Substance Abuse Treatment, Prevention, and Policy最新文献

{"title":"The relationship between methadone dosage and plasma level changes with aging in methadone maintenance treatment (MMT) patients.","authors":"Anat Sason, Miriam Adelson, Shaul Schreiber, Einat Peles","doi":"10.1186/s13011-026-00713-w","DOIUrl":"10.1186/s13011-026-00713-w","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"21 1","pages":"17"},"PeriodicalIF":3.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228802","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":"Evaluating the DALY impact of disease associated with second-hand smoke exposure in different socio-demographic index regions.","authors":"Rasoul GholamiVeis, Mehdi Moradinazar, Mehdi Mirzaei-Alavijeh, Farhad Farasati, Mahshad Taherpour, Farzad Jalilian","doi":"10.1186/s13011-026-00711-y","DOIUrl":"10.1186/s13011-026-00711-y","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"21 1","pages":"16"},"PeriodicalIF":3.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228779","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":"Recruiting people who inject drugs (PWID) into research: benefits and challenges of respondent driven sampling (RDS) in a sample in KwaZulu-Natal, South Africa.","authors":"Cecilia Milford, Timothy S Hardwick, Shannon Bosman, Tammany Cavanagh, Michael Wilson, Jennifer A Smit, Brian C Zanoni","doi":"10.1186/s13011-026-00712-x","DOIUrl":"10.1186/s13011-026-00712-x","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221404","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 power of people who use drugs as mass media influencers in changing public opinion during the global overdose epidemic.","authors":"Ehsan Jozaghi","doi":"10.1186/s13011-026-00709-6","DOIUrl":"10.1186/s13011-026-00709-6","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12983675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146195885","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":"Mapping the subjective importance of the topic 'parenthood' for parents with substance use disorder in inpatient rehabilitative care - an explorative qualitative study in Germany.","authors":"Ananda Stullich, Jan Gehrmann, Johannes Stephan, Jana Dehner, Matthias Richter, Laura Hoffmann","doi":"10.1186/s13011-026-00707-8","DOIUrl":"10.1186/s13011-026-00707-8","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12977838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137766","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":"Reimagining recovery: a commentary centering youth and caregiver voices on substance use recovery and healing from across British Columbia, Canada.","authors":"Cameron R Eekhoudt, Kathryn Jean Henry, Drew Friesen, Kirsten Marchand, Skye Barbic, Roxanne Turuba, Eva Moore, Martha J Ignaszewski, Matthew Carwana, Danya Fast","doi":"10.1186/s13011-025-00688-0","DOIUrl":"10.1186/s13011-025-00688-0","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"21 1","pages":"9"},"PeriodicalIF":3.0,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126531","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":"Association between the location of Opioid Agonist Treatment (OAT) providers and heroin-related ambulance attendances.","authors":"Natasha Hall, Bosco Rowland, Rowan P Ogeil, Rick Loos, Ziad Nehme, Dan I Lubman","doi":"10.1186/s13011-026-00706-9","DOIUrl":"10.1186/s13011-026-00706-9","url":null,"abstract":"<p><strong>Introduction: </strong>Opioid agonist treatment (OAT) is an evidence-based intervention that reduces harms associated with heroin use. Ambulance services often serve as the first point of contact for people experiencing these acute harms. OAT access relies on dosing points and prescribers, which may be unevenly distributed geographically. This study examines the geographical distribution of heroin-related ambulance attendances across Victoria and assesses whether the presence, availability, and number of OAT service providers are associated with these harms.</p><p><strong>Method: </strong>We merged 2023/24 Victorian heroin-related ambulance attendance from the National Ambulance Surveillance System with Victorian OAT service availability data from a statewide helpline. Three negative binomial regression models tested associations between OAT availability and heroin-related ambulance attendances at the local government area (LGA) level.</p><p><strong>Results: </strong>Fourteen LGAs had higher than average, population-adjusted, heroin-related ambulance attendances. In Model 2, LGAs with more pharmacies offering OAT vacancies than those without had a 50% lower risk of heroin-related harms (IRR = 0.52, p = 0.014). Model 3 found that every 10% increase in the proportion of OAT doctors with current availability was associated with a 9% reduction in heroin harms (IRR = 0.91, p = 0.04). A similar trend was observed for pharmacists (IRR = 0.90, p = 0.08). All models found heroin harms to be approximately 70% lower in regional versus metropolitan LGAs.</p><p><strong>Discussion and conclusions: </strong>The availability and geographic distribution of OAT providers-especially those with current capacity-are linked to reduced heroin-related ambulance attendances. Strategic placement and resourcing of OAT services could better align with population need and target hotspots. The metropolitan-regional differences warrant further investigation.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119668","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":"Profiles of care trajectories among patients with substance-related disorders, assessed over nine years considering other patient characteristics and subsequent adverse outcomes.","authors":"Marie-Josée Fleury, Zhirong Cao, Guy Grenier","doi":"10.1186/s13011-026-00708-7","DOIUrl":"10.1186/s13011-026-00708-7","url":null,"abstract":"<p><strong>Background: </strong>This study is original in that it identified the care trajectories of patients with substance-related disorders (SRDs) over a 9-year period, and associated these trajectories with the patients' sociodemographic and clinical characteristics, quality of care received, and subsequent adverse outcomes (high emergency department use, repeated hospitalizations, suicidal behaviors, death).