Nordic Studies on Alcohol and Drugs最新文献

{"title":"Might cannabis Legalization Have Affected Public Health-Relevant Alcohol- and Tobacco-use Outcomes in Canada?","authors":"Benedikt Fischer, Wayne Hall, Didier Jutras-Aswad, Bernard Le Foll","doi":"10.1177/14550725261488522","DOIUrl":"10.1177/14550725261488522","url":null,"abstract":"<p><p>Canada legalized the non-medical use and supply of cannabis in 2018. The public health-relevant outcomes of cannabis legalization documented to date have been mixed, with decreases in cannabis-related crime and illegal distribution markets, while with increases for many - acute and chronic - health problem indicators. One public health-relevant aspect of legalization that has not been adequately assessed to date are its potential effects on alcohol and/or tobacco use and related outcomes in the population. Existing literature suggests that cannabis legalization may impact alcohol and/or tobacco use in different ways and directions, through both 'substitution'- and/or 'complementarity'-type dynamics. While cannabis use prevalence has markedly increased through legalization, recent epidemiological indicators suggest the possibility of (small) changes in rspective other substance use, yet it is empirically unclear whether these developments are causally interrelated. Also considering the substantial adverse public health burden arising from alcohol and tobacco use in the Canadian population, this Commentary makes the case for systemic examination of the potential impacts of cannabis legalization on alcohol and/or tobacco use outcomes by way of rigorous analytical methods as part of assessing the overall public health-related effects of cannabis legalization in Canada as well as other jurisdictions where cannabis has been legalized.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261488522"},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing Worlds, Changing Drug Markets.","authors":"Matilda Hellman","doi":"10.1177/14550725261484575","DOIUrl":"10.1177/14550725261484575","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261484575"},"PeriodicalIF":2.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13586074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Residential Treatment in Addiction Care.","authors":"Joar Guterstam","doi":"10.1177/14550725261479851","DOIUrl":"10.1177/14550725261479851","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261479851"},"PeriodicalIF":2.1,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13527048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acceptability of Internet-Based Therapy: Considerations Expressed by Individuals Struggling with Gambling.","authors":"André Syvertsen, Bjørn Solberg-Hansen Fondenes, Ståle Pallesen","doi":"10.1177/14550725261465112","DOIUrl":"10.1177/14550725261465112","url":null,"abstract":"<p><strong>Aims: </strong>Internet-based therapy (IBT) is effective in reducing symptoms of gambling disorder (GD), yet limited acceptability may constrain treatment uptake and engagement. This study explored perspectives on the expected acceptability (defined as perceiving the intervention as appropriate) of IBT for GD.</p><p><strong>Methods: </strong>Twenty-eight individuals with current or lifetime gambling problems responded to open-ended questions in a qualitative survey, including reflections on a vignette describing a hypothetical patient receiving IBT for GD.</p><p><strong>Results: </strong>Data were analyzed using thematic analysis and we identified three themes. The theme \"Urgent matters\" reflected participants' desire for more emphasis on crisis management and harm reduction early in IBT. \"Keeping the same standard\" indicated that participants' content preferences match what is typically offered in cognitive behavioral therapy, but with concerns that online delivery might compromise treatment quality. \"Risk of pseudotherapy\" reflected perceptions that IBT is more susceptible to falsely appearing effective compared to face-to-face therapy. Participants conveyed an understanding that GD characteristics of avoidance and motivational ambivalence can undermine IBT engagement, particularly in the absence of social contact with a therapist or others with lived experience.</p><p><strong>Conclusions: </strong>The findings suggest that assessments of IBT acceptability for GD and potential interventions aiming to increase acceptability should account for gambling-specific challenges.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261465112"},"PeriodicalIF":2.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human Rights First: Reflections from the Mobilization on Human Rights and Drug Policy Conference.","authors":"Veera Kankainen, Tuukka Tammi","doi":"10.1177/14550725261462713","DOIUrl":"https://doi.org/10.1177/14550725261462713","url":null,"abstract":"<p><p>Nordic countries have traditionally governed drug use and related policies either as criminal or health-related issues - an approach described as a dual-track model. Far less attention has been paid on human rights perspectives in the Nordic drug policy context. Internationally, human rights challenges in drug policies have been increasingly addressed by civil society organizations representing people who use drugs, as well as harm reduction actors. In 2026, the human rights perspective was brought on the Nordic political agenda more prominently than before as, for the first time, the Nordic civil society organizations representing people who use drugs held a joint international conference on the human rights theme. This report provides notes from the conference and discusses current international and Nordic debates on drug policy as a human rights issue.