Thomas F Babor, Bryon Adinoff, Luke Clark, David Crockford, Zsolt Demetrovics, Paul Dietze, Jean-Sébastien Fallu, Sally Gainsbury, Gail Gilchrist, David A Gorelick, Kathryn Graham, Derek Heim, Matilda Hellman, Anne-Marie Laslett, Caravella McCuistian, Michal Miovsky, Neo K Morojele, Jacek Moskalewicz, Isidore S Obot, Richard Pates, Robin Room, Marta Rychert, Aysel Sultan, Carla Treloar, Nigel E Turner, Samantha Wells, Emily C Williams, Katie Witkiewitz, Jason Grebely
{"title":"A clarion call to the addiction science community: It's time to resist the anti-scientific policies of the US Trump administration.","authors":"Thomas F Babor, Bryon Adinoff, Luke Clark, David Crockford, Zsolt Demetrovics, Paul Dietze, Jean-Sébastien Fallu, Sally Gainsbury, Gail Gilchrist, David A Gorelick, Kathryn Graham, Derek Heim, Matilda Hellman, Anne-Marie Laslett, Caravella McCuistian, Michal Miovsky, Neo K Morojele, Jacek Moskalewicz, Isidore S Obot, Richard Pates, Robin Room, Marta Rychert, Aysel Sultan, Carla Treloar, Nigel E Turner, Samantha Wells, Emily C Williams, Katie Witkiewitz, Jason Grebely","doi":"10.1177/14550725251325970","DOIUrl":"10.1177/14550725251325970","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725251325970"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796644","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}
Björn Trolldal, Erica Sundin, Jonas Landberg, Mats Ramstedt
{"title":"Changes in self-reported alcohol consumption in relation to financial and mental health problems: Experiences from the COVID-19 pandemic in Sweden.","authors":"Björn Trolldal, Erica Sundin, Jonas Landberg, Mats Ramstedt","doi":"10.1177/14550725251328161","DOIUrl":"10.1177/14550725251328161","url":null,"abstract":"<p><p><b>Aim:</b> The study aimed to assess the extent to which financial and/or mental health problems resulting from the COVID-19 pandemic were associated with an increased risk of alcohol consumption. <b>Methods:</b> Data stemmed from a Swedish cross-sectional population survey (<i>n</i> = 9122) collected during the second half of 2020. Questions were asked about changes in alcohol consumption during the pandemic and to what extent financial and mental health problems were experienced. Logistic regression analysis was used to estimate whether exposure to these problems was related to increasing consumption and as a complementary analysis to decreased drinking. An additive interaction analysis was conducted to assess whether there was a joint effect of these problems. <b>Results:</b> The proportion of respondents who reported increased alcohol consumption was higher among those who had experienced financial or mental health problems, and it rose with the severity of negative experiences. However, findings from logistic regressions (including both exposure variables and covariates) showed that only experiences of mental health problems significantly elevated the risk (odds ratio) of increased consumption. Experiences of mental health problems were also related to a higher likelihood of decreasing consumption, although the odds ratio was lower. No interaction effects were found. <b>Conclusions:</b> Although alcohol consumption overall declined in Sweden during the pandemic, a group experiencing pandemic-related mental health problems increased their drinking. A parallel decline in drinking in a subgroup of individuals experiencing mental health problems adds nuance to the findings and is suggested to be influenced by specific pandemic-related circumstances.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725251328161"},"PeriodicalIF":1.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753741","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}
David Forsström, Olof Molander, Anders Nilsson, Håkan Wall
{"title":"Demographics and help-seeking among significant others contacting the Swedish gambling helpline.","authors":"David Forsström, Olof Molander, Anders Nilsson, Håkan Wall","doi":"10.1177/14550725251320749","DOIUrl":"10.1177/14550725251320749","url":null,"abstract":"<p><p><b>Aims:</b> Concerned significant others (CSOs) to individuals that have gambling problems experience several negative consequences. Even though CSOs experience negative somatic and mental health consequences, there is an overall lack of research and available preventive or treatment strategies to help this vulnerable group. In Sweden, there is a helpline available to help individuals that gamble, but also helps concerned significant others. The aim of the present study was to investigate and describe facets of help seeking among CSOs who have called the Swedish national gambling helpline. <b>Methods:</b> The data was collected by personnel at the Swedish helpline. Descriptive statistics and chi-squared were used to analyze data. The sample consisted of a total of 4111 callers during a three-year period. <b>Results:</b> The results showed that CSOs constitute a diverse population with various needs for support. These needs can be linked to one's relationship with the individual who gambles (e.g. partners have different needs than parents). Moreover, CSOs have learned about the gambling problems in different ways and have known about the gambling problems for varying periods of time, which in turn affects what type of help they look for. <b>Conclusions:</b> The main implication of the study is that the CSO-group is diverse and has different needs when calling help services and different needs on an overall level. Prevention and treatment strategies need to adhere to this fact when creating different interventions to help this group.