Drug and alcohol review最新文献

{"title":"A Media Analysis of Debates on Extended Alcohol Trading Hours Changes in Scotland","authors":"Megan Cook,&nbsp;Rachel O'Donnell,&nbsp;Gemma Mitchell,&nbsp;Karen J. Maxwell,&nbsp;Carol Emslie,&nbsp;Lauren Carters-White,&nbsp;Andrea Mohan,&nbsp;Isabelle Uny,&nbsp;Niamh Fitzgerald","doi":"10.1111/dar.70251","DOIUrl":"10.1111/dar.70251","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Between 2017 and 2019, different policy processes in two large Scottish cities led to local authorities granting licences for later on-premises alcohol trading hours. As a part of a wider mixed methods study, we examine news media reporting of these licencing changes to understand the content and progression of arguments at the time they were being discussed through to, and after, implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty-four news articles were identified through online searches (published 01/01/2015-01/01/2023) supplemented with hand searches of local publications. A qualitative thematic analysis was then conducted using NVivo.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Trade and local government actors were foregrounded in the media. Sectors within the alcohol retail trade responded differently, depending on their business interests. In Aberdeen, stakeholders stated that the changes were primarily intended to support businesses and in response to consumer trends. In Glasgow, stakeholders stated that the changes were needed to boost the economy and compete with other European cities. A diverse range of stakeholders framed their arguments in health terms, expressing concerns that increased hours would lead to increased consumption and harm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>In media reports of extended late-night trading hours, stakeholders who were both for and against the changes put forward arguments about business and health impacts. There appeared to be little consensus about the value of extended trading hours amongst trade stakeholders who responded in line with their specific business interests, sometimes drawing on health arguments to do so. This counters the assumption of unity in trade views on liberalisation of opening hours.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13523619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838896","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":"Price Elasticity of Demand for Alcoholic Beverages in India: Analysis Based on the NSSO's Household Consumption Expenditure Survey 2022–2023 and 2023–2024","authors":"Vivek Jadhav,&nbsp;Sacchidananda Mukherjee","doi":"10.1111/dar.70243","DOIUrl":"10.1111/dar.70243","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Taxation of alcohol is an important policy instrument to combat the ill-effects of excessive alcohol consumption and raise revenues for governments. However, there is a need for studies exploring the demand price elasticity of different alcohols in Indian contexts amid changes in consumption habits, taxes and structure of the alcohol market. This paper examines the price and cross-price elasticity of demand for beer and foreign liquor in India using the latest surveys.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Household Consumption Expenditure Surveys of 2022–2023 to 2023–2024 is used to estimate the elasticity. Unit values based on Deaton's approach that leverages the geographic variation in unit values are utilised. Beer and foreign liquor were analysed jointly, with country liquor treated as a potential substitute.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The price elasticity of beer and foreign liquor is found to be statistically significant and inelastic. Own-price elasticity is recorded to be around −0.27 and −0.25 in 2022–2023 and around −0.18 and −0.17 in 2023–2024. Income elasticity is positive and increased from 0.42 to 0.63 in 2022–2023 to 0.55–0.80 in 2023–2024. Significant cross-price effects between foreign liquor and country liquor exist in 2022–2023; however, they became weaker and largely insignificant in 2023–2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>The above results show that the demand for alcoholic beverages in India is inelastic. Thus, the excise duties can be used by governments as instruments for increasing revenues and decreasing demand. The weakening of cross-price effects over time suggests reduced substitution between country liquor and higher-taxed alcoholic beverages.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817819","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":"Implementing Prolonged Exposure Therapy in a Community Substance Use Treatment Program: A Qualitative Study","authors":"Steven Curto,&nbsp;Tasha Bulgin,&nbsp;Jordan A. Gette,&nbsp;Margaret Swarbrick,&nbsp;Angela Gonnella,&nbsp;Denise Hien,&nbsp;Sonya B. Norman,&nbsp;Shannon M. Kehle-Forbes","doi":"10.1111/dar.70239","DOIUrl":"10.1111/dar.70239","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Post-traumatic stress disorder (PTSD) commonly co-occurs with substance use disorders (SUD), yet few community-based SUD programs incorporate evidence-based trauma-focused. Prolonged exposure (PE), including its massed format (M-PE) with session frequency of 3–4 times per week, is a gold standard intervention for PTSD; however, concerns about client readiness, logistical demands and relapse risk have limited its adoption within SUD settings. This study examined staff perspectives on the feasibility and acceptability of integrating M-PE into a community-based SUD program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Prior to launching a Hybrid Type 1 effectiveness–implementation trial (Project COMET), we conducted semi-structured virtual interviews with 15 community clinic staff: providers (<i>n</i> = 8), administrators (<i>n</i> = 2) and peer specialists (<i>n</i> = 5). Interviews were recorded, transcribed and analysed using a rapid qualitative analysis framework with matrix techniques to compare