AdiccionesPub Date : 2022-04-01DOI: 10.20882/adicciones.1403
Juan Manuel Martín Álvarez, Jorge Barrientos Marín, José María Millán
{"title":"The relationship between the socio-economic gradient and cigarette consumption in Spain.","authors":"Juan Manuel Martín Álvarez, Jorge Barrientos Marín, José María Millán","doi":"10.20882/adicciones.1403","DOIUrl":"https://doi.org/10.20882/adicciones.1403","url":null,"abstract":"<p><p>The objective of the study was to analyze the relationship between individual socioeconomic characteristics and cigarette consumption in Spain. The sample consisted of 19,931 individuals aged 15 or older who completed the European Health Interview Survey for Spain (EHSS-2014). Variables: prevalence and intensity of cigarette consumption. Multivariate ordered logistic regression analysis was performed with the following socioeconomic variables: social classes, educational attainment, main activity, economic situation and, for the working population, the activity sector. Other control variables were sociodemographic variables and healthy lifestyle habits (physical exercise, diet and alcohol consumption). The factors that relate to greater prevalence are: lower social class, not having university studies, being unemployed, having worse economic situation and working in hospitality industry. On the other hand, the variables related to higher intensity of cigarette consumption of the smoking population are: lower social class, not having university studies, and being neither a student nor on a permanent contract. Regarding control variables, those regressors associated with a higher prevalence and intensity of cigarette consumption are: being male, being aged between 36 and 65, being divorced, having fewer children at home and having worse lifestyle habits.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 2","pages":"94-109"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25531401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-04-01DOI: 10.20882/adicciones.1528
Ana González-Pinto, José Manuel Goikolea, Iñaki Zorrilla, Miquel Bernardo, Manuel Arrojo, Ruth Cunill, Xavi Castell, Elisardo Becoña, Ana López, Marta Torrens, Judit Tirado-Muñoz, Francina Fonseca, Belén Arranz, Marina Garriga, Pilar A Sáiz, Gerardo Flórez, Luis San
{"title":"Clinical practice guideline on pharmacological and psychological management of adult patients with bipolar disorder and comorbid substance use.","authors":"Ana González-Pinto, José Manuel Goikolea, Iñaki Zorrilla, Miquel Bernardo, Manuel Arrojo, Ruth Cunill, Xavi Castell, Elisardo Becoña, Ana López, Marta Torrens, Judit Tirado-Muñoz, Francina Fonseca, Belén Arranz, Marina Garriga, Pilar A Sáiz, Gerardo Flórez, Luis San","doi":"10.20882/adicciones.1528","DOIUrl":"https://doi.org/10.20882/adicciones.1528","url":null,"abstract":"<p><p>This review synthesizes the pharmacological and psychosocial interventions that have been conducted in comorbid bipolar disorder (BD) and substance use disorders (SUDs) while also providing clinical recommendations about which intervention elements are helpful for addressing substance use versus mood symptoms in patients with these co-occurring conditions. The best evidence from randomized controlled trials was used to evaluate treatment options. The strength of recommendations was described using the GRADE approach. Very few of the randomized trials performed so far have provided consistent evidence for the management of both mood symptoms and substance use in patients with a BD. No clinical trials are available for bipolar patients using cannabis. Some treatments have shown benefit for mood symptoms without benefits for alcohol or illicit substance use. Our results suggest that 1) we can (weakly) recommend the use of adjuvant valproate or naltrexone to improve symptoms of alcohol use disorder; 2) Lamotrigine add-on therapy seems to reduce cocaine-related symptoms and is therefore recommended (moderate strength); and 3) Varenicline is (weakly) recommended to improve nicotine abstinence. Integrated group therapy is the most-well validated and efficacious approach on substance use outcomes if substance use is targeted in an initial treatment phase.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 2","pages":"142-156"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39027134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-04-01DOI: 10.20882/adicciones.1504
Belen Arranz, Marina Garriga, Miquel Bernardo, Ana González-Pinto, Manuel Arrojo, Marta Torrens, Judith Tirado-Muñoz, Francina Fonseca, Pilar A Sáiz, Gerardo Flórez, Jose Manuel Goikolea, Iñaki Zorrilla, Ruth Cunill, Xavi Castells, Elisardo Becoña, Ana López, Luis San
