Nordic Studies on Alcohol and Drugs最新文献

{"title":"Corporate Political Strategies and Discursive Frames of the Gambling Industry in Finland's Gambling Policy Reform.","authors":"Jani Selin","doi":"10.1177/14550725261453262","DOIUrl":"10.1177/14550725261453262","url":null,"abstract":"<p><p><b>Aims:</b> Finnish gambling policy, long based on a state-controlled monopoly, is set to shift to a license-based regime in 2027. The study investigates the Corporate Political Activity (CPA) strategies and discursive frames used by gambling industry actors, comparing their application among actors and phases of the legislative process in the context of Finland's gambling policy reform. <b>Methods:</b> In total, 36 formal statements were analyzed, including submissions to the public consultation (<i>n</i> = 19) and parliamentary hearings (<i>n</i> = 17). A deductive content analysis was conducted, based on the previous CPA frameworks. <b>Results:</b> The results indicate that gambling industry actors proposed alternative policies and sought to prevent certain parts of the legislation from being enacted. Discursive framings shifted throughout the legislative process: legal rights dominated consultations, while unintended effects, especially increased unlicensed gambling, became more salient in parliamentary hearings. Clear differences emerged among actors. International actors prioritized policy substitution and framed the proposed legislation as excessive and harmful to their legal rights, whereas the state monopoly operator did not prevent enactment of regulations. A further difference concerned proposals to replace some harm-reduction measures with more restrictive alternatives. <b>Conclusions:</b> The growing influence of the gambling industry may risk deprioritizing the prevention and reduction of gambling harm in future gambling policy.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261453262"},"PeriodicalIF":2.1,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13236718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200604","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":"Adherence to Underage Alcohol Sales Regulations in the Republic of Cyprus: Evidence from Repeated Cross-Sectional Mystery Shopping Study.","authors":"Athina Manoli, Angelos P Kassianos, Leda Christodoulou, Andrea Nicolaou, Charis Psaltis, Michalis Michaelides","doi":"10.1177/14550725261452980","DOIUrl":"10.1177/14550725261452980","url":null,"abstract":"<p><p><b>Aims:</b> To examine the level of vendor compliance with age-verification legislation governing alcohol sales in Cyprus across two repeated cross-sectional mystery shopping studies conducted in 2015 and 2024, and to identify factors influencing the likelihood of selling alcoholic beverages to underage-appearing individuals. <b>Methods:</b> In 2015, 200 purchase attempts were conducted across six venue types using paired student mystery shoppers. In 2024, 200 visits were conducted by individual mystery shoppers in comparable venue types, excluding nightclubs. In both studies, vendor responses were coded as: no age verification, verbal confirmation, or ID request. Descriptive statistics were computed, and logistic regression assessed venue and seller characteristics associated with vendor compliance. <b>Results:</b> In 2015, 94.5% of vendors sold alcohol without any verification, verbal confirmation was requested in 4.0%, and only 1.5% requested ID. Logistic regression showed that age verification was more likely with male buyers. In 2024, non-compliance remained high (85.5%), with verbal confirmation requested in 13.5% of visits, and ID requests at just 1%. Regression analyses showed higher compliance in bars than in kiosks, and female mystery shoppers were more often asked for age confirmation. Few vendors reported receiving training or legislative updates, with 22% recalling any regulatory updates and just 15% stating they had ever been formally informed about alcohol sales regulations. Compliance rates remain well below those reported in Northern and Western Europe, where structured inspection and vendor training are routine. <b>Conclusions;</b> Vendor compliance with age-verification laws in Cyprus remains persistently low. The findings highlight the need for systematic compliance monitoring, vendor education, and stronger enforcement policies, contributing to the broader European discussion on effective alcohol-control implementation.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261452980"},"PeriodicalIF":2.1,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165017","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":"This is my way of Drinking: A Scoping Review of how Individuals Narrate Their Alcohol-Related Problems.","authors":"Regina Christiansen, Jakob Godsk Nielsen, Cindie Maagaard, Anita Wohlmann, Anette Søgaard Nielsen","doi":"10.1177/14550725261436985","DOIUrl":"10.1177/14550725261436985","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this scoping review is to identify and describe patterns in personal narratives about the development of alcohol-related problems as presented in scientific health literature.</p><p><strong>Methods: </strong>A systematic scoping review approach was applied to map and synthesize narrative patterns across the included studies. In total, 45 eligible studies were examined to capture how individuals describe the development of alcohol-related problems in health research.</p><p><strong>Results: </strong>Across the studies, four major narrative categories were identified: (1) Drinking as a way of coping with difficult thoughts; (2) Drinking as rooted in the body, the genes and the personality; (3) Drinking as a reaction to a stressful situation; and (4) Drinking as a cultural practice or habit.</p><p><strong>Conclusion: </strong>The findings illustrate the complexity and variability of reasons behind alcohol-related problems. They highlight the importance of interventions that are sensitive to personal narratives, subjective experiences, and the diverse pathways leading to alcohol-related problems.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"261-292"},"PeriodicalIF":2.1,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965034","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":"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":"10.1177/14550725261443300","url":null,"abstract":"<p><strong>Aims: </strong>The study examines how key stakeholders sought to influence the outcome of Finland's 2018 Alcohol Act reform in the formal consultation rounds.</p><p><strong>Methods: </strong>Drawing on the Advocacy Coalition Framework, we analyzed 224 stakeholder statements to uncover competing belief systems and framing strategies regarding alcohol-related harm.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"308-324"},"PeriodicalIF":2.1,"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}

{"title":"Pain and Prose: Tracing the Opioid Epidemic in Stephen King's Novels.","authors":"Juan Manuel Marquez-Romero","doi":"10.1177/14550725261446816","DOIUrl":"10.1177/14550725261446816","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"14550725261446816"},"PeriodicalIF":2.1,"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}

{"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 Vederhus, Bente Birkeland","doi":"10.1177/14550725261436976","DOIUrl":"10.1177/14550725261436976","url":null,"abstract":"<p><strong>Aims: </strong>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.</p><p><strong>Methods: </strong>The seven iterative phases by Noblit and Hare were followed. Systematic literature searches yielded 13 articles.</p><p><strong>Results: </strong><b>\"</b>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"235-260"},"PeriodicalIF":2.1,"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}

{"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":"10.1177/14550725261436983","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"293-307"},"PeriodicalIF":2.1,"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}

{"title":"What is the Addictive Potential from Vaping?","authors":"Karl Erik Lund, Tord Finne Vedøy","doi":"10.1177/14550725261437029","DOIUrl":"10.1177/14550725261437029","url":null,"abstract":"<p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Findings: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"325-345"},"PeriodicalIF":2.1,"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}

{"title":"Alfa-PVP: Why Does Finland Stick Out?","authors":"Matilda Hellman","doi":"10.1177/14550725261436610","DOIUrl":"10.1177/14550725261436610","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"125-128"},"PeriodicalIF":2.1,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610492","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 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":"<p><strong>Aims: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>The results can be used for addiction policies and anticipating emerging new lines of argumentation.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"147-164"},"PeriodicalIF":2.1,"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}