A. Emigdio-Vargas, Arcadio Morales-Pérez, Elizabeth Nava-Aguilera, Alfonso Dávalos-Martínez, Nubia Blanco-García, E. Barrera-Rodriguez, Liliana Morales-Nava, N. Andersson
{"title":"Prevalence and associated factors of binge drinking among high school students in Acapulco, Mexico: a cross-sectional study","authors":"A. Emigdio-Vargas, Arcadio Morales-Pérez, Elizabeth Nava-Aguilera, Alfonso Dávalos-Martínez, Nubia Blanco-García, E. Barrera-Rodriguez, Liliana Morales-Nava, N. Andersson","doi":"10.1080/09687637.2022.2114876","DOIUrl":"https://doi.org/10.1080/09687637.2022.2114876","url":null,"abstract":"Abstract Youth binge drinking is an important health problem with notable psychosocial consequences. This study estimated the prevalence of and identified factors associated with binge drinking among high school students in Acapulco, Mexico. A cross-sectional study included 5177 students from five high schools. After informed consent, participants received a supervised self-administered questionnaire that collated demographic, socioeconomic, and psycho-affective variables. Bivariate and cluster-adjusted multivariate analysis identified factors associated with binge drinking; the odds ratio adjusted by cluster (ORa) with the Mantel–Haenszel procedure and 99% confidence intervals (CIs) cluster-adjusted (99% CIcla). Period prevalence of binge drinking in the last year was 17.9% (925/5177). Nighttime leisure activities modified the key associations. Among youth with nighttime-leisure, risk factors included history of attempted suicide (ORa 1.82), employee and students (ORa 1.90); and both parents consumed alcohol (ORa 1.47). Risk factors among the group without nocturnal leisure included: age 17 years or more (ORa 1.75); lower grade average ≤8.5 (ORa 1.71); and having a partner (ORa 1.43). Understanding this constellation can help to strengthen local actions aimed at preventing binge drinking and reducing its impact.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"1 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91135116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Tamutienė, Daumantas Stumbrys, J. Moskalewicz, J. Sieroslawski
{"title":"Prevalence of alcohol’s harm to others in the context of changing alcohol control policies in Lithuania in 2015 and 2020","authors":"I. Tamutienė, Daumantas Stumbrys, J. Moskalewicz, J. Sieroslawski","doi":"10.1080/09687637.2022.2114878","DOIUrl":"https://doi.org/10.1080/09687637.2022.2114878","url":null,"abstract":"Abstract Alcohol’s harm to others (AHTO) has gained increased research attention, yet little information is available on how it is influenced by changes in alcohol policies. The aim of this study is to examine the changes in the prevalence of AHTO over the period 2015 and 2020 in the context of alcohol policy reform in Lithuania. The reform included a set of policies including increased prices, reduced availability, and advertising ban. Data came from the two cross-sectional Standard European Alcohol Surveys conducted in September-October 2015 (N = 1513) and August-September 2020 (N = 1015) in Lithuania. The first survey was conducted in 2015 just before the new alcohol control policies were implemented. We found the respondents who reported at least one harm in response to AHTO questions decreased from 76.7%, in 2015 to 68.3%, in 2020 (p < .01). Furthermore, changes in AHTO varied a lot in different socio-demographic groups. New alcohol policy measures seem to have contributed to the decrease of some types of AHTO in the adult general population over a 5-year period. Harm prevention policies should take into consideration variations in the prevalence of alcohol’s harm to others by gender, age group, and place of residence.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"30 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90703455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Calvert, M. Goldszmidt, L. Liu, Sarah Burm, Sayra M. Cristancho, J. Torti, J. Sukhera
{"title":"Exploring the process of care for people who inject drugs in hospital settings","authors":"Sara Calvert, M. Goldszmidt, L. Liu, Sarah Burm, Sayra M. Cristancho, J. Torti, J. Sukhera","doi":"10.1080/09687637.2022.2114875","DOIUrl":"https://doi.org/10.1080/09687637.2022.2114875","url":null,"abstract":"Abstract In recent years, hospitals have experienced alarming increases in admissions of people who inject drugs (PWID), which present unique challenges to the care process. Untangling the complexity of care can be difficult due to interactions that occur between human and non-human elements including hospital systems, policy, technology, time, and space. The purpose of this study was to explore relations between social and material elements within the acute care environment, to better understand how care is enacted and to identify novel approaches for improvement. Data collection and analysis utilized a practice-based approach informed by constructivist grounded theory and sociomaterial perspectives, which emphasized relationships between human and non-human elements. Data included observational field notes, interviews, and artifacts from 154 hours spent on acute medicine units of two hospitals in an urban setting in Ontario, Canada. Findings revealed that differing expectations, strained conversations, and various policies assembled to produce misalignments in care. Such misalignments included mistrust, suboptimal pain and withdrawal management, and frequent patient absences and/or discharge against medical advice. Care misaligned in ways that reflected both social and material elements, demonstrating a need for hospital staff and systems to challenge existing care models built around individual control and abstinence-informed practices.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"12 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73986118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Jackson, H. Mathias, F. Martin, J. Buxton, Anik Dubé, Niki C. Kiepek, Jo-Ann MacDonald, C. Strike