{"title":"Clinical practice guideline on pharmacological and psychological management of adult patients with schizophrenia spectrum disorders and a comorbid substance use.","authors":"Belen Arranz, Marina Garriga, Miquel Bernardo, Ana González-Pinto, Manuel Arrojo, Marta Torrens, Judith Tirado-Muñoz, Francina Fonseca, Pilar A Sáiz, Gerardo Flórez, Jose Manuel Goikolea, Iñaki Zorrilla, Ruth Cunill, Xavi Castells, Elisardo Becoña, Ana López, Luis San","doi":"10.20882/adicciones.1504","DOIUrl":"https://doi.org/10.20882/adicciones.1504","url":null,"abstract":"<p><p>Although correct diagnosis and management of patients with schizophrenia and a comorbid substance use disorder (SUD) would determine a decrease in morbidity and mortality in these patients, development of efficient therapeutic strategies is still pending. We present recommendations on the pharmacological and psychological management of these patients following the 'PICO' structure (Patient-Intervention-Comparison-Outcomes). Evaluation of the quality of studies and summary of the evidence for each question was performed following the recommendations of the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) working group. Our results suggest: 1) In patients with schizophrenia and cannabis use disorder, it is not possible to recommend one antipsychotic drug over another (between olanzapine, risperidone or haloperidol) for improving psychotic symptoms, reducing cannabis use, or improving pragmatic variables (weak recommendation). Clozapine cannot be recommended to reduce cannabis use (weak recommendation). 2) In patients with schizophrenia and cocaine use disorder we recommend haloperidol over olanzapine to reduce craving (moderate recommendation), and olanzapine over haloperidol to improve motor side effects in these patients (moderate recommendation). 3) In patients with schizophrenia and alcohol use disorder while naltrexone is recommended to reduce alcohol use (in terms of reducing alcohol craving) (weak recommendation), there is insufficient evidence to make any recommendation on the use of adjuvant acamprosate (weak recommendation). 4) In patients with schizophrenia and nicotine use disorder, adjuvant bupropion and varenicline are recommended for reducing nicotine use and nicotine abstinence (strong/moderate recommendation). 5) In patients with schizophrenia and polydrug use disorder, second-generation over first-generation antipsychotic drugs and olanzapine over other second-generation antipsychotics are recommended to improve psychotic symptoms (moderate/weak recommendation).</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 2","pages":"110-127"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25528277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-04-01DOI: 10.20882/adicciones.1569
Ruth Cunill, Xavier Castells, Ana González-Pinto, Manuel Arrojo, Miquel Bernardo, Pilar A Sáiz, Gerardo Flórez, Marta Torrens, Judit Tirado-Muñoz, Francia Fonseca, Belén Arranz, Marina Garriga, Jose Manuel Goikolea, Iñaki Zorrilla, Elisardo Becoña, Ana López, Luis San
{"title":"Clinical practice guideline on pharmacological and psychological management of adult patients with attention deficit and hyperactivity disorder and comorbid substance use.","authors":"Ruth Cunill, Xavier Castells, Ana González-Pinto, Manuel Arrojo, Miquel Bernardo, Pilar A Sáiz, Gerardo Flórez, Marta Torrens, Judit Tirado-Muñoz, Francia Fonseca, Belén Arranz, Marina Garriga, Jose Manuel Goikolea, Iñaki Zorrilla, Elisardo Becoña, Ana López, Luis San","doi":"10.20882/adicciones.1569","DOIUrl":"https://doi.org/10.20882/adicciones.1569","url":null,"abstract":"<p><p>Substantial evidence has confirmed the high comorbidity between Attention-Deficit/Hyperactivity Disorder (ADHD) and a substance use disorder (SUD). This review synthesizes the pharmacological and psychosocial interventions conducted in ADHD and SUDs, and provides clinical recommendations using the GRADE approach. Our results suggest: 1) In patients with ADHD and alcohol use, atomoxetine is recommended to reduce ADHD symptoms (weak recommendation) and alcohol craving (weak recommendation). 2) In patients with ADHD and cannabis use disorder, atomoxetine is recommended to improve ADHD symptoms (weak recommendation), not to reduce cannabis use (weak recommendation). 3) In patients with ADHD and cocaine use disorder, methylphenidate is not recommended to improve ADHD symptoms or to reduce cocaine use (weak recommendation). 