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261462713"},"PeriodicalIF":2.1,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13447507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Service User Perceptions of Addiction Treatment Services in Barcelona: Barriers, Gender, Stigma, Employment, and Recommendations for Improvement.","authors":"Fran Calvo, Catrina Clotas, Amaia Garrido, Xavier Ferrer, Daniel Urbina, Montse Bartroli","doi":"10.1177/14550725261465209","DOIUrl":"10.1177/14550725261465209","url":null,"abstract":"<p><strong>Aim: </strong>As part of the development of Barcelona's new Action Plan on Drugs, this study explored the perceptions and experiences of individuals receiving outpatient and residential addiction treatment services, integrating service users' perspectives into service planning.</p><p><strong>Methods: </strong>A qualitative descriptive design was employed, utilizing five focus groups (three with women, two with men) involving a total of 37 participants from outpatient and residential addiction treatment services. Data were analysed using thematic content analysis.</p><p><strong>Results: </strong>Participants often initiated treatment during personal crises, primarily through self-referral. Women reported discomfort in mixed-gender treatment environments, highlighting feelings of unsafety and exposure to aggression. A pervasive sense of social and familial stigma was identified, with women disproportionately affected. Employment was viewed as critical to recovery, yet treatment programs often discouraged contact with prior environments, including those offering job opportunities.</p><p><strong>Conclusions: </strong>Participants recommended service improvements, including increased availability of residential placements, especially for women; expanded emergency support; greater coordination across services; specialized training for general practitioners; and gender-sensitive approaches to care. These findings underscore the need for user-informed, evidence-based, and gender-responsive addiction services to enhance treatment effectiveness and long-term recovery outcomes.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261465209"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical Use and Misuse of Addictive Prescription Drugs and Mental Health Among Adolescents in Estonia.","authors":"Liina Veskimäe, Sigrid Vorobjov, Inge Ringmets, Kersti Pärna","doi":"10.1177/14550725261469001","DOIUrl":"10.1177/14550725261469001","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to describe the prevalence and characteristics (sources, motivations, perceived health risks, accessibility) of medical use and misuse of addictive prescription drugs (APDs), and the prevalence of poor mental wellbeing and self-harm among adolescents in Estonia. In addition, this study examined associations between APD use status (non-use, medical use, misuse) and mental health indicators (mental wellbeing, self-harm).</p><p><strong>Methods: </strong>Data came from the nationally representative 2024 European School Survey Project on Alcohol and Other Drugs (ESPAD) survey of 15-16-year-olds in Estonia (<i>n</i> = 2,019). Respondents were classified as non-users, medical users, or misusers based on lifetime APD use. Motivations, sources, perceived health risks, accessibility, mental wellbeing, and self-harm were assessed. Multivariable logistic regression examined associations between APD use status and mental health indicators.</p><p><strong>Results: </strong>Overall, 27.8% of adolescents reported APD medical use and 18.3% misuse, with higher prevalence among girls. Sedatives and sleeping pills were the most commonly medically used and misused APDs. Most misused APDs were obtained from home, and self-treatment motives predominated. Poor mental wellbeing (44.4%) and self-harm (17.6%) were most prevalent among misusers. APD misuse (. non-use) was associated with poor mental wellbeing, self-harm and female gender; misuse (vs. medical use) with self-harm; and APD medical use (vs. non-use) with self-harm and female gender. The strongest association was found between APD misuse (vs. non-use) and self-harm (adjusted odds ratio = 2.78).</p><p><strong>Conclusions: </strong>APD medical use and misuse are common among Estonian adolescents. APD misuse co-occurred with poor mental wellbeing and self-harm, highlighting the importance of integrating APD misuse prevention into broader adolescent mental health and substance use strategies.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261469001"},"PeriodicalIF":2.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13407665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Questions on Medicines, Alcohol, and Illicit Drug Interactions in the Finnish AddictionLink Online Service: A Descriptive Analysis.","authors":"Mari Vaarankorpi, Ville Valkonen, Niina Karttunen","doi":"10.1177/14550725261463002","DOIUrl":"10.1177/14550725261463002","url":null,"abstract":"<p><strong>Aims: </strong>To explore which drugs and intoxicants people most commonly seek information about from the Finnish AddictionLink online information service and to describe the types of the drug interaction questions submitted, the most frequently mentioned substances in the questions and the background characteristics of the questioners.