Drug and alcohol review最新文献

{"title":"Peer Recovery Care Planning While Awaiting Alcohol and Other Drug Treatment","authors":"Annette Peart,&nbsp;Ariel D. Roxburgh,&nbsp;Lauren Findlay,&nbsp;Benn Veenker,&nbsp;Tarisai Shinya,&nbsp;Victoria Manning,&nbsp;David Best,&nbsp;Dan I. Lubman","doi":"10.1111/dar.70225","DOIUrl":"https://doi.org/10.1111/dar.70225","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>People experiencing addiction often face barriers to care, including long wait times and social isolation. Peer support, delivered by people with lived experience, can address these challenges by fostering engagement and building recovery skills. This study piloted a peer intervention using the RECovery CAPital (REC-CAP) strengths assessment and planning tool for individuals on a waiting list for alcohol and other drug community treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eligible participants (<i>n</i> = 21) were referred to peer workers for an assessment and goal setting session using REC-CAP between April and August 2024. Follow-up sessions occurred at 4- and 12-weeks to revisit goals and readminister REC-CAP, alongside brief fortnightly check-ins. At 12 weeks, qualitative interviews explored participant experiences and identified suggestions for improvement. Interviews were analysed using inductive content analysis. Changes in recovery capital (REC-CAP score) were assessed using a general linear model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 21 participants (55% male, mean age 44), 72% identified alcohol as their primary drug of concern. Recovery capital significantly increased across the three time points, with the greatest gains observed between baseline and 4 weeks (<i>n</i> = 15). Qualitative findings highlighted the value of peer connection and structured goal setting while waiting for treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Peer support based on REC-CAP strengths profile and care planning shows promise in increasing recovery capital and maintaining motivation during treatment delays. Participants valued the peer relationship and the opportunity to reflect on recovery goals. These findings support further investigation in a fully powered trial to assess impact, effectiveness and scalability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70225","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148616990","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":"Quitline Counsellors' Experiences With Vaping and Nicotine Replacement Therapy for Smoking Cessation in Australian Drug and Alcohol Services","authors":"Jane L. Rich,&nbsp;Catherine J. Segan,&nbsp;Joshua Trigg,&nbsp;Ashleigh Guillaumier,&nbsp;Lyndell Moore,&nbsp;Victoria Manning,&nbsp;Adrian Dunlop,&nbsp;Joshua B. B. Garfield,&nbsp;Mark Daglish,&nbsp;Natalie Walker,&nbsp;Chris Bullen,&nbsp;Donita Baird,&nbsp;Dan Lubman,&nbsp;Coral Gartner,&nbsp;Amanda Baker,&nbsp;Billie Bonevski","doi":"10.1111/dar.70220","DOIUrl":"https://doi.org/10.1111/dar.70220","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In Australia, people undergoing inpatient treatment for alcohol and other drug (AOD) use disorders have a high prevalence of tobacco smoking. Smoking cessation support is routinely offered to clients within inpatient withdrawal settings, but continued support post-discharge typically is not. The current study qualitatively explores attitudes and experiences of Quitline counsellors involved in a two-armed trial for clients with provision of 12 weeks of nicotine vaping products (NVPs) or combination nicotine replacement therapy (cNRT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Two focus groups of Quitline counsellors (six per group) explored how they felt about training received, their beliefs and attitudes about NVPs and cNRT for smoking cessation for AOD-use population and their wider experience supporting AOD clients. Data were inductively coded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six themes were identified: (i) Counsellor Readiness and Professional Adaptation to Emerging Cessation Tools; (ii) Addressing Complexity: Behavioural Support in Multi-Substance Recovery Contexts; (iii) Client Preferences and Product Engagement in Cessation Support; (iv) Continuity of Care: Bridging Residential Treatment and Community Support; (v) Enablers of Quality Practice: Training, Resources and Organisational Support; and (vi) Service Integration and Boundary Management in Specialised Populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>The agility of Quitline services models their potential to partner with clinical research teams and AOD services to build the evidence-base around the effectiveness of reduced-harm nicotine products for people with complex needs. The Victorian Quitline partnership with the NEAT trial produced a comprehensive service model assisting people seeking AOD treatment to quit smoking that highlights the workforce as a modifiable factor by involving staff in evidence-building adaptability.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148617242","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":"Sociodemographic Trends in Daily, Weekly and Less Than Weekly Cannabis Use in Australia","authors":"Janni Leung,&nbsp;Gary Chung Kai Chan,&nbsp;Ruofan Zhang,&nbsp;Wayne D. Hall,&nbsp;Caitlin McClure-Thomas","doi":"10.1111/dar.70207","DOIUrl":"10.1111/dar.70207","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In the Australian 2001–2013 National Drug Strategy Household Surveys (NDSHS), frequent cannabis use declined among higher socioeconomic groups while remaining stable among lower socioeconomic groups, suggesting a widening socio-demographic gap. This study examined trends in cannabis use frequency and sociodemographic disparities in Australia up to 2022/23.