{"title":"Accessing drug treatment programs in Atlantic Canada: the experiences of people who use substances","authors":"L. Jackson, H. Mathias, F. Martin, J. Buxton, Anik Dubé, Niki C. Kiepek, Jo-Ann MacDonald, C. Strike","doi":"10.1080/09687637.2022.2102461","DOIUrl":"https://doi.org/10.1080/09687637.2022.2102461","url":null,"abstract":"Abstract People who use substances (PWUS) (e.g. inject substances) are at risk of many harms. Various services help reduce risks including drug treatment programs such as withdrawal management and opioid agonist treatment. Much of the research on PWUS’ experiences of treatment programs is set in large urban centers creating a knowledge gap of experiences in other places. Our study helps address this gap by exploring PWUS’ experiences of treatment programs in Atlantic Canada which is a region with many small urban centers and rural areas. One-on-one qualitative interviews were conducted with 55 PWUS focusing on their experiences of treatment program facilitators (or what helped with access and retention), and/or barriers to treatment access and retention (or what was not helpful). Data were analyzed for key themes/subthemes and organized using a slightly modified Rhodes’ risk environment framework. PWUS’ experiences of facilitators and barriers cross all four environments of treatment programs: policy and practice, physical, social, and resource environments. For some PWUS, barriers impacted their access to or retention in treatment, and hence are of serious concern given the current toxic illicit drug supply in Canada. Several barriers are shaped by drug criminalization and thus this research points to the need for decriminalization to help reduce barriers.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"72 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74062106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia Liahaugen Flensburg, Torkel Richert, Marie Väfors Fritz
{"title":"Parents of adult children with drug addiction dealing with shame and courtesy stigma","authors":"Olivia Liahaugen Flensburg, Torkel Richert, Marie Väfors Fritz","doi":"10.1080/09687637.2022.2099249","DOIUrl":"https://doi.org/10.1080/09687637.2022.2099249","url":null,"abstract":"Abstract The study aims to provide insight into the lives of parents to adult children with drug addiction. We focus on how the parents’ social life and interactions were affected by feelings of guilt and shame, and how they dealt with the stigma that often accompanies drug addiction. 32 semi-structured interviews were conducted with parents (age 46–70) of adult children (age 18–47) with drug addiction in Sweden. Three themes emerged (1) Experiences of guilt, shame, and courtesy stigma, (2) Impact on social life and relationships and, (3) Strategies to reduce guilt and shame. Guilt, shame, and courtesy stigma complicated and restricted the parents’ social interactions. Many parents applied a selective openness, carried experiences of alienation and in some cases isolated themselves. At the same time, several parents described that they were open about their child’s addiction in certain contexts. For some parents, this meant a relief from guilt and shame and an opportunity for increased social interaction. Both informal and professional support for family members of individuals with drug addiction is vital to reduce experiences of guilt, shame, and courtesy stigma.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"67 2 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89165120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexualized alcohol marketing, precarious work and gendered sexual risks: explorations of women beer promoters in Benin City, Nigeria","authors":"Emeka W. Dumbili, Ediomo-ubong E. Nelson","doi":"10.1080/09687637.2022.2100742","DOIUrl":"https://doi.org/10.1080/09687637.2022.2100742","url":null,"abstract":"Abstract The alcohol industry in Nigeria uses sophisticated marketing strategies to influence drinking, and alcohol marketing regulations do not exist. This study examined the alcohol industry‘s strategy of using young women to promote beer in Benin City, Nigeria, and how sexualized beer marketing, as precarious employment, creates a context of risk for sexual exploitation. We conducted interviews and focus groups with beer promoters and their patrons and analysed data thematically. Some of the criteria for recruiting beer promoters include confidence, physical beauty, intelligence, and outspokenness. Beer promoters narrated that young women are mainly employed to promote beer as a strategy to convince men to buy more alcohol. Beer promoters cited the relatively high salary as their motivation for accepting to promote beer but highlighted multiple risks associated with this precarious work. First, promoters close late at night, and no provisions are made for their transport to their homes. Second, most male customers perceive beer promoters as sex workers and thus, attempt to persuade them to spend the night with them. Third, promoters also face physical and sexual harassment through unwanted contact and advances and are instructed to condone such behaviours during training. This strategy 'sexualizes' beer marketing and exposes beer promoters to health and social risks because they may be coerced into unwanted relationships as a condition for some men to purchase their brands (or sell more and meet their targets). There is a need to implement alcohol policies in Nigeria and tailor responses to beer promoters‘ unique risks.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"4 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91049135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Hayhurst, Zoë Welch, Chris Barnes, Mark Pryke, T. Millar