</p><p><strong>Methods: </strong>The study was conducted using data from the Finnish AddictionLink online information service. Medication-related questions submitted between 2011 and 2023 (<i>n</i> = 1858) were extracted. Interaction-related questions (<i>n</i> = 242) and the substances mentioned were categorized and analyzed. Background characteristics were described for individuals who submitted drug interaction-related questions (<i>n</i> = 197) and for those who submitted other medication-related questions (<i>n</i> = 1070).</p><p><strong>Results: </strong>Most questions concerned interactions between medications and intoxicants, with alcohol being the most frequently mentioned intoxicant, followed by stimulants and cannabis. Antidepressants were the most frequently mentioned drug class, followed by opioids, cardiovascular drugs, and benzodiazepines. Participants aged 13-25 years and those aged 46 years or older appeared to submit interaction-related questions more frequently, whereas individuals aged 26-45 were more likely to submit other medication-related questions.</p><p><strong>Conclusions: </strong>Questions concerning the concurrent use of medications with alcohol or illicit substances highlight a clear need for accessible and understandable information on drug-intoxicant interactions. The frequent involvement of antidepressants and other commonly used medications underscores the relevance of these interactions in routine treatment. Increasing awareness among both healthcare professionals and medication users is essential to support safer treatment choices.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261463002"},"PeriodicalIF":2.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences Between Patients with Alcohol Use Disorder Referred to Outpatient or Residential Treatment: An Observational Study.","authors":"Kristoffer Høiland, Espen Ajo Arnevik, Lien My Diep, Tove Mathisen, Anette Søgaard Nielsen, Jens Egeland","doi":"10.1177/14550725261463958","DOIUrl":"10.1177/14550725261463958","url":null,"abstract":"<p><strong>Aims: </strong>Identifying the proper treatment setting and treatment level for alcohol use disorder (AUD) is of vital importance for securing favorable treatment outcomes. Clear evidence is lacking, but available research suggests that residential treatment works best for patients with high AUD severity, comorbid mental health disorders, and other social and functional problems. However, it is not evident that patients are referred to this costly treatment option based on these characteristics. We therefore examined whether patients in outpatient and residential AUD treatment differed on key characteristics.</p><p><strong>Methods: </strong>Tests of bivariate associations were used to assess group differences between outpatients and patients in residential treatment in severity of alcohol use, other drug use, mental health, cognitive functioning, personality functioning, physical health, and social functioning.</p><p><strong>Results: </strong>Severity of alcohol use, as measured by the Alcohol Use Disorders Identification Test (AUDIT), differed between the outpatient and residential groups. The residential group had a higher severity of alcohol use. Patients in the residential group were also somewhat older and much less likely to be employed.</p><p><strong>Conclusions: </strong>Patients in outpatient and residential treatment mainly differed in the severity of alcohol use. Potential reasons for referrals to different treatment settings and their implications for clinical practice are discussed.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261463958"},"PeriodicalIF":2.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Representation of Substance Use Issues in Old Age Within Norwegian Policy Frameworks.","authors":"Gloria Abena Ampim, Gudmund Ågotnes","doi":"10.1177/14550725261462004","DOIUrl":"10.1177/14550725261462004","url":null,"abstract":"<p><strong>Aims: </strong>This study examines how national policies have framed substance use issues among older adults in Norway.</p><p><strong>Methods: </strong>An analysis of 18 Norwegian white papers published between 2003 and 2024 by the Ministry of Health and Care Services, the Ministry of Social Affairs, and related ministries was conducted through \"What Is the Problem Represented to Be?\" poststructural analysis.</p><p><strong>Results: </strong>White papers acknowledge increasing alcohol and substance use among older adults and depict these developments as significant challenges for health and social services both at present and in the future. In response, the following three strategies are proposed: promoting active aging to address inactivity, which can contribute to substance use; combating loneliness and isolation, which represent both the causes and consequences of substance use among elderly individuals; and implementing preventive home visits to help older individuals manage daily challenges and recognize early signs of harmful substance use.</p><p><strong>Conclusions: </strong>Relevant policies primarily address alcohol and prescription drugs but largely ignore the so-called illicit substances. The strategies employed constitute a funnel, leading from broad and preventive strategies to narrow and curative strategies. Although this variation holds some promise, we argue that these policies inadvertently portray substance use in older adults as if all individuals with substance use problems share the same characteristics, experiences, and needs. This generalization risks exacerbating health inequalities among older adults who use substances.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261462004"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}