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725251320749"},"PeriodicalIF":1.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754710","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":"Problematic gambling in municipal social work in Tampere, Finland: Social workers' perceptions of service pathways before the casino opening and the health and social services reform.","authors":"Paula Jääskeläinen, Katja Kuusisto","doi":"10.1177/14550725251325032","DOIUrl":"10.1177/14550725251325032","url":null,"abstract":"<p><p><b>Aims:</b> Gambling can lead to a variety of economic and social harms, many of which are of central concern to social work. However, the \"invisibility\" of gambling-related harms can impede professional assistance by delaying recognition in social and healthcare services. The present study illuminates how problematic aspects of gambling surface in social work encounters within municipal social services, and how municipal social workers of the City of Tampere, Finland, perceive the available service pathways for problem gambling help provision before the opening of a casino in the city in 2021 and before the health and social services reform of 2023. <b>Methods:</b> We conducted five focus group interviews with 15 social workers employed by the City of Tampere Social Services, utilizing the Reception Analytical Group Interview (RAGI) method. The data were analyzed thematically using ATLAS.ti. <b>Results:</b> Gambling-related harm is entangled with multiple other issues, often inadvertently revealed in daily social work encounters. Lack of time to adequately address clients' gambling issues and the absence of suitable services in the municipality were perceived as major structural obstacles to adequate help provision. The study participants recognized gambling-related shame, stigma and misconceptions as barriers to clients' help-seeking. However, they did not view the opening of the casino as likely to increase harms locally. <b>Conclusions:</b> The study highlights the importance of diverse approaches in providing appropriate services for individuals facing gambling-related harm. Furthermore, it underscores the necessity of addressing gambling issues in daily social work encounters and ensuring diverse, accessible service provision.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725251325032"},"PeriodicalIF":1.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693879","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":"Science, DEI and expanded thinking.","authors":"Matilda Hellman","doi":"10.1177/14550725251325497","DOIUrl":"10.1177/14550725251325497","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725251325497"},"PeriodicalIF":1.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664912","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}
Alberto P Chrysoulakis, Manne Gerell, Mia-Maria Magnusson
{"title":"Open drug scenes across city sizes: Socioeconomic status, crime patterns and community perspectives.","authors":"Alberto P Chrysoulakis, Manne Gerell, Mia-Maria Magnusson","doi":"10.1177/14550725251327516","DOIUrl":"10.1177/14550725251327516","url":null,"abstract":"<p><p><b>Aims:</b> Open drug scenes (ODS) have increasingly drawn the attention of the police and municipalities in Sweden. These locations, where illicit drugs are sold and/or consumed, are often associated with various forms of disorder and crime. While ODS are typically depicted as a phenomenon predominantly found in larger cities, their prevalence and characteristics in smaller cities remain underexplored. This study aims to analyse the patterns and characteristics of ODS, as identified by the police and municipalities, across a range of cities in southern Sweden. <b>Methods:</b> By utilising spatial and temporal analyses of police-reported crimes and demographic statistics, this research examines the characteristics of identified ODS and their connections to socioeconomic disadvantage. <b>Results:</b> The findings suggest that the identified ODS in smaller cities share similar patterns to those found in prior research and in larger urban areas, characterised by lower socioeconomic status and elevated crime rates. <b>Conclusions:</b> Police and municipalities in smaller cities identify places in their communities that closely resemble, although are not necessarily equivalent to, an ODS. Nevertheless, these places are disproportionately burdened by social problems and require targeted assistance.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725251327516"},"PeriodicalIF":1.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664850","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}
