Drug and alcohol review最新文献

{"title":"Understanding the Cause and Diversity of Women's Drink and Drug Driving—A Qualitative Exploration","authors":"Kerry A. Armstrong,&nbsp;Hanna Watling,&nbsp;Taren Mieran,&nbsp;Jessica Marigold","doi":"10.1111/dar.70141","DOIUrl":"10.1111/dar.70141","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Drink and drug driving continues to pose a significant public health risk, with incidents increasing among women. Building on limited prior research, this study situates women's substance-impaired driving within a psychosocial and gender-responsive criminological framework to explore women's experiences with impaired driving.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with <i>N</i> = 27 women apprehended for drink or drug driving within the past 5 years in Queensland, Australia. Data were analysed using ideal-type analysis, identifying typologies based on similarities and differences across accounts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four distinct typologies emerged from the analysis: (i) Inadvertent Drink Drivers, who unintentionally exceeded the general alcohol limit due to misunderstandings about alcohol metabolism and reliance on outdated consumption guidelines; (ii) Post-Apprehension Separators, who continued using substances but implemented deliberate strategies to separate substance use from driving; (iii) Drivers Engaged in Recovery, who had ceased substance use at the time of the interview; and (iv) High-Risk Offenders, who demonstrated a high likelihood of reoffending, often influenced by permissive social environments and low responsiveness to legal sanctions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Some women's profiles aligned with previous research where substance-impaired driving was shaped by gendered stressors, whereas others reflected characteristics more consistent with traditional male-typed profiles. Distinct intervention needs were identified across typologies, including substance use and mental health treatment, education initiatives, self-regulated separation strategies and legislative sanctions. Recognising how individual behaviour is shaped by social and structural factors is essential for designing equitable, gender-responsive interventions and supports that enhance women's capacity to avoid reoffending.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12968506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147375861","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":"‘Zero Alcohol Drinks Are Really Complex’: Navigating Substitution and Addition Consumption Issues","authors":"Simone Pettigrew,&nbsp;Bella Sträuli,&nbsp;Asad Yusoff,&nbsp;Paula O'Brien,&nbsp;Michelle Jongenelis,&nbsp;Alexandra Jones,&nbsp;Aimee Brownbill,&nbsp;Fraser Taylor,&nbsp;Jacquie Bowden","doi":"10.1111/dar.70124","DOIUrl":"10.1111/dar.70124","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The net benefit of the rapid expansion of the zero alcohol product (ZAP) market has yet to be determined due to the potential for these beverages to produce both positive (substitution) and negative (addition) outcomes. The aims of this study were to: (i) identify factors that can affect substitution consumption; (ii) identify factors that may influence addition consumption; and (iii) explore whether consumers' views on ZAPs are consistent with policy approaches recommended by the World Health Organization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Nine online focus groups were conducted with 83 adults residing in three Australian states (51% female). Participants consumed alcohol at least twice monthly.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a strong agreement that ZAPs are too expensive but can be useful to facilitate socialising in contexts where alcohol use is expected. Areas of substantial divergence included whether ZAPs taste good and their perceived utility compared to other non-alcoholic beverages. Concern was expressed for ZAPs constituting a pathway for children to be exposed to products that mimic the taste of alcohol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>The ability of the study participants to identify both positive and negative aspects of ZAPs mirrors the tensions between substitution and addition consumption reported in the literature and the resulting policy challenges. While definitive solutions remain elusive in the absence of clear evidence on the impact of ZAPs on alcohol consumption at the population level, the results of the present study suggest there may be community support for policies that are specifically directed at minimising the potential harms of ZAPs for children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12956470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347796","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":"Attitudes to Restrictions on the Promotion and Parental Supply of Zero Alcohol Products","authors":"Laura Bathie,&nbsp;Asad Yusoff,&nbsp;Bella Sträuli,&nbsp;Michelle I. Jongenelis,&nbsp;Paula O'Brien,&nbsp;Jacquie Bowden,&nbsp;Aimee Brownbill,&nbsp;Christina Norris,&nbsp;Simone Pettigrew","doi":"10.1111/dar.70123","DOIUrl":"10.1111/dar.70123","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Concerns have emerged regarding the potential of zero alcohol products (ZAP) to increase youth exposure to alcohol branding and normalise consumption of alcohol-flavoured/branded beverages. To inform future policies, this study aimed to explore attitudes to restrictions on ZAPs advertising in public