4) In patients with ADHD and comorbid nicotine use disorder, methylphenidate is recommended to improve ADHD symptoms (weak recommendation). Psychoestimulants, such as methylphenidate or lisdexamfetamine dimesylate, are not recommended to reduce nicotine use (weak recommendation). 5) Regarding patients with ADHD and any SUD, the use of psychostimulants is recommended to improve ADHD symptoms (weak recommendation), not to reduce substance use (weak recommendation) or to improve retention to treatment (strong recommendation). In these patients, the use of atomoxetine is recommended to improve ADHD symptoms (weak recommendation), not to decrease substance use (weak recommendation) or to improve retention to treatment (strong recommendation). Atomoxetine and psychostimulants appear to be safe in patients with any SUD (strong recommendation). Our review suggests the need for more research in this area and for larger, multisite, randomized studies to provide more definite and conclusive evidence.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 2","pages":"168-178"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39027137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-04-01DOI: 10.20882/adicciones.1559
Marta Torrens, Judit Tirado-Muñoz, Francina Fonseca, Magi Farré, Ana González-Pinto, Manuel Arrojo, Miquel Bernardo, Belén Arranz, Marina Garriga, Pilar A Sáiz, Gerardo Flórez, José Manuel Goikolea, Iñaki Zorrilla, Ruth Cunill, Xavier Castells, Elisardo Becoña, Ana López, Luis San
{"title":"Clinical practice guideline on pharmacological and psychological management of adult patients with depression and a comorbid substance use disorder.","authors":"Marta Torrens, Judit Tirado-Muñoz, Francina Fonseca, Magi Farré, Ana González-Pinto, Manuel Arrojo, Miquel Bernardo, Belén Arranz, Marina Garriga, Pilar A Sáiz, Gerardo Flórez, José Manuel Goikolea, Iñaki Zorrilla, Ruth Cunill, Xavier Castells, Elisardo Becoña, Ana López, Luis San","doi":"10.20882/adicciones.1559","DOIUrl":"https://doi.org/10.20882/adicciones.1559","url":null,"abstract":"<p><p>Co-occurrence of depression and a substance use disorder (SUD) in patients who present dual diagnoses has been long recognized as an important consideration in clinical practice. This review synthesizes the evidence of pharmacological and psychosocial interventions for comorbid depressive disorders and SUDs while providing clinical recommendations about the best interventions to address these patients. The best evidence from randomized controlled trials was used to evaluate treatment options. The strength of recommendations was described using the GRADE approach. Our results suggest that 1) In patients with depression and alcohol consumption, the administration of non-selective serotonin reuptake inhibitor (SSRI) antidepressants instead of SSRI is recommended for improvement of depressive symptoms (strong recommendation). Neither SSRI (strong recommendation) nor non-SSRI (weak recommendation) antidepressants are recommended for reduction in alcohol consumption. 2) In patients with depression and cannabis use, the use of venlafaxine is not recommended (weak recommendation). 3) In patients with depression and cocaine consumption, the use of SSRI antidepressants for improving depressive symptoms (weak recommendation) or to reduce cocaine use is not recommended (strong recommendation). The use of non-SSRI antidepressants is only recommended for improving depressive symptoms (strong recommendation). 4) The administration of bupropion to reduce nicotine consumption is not recommended (strong recommendation). 5) Regarding psychological treatment, in patients with depression and co-occurring alcohol disorder, both pharmacotherapy and cognitive behavioural therapy have positive effects on internalizing symptoms and in reducing alcohol consumption (weak recommendation). Our review suggests the need for more research in this area and for larger, multisite, randomized studies to provide more definite evidence.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 2","pages":"128-141"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25517734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-04-01DOI: 10.20882/adicciones.1548
Pilar A Sáiz, Gerardo Flórez, Manuel Arrojo, Miquel Bernardo, Ana González-Pinto, José Manuel Goikolea, Iñaki Zorrilla, Ruth Cunill, Xavier Castells, Elisardo Becoña, Ana López, Marta Torrens, Francina Fonseca, Judit Tirado-Muñoz, Belén Arranz, Marina Garriga, Luis San