Simone Scarpa, Wossenseged Birhane Jemberie, Björn Högberg, Lena Lundgren
{"title":"Educational attainment and deaths of despair among individuals assessed for substance use severity: Findings from Swedish Addiction Severity Index (ASI) data.","authors":"Simone Scarpa, Wossenseged Birhane Jemberie, Björn Högberg, Lena Lundgren","doi":"10.1177/14550725251326757","DOIUrl":"https://doi.org/10.1177/14550725251326757","url":null,"abstract":"<p><p><b>Aims:</b> This study examined the association between educational attainment and the risk of deaths of despair among individuals assessed for substance use severity at municipal social services in Sweden. It aimed to determine whether the protective association between education and despair-related mortality risk, commonly observed in broader population studies, also applies to this high-risk, treatment-seeking population. <b>Methods:</b> We linked data from municipal Addiction Severity Index (ASI) assessments to various population registers. The study population included adults aged 25 years or older who were assessed for substance use severity between 1999 and 2019. Fine-Gray competing risk regression models were employed to examine the association between educational attainment and despair-related mortality, both overall and by subtype (alcohol-related, drug use-related, suicide). <b>Results:</b> Tertiary education was unexpectedly associated with increased risks of overall despair-related mortality, alcohol-related and drug use-related mortality, after controlling for demographic characteristics, ASI composite scores and substance use onset age. No significant associations were found between education and suicide. <b>Conclusions:</b> The counterintuitive finding that tertiary education is linked to a greater risk of despair-related mortality among social service users may be attributed to differences between the treatment-seeking population and the general population. Highly educated individuals who seek treatment from municipal social services might have severe substance use and complex psychosocial problems and/or contact social services after exhausting other treatment options. Further research is necessary to understand how educational and socioeconomic factors influence treatment pathways for individuals with severe substance use problems in Sweden and how these different pathways impact health-related outcomes.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725251326757"},"PeriodicalIF":1.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651272","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}
Tanja Grönroos, Heli Hagfors, Jukka Kontto, Tiina A Latvala, Anne H Salonen
{"title":"Trends in attitudes towards gambling among Finnish women and men: Cross-sectional population studies 2011, 2015, 2019 and 2023.","authors":"Tanja Grönroos, Heli Hagfors, Jukka Kontto, Tiina A Latvala, Anne H Salonen","doi":"10.1177/14550725251320729","DOIUrl":"10.1177/14550725251320729","url":null,"abstract":"<p><p><b>Aims:</b> To compare the attitudes towards gambling in Finland by age among women and men from 2011 to 2023. <b>Methods:</b> Four cross-sectional random sample data sets of 15-74-year-olds were collected in 2011, 2015, 2019 and 2023. The data were weighted based on gender, age and residential area. The eight-item Attitude Towards Gambling Scale (ATGS-8) was used. <b>Results:</b> Overall, public attitudes towards gambling were generally unfavourable each year, apart from 2015, when attitudes were favourable. Among women, attitudes became more unfavourable for those aged 15-29 years, whereas they became more favourable for those aged 45 to 74. Among men, attitudes became more unfavourable for those aged 15-44 years, whereas they became more favourable for those aged 60-74 years. Men aged 45-59 years were the only age group with favourable attitudes in 2023. <b>Conclusions:</b> Attitudes towards gambling were mainly unfavourable, with no notable shift observed between 2011 and 2023. The Finnish gambling monopoly system is set to be replaced by a licensing system, opening the online gambling market to competition. Because of this change, it is increasingly important to monitor attitudes towards gambling and possible changes in them in the coming years.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725251320729"},"PeriodicalIF":1.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625765","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":"Editor's Note: The war on good research: Debating research ethics and methods on the basis of Jay Levy's <i>The war on people who use drugs: The harms of Sweden's aim for a drug-free society</i> (Routledge, 2017).","authors":"","doi":"10.1177/14550725241298435","DOIUrl":"https://doi.org/10.1177/14550725241298435","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725241298435"},"PeriodicalIF":1.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568501","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}