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
{"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}
Katherine Dinamarca-Aravena, T Rocha-Jimenez, C P Silva-Gallardo, D Palacios-Farías, Alvaro Castillo-Carniglia
{"title":"Parents' perceptions of substance use prevention programs for adolescents in private schools in Chile: a qualitative study.","authors":"Katherine Dinamarca-Aravena, T Rocha-Jimenez, C P Silva-Gallardo, D Palacios-Farías, Alvaro Castillo-Carniglia","doi":"10.1186/s13011-025-00686-2","DOIUrl":"10.1186/s13011-025-00686-2","url":null,"abstract":"<p><p>Engaging parents in substance and alcohol use prevention programs could play a key role in delaying the onset of use among adolescents. This research analyzes parents' perceptions of substance use prevention programs (tobacco, marijuana, vaping, and alcohol) implemented in private schools in the northern area of Santiago, Chile. Using a qualitative design, we conducted 15 semi-structured interviews with parents of adolescents attending four private schools. Our findings reveal limited parental knowledge and understanding of the risks of adolescent substance use and prevention or harm reduction strategies. Most interviewees approach prevention through monitoring and control of their children. They suggest incorporating government prevention strategies into private schools. Our findings underscore the importance of including families in the design of adolescent substance use prevention programs and highlight the urgent need to implement such strategies in private schools.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"21 1","pages":"4"},"PeriodicalIF":3.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087169","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}
Leah A Holcomb, Brandon Shealy, Kacey Eichelberger, Kathleen Cartmell, Rachel Mayo
{"title":"Strengthening the standard of care for perinatal substance use disorders: reproductive health provider perspectives on training, integration, and system improvements.","authors":"Leah A Holcomb, Brandon Shealy, Kacey Eichelberger, Kathleen Cartmell, Rachel Mayo","doi":"10.1186/s13011-025-00692-4","DOIUrl":"10.1186/s13011-025-00692-4","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"21 1","pages":"5"},"PeriodicalIF":3.0,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087114","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}
Christina Schell, Alexandra Godinho, John A Cunningham
{"title":"Investigating if changing the wording of a study invitation letter increased recruitment in a project promoting tobacco cessation in a town with high smoking rates.","authors":"Christina Schell, Alexandra Godinho, John A Cunningham","doi":"10.1186/s13011-026-00704-x","DOIUrl":"10.1186/s13011-026-00704-x","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":"15"},"PeriodicalIF":3.0,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12918147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146066857","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":"Exposure to second-hand smoke, tobacco advertising, and school curriculum on tobacco harms in South African Adolescents: findings from the Global Youth Tobacco Survey.","authors":"Mukhethwa Londani, Constance Sewani-Rusike, Olalekan Ayo-Yusuf, Olanrewaju Oladimeji","doi":"10.1186/s13011-026-00700-1","DOIUrl":"10.1186/s13011-026-00700-1","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":"14"},"PeriodicalIF":3.0,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030853","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}
Li Li, Tuan Anh Nguyen, Hieu Ngoc Nguyen, Van Thi Nguyen, Ha Thi Thanh Nguyen, Thang Hong Pham
{"title":"Community health worker and family support for addiction treatment services.","authors":"Li Li, Tuan Anh Nguyen, Hieu Ngoc Nguyen, Van Thi Nguyen, Ha Thi Thanh Nguyen, Thang Hong Pham","doi":"10.1186/s13011-026-00702-z","DOIUrl":"10.1186/s13011-026-00702-z","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":" ","pages":"13"},"PeriodicalIF":3.0,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030804","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}
Chaimaa El Moubchiri, Mohamed Chahboune, Morad Guennouni, Abderraouf Hilali
{"title":"Prevalence and correlates of substance use among middle and high school students in Settat Province, Morocco.","authors":"Chaimaa El Moubchiri, Mohamed Chahboune, Morad Guennouni, Abderraouf Hilali","doi":"10.1186/s13011-025-00685-3","DOIUrl":"10.1186/s13011-025-00685-3","url":null,"abstract":"","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"21 1","pages":"1"},"PeriodicalIF":3.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12814590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004144","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":"Economic and epidemiological burden of medical complications of unregulated drug use among people who inject drugs in Québec.","authors":"Jihoon Lim, Dimitra Panagiotoglou","doi":"10.1186/s13011-025-00687-1","DOIUrl":"10.1186/s13011-025-00687-1","url":null,"abstract":"<p><strong>Background: </strong>Over the past decade, the prevalence of injection drug use and drug-related harms has increased significantly in Québec. Our study aims to characterize the economic and epidemiological burdens of medical complications of unregulated drug use, including injection-related infections (IRI), drug-related poisoning, and encephalopathy among people who inject drugs (PWID).</p><p><strong>Methods: </strong>We utilized Québec administrative health data from April 2014 to March 2019 to describe the direct healthcare costs and the number of episodes of the medical complications of unregulated drug use during each fiscal year (FY). We computed outpatient, emergency department, inpatient, and medication costs and presented them in 2022 Canadian dollars.</p><p><strong>Results: </strong>The total direct healthcare cost of IRI, drug-related poisoning, and encephalopathy between FY 2014-2015 and FY 2018-2019 was $82,765,226, with costs increasing over time for all three complications. During the same period, the number of episodes increased from 1,300 to 5,595 for IRI, 695 to 1,030 for drug-related poisoning, and 85 to 350 for encephalopathy. Similarly, the number of unique patients who experienced medical complications increased from 860 to 3630 for IRI, 665 to 930 for drug-related poisoning, and 60 to 195 for encephalopathy. The costs and number of episodes were highest in Montréal, Montérégie, and Capitale-Nationale (Québec City) regions.</p><p><strong>Conclusion: </strong>The economic and clinical burden of medical complications of unregulated drug use among PWID in Québec is increasing. Public health interventions and dedication of resources are crucial to mitigating healthcare costs and improving health outcomes for people who inject drugs.</p>","PeriodicalId":22041,"journal":{"name":"Substance Abuse Treatment, Prevention, and Policy","volume":"21 1","pages":"2"},"PeriodicalIF":3.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12817660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004210","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}