spaces and parental provision of ZAPs to teenagers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study sample comprised 3310 Australian adults who completed an online panel survey. Respondents reported level of agreement with statements about: (i) banning ZAPs advertising on public transport; (ii) banning ZAPs advertising on billboards near schools; (iii) removing ZAPs advertising from professional sport; and (iv) the acceptability of parents providing ZAPs to teenagers. Responses were analysed descriptively and via linear regression to identify demographic correlates of agreement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Support for advertising restrictions was modest, with 47% of respondents agreeing with banning ZAPs advertising near schools, 33% with removing ZAPs advertising from professional sport and 31% with banning ZAPs advertising on public transport. Nearly half (45%) disagreed with parental provision of ZAPs to teenagers. Overall, older age and lower socioeconomic status were associated with small increases in support for advertising restrictions and opposition to parental supply.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Support for ZAPs-related restrictions is lower than for comparable alcohol advertising policies, potentially reflecting limited awareness of ZAPs’ role in promoting alcohol brands. These findings underscore the need for public education on ZAPs-related risks and suggest that specific messaging may be necessary to build support for regulatory interventions aimed at protecting youth.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12956468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347822","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":"Trends in the Range of Zero Alcohol Products Available in Supermarkets and Alcohol Stores in Australia","authors":"Simone Pettigrew,&nbsp;Tazman Davies,&nbsp;Bella Sträuli,&nbsp;Asad Yusoff,&nbsp;Paula O'Brien,&nbsp;Michelle Jongenelis,&nbsp;Aimee Brownbill,&nbsp;Alexandra Jones,&nbsp;Fraser Taylor,&nbsp;Jacquie Bowen","doi":"10.1111/dar.70122","DOIUrl":"10.1111/dar.70122","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>With some exceptions, alcohol cannot be sold in Australian supermarkets. The emerging availability of zero alcohol products (ZAP) in supermarkets is therefore introducing alcohol brands into this previously protected domain. The aims of the present study were to examine the prevalence of ZAPs in supermarkets, compare this to the prevalence of ZAPs in alcohol stores, and assess the extent to which ZAPs available in supermarkets share branding with alcohol products.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>ZAPs available for sale in large supermarket and alcohol chain stores in Australia were assessed in 2022 and 2024. Analyses examined: (i) ZAPs available in each store type; (ii) alcohol brand extension ZAPs available in supermarkets; (iii) overlap in ZAP brands between supermarkets and alcohol stores; and (iv) changes in (i)–(iii) over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The number of unique ZAPs available for sale in supermarkets remained roughly stable between 2022 (<i>n</i> = 70) and 2024 (<i>n</i> = 66). A substantial increase in ZAPs prevalence was observed in alcohol stores (<i>n</i> = 110 in 2022 to <i>n</i> = 261 in 2024). By 2024, ZAPs with alcohol brands dominated supermarkets, representing 59% of available ZAPs, up from 37% in 2022. The percentage of unique ZAPs that were available in both supermarkets and alcohol stores remained stable over the period at 18%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>The new dominance of alcohol branded ZAPs in supermarkets demonstrates how alcohol branding is increasingly permeating the supermarket environment in Australia. The resulting increased exposure of children and adolescents to alcohol-related stimuli should be considered in ZAPs policies to minimise adverse outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12956469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347876","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 Deep Learning Model for Absolute Risk Prediction of Alcohol Use Disorder in Adolescents and Young Adults","authors":"Tingfang Wang,&nbsp;Swati Biswas,&nbsp;Pankaj K. Choudhary","doi":"10.1111/dar.70131","DOIUrl":"10.1111/dar.70131","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Alcohol use disorder (AUD) is a major public health concern worldwide, with alcohol use during adolescence often leading to AUD in adulthood. Early identification of high-risk individuals is critical for reducing AUD risk. Absolute risk prediction models can help by providing individualised, time-specific risk assessments for the target population of adolescents and young adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We developed a deep learning model to provide personalised absolute risk estimates of developing AUD among adolescents or young adults who use alcohol, using data from the National Longitudinal Study of Adolescent to Adult Health. Predictor importance was assessed using Shapley Additive Explanations (SHAP) values. Model performance was evaluated using five-fold cross-validation (CV) with the area under the curve (AUC) and the ratio of expected to observed cases (E/O). The model was validated on an independent test dataset.