Nordic Studies on Alcohol and Drugs最新文献

Reframing Harm and Evidence: Advocacy Coalitions and the Transformation of Finnish Alcohol Policy. 重新定义危害和证据：倡导联盟和芬兰酒精政策的转变。

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-04-30 DOI: 10.1177/14550725261443300

Josefin Westermarck, Anu Katainen, Matilda Hellman, Katariina Warpenius

{"title":"Reframing Harm and Evidence: Advocacy Coalitions and the Transformation of Finnish Alcohol Policy.","authors":"Josefin Westermarck, Anu Katainen, Matilda Hellman, Katariina Warpenius","doi":"10.1177/14550725261443300","DOIUrl":"https://doi.org/10.1177/14550725261443300","url":null,"abstract":"Aims: The study examines how key stakeholders sought to influence the outcome of Finland's 2018 Alcohol Act reform in the formal consultation rounds.Methods: Drawing on the Advocacy Coalition Framework, we analyzed 224 stakeholder statements to uncover competing belief systems and framing strategies regarding alcohol-related harm.Results: We identified and named two main advocacy coalitions according to their standpoints on the reform's liberalization aspirations: the Public Health Coalition advocated for maintaining restrictive regulation based on population-level evidence and the Total Consumption Model, and the Alcohol Industry Coalition promoted deregulation through individual-level framings of responsibility and selective use of evidence. Both coalitions pursued epistemic dominance by reinforcing their own credibility and challenging that of their opponents. Although the Public Health Coalition relied on established scientific consensus, the Alcohol Industry Coalition appropriated the language of evidence-based policymaking to legitimize liberalization, aligning with broader neoliberal and populist discourses that question expert authority. Despite the scientific coherence of the public health side, the reform advanced in favour of deregulation, reflecting a broader shift toward a new public health and harm paradigm, in which individual responsibility is emphasized.Conclusions: The analysis shows how competing belief systems and discursive strategies shape alcohol policy in contexts where scientific expertise is increasingly politicized. It highlights a need for public health advocates to adjust their strategies to this new reality.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261443300"},"PeriodicalIF":2.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822090","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}

引用次数: 0

Pain and Prose: Tracing the Opioid Epidemic in Stephen King's Novels. 痛苦与散文：追寻斯蒂芬·金小说中的阿片类药物流行。

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-04-22 DOI: 10.1177/14550725261446816

Juan Manuel Marquez-Romero

{"title":"Pain and Prose: Tracing the Opioid Epidemic in Stephen King's Novels.","authors":"Juan Manuel Marquez-Romero","doi":"10.1177/14550725261446816","DOIUrl":"https://doi.org/10.1177/14550725261446816","url":null,"abstract":"In recent decades, the landscape of pain management has shifted dramatically, particularly in the USA, where the increased prescription of opioid medications has contributed to a national public health crisis. As a reflection of cultural and societal dynamics, fiction literature provides a valuable lens for examining evolving perceptions of pain and its treatment. This study explores the depiction of analgesic use in Stephen King's novels, focusing on the period from 1977 to 2019. By analyzing references to specific medications, including over-the-counter pain relievers and prescription opioids such as oxycodone and hydrocodone, the paper traces a chronological pattern that mirrors real-world changes in medical practice. The analysis highlights a growing presence of more potent medications in King's later works, often presented without moral framing or medical explanation. This neutral portrayal of analgesics, including opioids, may reflect a broader cultural acceptance of pharmacologic solutions to pain. The study also considers how King's personal experience with injury and recovery may have influenced these depictions. By examining the intersection of fiction, health, and culture, this paper contributes to a deeper understanding of how literature reflects and informs public discourse on medical issues.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261446816"},"PeriodicalIF":2.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785149","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}

引用次数: 0

Designing their Own Story: A Meta-Ethnography of Health Promotion Among Adolescents with Parental Substance Use Problems. 设计他们自己的故事：有父母物质使用问题的青少年健康促进的元人种志。

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-04-17 DOI: 10.1177/14550725261436976

Signegun Romedal, Anne Schanche Selbekk, Siri Håvås Haugland, John-Kåre Vederhuus, Bente Birkeland