{"title":"Clinical practice guideline on pharmacological and psychological management of adult patients with an anxiety disorder and comorbid substance use.","authors":"Pilar A Sáiz, Gerardo Flórez, Manuel Arrojo, Miquel Bernardo, Ana González-Pinto, José Manuel Goikolea, Iñaki Zorrilla, Ruth Cunill, Xavier Castells, Elisardo Becoña, Ana López, Marta Torrens, Francina Fonseca, Judit Tirado-Muñoz, Belén Arranz, Marina Garriga, Luis San","doi":"10.20882/adicciones.1548","DOIUrl":"https://doi.org/10.20882/adicciones.1548","url":null,"abstract":"<p><p>This review synthesizes the pharmacological and psychosocial interventions that have been conducted in comorbid anxiety disorders and SUDs while also providing clinical recommendations about which intervention elements are helpful for addressing substance use versus anxiety symptoms in patients with these co-occurring conditions. The best evidence from randomized controlled trials was used to evaluate treatment options. The strength of recommendations was described using the GRADE approach. Clinical trials are only available for posttraumatic stress disorder (PTSD) and for social anxiety. Concerning the comorbid substance use, all the studies have included patients with alcohol use, none of them have dealt with cocaine, cannabis or nicotine use. Although some treatments have shown benefit for anxiety symptoms without benefits for alcohol or other substance use, only limited pharmacological approaches have been assayed (sertraline, desipramine, paroxetine, buspirone, naltrexone and disulfiram). Our results suggest that 1) we can (weakly) recommend the use of desipramine over paroxetine to alleviate symptoms of anxiety in patients with a PTSD and alcohol use; 2) In these patients, the use of naltrexone to reduce symptoms of anxiety is also recommended (weak strength); and 3) SSRI antidepressants vs placebo can be recommended to reduce alcohol use (weak recommendation). Our review highlights the need for more research in this area and for larger, multisite studies with generalizable samples to provide more definite guidance for clinical practice.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 2","pages":"157-167"},"PeriodicalIF":3.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39027136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-02-16DOI: 10.20882/adicciones.1787
Manuel Isorna Folgar, Francisco Arias Horcajadas
{"title":"New forms of drug use: An overview.","authors":"Manuel Isorna Folgar, Francisco Arias Horcajadas","doi":"10.20882/adicciones.1787","DOIUrl":"10.20882/adicciones.1787","url":null,"abstract":"","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 1","pages":"3-12"},"PeriodicalIF":2.2,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39934868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-02-16DOI: 10.20882/adicciones.1371
Juan-Miguel Guerras, Juan Hoyos, Cristina Agustí, Jordi Casabona, Luis Sordo, José Pulido, Luis De la Fuente, María-José Belza, Grupo de Trabajo Euro Hiv Edat
{"title":"Substance use in sexual context among Spanish resident men who have sex with men.","authors":"Juan-Miguel Guerras, Juan Hoyos, Cristina Agustí, Jordi Casabona, Luis Sordo, José Pulido, Luis De la Fuente, María-José Belza, Grupo de Trabajo Euro Hiv Edat","doi":"10.20882/adicciones.1371","DOIUrl":"https://doi.org/10.20882/adicciones.1371","url":null,"abstract":"<p><p>We analysed patterns of sexualized drug use (SDU) and pinpointed the one with the highest risk for the acquisition/transmission of HIV/Sexually Transmitted Infections (STIs) in a sample of men who have sex with men (MSM) residing in Spain. Additionally, we also identified the most affected subpopulations by highest risk SDU pattern. In 2016, we promoted an online survey in gay dating apps. We estimated the prevalence of several HIV/STI risk indicators for each identified SDU pattern. We built two different Poisson regression models identifying factors associated to the pattern associated with the highest risk. All analyses were carried out by HIV status. Of 2,883 MSM, 21.9% self-reported SDU in the last 12 months. All patterns of SDU were more frequent in HIV+ MSM. Of the four SDU patterns identified (chemsex, recreational drugs, sexual performance enhancing drugs, and cannabinoids), the most frequent was chemsex (21.9% in HIV+ vs 6.6% in HIV-). It also comprised the highest risk profile for HIV/STI. Among HIV-, chemsex was associated with living in a city of > 1,000,000 inhabitants, living sexuality in an open way and having been paid for sex, having had unprotected anal intercourse (UAI) in the last 12 months and having ever received an STI diagnosis. Among HIV+, it was associated with being 30-49 years old, having paid for sex, having had UAI and having been diagnosed with an STI in the last 12 months. Given its high prevalence, especially among HIV positive individuals, and its association with subpopulations with high-risk behaviour, chemsex could be playing a relevant role in the acquisition/transmission of HIV and other STIs.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 1","pages":"37-50"},"PeriodicalIF":3.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38726067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-02-16DOI: 10.20882/adicciones.1358