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were from eight waves of the NDSHS between 2001–2022/23 (total <i>N</i> = 197,484). Past 12-month cannabis use was categorised as daily, weekly, less than weekly and no use. Multinomial regression models assessed associations between cannabis use, year and sociodemographic factors. Interaction terms examined changes in disparities over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Daily cannabis use ranged from 1.25% [95% confidence interval 1.08–1.45] to 1.67% [1.41–1.98] between 2001 and 2019, then increased to 2.17% [1.92–2.46] in 2022/23. Weekly and less frequent use remained stable. More frequent use was observed among males, younger adults, individuals living in outer regional or rural areas, unpartnered individuals, those with lower educational attainment, and those from more socioeconomically disadvantaged areas. Year-by-age interactions indicated larger increases in daily use among middle-aged and older adults. No interactions were observed between survey year and other socioeconomic indicators. The increase in daily use was attenuated in sensitivity analyses excluding medicinal and prescribed cannabis use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Daily cannabis use in Australia increased in 2022/23, with a smaller effect if we exclude medicinal use, while other patterns of use remained unchanged. Sociodemographic disparities remained. Continued monitoring is needed to determine whether this represents a sustained trend and to address underlying drivers of inequalities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148600363","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 and Attributable Burden of Disease in the World Health Organization Western Pacific Region","authors":"Jürgen Rehm,&nbsp;Sally Caswell,&nbsp;Dan Fang,&nbsp;Ari Franklin,&nbsp;Ahmed S. Hassan,&nbsp;Marian Saab,&nbsp;Ashley Wettlaufer,&nbsp;Xi Yin,&nbsp;Kevin D. Shield","doi":"10.1111/dar.70215","DOIUrl":"10.1111/dar.70215","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This article provides an overview of alcohol exposure and attributable mortality and burden of disease in the World Health Organization Western Pacific Region, and trends in alcohol exposure over the past two decades.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We employed a comparative risk assessment and trend analyses to evaluate alcohol exposure patterns and attributable burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In 2019, almost half a million deaths and more than 22 million disability-adjusted life years lost were attributable to the consumption of alcohol in the Western Pacific Region, representing 3.5% (95% uncertainty interval 2.5, 4.8) of all deaths and 4.4% (95% uncertainty interval 3.6, 5.4) of all disability-adjusted life years lost. This was caused by an average consumption of 6.06 litres of pure alcohol per year (APC; 95% confidence interval 4.46–7.84), higher than the global average of 5.45 litres. Trends in APC have varied across subregions: China saw increasing consumption up to 2016, with a marked decrease since then, likely due to an anti-corruption campaign prohibiting consumption in public spaces and during official functions. In other Asian countries, consumption steadily increased until the COVID-19 pandemic, then decreased during it, and has now partially returned to pre-pandemic levels. APC in Oceania including Australasia was relatively stable between 2000 and 2020 and has decreased since.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Overall, alcohol use remains high and normalised in the region, necessitating robust alcohol control policies. Strengthening these efforts is particularly critical in some Asian countries that experienced the largest increases in levels of alcohol consumption between 2000 and 2024.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590744","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":"Patient Experience of Withdrawal During Methadone–Buprenorphine Transfer: A Prospective Cohort Study","authors":"Chris Tremonti,&nbsp;Llewellyn Mills,&nbsp;Nicholas Lintzeris,&nbsp;James Blogg,&nbsp;Nazila Jamshidi,&nbsp;Ricky Harjanto,&nbsp;Alison Blazey,&nbsp;Mark Montebello,&nbsp;Charlotte Ismay,&nbsp;Robert Page,&nbsp;Nicholas A. Buckley,&nbsp;Varan Perananthan,&nbsp;Paul S. Haber","doi":"10.1111/dar.70211","DOIUrl":"10.1111/dar.70211","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Methadone-to-buprenorphine transfers (MBT) are increasingly common as buprenorphine use expands. Evidence describing patient experience of withdrawal during MBT in real-world populations is limited. This study aimed to characterise withdrawal trajectories during MBT and examine whether psychosocial and clinical factors influence the severity or timing of withdrawal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This analysis used data from a prospective, non-randomised clinical trial comparing low-dose and stop-and-start MBT techniques (<i>n</i> = 117). Covariates included methadone dose, duration on methadone, transfer setting, study arm, withdrawal expectancy, psychological distress, substance use and unstable housing. Withdrawal was assessed daily using the Clinical Opioid Withdrawal Scale (COWS) and Short Opiate Withdrawal Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ninety-four participants (80.3%) completed transfer. Withdrawal followed a consistent trajectory across the cohort, peaking around Day 5. Psychosocial and clinical characteristics—including unstable housing, substance use, psychological distress and methadone dose—were not associated with withdrawal severity or timing. Compared with stop-and-start transfer, low-dose transfer was associated with a delayed and larger increase in objective withdrawal: peak COWS occurred 2.3 days later (95% CI 0.3–4.3) and the largest one-day increase was 3.8 points higher (95% CI 0.5–7.0).