{"title":"Designing their Own Story: A Meta-Ethnography of Health Promotion Among Adolescents with Parental Substance Use Problems.","authors":"Signegun Romedal, Anne Schanche Selbekk, Siri Håvås Haugland, John-Kåre Vederhuus, Bente Birkeland","doi":"10.1177/14550725261436976","DOIUrl":"10.1177/14550725261436976","url":null,"abstract":"Aims: Children and adolescents living with parental substance use problems (PSUP) are at potential risk of developing cognitive, behavioral, psychosocial and emotional difficulties affecting their health. However, little is known about how they themselves understand and promote their own health and well-being. This meta-ethnography aims to integrate and synthesize qualitative studies that have explored - from a salutogenic health-promoting perspective - how adolescents living with PSUP express health promotion and well-being, focusing on resources for positive health.Methods: The seven iterative phases by Noblit and Hare were followed. Systematic literature searches yielded 13 articles.Results: \"Designing their own story\" was identified as an overarching metaphor accentuated by three main themes that we named: (1) \"controlling before opening up\"; (2) \"choosing trusted support\"; and (3) \"learning for life\". The overarching metaphor symbolizes how adolescents living with PSUP demonstrate agency in a stressful life situation, expressing a sense of control in everyday life and actively choosing whom to involve for support.Conclusions: Supplementing protection and prevention, a different view on narrative of adolescents living with PSUP emerges in the conceptual framework of salutary health promotion. When support is offered, this can inform professionals, service providers and policymakers about the significance of acknowledging and exploring the resources within the adolescents themselves and in their environments. Further research is needed to gain a broader and deeper understanding of how to support adolescents living with PSUP in a health-promoting direction, recognizing their potential to improve their health and well-being in their stressful and challenging life situation.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261436976"},"PeriodicalIF":2.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13090238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724272","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}

引用次数: 0

Arenas of Choice During Addiction Treatment: A Qualitative Study of Patient and Staff Experiences. 成瘾治疗期间的选择领域：病人和工作人员经验的定性研究。

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-04-12 DOI: 10.1177/14550725261436983

Anna Frisint, Christina Andersson, Morten Sager, Lena Eriksson, Annika Jakobsson, Fredrik Spak

{"title":"Arenas of Choice During Addiction Treatment: A Qualitative Study of Patient and Staff Experiences.","authors":"Anna Frisint, Christina Andersson, Morten Sager, Lena Eriksson, Annika Jakobsson, Fredrik Spak","doi":"10.1177/14550725261436983","DOIUrl":"https://doi.org/10.1177/14550725261436983","url":null,"abstract":"Background: Patient self-determination and integrity are central to quality health care. In addiction treatment, patients encounter choices related to treatment options, yet little is known about how such choices are expressed in practice. The present study aimed to explore how treatment-related choices are expressed and in what situations they occur, from the perspectives of patients and healthcare staff.Methods: A qualitative exploratory design was applied. Observations and interviews were conducted at a Swedish addiction day care unit over seven weeks. Data were analyzed using content analysis.Results: Choices emerged throughout the treatment process across different treatment arenas, from initial assessment to discharge. The analysis identified seven subthemes of choice, organized into two themes: (1) unconditional choices reflecting active involvement in treatment (considered choices, spontaneous choices, and delegated choices) and (2) conditional choices, reflecting more passive involvement (negotiated choices, menu choices, either-or choices and hindered choices).Conclusions: Patients' choices were shaped by their life circumstances and constrained by staff routines, organizational procedures and treatment policies. Emphasizing patient choice and health literacy during treatment may support informed decision-making and strengthen self-efficacy in maintaining a drug-free life. Future research is recommended to examine the gap between opportunities for choice and treatment routines and policies.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261436983"},"PeriodicalIF":2.2,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692858","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}

引用次数: 0

What is the Addictive Potential from Vaping? 电子烟会让人上瘾吗？

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-04-03 DOI: 10.1177/14550725261437029