{"title":"The shift from face-to-face to remote care during the COVID-19 pandemic: a qualitative survey analysis of users of UK drug and alcohol services","authors":"K. Hayhurst, Zoë Welch, Chris Barnes, Mark Pryke, T. Millar","doi":"10.1080/09687637.2022.2085078","DOIUrl":"https://doi.org/10.1080/09687637.2022.2085078","url":null,"abstract":"Abstract The provision of publicly funded UK drug and alcohol services moved from a predominantly face-to-face to a remote care model in response to COVID-19. This major natural experiment can inform policy and practice in service delivery. The self-reported experiences of N = 2723 receiving remotely provided services during the pandemic were collected via an anonymous online survey. The survey was available for completion June to November 2020. Cross-sectional survey data were analyzed, using thematic analysis, at five consecutive timepoints. This allowed for information on changing perspectives and experiences to be fed back to services in real time to underpin service user-informed practice. Experiences of the switch to remote care were characterized by both positive themes: (1) feeling safe; (2) feeling supported; (3) greater convenience; (4) the positive impact of remote care on my progress, and by negative themes: (1) limits of remote care; (2) missing face-to-face care; (3) loneliness and isolation; (4) not enough support; and (5) lack of person-centered focus. Informed suggestions to improve the remote care offer, post-COVID comprised: (1) leave remote care in place; (2) increase support; (3) new models of working. Longer-term provision of remote care will be welcomed by some, but not all, service users. Work to tailor remote care to account for preferences and personal circumstances has the potential to provide greater choice and expand capacity—potentially necessary to absorb an anticipated surge in new treatment starters post-COVID.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"150 1","pages":"632 - 640"},"PeriodicalIF":1.9,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75960580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cannabis criminology: inequality, coercion, and illusions of reform","authors":"J. Wheeldon, J. Heidt","doi":"10.1080/09687637.2022.2081531","DOIUrl":"https://doi.org/10.1080/09687637.2022.2081531","url":null,"abstract":"Abstract Cannabis liberalization is a fascinating case study in moral-legal re-negotiation. From broad international examples of decriminalization to specific local legalization models, numerous criminological questions are emerging. This paper describes three significant challenges for cannabis liberalization. These include persistent inequalities associated with policing cannabis, the invisibility of coercive care and control within diversion, and the hazards associated with illusory policy reform. We present Cannabis Criminology as a multidisciplinary effort to understand the prohibition, decriminalization, legalization, and nascent regulation of cannabis in ways that acknowledge but transcend law-based paradigms. Consistent with criminology's multiple and sometimes contradictory dimensions, we outline five thematic areas that can inform the study of cannabis. These include law, society, and social control, police and policing cannabis, race, ethnicity and intrusion, the economics of cannabis use, and cannabis and criminal behavior. Finally, we conclude that privileging the views of people who use cannabis can provoke more inclusive, participatory, and otherwise imaginative efforts.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"66 1","pages":"426 - 438"},"PeriodicalIF":1.9,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79799849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michał Wanke, Sveinung Sandberg, Ruken Macit, Hakan Gülerce
{"title":"Culture matters! Changes in the global landscape of cannabis","authors":"Michał Wanke, Sveinung Sandberg, Ruken Macit, Hakan Gülerce","doi":"10.1080/09687637.2022.2091301","DOIUrl":"https://doi.org/10.1080/09687637.2022.2091301","url":null,"abstract":"","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"21 1","pages":"317 - 322"},"PeriodicalIF":1.9,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87301850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physicians’ attitudes towards medical cannabis: a survey from Uruguay","authors":"Belén Sotto, R. Queirolo, Eliana Alvarez","doi":"10.1080/09687637.2022.2091425","DOIUrl":"https://doi.org/10.1080/09687637.2022.2091425","url":null,"abstract":"Abstract Background: Although Uruguay was the first country to legalize cannabis at a national level, regulations for the medicinal component have been slow in coming. The integration of medical cannabis into the healthcare system remains a challenge, and the regulatory framework is still under review. In this context, physicians’ opinions must be considered. This study aims to determine the medical community’s attitudes towards cannabis. Methods: We conducted an anonymous self-administered online survey. Several national physician organizations collaborated in the dissemination process. The questionnaire inquired about cannabis-related topics such as knowledge, experience, attitudes, and the perceived barriers they encounter. Results: A total of 275 physicians responded to the survey. The vast majority stated that they had been consulted by their patients about cannabis, although only half of them had formally or informally recommended it. Finally, we found almost unanimous agreement among physicians that medical cannabis should be legal. Discussion: Uruguayan physicians have a positive view regarding the legalization of medical cannabis and are in favor of recommending its use. The main barrier to doing so is the lack of knowledge about incorporating it into their clinical practice. Medical cannabis should be addressed by public policies by providing training opportunities and institutional support.","PeriodicalId":11367,"journal":{"name":"Drugs: Education, Prevention and Policy","volume":"15 1","pages":"497 - 504"},"PeriodicalIF":1.9,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79532949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}