1
|
Athauda L, Peiris‐John R, McCool J, Wickremasinghe R, Ameratunga S. The alcohol marketing policy environment and adolescent drinking in Sri Lanka: A qualitative exploration of stakeholder perspectives. WORLD MEDICAL & HEALTH POLICY 2022. [DOI: 10.1002/wmh3.471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Lathika Athauda
- School of Population Health University of Auckland Auckland New Zealand
- Department of Public Health, Faculty of Medicine University of Kelaniya Colombo Sri Lanka
| | | | - Judith McCool
- School of Population Health University of Auckland Auckland New Zealand
| | - Rajitha Wickremasinghe
- Department of Public Health, Faculty of Medicine University of Kelaniya Colombo Sri Lanka
| | | |
Collapse
|
2
|
Al-Ansari B, Noroozi A, Thow AM, Day CA, Mirzaie M, Conigrave KM. Alcohol treatment systems in Muslim majority countries: Case study of alcohol treatment policy in Iran. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2020; 80:102753. [PMID: 32387885 DOI: 10.1016/j.drugpo.2020.102753] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 04/01/2020] [Accepted: 04/02/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Alcohol is a leading risk factor for death and disability globally. Due to the Islamic prohibition of alcohol consumption, alcohol policy is an under-studied and sensitive topic in Muslim majority countries (MMCs). In addition, drinkers in these countries may face barriers to treatment access due to stigma or the legal status of alcohol. Using Iran as a case study this paper explores how alcohol treatment is planned and delivered in the complex environment of an MMC. METHOD We searched academic and grey literature, clinical manuals, guidelines and policy documents for information on the development and implementation of alcohol treatment policy in Iran. The search was conducted in English, Persian and Arabic. We conducted 6 consultations to verify information obtained. We analysed information based on the Walt & Gilson health policy analysis triangle, which identifies context, process, actors and content as key factors for understanding policy. RESULTS Iran initiated an alcohol-specific national strategy in 2011-2012 that aims to prevent, reduce and treat alcohol use disorders. This strategy has been designed to be implemented on a multi-sectoral level. Screening and prevention are mainly initiated in primary health care and cases are referred accordingly. Alcohol treatment is provided in specialised outpatient and inpatient settings. Due to contextual factors such as stigma, feasibility and affordability, alcohol outpatient units are planned to be integrated into existing public/ private drug addiction treatment facilities. However, the Ministry of Health has faced many challenges in implementing this pilot project. To date only small numbers of outpatient and inpatient units have formally commenced offering alcohol treatment. CONCLUSION Implementing alcohol treatment has been challenging for Iran. Approval of new treatment programs may not be seen as a priority because of the low prevalence of alcohol use disorders in the country. Also, policy makers are implementing treatment services with caution due to the existing alcohol prohibition for the country's Muslim majority population. Barriers to treatment seeking need to be addressed at the micro and macro levels. Support from international agencies such as the WHO could assist MMCs to develop appropriate services that are feasible for their unique alcohol policy environment.
Collapse
Affiliation(s)
- Basma Al-Ansari
- Addiction Medicine, Sydney School of Medicine (Central Clinical School), University of Sydney, NSW, Australia.
| | - Alireza Noroozi
- Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences (TUMS), Tehran, Iran; Department of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine (SATiM), TUMS, Tehran, Iran
| | - Anne-Marie Thow
- Menzies Centre for Health Policy, Sydney Medical School, University of Sydney, NSW, Australia
| | - Carolyn A Day
- Addiction Medicine, Sydney School of Medicine (Central Clinical School), University of Sydney, NSW, Australia
| | - Masoud Mirzaie
- Research Center of Prevention and Epidemiology of Non-Communicable Disease, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Katherine M Conigrave
- Addiction Medicine, Sydney School of Medicine (Central Clinical School), University of Sydney, NSW, Australia; Drug Health Services, Royal Prince Alfred Hospital, Camperdown, NSW, Australia
| |
Collapse
|
3
|
Stumbrys D, Telksnys T, Jasilionis D, Liutkutė Gumarov V, Galkus L, Goštautaitė Midttun N, Štelemėkas M. Alcohol‐related male mortality in the context of changing alcohol control policy in Lithuania 2000–2017. Drug Alcohol Rev 2020; 39:818-826. [DOI: 10.1111/dar.13059] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 02/11/2020] [Accepted: 02/20/2020] [Indexed: 01/06/2023]
Affiliation(s)
- Daumantas Stumbrys
- Department of Public Administration, Faculty of Political Science and Diplomacy Vytautas Magnus University Kaunas Lithuania
| | - Tadas Telksnys