Karl Erik Lund, Tord Finne Vedøy

{"title":"What is the Addictive Potential from Vaping?","authors":"Karl Erik Lund, Tord Finne Vedøy","doi":"10.1177/14550725261437029","DOIUrl":"https://doi.org/10.1177/14550725261437029","url":null,"abstract":"Aim: The present study discusses the addictive potential from vaping heuristically in view of existing research literature. We also paying attention to aayouth perspective in a Norwegian context.Methods: The study compiled paradigmatic explanations of addiction and then conducted a narrative review of the sparse literature on vape addiction. We draw som conclusions based on the results from a number of review-based viewpoints.Findings: Addiction to e-cigarettes or vapes is typically characterized by daily use, the first inhalation of the day occurring shortly after waking up, use of nicotine-containing e-liquid, continued use despite an expressed desire to abstain, acknowledgment that persistent use may lead to health harm and the experience of withdrawal symptoms following abrupt cessation. Higher frequency of use, longer duration of use, elevated nicotine concentration in the e-liquid, prior cigarette smoking and the use of pod-based e-cigarettes containing nicotine salts appear to be associated with a greater degree of dependence. Nicotine addiction among vapers may originate from previous smoking, although individuals without any smoking history also exhibit withdrawal symptoms. Overall, the level of addiction among vapers appears to be lower than that observed among smokers.Conclusions: Among Norwegian youth, e-cigarette use is generally experimental, transient and infrequent, and the use of nicotine-free products is common. It is therefore likely that a small segment of young vapers meets established criteria for addiction. Nevertheless, irregular use in the early stages may evolve into more dependency-driven patterns of use over time.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261437029"},"PeriodicalIF":2.2,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624102","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}

引用次数: 0

Alfa-PVP: Why Does Finland Stick Out? 阿尔法pvp：芬兰为何如此突出？

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-03-31 eCollection Date: 2026-04-01 DOI: 10.1177/14550725261436610

Matilda Hellman

引用次数: 0

The Lines of Argumentation of Alcohol, Drug and Gambling Policies in Finland. 芬兰酒精、毒品和赌博政策的论证路线。

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-03-16 eCollection Date: 2026-04-01 DOI: 10.1177/14550725261417462

Ilkka Arminen, Mika Simonen, Rosanna Rydman

{"title":"The Lines of Argumentation of Alcohol, Drug and Gambling Policies in Finland.","authors":"Ilkka Arminen, Mika Simonen, Rosanna Rydman","doi":"10.1177/14550725261417462","DOIUrl":"10.1177/14550725261417462","url":null,"abstract":"Aims: Alcohol, drugs and gambling are subject to governmental control policies and regulation. We have investigated how supporters of regulation/criminality of drug use and liberals advocating more lenient control provide arguments on the governmental control policies and regulation on addiction policies.Methods: We organized three experiments in Helsinki, Finland, in 2023 on the argumentation on alcohol, drug and gambling policies. Altogether, 98 lay persons, mainly students at the University of Helsinki, participated in the experiments. As a method, we employed the imitation game, which can be used to measure how knowledgeable members of a social group are regarding the knowledge of another group. The method produces both quantitative and qualitative data.Results: On drug policy, supporters and opponents of criminality of drug use were asymmetrically segregated. The opponents of criminality were in a minority and were more knowledgeable of the knowledge and beliefs of the majority supporting criminality. When it came to the alcohol and gambling policy fields, both supporters and opponents of regulation had more symmetrical relations.Conclusions: The results can be used for addiction policies and anticipating emerging new lines of argumentation.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"147-164"},"PeriodicalIF":2.2,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12995735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487845","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}

引用次数: 0

Understanding Child Maltreatment and Support Needs in Families with Problematic Parental Substance use. 了解有问题的父母药物使用家庭中的儿童虐待和支持需求。

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-02-28 eCollection Date: 2026-04-01 DOI: 10.1177/14550725261422551

Heidi Rantanen, Ella Plaami, Janika Kosonen, Eija Paavilainen, Katja Kuusisto

{"title":"Understanding Child Maltreatment and Support Needs in Families with Problematic Parental Substance use.","authors":"Heidi Rantanen, Ella Plaami, Janika Kosonen, Eija Paavilainen, Katja Kuusisto","doi":"10.1177/14550725261422551","DOIUrl":"10.1177/14550725261422551","url":null,"abstract":"Aims: This study aims to enhance understanding of child maltreatment (CM) in connection with problematic parental substance use (PPSU) and to identify related individual and familial support needs.Methods: Using inductive qualitative content analysis, we examined the life stories of trained experts-by-experience (N = 11) who had experienced PPSU and various forms of CM, including physical and emotional violence and neglect in their family during childhood and adolescence.Results: Several family-related and parental risk factors for CM emerged, such as intergenerational transmission of substance use, socioeconomic disadvantage, unemployment or excessive work, parental physical and mental health issues, social wellbeing challenges such as social isolation, violent behaviour, and inadequate parenting practices. Participants also described mitigating factors that partly buffered adverse effects.Conclusions: The findings highlight diverse and persistent support needs. PPSU can expose children to a wide range of harmful CM experiences. Effective early identification of both PPSU and related CM requires close collaboration between social and health services, as well as inclusive and active client engagement. A holistic understanding of individual and family circumstances affected by PPSU is essential for preventing CM and its intergenerational transmission.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"198-211"},"PeriodicalIF":2.2,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12949735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345230","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}