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key predictors are biological sex, delinquency, and personality traits such as conscientiousness and extraversion. For predicting AUD risk within 6 years of first alcohol use, the model achieved AUCs of 0.72 in CV and 0.85 in independent validation, with E/O ratios of 1.03 and 1.28, respectively. In the test data, the weighted average AUC for 1- to 6-year prediction after first alcohol use was 0.86. These results indicate good discrimination and calibration performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusion</h3>\u0000 \u0000 <p>To our knowledge, the proposed model is the first deep learning model for absolute risk prediction of AUD. It can help identify high-risk adolescents and young adults, who may be then provided with timely and clinically appropriate interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303665","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":"Epidemiology of Hallucinogen Microdosing Among Young Adults in the United States: A National Study","authors":"Katherine M. Keyes,&nbsp;Yvonne Terry-McElrath,&nbsp;Megan E. Patrick","doi":"10.1111/dar.70133","DOIUrl":"10.1111/dar.70133","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This paper aimed to determine the prevalence, demographic correlates and co-occurring substance use patterns of hallucinogen microdosing among young adults in the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p><i>Design</i>: Cross-sectional analysis of data from a nationally-representative cohort study collected in 2022–2023. <i>Setting</i>: United States. <i>Participants</i>: Sample of 3094 young adults aged 19–30 years in the Monitoring the Future panel study. <i>Measurements</i>: Self-reported past-year hallucinogen use and at least one past-year incident of microdosing, demographic characteristics (age, sex, race/ethnicity, college attendance, parental education) and other substance use (alcohol, cannabis, nicotine, other drugs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Past-year hallucinogen use was reported by 9.5% (SE = 0.68) of young adults, with microdosing reported by 6.8% (SE = 0.61). Among those who used hallucinogens, 73.1% (SE = 3.6) engaged in microdosing. Individuals who reported microdosing demonstrated substantially higher rates of other substance use, with odds ratios ranging from 2.53 (95% CI 1.43–4.47) for past-month cigarette use to 37.73 (95% CI 19.72–72.21) for 3+ occasions of past-year cannabis use. Among those who microdosed, 72.4% reported 10+ occasions of past-year alcohol use and 85.8% reported 3+ occasions of past-year cannabis use. There were few significant demographic differences in microdosing, though Black respondents were less likely (OR = 0.43, 95% CI 0.21–0.90) to microdose compared with White respondents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Approximately 1 in 15 US young adults reported microdosing hallucinogens, with strong associations between microdosing and other substance use. Despite growing interest in potential therapeutic applications of microdosing, the context in which microdosing typically occurs, including patterns of other drug and alcohol use, raises concerns and warrants focused prevention efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303613","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 Need to Revitalise Drug Use Monitoring to Keep Pace With a More Dynamic, Digitally Enabled and Globally Connected Drug Market: A Commentary on Griffiths et al.","authors":"Chris Cull","doi":"10.1111/dar.70135","DOIUrl":"10.1111/dar.70135","url":null,"abstract":"","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303589","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":"A Rapid Appraisal of How Alcohol Is Screened and Treated Amongst Minoritised Ethnic Service Users Within Community Mental Health Settings","authors":"Jo-Anne Puddephatt,&nbsp;Paul Marshall,&nbsp;Duncan Swiffen,&nbsp;Juliana Onwumere,&nbsp;Jayati Das-Munshi,&nbsp;Ross Coomber,&nbsp;Laura Goodwin","doi":"10.1111/dar.70118","DOIUrl":"10.1111/dar.70118","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Close to half of those engaged with community mental health teams (CMHT) report an alcohol or drug problem. UK public health guidance recommends that these services screen for harmful alcohol use, but reporting may be less likely amongst minoritised ethnic groups. This study aimed to explore: (i) the prevalence of screening and referrals to alcohol services within CMHTs and differences across ethnic groups; (ii) how alcohol use is assessed and treated in CMHTs, and tailored for minoritised ethnic service users; and (iii) staff and minoritised ethnic service users' experiences of assessing and reporting alcohol use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A rapid appraisal was conducted which triangulated data across patient healthcare records (aim 1), online survey (aim 2), interviews and focus groups (aim 3) with three CMHT services within an NHS Mental Health Foundation Trust in North-West England. Data was analysed using framework analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Both patient notes and survey data showed that alcohol was seldom assessed using formal tools. Three themes were developed reflecting differences in the barriers of reporting and assessing alcohol use for minoritised ethnic service users and staff. With barriers for the former including information sharing and barriers for the latter including protecting the therapeutic relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Triangulating data from across different sources highlights the complex challenges that services face in meeting the recommendations around alcohol