themes across roles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four overarching themes captured staff perspectives on integrating M-PE: (Theme 1) Prior Knowledge and Experiences: Most staff were familiar with EMDR, while direct knowledge of PE/M-PE was limited. (Theme 2) Perceptions of M-PE: M-PE was widely viewed as a promising, structured intervention that fits the pacing and duration of SUD care. (Theme 3) Symptom Reduction and Client Impact: Staff anticipated improvements in PTSD and SUD symptoms through trauma-focused treatment. (Theme 4) Barriers and Constraints: Participants identified several potential implementation challenges, including logistical barriers and client readiness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Findings suggest that staff generally viewed M-PE favourably but emphasised the importance of ensuring client readiness and organisational support. Enhancing feasibility and long-term sustainability may require expanded psychoeducation, targeted provider training and flexible delivery models.</p>\u0000 \u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT06968832.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148826257","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":"Individual-Level Interventions for Alcohol-Related Harm in Night-Time Entertainment Precincts: A Scoping Review","authors":"Joanne Papageorgiou,&nbsp;Carleen Thompson,&nbsp;Molly McCarthy,&nbsp;Dominique de Andrade","doi":"10.1111/dar.70244","DOIUrl":"10.1111/dar.70244","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issues</h3>\u0000 \u0000 <p>Alcohol-related harm in Night-Time Entertainment Precincts (NEP) presents significant challenges for public health, law enforcement and policymakers. While population-wide measures are well established, less attention has been given to individual-level interventions targeting harmful alcohol consumption and violence. This review evaluates the current evidence base on individual-level interventions designed to reduce alcohol-related harm in NEPs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Approach</h3>\u0000 \u0000 <p>A systematic search was conducted in March 2024 (updated search in January 2025) across ProQuest, CINAHL, PsycINFO, Medline, Scopus and grey literature sources (Google Web and Google Scholar). Studies were included if they were peer-reviewed, published in English and examined the effectiveness/perceived effectiveness of individual-level interventions for alcohol-related harm in NEPs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Findings</h3>\u0000 \u0000 <p>The search identified 3127 articles, with 15 meeting inclusion criteria. Studies were categorised into exclusion strategies (patron bans; <i>n</i> = 10) and behavioural strategies (personalised screening, brief interventions, breathalysers in licensed premises and a bystander intervention; <i>n</i> = 5). Outcomes included assault rates, desistance, blood alcohol levels, self-reported number of drinks consumed and frequency of staff intervention in a bar setting. Evidence on the overall effectiveness of exclusion and behavioural interventions was difficult to assess due to different outcome measures, variability in methodologies and intervention implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Rigorously designed studies with consistent outcome measures are needed to strengthen the evidence base and increase confidence in the effectiveness of individual-level interventions that target alcohol-related harm in NEPs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Exclusion strategies demonstrated limited evidence supporting their long-term effectiveness in reducing alcohol-related harm, whereas behavioural approaches show greater promise for reducing alcohol-related harm among high-risk drinkers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13506237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817859","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":"Integrating Smoking Cessation With Lung Cancer Screening in Aotearoa New Zealand: Equity Considerations and Implications for Policy Development","authors":"Nina Bevin,&nbsp;Phyu Sin Aye,&nbsp;Nathan J. Harrison,&nbsp;Kate Parker,&nbsp;Karen Bartholomew,&nbsp;Andrew Waa,&nbsp;Natalie Walker,&nbsp;Sue Crengle","doi":"10.1111/dar.70245","DOIUrl":"10.1111/dar.70245","url":null,"abstract":"<p>International evidence increasingly supports integrating smoking cessation services within lung cancer screening programs, yet limited guidance exists for Aotearoa New Zealand, where smoking-related harm and lung cancer disproportionately affect Māori. In this commentary, we summarise literature on smoking cessation interventions delivered alongside lung screening, focusing on intervention modality, intensity, timing and equity implications relevant to a future national program. Evidence from 25 studies and four systematic reviews showed wide variation in reported outcomes, including complete cessation of nicotine use (quitting) and switching from tobacco to less harmful products (switching), reflecting heterogeneity in intervention design and outcome measurement. Overall, intensive, multi-session behavioural support combined with pharmacotherapy achieved higher quit rates than brief advice or single-session interventions, particularly when cessation support was delivered immediately or co-located with screening. Equity considerations were central to the interpretation of the international findings in our review. Māori face structural, systemic and access barriers that limit the effectiveness of standard cessation approaches, highlighting the need for culturally safe, whānau (family)-centred and Māori-led interventions. Integrating intensive smoking cessation support into the lung screening pathway represents a critical opportunity to reduce inequities and improve outcomes for Māori within a future national lung screening program.