引用次数: 0

Substance Use of Older Adults in Gerontological Social Work Client Documents. 老年社会工作客户文件中老年人物质使用情况。

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-02-19 eCollection Date: 2026-04-01 DOI: 10.1177/14550725261419965

Ilona Kaitala, Minna Zechner, Teija Karttunen, Eeva Rossi

{"title":"Substance Use of Older Adults in Gerontological Social Work Client Documents.","authors":"Ilona Kaitala, Minna Zechner, Teija Karttunen, Eeva Rossi","doi":"10.1177/14550725261419965","DOIUrl":"10.1177/14550725261419965","url":null,"abstract":"Aims: This study describes the substance use of gerontological social work clients and the ways it affects their use and needs for social and healthcare services, as featured in client documents written in the context of assessment of the need for services.Methods: The data consist of gerontological social work client documents of 55 clients from one municipality in Finland. The data were analyzed using reflexive thematic analysis in two stages. The first stage addressed the question of documenting substance use and the second stage included clients with ongoing substance abuse (N = 15).Results: Substance use was common among the sampled gerontological social work clients. Only a small number of clients were identified as having harmful substance use, and these clients had complex needs for services and multiple uses of services. However, their service use and needs were rarely documented from the point of substance use, even though problematic substance use had been included in legislation as one criterion for having complex needs. Thus, some of the service professionals seemed to have ignored substance use when assessing the needs of older clients.Conclusions: There is need to develop social work training to increase the professional knowledge base and identify or bring up matters of substance use when encountering older clients with substance abuse.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"165-180"},"PeriodicalIF":2.2,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12920170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272455","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}

引用次数: 0

The Grey Market for Alcohol on Social Media in Sweden. 瑞典社交媒体上的酒精灰色市场。

IF 2.2 3区社会学

Nordic Studies on Alcohol and Drugs Pub Date : 2026-02-18 eCollection Date: 2026-04-01 DOI: 10.1177/14550725261420678

Oscar Waldner, Kim Moeller, Amra Balija, Vladyslava Nguen, Julia Stockfors

{"title":"The Grey Market for Alcohol on Social Media in Sweden.","authors":"Oscar Waldner, Kim Moeller, Amra Balija, Vladyslava Nguen, Julia Stockfors","doi":"10.1177/14550725261420678","DOIUrl":"10.1177/14550725261420678","url":null,"abstract":"Aims: In recent years, a grey market has emerged in Sweden where teenagers use social media to obtain alcohol. This market has not yet been explored qualitatively. The present study addresses this gap by examining how social media is used to illicitly trade alcohol.Methods: First, a netnographic approach involved systematically searching for and documenting social media accounts offering alcohol. Second, 33 in-depth, app-based textual interviews were conducted with 16 sellers and 17 buyers who had engaged in illicit alcohol transactions. Responses were thematically analysed within a critical realist framework, capturing experiential (explicit), inferential (inductive) and dispositional (retroductive) themes.Results: Snapchat is the preferred platform due to its popularity among youths, ephemeral messaging features and recommendation algorithms. Sellers typically source smuggled alcohol in bulk to maintain competitive prices. Underage buyers cite ease of access, speed and convenience as main motivations. Risk perceptions differ as sellers worry primarily about arrest offline and platform bans online, whereas buyers fear personal victimisation during face-to-face exchanges.Conclusions: Restriction-generated markets and platformisation sustain illicit alcohol markets. Strict regulations inadvertently shape the market's demand by denying legal access to underage individuals' desire for alcohol. Simultaneously, the design of Snapchat facilitates rapid, anonymous connections and exchanges. The findings underscore a need for policymakers and practitioners to consider how social media amplifies underage alcohol consumption risks.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"129-146"},"PeriodicalIF":2.2,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12916338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272453","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}

引用次数: 0