screening in CMH services. Our findings have implications on the need for staff in mental health services to better understand and accommodate the needs of minoritised ethnic service users who may have co-occurring alcohol and mental health problems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303679","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":"Regulation of Alcohol-Free and Low-Alcohol Drinks: Learning From a Comparative Analysis of Eight Countries","authors":"Robyn Burton,&nbsp;Kathryn Angus,&nbsp;Amber Morgan,&nbsp;Rebecca Howell,&nbsp;Nathan Critchlow,&nbsp;Inge Kersbergen,&nbsp;John Holmes,&nbsp;Molly A. Bowdring,&nbsp;Mia Miller,&nbsp;Orratai Waleewong,&nbsp;Aleksi Halme,&nbsp;Carmen Voogt,&nbsp;Niamh Fitzgerald","doi":"10.1111/dar.70126","DOIUrl":"10.1111/dar.70126","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Governance of alcohol-free and low-alcohol (No/Lo) drinks has the potential to influence their public health impact. However, regulation remains poorly understood. This study aimed to identify, summarise and compare formal legal frameworks, non-binding government guidance and recognised self-regulatory frameworks for the labelling, taxation, licensing and condition of sale and marketing of No/Lo drinks across a diverse set of countries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a desk-based analysis, supplemented by expert input. Eight case study countries (Australia, Finland, Germany, the Netherlands, Norway, Thailand, the United Kingdom [UK] and the United States of America) were selected for their diversity in geography, alcohol consumption and policy environments. Targeted searches identified documents for determining how No/Lo products were regulated in relation to their labelling, taxation, licensing and conditions of sale and marketing. Data were extracted, tabulated and reviewed for accuracy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Regulatory thresholds (%ABV) that determine when drinks fall under alcohol legislation vary widely both across and within countries and definitions of No/Lo products are uncommon. For example, drinks can be labelled as alcohol-free at ≤ 0.05% alcohol by volume (ABV) in the UK, but ≤ 1.15% ABV in parts of Australia. Sales of drinks below defined thresholds generally do not require a premises licence. Marketing restrictions were generally shaped by those for standard alcoholic drinks, although new self-regulatory guidance has been developed in Australia, the Netherlands and the UK.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Governance of No/Lo drinks is fragmented and inconsistent, with definitions and regulatory thresholds varying both across countries and between policy areas within countries.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12936648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303616","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 Policies in the Association of Southeast Asian Nations Region—Challenges, Opportunities and Moving Forward","authors":"Wen Ting Tong,&nbsp;Noran N. Hairi,&nbsp;Wah Yun Low,&nbsp;Norli Abdul Jabbar,&nbsp;Nurhaliza Zakariah,&nbsp;Hafsah Alwafa Zulakmal,&nbsp;Gianna Gayle Herrera Amul,&nbsp;Sawitri Assanangkornchai,&nbsp;Surasak Chaiyasong,&nbsp;Pheak Chhoun,&nbsp;Enjeline Hanafi,&nbsp;Ahmed S. Hassan,&nbsp;John Robert Carabeo Medina,&nbsp;Belinda Julivia Murtani,&nbsp;Hoang Thi My Hanh,&nbsp;Sok King Ong,&nbsp;Kevin Shield,&nbsp;Kristiana Siste,&nbsp;Bundit Sornpaisarn,&nbsp;Vanphanom Sychareun,&nbsp;Polathep Vichitkunakorn,&nbsp;Siyan Yi,&nbsp;Daniela Correia,&nbsp;Jürgen Rehm","doi":"10.1111/dar.70127","DOIUrl":"10.1111/dar.70127","url":null,"abstract":"<div>\u0000 \u0000 <p>The Association of Southeast Asian Nations (ASEAN) region saw an increase in alcohol-attributable deaths attributed to the rise in consumption over the past decade. Rapid economic transition underscores the importance of understanding the multifaceted impact of alcohol consumption on society and the policies designed to mitigate its harms. This commentary discusses the challenges and opportunities of alcohol policy implementation in the ASEAN region and how policies can be leveraged to improve alcohol control. Enforcement gaps, policy loopholes and limited resources across ASEAN have resulted in inconsistent regulation of alcohol sales, advertising and sponsorship, while a thriving illicit market and fragmented data systems further undermine public health objectives. Industry interference and the absence of multisectoral collaboration have also weakened national efforts. Multisectoral and regional collaboration to strengthen effective alcohol policy implementation is warranted. Through best-practice exchanges and consolidating resources and expertise, alcohol policy challenges could be overcome by setting up an ASEAN taskforce on illicit trade, coordinated tax reforms shifting from ad valorem to specific or mixed excise, community-driven health promotion, harmonised digital marketing, enforcement, and Artificial Intelligence surveillance, and strengthened national monitoring. The goal would be to leverage the 2022 ASEAN Framework to push for a legally binding international instrument, akin to the World Health Organization Framework Convention on Tobacco Control, to overcome current alcohol policy challenges. Ultimately, member states could control alcohol-related harm and advance public health across the region.</p>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147303606","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}