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Patient factors often considered barriers to MBT were not associated with withdrawal severity or timing. Low-dose transfer was associated with a delayed and slightly higher withdrawal peak but did not reduce overall transfer success. These findings suggest that withdrawal during MBT follows a broadly similar trajectory across patients with differing psychosocial complexity. Planning for expected withdrawal, rather than selecting patients based on perceived complexity, may be more clinically relevant.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561112","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":"Correction to “Accuracy of Patient-Reported Exposure to New Psychoactive Substances and Other Illicit Drugs in Australian Emergency Departments: Findings From the Emerging Drugs Network of Australia”","authors":"","doi":"10.1111/dar.70217","DOIUrl":"10.1111/dar.70217","url":null,"abstract":"<p>\u0000 <span>M. J. Nijmeijer</span>, <span>J. L. Smith</span>, <span>C. Weber</span>, et al., “ <span>Accuracy of Patient-Reported Exposure to New Psychoactive Substances and Other Illicit Drugs in Australian Emergency Departments: Findings From the Emerging Drugs Network of Australia</span>,” <i>Drug and Alcohol Review</i> <span>45</span>, no. <span>5</span> (<span>2026</span>): e70193, https://doi.org/10.1111/dar.70193.\u0000 </p><p>We apologise for these errors.</p>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535467","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":"Discordant Drug Checking Results and Risk Reduction Behaviours: Findings From the ChecKnow Study in France","authors":"Samuel Tobias,&nbsp;Julio Del Amo,&nbsp;Sophie Albert,&nbsp;Marion Aubert,&nbsp;Anissa Zerrari,&nbsp;Pierre Chappard,&nbsp;Lianping Ti,&nbsp;Perrine Roux","doi":"10.1111/dar.70216","DOIUrl":"10.1111/dar.70216","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Drug checking services (DCS) provide people with information about the contents of their drugs, reducing uncertainty about the composition of substances from unregulated markets. However, their impact on behaviour change has been sparsely evaluated. This study aimed to assess behaviour change following receipt of a drug checking result among users of French DCS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were drawn from ChecKnow, a French e-cohort of people who use drugs. Using cross-sectional, baseline survey data, we identified participants who accessed face-to-face DCS within the previous 6 months. Reported drug checking results were categorised as containing only the expected substance, a non-psychoactive diluent, a psychoactive adulterant, or an entirely different substance. We assessed whether discordance between participants' drug checking result and their expectation was associated with subsequent engagement in risk-reducing behaviour, using Poisson regression adjusted for relevant confounders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1363 participants completed the survey and 480 (35.2%) reported ever using DCS. Compared to results containing only the expected substance, the prevalence of engaging in risk-reducing behaviour increased with each category: diluted (adjusted prevalence ratio [aPR] = 2.78; 95% confidence interval [CI] 0.84, 9.18), adulterated (aPR = 3.34; 95% CI 1.52, 7.34) and absent (aPR = 5.48; 95% CI 2.61, 11.50).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Receipt of unexpected drug checking results was associated with a graded increase in the likelihood of engaging in risk reduction behaviours, with the strongest effects observed when the expected substance was entirely absent. These findings suggest that DCS may effectively promote behavioural adaptation in response to potential drug-related risks.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13387861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548230","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":"It Pays to Ask Twice: Alcohol Consumption Amongst Aboriginal and Torres Strait Islander Peoples Who Self-Reported Not Drinking Alcohol","authors":"Teagan Weatherall,&nbsp;James Conigrave,&nbsp;Scott Wilson,&nbsp;Jimmy Perry,&nbsp;Katherine M. Conigrave,&nbsp;Lynette Bullen,&nbsp;Taleah Reynolds,&nbsp;Dan Wilson,&nbsp;Monika Dzidowska,&nbsp;Martyn Symons,&nbsp;K. S. Kylie Lee","doi":"10.1111/dar.70201","DOIUrl":"10.1111/dar.70201","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>It is important that Aboriginal and Torres Strait Islander peoples who experience worries from alcohol use are linked with support. Screening is important to help link people to support. However, individuals may not freely report consumption, especially if they perceive discrimination or drink less than others. Here we report on the use of a ‘check question’ asking about alcohol consumption on special occasions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We analysed data from an urban and remote community in South Australia, collected between July and October 2019. Participants who self-reported not drinking alcohol were then asked, using a check question, if they had consumed <i>any</i> alcohol, including on special occasions. We explored the link between alcohol consumption and demographics using linear regression models. We used logistic regression to identify differences between individuals who did and did not initially self-report alcohol consumption.