Mats Ramstedt, Tony Nilsson, Thor Norström, Björn Trolldal
{"title":"What Characterizes Municipalities With Stronger Local Alcohol Prevention Efforts in Sweden? A Study of 209 Municipalities During 2011-2021.","authors":"Mats Ramstedt, Tony Nilsson, Thor Norström, Björn Trolldal","doi":"10.1177/14550725251407776","DOIUrl":"10.1177/14550725251407776","url":null,"abstract":"<p><strong>Aims: </strong>Over the past 20-25 years, Sweden has placed growing focus on local alcohol prevention, as reflected in national action plans. However, municipal efforts vary considerably. Identifying the factors that influence stronger local alcohol prevention is important, given its association with reduced alcohol-related harm. The present study aims to examine the characteristics of municipalities with more comprehensive alcohol prevention efforts, focusing on: (i) need, indicated by alcohol consumption and related problems; (ii) financial resources; (iii) political orientation; and (iv) sociodemographic and socioeconomic factors.</p><p><strong>Methods: </strong>Local alcohol prevention is measured using a developed version of the Alcohol Policy Magnitude Measure (APMM), covering 209 municipalities from 2011 to 2021. Linear and logistic regressions examine how APMM scores relate to factors such as alcohol use, harm, resources, politics and demographics. Both crude and adjusted models assess the robustness of these associations.</p><p><strong>Results: </strong>Left-wing governance, larger populations and younger demographics were consistently linked to higher alcohol prevention levels. Of four need indicators, only one showed a consistent association. Financial resources were significant only in adjusted models, while education and foreign background showed mixed results. Unemployment was not associated with alcohol prevention, and income was significant only in crude models. These patterns were largely confirmed in analyses focusing on the top 10% of municipalities in terms of prevention activity.</p><p><strong>Conclusions: </strong>Stronger alcohol prevention was not linked to higher consumption, harm or resources, but rather to left-wing governance, larger populations and younger residents. This highlights the influence of political and sociodemographic factors on local prevention levels.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"8-19"},"PeriodicalIF":2.2,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12747864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879296","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":"Examining the Strategies and Tactics of the Alcohol Industry During the COVID-19 Pandemic in Botswana.","authors":"Tebogo B Sebeelo","doi":"10.1177/14550725251407459","DOIUrl":"10.1177/14550725251407459","url":null,"abstract":"<p><strong>Aim: </strong>To examine the strategies and tactics of the alcohol industry during the COVID-19 pandemic in Botswana, a time when the country implemented a hard lockdown with strict restrictions on the sale, distribution and consumption of alcohol.</p><p><strong>Methods: </strong>A qualitative content analysis was conducted of newspaper articles (<i>n</i> = 11), policy documents (<i>n</i> = 2) and other online sources (<i>n</i> = 2) published between 2020 and 2021.</p><p><strong>Results: </strong>The study shows that the alcohol industry was actively involved in influencing alcohol policy during the COVID-19 pandemic in Botswana. It mainly employed five main strategic framings, emphasising individual drinking behaviour, corporate social responsibility as a \"good\" deed, downplaying alcohol's role in COVID harm, treating the Botswana government as a \"strategic partner\" and using legal action to influence policy towards commercial interests to contradict public health protocols.</p><p><strong>Conclusions: </strong>The activities by the alcohol industry during the COVID-19 provide insight into the increasing influence that industry actors have in Botswana policy-making. The studied strategies undermine public health interventions, demonstrating the urgent need to determine how this business sector impact health interventions in low and middle-income countries.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"45-62"},"PeriodicalIF":2.2,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851177","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 Shapes Professional Practice: Judgement and Decision-Making in Danish Outpatient Alcohol Counselling.","authors":"Kristina Hasselbalch Volke, Anette Søgaard Nielsen","doi":"10.1177/14550725251407463","DOIUrl":"10.1177/14550725251407463","url":null,"abstract":"<p><strong>Aim: </strong>Decisions made by social work professionals determine the scope and nature of the help clients receive. These decisions rest on professional judgement, making it essential to understand the foundations of such judgement to grasp social work practice. This qualitative study explores professional decision-making and practice among Danish addiction counsellors working in outpatient treatment for alcohol use disorders. The aim was to examine what the counsellors base their professional judgements on and the reasoning that informs their decisions.