</p>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13506256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817826","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":"High Awareness, Low Clarity: Knowledge of the Australian Capital Territory's Multi-Drug Decriminalisation Reform Among People Who Use Illicit Drugs","authors":"Rachel Sutherland,&nbsp;Connor Graham,&nbsp;Caitlin Elizabeth Hughes,&nbsp;Anna Olsen,&nbsp;Chris Gough,&nbsp;Cate King,&nbsp;Amy Peacock","doi":"10.1111/dar.70222","DOIUrl":"https://doi.org/10.1111/dar.70222","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In October 2023, the Australian Capital Territory became the first Australian jurisdiction to decriminalise possession of small quantities of multiple illicit drugs by law, introducing an alternative, legislated pathway enabling police to divert individuals to a health education and information session or issue a $100 expiation fine. This study examined awareness and understanding of this reform among two populations of people who regularly use illicit drugs in Canberra.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional samples of people who regularly use illicit stimulants (<i>n</i> = 200; Ecstasy and Related Drugs Reporting System, EDRS) or inject drugs (<i>n</i> = 201; Illicit Drug Reporting System, IDRS) were recruited between April–June 2023 (pre-legislation) and 2024 (post-legislation). Chi-square analyses assessed differences between years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Self-reported awareness of the new legislation increased significantly between 2023 and 2024—from 49% to 81% among EDRS participants (<i>p</i> &lt; 0.001) and from 33% to 72% among IDRS participants (<i>p</i> &lt; 0.001). In both years, most participants aware of the legislation correctly recognised that it applied only to possession (EDRS: 94%–95%; IDRS: 78%–91%), not sale or supply. Many understood that police responses for small quantity possession offences had changed (EDRS: 76%, respectively: IDRS: 56%–66%); however, misconceptions persisted, with notable proportions believing police would ‘do nothing’, and/or that it was ‘entirely legal’ to possess drugs other than cannabis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Awareness of the Australian Capital Territory's multi-drug decriminalisation reform increased among two populations of people who regularly use illicit drugs, but understanding of the details remained mixed. Many participants appeared to confuse legalisation and decriminalisation and misperceived police and judicial responses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70222","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784002","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":"The Hidden Epidemic: Epidemiology of Acute Infections in People Who Inject Drugs in Fiji","authors":"Manisha Naidu,&nbsp;Yogeshni Chandra","doi":"10.1111/dar.70234","DOIUrl":"https://doi.org/10.1111/dar.70234","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Injection drug use is an emerging challenge in Fiji and the Pacific region, where injection-related infections may contribute substantially to morbidity, mortality and healthcare burden. However, data on the epidemiology and outcomes of these infections remain limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an observational cross-sectional study among people who inject drugs admitted to hospital with infections over a 6-month period. Data on infection type, injecting practices, substance use history, and relevant clinical and demographic variables were collected using a structured questionnaire and medical record review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 128 participants, 76% were males. The majority were of iTaukei ethnicity (95%). Most were in the 18–25-year-old age range. The predominant infection was HIV (<i>n</i> = 97, 76%) and 42 (33%) patients had a positive blood culture. <i>Staphylococcus aureus</i> was the most common bacterial pathogen identified. Median length of stay was 10 days (interquartile range 6–14 days) with 31% in-hospital mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>This study highlights the high burden of acute infections and associated morbidity and mortality among people who inject drugs in Fiji, compounded by social vulnerabilities and limited access to harm reduction services. The findings underscore the urgent need for integrated patient-centred interventions, including hospital management, community harm reduction and strengthened surveillance to improve health outcomes in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784628","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":"People Seeking Treatment for Meth/Amphetamine Use Are Getting Older and Treatment Services Need to Adapt","authors":"Liam S. Acheson,&nbsp;Krista J. Siefried,&nbsp;Brendan Clifford,&nbsp;Maureen Steele,&nbsp;Kathryn Fletcher,&nbsp;Nadine Ezard","doi":"10.1111/dar.70238","DOIUrl":"https://doi.org/10.1111/dar.70238","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Harms associated with meth/amphetamine use increase with cumulative exposure and overlap with age-related health conditions. Understanding demographic shifts in drug treatment populations is required to ensure services meet evolving needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed data from the Australian Institute of Health and Welfare's Alcohol and Other Drug Treatment Services National Minimum Data Set, including all treatment episodes where meth/amphetamine was the primary drug of concern from 2003–04 (first data available) to 2023–24. Weighted linear regression assessed changes in age distribution over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis included 697,280 treatment episodes, 35% (<i>n</i> = 245,782) of whom were female. In 2003–04, people aged 20–29 years were the largest group accessing treatment (<i>n</i> = 6835, 48%), but by 2023–24 those aged 30–39 were the largest group seeking treatment for meth/amphetamine use (<i>n</i> = 258,063, 39%, <i>p</i> &lt; 0.001). Over the last 20 years, the most pronounced increases occurred among adults over the age of 50 years, with treatment episodes increasing 16-fold (from 64 to 4313, <i>p</i> &lt; 0.001) among those aged 50–59 and 13-fold (from 11 to 609, <i>p</i> &lt; 0.001) among those aged 60 years and over.