</p><p><strong>Methods: </strong>Health administrative databases from Quebec, Canada (1996-2022) were used to investigate a cohort of 4075 patients with SRDs. Group-based multi-trajectory modeling was produced to identify profiles of care trajectories from April 1st 2012 to March 31st 2021. Multinomial regressions and survival analysis were conducted to associate profiles to patient characteristics, and adverse outcomes over the following year.</p><p><strong>Results: </strong>Five profiles of care trajectories were identified: \"Low overall but increasing care use\" (Profile 1, 30% of sample); \"High, increasing outpatient physical health care use\" (Profile 2, 26%); \"High, increasing outpatient SRD care use\" (Profile 3, 15%); \"High overall care use\" (Profile 4, 14%); and \"Increasing but moderate outpatient care use\" (Profile 5, 15%). Profiles 3 and 4 used substantially more SRD outpatient care. Patients in Profiles 4 and 5 had more complex health conditions and engaged in more varied, sustained care over time, but subsequently experienced the worst adverse outcomes. In contrast, Profile 1 patients had better overall health conditions, followed by Profile 2 (older at SRD onset, less materially deprived) and 3 (more SRD issues), which both exhibited higher continuity of care than Profile 1. Profile 3 had the lowest rate of treatment dropouts.</p><p><strong>Conclusion: </strong>Use of care and adverse outcomes were strongly linked to the patients' clinical conditions. Tailored interventions may be recommended for each profile: outreach and motivational interventions for Profile 1; applying the chronic care model for Profile 2; high continuity of physician and SRD care for Profile 3; assertive community treatment for Profile 4; and intensive case management for Profile 5. To better address the unmet needs of patients with SRDs, overall outpatient services may be substantially consolidated and improved. Acute care providers and general practitioners may also play a key role in identifying patients with SRDs and referring them to appropriate outpatient services.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12952069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107336","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":"Effects of a Relapse Prevention Program on motivation, relapse, and stress management in correctional settings.","authors":"Abdón Martín-Coca, José Antonio Martín Herrero","doi":"10.1186/s13011-026-00710-z","DOIUrl":"10.1186/s13011-026-00710-z","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":"8"},"PeriodicalIF":3.0,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107404","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":"Defining exposure for estimating the global burden of alcohol consumption: plausibility testing of WHO methodology using ASEAN countries as a case study.","authors":"Jürgen Rehm, Gianna Gayle H Amul, Sawitri Assanangkornchai, Surasak Chaiyasong, Daniela Correia, Noran N Hairi, Enjeline Hanafi, Ahmed S Hassan, Kyaw Ko Ko Htet, Wah Yun Low, John Robert C Medina, Jiraluck Nontarak, Sok King Ong, Pol Rovira, Kristiana Siste, Bundit Sornpaisarn, Vanphanom Sychareun, Wen Ting Tong, Polathep Vichitkunakorn, Siyan Yi, Nyi Nyi Zayar, Kevin Shield","doi":"10.1186/s13011-026-00703-y","DOIUrl":"10.1186/s13011-026-00703-y","url":null,"abstract":"<p><strong>Background: </strong>Comparative risk assessments (CRAs) provide important information for shaping alcohol control policies. Underlying their CRAs, the WHO uses a standardised methodology to assess and detail the levels of alcohol use for all countries and for various regions. This publication uses a case study approach on the member states of the Association of South East Asian Nations (ASEAN) to examine potential biases resulting from the methodology employed by the WHO in calculating exposure values for their CRAs.</p><p><strong>Methods: </strong>Researchers from each of the 10 ASEAN member states identified large population surveys to improve upon the data collected by the WHO monitoring systems to estimate exposure between 2000 and 2022. From these surveys and aggregate data, key indicators were created for each Member State using WHO standardised methodology. Steps were defined to test for implausible values, particularly for the indicator for average level of alcohol consumption among drinkers. Sensitivity analyses were undertaken to identify possible causes of these values. Finally, we compared the results of the implausibility checks with two other regions, the European Union (EU) and the East African Community (EAC), based on data collected by the WHO.</p><p><strong>Results: </strong>The indicator for average volume of alcohol consumption among drinkers showed implausibly high values for three ASEAN countries, Lao PDR, Thailand and Viet Nam. Further simulations based on assumptions regarding the prevalence of people with heavy or very heavy drinking levels further corroborated a likely bias. An examination of the constituents of the indicator revealed that the bias for Thailand could be due to responses received to survey questions regarding alcohol abstention, in which a high number of respondents claimed no consumption of alcohol over the past year. For the Lao PDR and Viet Nam, the same problem with survey respondent self-reports on alcohol consumption may exist, but we cannot exclude the possibility that answers to the survey question regarding unrecorded alcohol may also have contributed. Investigations of two further regions of the world also showed some implausible values, albeit to a smaller degree for the EU.</p><p><strong>Conclusions: </strong>Plausibility testing of key monitoring indicators is important and yields important information for improving future monitoring efforts.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12934120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094057","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}