</p><p><strong>Methods: </strong>Utilizing the vignette method, we conducted semi-structured interviews with 12 addiction counsellors. Interviews were analyzed using thematic analysis.</p><p><strong>Results: </strong>Our findings show how the counsellors base their professional judgements and decisions on knowledge and values, respectively. We identified differences among counsellors in how values were understood and applied. Several values lacked clear definitions and appeared in varying or subtly distinct forms.</p><p><strong>Conclusions: </strong>The study underscores the need to clarify the values guiding social workers' judgements and decisions. Values shape how knowledge is used, making their clarification essential for evidence-based practice. Without such clarity, value-based practice becomes meaningless, and values cannot effectively guide professionals in their clinical work.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"81-99"},"PeriodicalIF":2.2,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12727482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835072","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}
Natalia Marjamaa, Krista Hylkilä, Maria Kääriäinen, Jussi Palomäki, Sanni Behm, Aino Peltonen, Jenni Konttila, Niko Männikkö
{"title":"Feasibility and Preliminary Outcomes of a Digital Intervention for Gaming-Related Problems and Well-Being: A Quasi-Experimental Study.","authors":"Natalia Marjamaa, Krista Hylkilä, Maria Kääriäinen, Jussi Palomäki, Sanni Behm, Aino Peltonen, Jenni Konttila, Niko Männikkö","doi":"10.1177/14550725251394129","DOIUrl":"10.1177/14550725251394129","url":null,"abstract":"<p><strong>Aims: </strong>Problematic gaming is a distinguishable problem associated with impairments to personal well-being. The Restart program is a novel digital intervention that was designed to help individuals improve their control over excessive gaming. This study aimed to investigate the feasibility and preliminary outcomes of the Restart program on gaming behaviour and well-being among problematic gamers.</p><p><strong>Methods: </strong>We utilised a quasi-experimental design, including one group with pre-and post-test measurements; no control group was employed. The analysed data described individuals' life situations, gaming behaviour, problematic gaming, compulsive internet use and subjective well-being. Data were collected at the baseline and post-program time points, as well as 3 months after the end of the program, and analysed using a linear mixed model. At the baseline, 110 individuals engaged in the intervention, and 50 participants completed all pre-, post- and follow-up tests.</p><p><strong>Results: </strong>Statistically significant differences between the baseline and post-program scores were discerned for all variables. Moreover, the total time spent on gaming and the proportion of problematic gaming time decreased across the post-intervention and follow-up time points, a trend that may reflect changes in gaming control and behaviour. The results also revealed improvements in subjective well-being among participants.</p><p><strong>Conclusions: </strong>Participants showed improvements in gaming behaviour and well-being, suggesting that participation in the Restart program may be associated with positive changes; however, the findings remain preliminary. Future research should focus on the long-term benefits of such therapeutic approaches.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"212-231"},"PeriodicalIF":2.1,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12698462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757782","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":"Commentary on \"A strait or an ocean? Exploring risks and resources among people who use drugs in Denmark and Sweden\".","authors":"Jenni Savonen","doi":"10.1177/14550725251396866","DOIUrl":"10.1177/14550725251396866","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"465-467"},"PeriodicalIF":2.2,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12638228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589555","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":"Guided by Energy, Ethics and Empathy.","authors":"Matilda Hellman","doi":"10.1177/14550725251396063","DOIUrl":"10.1177/14550725251396063","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"367-369"},"PeriodicalIF":2.2,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12634377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589518","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":"Are We Doing Enough? Drug-Related Deaths as a Pressing Social Issue.","authors":"Karoliina Karjalainen, Hakkarainen Pekka, Rönkä Sanna","doi":"10.1177/14550725251396864","DOIUrl":"10.1177/14550725251396864","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"475-478"},"PeriodicalIF":2.2,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12618196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542931","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":"Navigating