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>The population seeking treatment for meth/amphetamine use disorder is ageing, outpacing the general Australian population. The absence of policies and practice guidance for management of meth/amphetamine use disorder and coexisting conditions among older people represents a critical gap. Treatment services must adapt to provide age-appropriate care for older Australians, as the proportion of people over the age of 50 accessing treatment continues to grow.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148783944","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":"Contemporary Approaches to Opioid Dependence Treatment Delivery: A Rapid Review of Novel Models Relevant to Implementation in Victoria, Australia","authors":"Shalini Arunogiri,&nbsp;Ali Cheetham,&nbsp;Michael Savic,&nbsp;Dan I. Lubman,&nbsp;Victoria Manning","doi":"10.1111/dar.70213","DOIUrl":"https://doi.org/10.1111/dar.70213","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Issues</h3>\u0000 \u0000 <p>Rising opioid-related harms and persistent barriers to opioid dependence treatment (ODT) access present critical challenges across Australia and internationally. Pharmacotherapy remains the most effective treatment for opioid use disorder, yet systemic gaps in workforce availability and service models limit reach and sustainability. Using Victoria as a case example, this review examines models with broad relevance to other Australian jurisdictions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Approach</h3>\u0000 \u0000 <p>We conducted a rapid review of academic (PubMed, Ovid MEDLINE, ProQuest, Google Scholar) and grey literature published from January 2019–31 August 2025. Eligible studies described innovative ODT models including organisational redesign, expanded workforce roles and technology-enabled approaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Key Findings</h3>\u0000 \u0000 <p>Fifty-six publications were clustered into organisational (e.g., mobile outreach, emergency department initiation, low threshold rapid access clinics), workforce (nurse practitioner prescribing, pharmacist–prescriber collaboration) and telehealth-enabled models. Studies primarily measured critical short-term outcomes such as retention (up to 12 months), with limited longitudinal outcome data available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Workforce development is critical, particularly through nurse practitioner expansion and pharmacist collaborative care, supported by sustainable funding and training pipelines. Telehealth and hybrid models can enhance accessibility while leveraging existing community infrastructure. Future research should prioritise patient-reported outcomes, cost-effectiveness and longer-term evaluations of novel care models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This rapid review highlights innovative ODT approaches with potential to address access and workforce challenges. Staged implementation, supported by investment in infrastructure and evaluation, represents a timely opportunity for reform with relevance across Australia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70213","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784307","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 Consumption Patterns and Chronic Pain: Findings From the 2019 Brazilian National Health Survey","authors":"Mariana Campello de Oliveira,&nbsp;Maria Olivia Pozzolo Pedro,&nbsp;Kae Leopoldo,&nbsp;Douglas Henrique Crispim,&nbsp;João Maurício Castaldelli-Maia","doi":"10.1111/dar.70235","DOIUrl":"https://doi.org/10.1111/dar.70235","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Chronic pain and harmful alcohol use are prevalent and disabling conditions with shared neurobiological and social determinants, yet their relationship remains understudied in low- and middle-income countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross-sectional data from 90,846 adults with complete data on the 2019 Brazilian National Health Survey were analysed. Chronic pain was categorised as back pain, rheumatism/arthritis and repetitive strain injury/work-related musculoskeletal disorder. Alcohol use was assessed by consumption frequency (six categories), binge drinking and average daily intake. Weighted logistic regression models adjusted for sociodemographic and clinical variables were applied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A U-shaped association was observed between alcohol consumption frequency and chronic pain: compared with regular-high frequency drinkers (3–5 days/week, reference), higher odds of chronic pain were observed among near-daily (odds ratio [OR] 1.73; 95% confidence interval [CI] 1.17–2.56), occasional (OR 1.61; 95% CI 1.20–2.15), infrequent (OR 1.42; 95% CI 1.11–1.82) and regular-low (1–2 days/week; OR 1.28; 95% CI 1.03–1.60) drinkers. Binge drinking was independently associated with higher odds of chronic pain (OR 1.21; 95% CI 1.03–1.42). Female sex (OR 1.65; 95% CI 1.49–1.83) and depression (OR 2.67; CI 2.32–3.07) showed strong associations with chronic pain. Alcohol quantity (g/day) was not significantly associated with chronic pain in sensitivity analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Frequent alcohol use, binge drinking, female sex and depression were independently associated with chronic pain in this low- and middle-income countries population. These associations highlight the importance of addressing behavioural and mental health patterns in pain management. Future longitudinal studies are needed to determine the directionality of these associations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784308","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}