Francisco Carrión Valero, Daniel Martínez González, Mª Teresa Bobes-Bascarán, Genaro Galán Gil, Joaquín Ortega Serrano, Francisco Javier Chorro Gascó, Julio Bobes, Carlos A Jiménez Ruiz
{"title":"Smoking in hospitalized patients. A great opportunity.","authors":"Francisco Carrión Valero, Daniel Martínez González, Mª Teresa Bobes-Bascarán, Genaro Galán Gil, Joaquín Ortega Serrano, Francisco Javier Chorro Gascó, Julio Bobes, Carlos A Jiménez Ruiz","doi":"10.20882/adicciones.1358","DOIUrl":"https://doi.org/10.20882/adicciones.1358","url":null,"abstract":"<p><p>The objective of this study is to describe the characteristics of smokers admitted to different medical and surgical services in a university hospital and the perception of patients regarding the need for a specialized intervention. The sample comprises a total of 307 patients (mean age of 59.4 years), being 40% (n = 123) non-smokers, 42.7% (n = 131) ex-smokers, and 17.3% (n = 53) smokers. The average consumption of smokers was 22.2 cigarettes / day and the severity of nicotine dependence evaluated with the Fagerström test exceeded 5 points in more than half of the sample. On the other hand, 77.7% had made at least one previous attempt to quit tobacco use. Almost the entire sample (89.9%) of smokers and ex-smokers considered it necessary to develop tobacco treatment programs during hospitalization. Finally, the importance of the hospital context is argued as an opportunity to address the cessation of smoking. The data obtained in this study will allow focusing more appropriately on the management of these patients and optimizing resources.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 1","pages":"13-22"},"PeriodicalIF":3.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38170546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AdiccionesPub Date : 2022-02-16DOI: 10.20882/adicciones.1367
Andrea Pastor, Albert Espelt, Joan R Villalbí, Lucía Moure, Sonsoles Fuentes, Niamh Shortt, Roberto Valiente, Luisa N Borrell, Manuel Franco, Xisca Sureda
{"title":"Availability and promotion of alcohol across different outlet typologies and under different area-level socioeconomic status.","authors":"Andrea Pastor, Albert Espelt, Joan R Villalbí, Lucía Moure, Sonsoles Fuentes, Niamh Shortt, Roberto Valiente, Luisa N Borrell, Manuel Franco, Xisca Sureda","doi":"10.20882/adicciones.1367","DOIUrl":"https://doi.org/10.20882/adicciones.1367","url":null,"abstract":"<p><p>We aimed to characterize the availability and promotion of alcohol at alcohol outlets in Madrid and to compare them according to type of outlet and area-level socioeconomic status. We used the OHCITIES instrument to characterise the alcohol outlets in 42 census tracts of Madrid in 2016. We specified alcohol availability as the density of alcohol outlets and the number of alcohol outlets with extended opening hours (12 or more). We registered any type of promotion associated to alcohol outlets that could be perceived from outside the outlet. We calculated and compared proportions of availability and promotion by alcohol outlet (on- and off-premise) using chi-squared and Fisher Exact tests. We estimated the availability and promotion of alcohol densities per census tract according to area-level socioeconomic status. To assess statistical significance, we used Kruskal-Wallis tests. We recorded 324 alcohol outlets, 241 on-premise and 83 off-premise. Most of the outlets had extended opening hours (73.77%) and at least one sign promoting alcohol (89.51%). More on-premise outlets had extended opening hours and higher presence of alcohol promotion than off-premise (p < 0.001). Higher density of alcohol outlets, extended opening hours and presence of alcohol promotion were found in higher socioeconomic areas (all p < 0.001). These results were also observed for on-premise alcohol outlets. Alcohol availability and promotion were associated with alcohol outlets in Madrid. Future alcohol policies regulating the availability and promotion of alcohol should consider outlet types and area-level socioeconomic status.</p>","PeriodicalId":55560,"journal":{"name":"Adicciones","volume":"34 1","pages":"23-36"},"PeriodicalIF":3.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38170548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}