the complex currents of risk environments among people who use drugs: A commentary.","authors":"Ola Røed Bilgrei, Kristin Hanoa","doi":"10.1177/14550725251396863","DOIUrl":"10.1177/14550725251396863","url":null,"abstract":"","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"462-464"},"PeriodicalIF":2.2,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12615228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542919","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":"Experiences Following a Sibling's Substance-Related Death: A Systematic Review.","authors":"Heidi Jokipii, Anna Liisa Aho","doi":"10.1177/14550725251392045","DOIUrl":"10.1177/14550725251392045","url":null,"abstract":"<p><p><b>Background:</b> The death of a family member due to substance use may negatively affect family dynamics and the coping mechanisms of surviving family members, as the loved one may have already been perceived as lost during the period of substance use. Substance-related deaths are considered special due to their sudden nature and the circumstances surrounding the cause of death. The grief of siblings, in particular, is often overlooked, which highlights the importance of collecting comprehensive information about their experiences. <b>Aim:</b> The purpose of this systematic review is to describe siblings' experiences of losing a brother or sister to a substance-related death. The aim is to generate knowledge that enhances understanding of this topic and supports the development of appropriate and targeted support services. <b>Methods:</b> Nine articles were selected through the database search, and four additional articles were manually selected. The data from the initial search was analyzed using inductive content analysis. The results of the updated search were analyzed deductively on the basis of the previous results framework. <b>Findings:</b> The systematic review showed that siblings experienced being abandoned and carried the burden of loss. They also felt environmental insecurity and felt they will recover from grief. Support and assistance resources targeted at siblings are lacking. Attitudes and interactions of others have a significant impact on their grief experience.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"551-568"},"PeriodicalIF":2.2,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12602298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507657","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}
Tuuli Pitkänen, Riku Laine, Teemu Kaskela, Virvatuli Uusimäki, Jonna Levola
{"title":"A Register-Based Follow-Up Study of Age-Specific Mortality and Causes of Death of Men, Women and Accompanying Children After Substance Use Treatment.","authors":"Tuuli Pitkänen, Riku Laine, Teemu Kaskela, Virvatuli Uusimäki, Jonna Levola","doi":"10.1177/14550725251388250","DOIUrl":"10.1177/14550725251388250","url":null,"abstract":"<p><strong>Aim: </strong>This long-term follow-up study assessed substance related mortality by sex and compared it with the age-matched general population, with the aim of informing the development of treatment services.</p><p><strong>Methods: </strong>Data included 10,891 former patients who had sought treatment for substance use between 1990 and 2009, and a special group of 1,076 children who had accompanied their parent(s) to family treatment. Treatment data were linked to national register data concerning education, hospitalizations and death by 2019. Age-specific death rates, standardized mortality ratios and causes of death were compared with the Finnish general population.</p><p><strong>Results: </strong>By 2019, a larger proportion of the 7,334 treatment-seeking men (42.6%) than of the 3,557 women (27.4%) had died. The underlying cause of death was alcohol and/or drug related in one-third of the deaths and two-thirds when further causes were included. Age-specific comparisons with the general population revealed that the studied men and women had markedly higher death rates and the difference increased decade by decade, being highest among the youngest age-groups (standardized mortality ratios were 9.8 for men and 13.8 for women born in the 1980s). Out of the 1,076 children, 15 boys (2.8%) and four girls (0.7%) had died, mostly due to substance use or violence related causes.</p><p><strong>Conclusions: </strong>Mortality was significantly increased for several years after treatment highlighting the need for long-term follow-up, as well as after-care and easy re-entry to treatment. Special attention should be paid to the relatively higher increase in mortality risk among women.</p>","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":" ","pages":"514-531"},"PeriodicalIF":2.2,"publicationDate":"2025-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12578615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432523","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}