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 775 Aboriginal and Torres Strait Islander peoples participated. By using a check question, we identified 20 individuals who then self-reported alcohol consumption in the previous 12-months. They reported a median consumption of 5.4 standard drinks per occasion, had a lower AUDIT-1 score and reported more consecutive days not drinking alcohol.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>A check question in an alcohol survey tool was useful to identify individuals who do occasionally drink alcohol. Improving how screening tools ask about alcohol consumption is important to help people feel more comfortable and understand that the questions also apply to occasional drinking. This could help with collecting accurate data to inform prevention, treatment and policy efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13375397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148469632","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":"International Policy Approaches for Higher THC Cannabis Products: Are They Applicable to the Australian Medicinal Cannabis Framework?","authors":"Myfanwy Graham,&nbsp;Dereje Assefa,&nbsp;Adrian Carter,&nbsp;Suzanne Nielsen","doi":"10.1111/dar.70203","DOIUrl":"10.1111/dar.70203","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>There have been concerted research efforts internationally to examine the health effects of higher delta-9-tetrahydrocannabinol (THC) concentration cannabis products and to design policies to reduce potential negative health effects of their use. This study identifies international policy approaches for regulating higher THC products relevant to the Australian medicinal cannabis program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An environmental scan of international literature and policy as part of a broader study commissioned to inform Australian policy. Methods were prospectively registered with the Open Science Framework: 10.17605/OSF.IO/HNFUT. Peer-reviewed and grey literature on international policy approaches were identified through searches for ‘high potency THC’ and ‘policy’. The literature was then narratively synthesised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 76 publications and other sources that described policy approaches recommended or implemented in five jurisdictions: Canada; Germany; the Netherlands; the United States; and Uruguay. Approaches included setting a threshold for cannabis flower THC concentration at or below the biological THC limit of 30%–35% found in the plant and a risk-tiered model for highly concentrated THC dosage forms. THC limits per dose and per package have been applied to edible products. Additional approaches included quantity limits, packaging and labelling requirements, pharmacovigilance, and education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Policy approaches for higher THC concentration cannabis products could be adapted to the Australian regulatory environment to reduce potentially harmful THC exposure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13370733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148445031","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 Towards Drinking in the Presence of Small Children: Do the Associations With Parenthood and Own Risky Drinking Change When Per Capita Alcohol Consumption Declines?","authors":"Kirsimarja Raitasalo,&nbsp;Pia Mäkelä","doi":"10.1111/dar.70209","DOIUrl":"10.1111/dar.70209","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study explores changes in Finnish adults' attitudes towards alcohol use and getting drunk in the presence of small children and the changes in these attitudes in a period of declining alcohol consumption in Finland. It also examines whether these attitudes differ by respondents' parental status and by their own risky drinking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were drawn from nationally representative cross-sectional surveys conducted in 2008 (<i>N</i> = 2500), 2016 (<i>N</i> = 1857) and 2023 (<i>N</i> = 2133) in mainland Finland. Poisson regression assessed the effects of time, parenthood and AUDIT scores on two attitude statements. Interactions with survey year were tested to explore changes over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The proportion of respondents who agreed that drinking in the presence of small children is unacceptable increased from 73% in 2008 to 78% in 2023. Acceptance of getting drunk around children declined from 37% to 27% (RR = 0.89, 95% CI 0.86–0.92). Parents were more likely to accept any alcohol use (RR = 1.09, 95% CI 1.06–1.13) and less likely to accept getting drunk (RR = 0.96, 95% CI 0.93–0.99). Higher AUDIT scores were linked to more permissive attitudes towards both drinking and getting drunk in the presence of children; these associations remained stable over time.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Parents were more permissive towards any alcohol use but less accepting of getting drunk in the presence of small children, whereas respondents with riskier drinking consistently expressed more permissive attitudes. Finnish adults' growing disapproval of drunkenness around small children over 2008–2023 likely reflects broader shifts in social norms that have accompanied declining alcohol use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 5","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13352349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419687","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}