faced decades of conflict and increased exposure to alcohol use. While the majority (60%) of Iraq's population is under the age of 24, there is no research examining their views on alcohol use and related factors. This study explores how the individual, interpersonal and social contexts of university students may influence their experiences and perceptions of alcohol use.</p><p><strong>Methods: </strong>We undertook a qualitative study underpinned by a socio-ecological framework and the alcohol use motivational model. Forty students from 11 disciplines at three universities across Iraq were interviewed (45% female). Interviews were conducted in English (n = 3) or Arabic (n = 37). Template analysis was used to examine the data.</p><p><strong>Results: </strong>Perceptions of the prevalence of alcohol use varied among participants. Perceived motives for drinking included using alcohol to cope with grief, loss, poverty and unemployment; as well as peer pressure, thrill-seeking and social approval. Abstinence was perceived to be associated with knowledge of the adverse effects of alcohol and a commitment to faith. Students reported alcohol use as a clandestine activity. Students suggested education, open communication and employment opportunities as preventative strategies.</p><p><strong>Discussion and conclusion: </strong>This is the first study to explore young Iraqi perceptions and experiences of peers' alcohol use in the current context of conflict, political instability and globalisation. Young Iraqis are a vulnerable population who may be at risk of alcohol-related harm. Iraq should consider multidimensional preventive approaches that include evidence-based and culturally appropriate interventions that reflect young people's real-life experiences and challenges.</p>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482442","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}

{"title":"Perceptions of clinicians on promoting oral health care in an alcohol and other drug use health care service: A qualitative study","authors":"Agnivo Sengupta,&nbsp;Kaniz Fatema,&nbsp;Tiffany Patterson-Norrie,&nbsp;Shwetha Kezhekkekara,&nbsp;Prakash Poudel,&nbsp;Gilbert Whitton,&nbsp;Ravi Srinivas,&nbsp;Stephanie Hocking,&nbsp;Ajesh George","doi":"10.1111/dar.14016","DOIUrl":"10.1111/dar.14016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Alcohol and illicit drug use is linked to a higher prevalence of oral health complications. However, substance use can lead to avoidance of dental services due to anxiety and competing health priorities. This study explores current knowledge, attitudes and practices of clinicians of an alcohol and other drug service regarding promoting oral health among their clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Exploratory qualitative design using semi-structured interviews with medical and nursing staff working as alcohol and other drug professionals in a Drug Health Service in South Western Sydney, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three main themes were identified: perceptions of providing oral health care to clients; barriers to promoting oral health care; and recommendations for oral health integration in alcohol and other drug settings. Oral health concerns were identified as a significant issue for their clients within the alcohol and other drug setting. Considering a higher prevalence of oral health issues among clients, staff acknowledged that oral health interventions within alcohol and other drug settings would be beneficial. Barriers included access challenges for public dental services, affordability of private dental care, limited oral health training and time constraints. Staff recommends that training/resources are required to support staff in the provision of oral health promotion to clients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Clients accessing alcohol and other drug services often have unmet oral health needs. The clinicians who participated in this study, are motivated to provide oral health promotion within this setting, however, they require training, resources (including allocation of time) and appropriate referral pathways to support provision of this service.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"44 3","pages":"742-753"},"PeriodicalIF":3.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.14016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448528","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}