Drug and alcohol review
-
Drug and alcohol review · Jan 2014
Randomized Controlled Trial Multicenter Study Comparative StudyRegaining control: the patient experience of supervised compared with unsupervised consumption in opiate substitution treatment.
Supervised consumption of opiate substitution treatment is standard practice in the UK yet little is known about the patient experience of this treatment modality. This study aimed to assess the patient experience of receiving supervised compared with unsupervised consumption of methadone or buprenorphine. ⋯ This study provides an important patient perspective and is the first in-depth qualitative investigation directly comparing supervision with unsupervised treatment to consider both patient and professional perspectives. Overall, our qualitative findings suggest that flexibly timed discontinuation of supervision may have positive benefits.
-
Drug and alcohol review · Jan 2014
Multicenter StudyViolence-related injury and gender: the role of alcohol and alcohol combined with illicit drugs.
The positive relationship between alcohol use, gender and violence-related injury is well established. However, less is known about injuries when alcohol is used in combination with other drugs. ⋯ The positive association between alcohol and violent injury does not appear to be altered by the added use of drugs. Additional work is needed to understand the interpersonal, contextual and cultural factors related to substance use to identify best prevention practices and develop appropriate policies.
-
Drug and alcohol review · Jan 2014
Smokeless tobacco consumption in the South Asian population of Sydney, Australia: prevalence, correlates and availability.
AIM.: The aim of this study was to estimate the prevalence and identify correlates of smokeless tobacco consumption among the South Asian residents of Sydney, Australia. ⋯ Given the availability of smokeless tobacco and the high prevalence and potential adverse health consequences of consumption, smokeless tobacco consumption may produce a considerable burden of non-communicable disease in Australia. Effective control measures are needed, in particular enforcement of existing laws prohibiting the sale of these products.
-
Drug and alcohol review · Jan 2014
The role of off-licence outlets in binge drinking: a survey of drinking practices last Saturday night among young adults in Australia.
To examine where young adults purchase their alcohol on Saturday nights and how this relates to binge drinking. ⋯ Off-licence outlets were a major source of alcohol in this sample of young Australian adults, many of whom binge-drank in private homes.
-
Drug and alcohol review · Jan 2014
Correlations between prescription opioid analgesic dispensing levels and related mortality and morbidity in Ontario, Canada, 2005-2011.
Prescription opioid analgesic (POA)-related harms constitute a major public health problem in North America. Ontario features above-average POA use levels in Canada and has seen consistent increases in related mortality and morbidity. Recent studies documented strong correlations between POA dispensing levels and related harm outcomes on population levels. We examined correlations between POA dispensing and key POA-related mortality and morbidity indicators in Ontario, 2005-2011. ⋯ POA dispensing levels were found to be strongly correlated with mortality and morbidity (treatment) indicators. Targeted and sensible reductions of POA use level would likely constitute a primary measure to reduce POA-related harms on a population level, especially in a jurisdiction with high POA consumption levels.