- Health Research Institute, Faculty of Public Health Lithuanian University of Health Sciences Kaunas Lithuania
| | - Domantas Jasilionis
- Laboratory of Demographic Data Max Planck Institute for Demographic Research Rostock Germany
- Demographic Research Centre, Faculty of Social Sciences Vytautas Magnus University Kaunas Lithuania
| | - Vaida Liutkutė Gumarov
- Health Research Institute, Faculty of Public Health Lithuanian University of Health Sciences Kaunas Lithuania
| | - Lukas Galkus
- Health Research Institute, Faculty of Public Health Lithuanian University of Health Sciences Kaunas Lithuania
| | | | - Mindaugas Štelemėkas
- Health Research Institute, Faculty of Public Health Lithuanian University of Health Sciences Kaunas Lithuania
| |
Collapse
|
4
|
Daniels SR, Pratt CA, Hollister EB, Labarthe D, Cohen DA, Walker JR, Beech BM, Balagopal PB, Beebe DW, Gillman MW, Goodrich JM, Jaquish C, Kit B, Miller AL, Olds D, Oken E, Rajakumar K, Sherwood NE, Spruijt-Metz D, Steinberger J, Suglia SF, Teitelbaum SL, Urbina EM, Van Horn L, Ward D, Young ME. Promoting Cardiovascular Health in Early Childhood and Transitions in Childhood through Adolescence: A Workshop Report. J Pediatr 2019; 209:240-251.e1. [PMID: 30904171 DOI: 10.1016/j.jpeds.2019.01.042] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Revised: 01/08/2019] [Accepted: 01/23/2019] [Indexed: 12/14/2022]
Affiliation(s)
- Stephen R Daniels
- Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO
| | - Charlotte A Pratt
- Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute (NHLBI), NIH, Bethesda, MD.
| | - Emily B Hollister
- Department of Information Technology & Analytics, Diversigen, Inc, Houston, TX
| | - Darwin Labarthe
- Department of Preventive Medicine, Northwestern Feinberg School of Medicine, Chicago, IL
| | | | - Jenelle R Walker
- Center for Translation Research and Implementation Science, NHLBI, Bethesda, MD
| | - Bettina M Beech
- Department of Pediatrics and Family Medicine, University of Mississippi Medical Centre, Jackson, MS
| | - P Babu Balagopal
- Nemours Children's Clinic, Mayo Clinic College of Medicine, Rochester, MN
| | - Dean W Beebe
- Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - Matthew W Gillman
- Office of the Director, National Institutes of Health (NIH), Bethesda, MD
| | - Jaclyn M Goodrich
- Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI
| | - Cashell Jaquish
- Division of Cardiovascular Sciences, NHLBI, NIH, Bethesda, MD
| | - Brian Kit
- Division of Cardiovascular Sciences, NHLBI, NIH, Bethesda, MD
| | - Alison L Miller
- Department of Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, MI
| | - David Olds
- Prevention Research Center for Family and Child Health, University of Colorado, Denver, CO
| | - Emily Oken
- Department of Population Medicine, Harvard Pilgrim Health Care Inc, Wellesley, MA
| | - Kumaravel Rajakumar
- Division of General Academic Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA
| | - Nancy E Sherwood
- School of Public Health, University of Minnesota, Minneapolis, MN
| | - Donna Spruijt-Metz
- Dornsife Center for Economic and Social Research, University of Southern California, Los Angeles, CA
| | | | - Shakira F Suglia
- Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA
| | - Susan L Teitelbaum
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Elaine M Urbina
- Cincinnati Children's Hospital Medical Center, Cincinnati, OH
| | - Linda Van Horn
- Department of Preventive Medicine, Northwestern Feinberg School of Medicine, University, Chicago, IL
| | - Dianne Ward
- Department of Nutrition, University of North Carolina, Chapel Hill, NC
| | | |
Collapse
|
5
|
Ferreira-Borges C, Dias S, Babor T, Esser MB, Parry CDH. Alcohol and public health in Africa: can we prevent alcohol-related harm from increasing? Addiction 2015; 110:1373-9. [PMID: 25944026 DOI: 10.1111/add.12916] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2014] [Revised: 01/05/2015] [Accepted: 03/05/2015] [Indexed: 01/24/2023]
Abstract
AIMS According to the World Health Organization (WHO), the total amount of alcohol consumed in the African region is expected to increase due to the growth of new alcohol consumers, especially young people and women. With the changing alcohol environment, increases in the alcohol-attributable burden of disease are inevitable. To our knowledge, there has not been a comprehensive analysis of the factors that could be driving those increases. The objective of this study was to examine the evidence from peer reviewed literature regarding the factors that could be instrumental in this process, in order to inform strategic policy-related decisions. METHOD A narrative review was conducted using a thematic analysis approach. We searched papers published between January 2000 and July 2014 in PubMed, the WHO's Global Health Library and African Journals Online. RESULTS Our analysis identified seven factors (demographics, rapid urbanization, economic development, increased availability, corporate targeting, weak policy infrastructure and trade agreements) which are potentially tied to changes in alcohol consumption in Africa. Driven largely by globalization, a potential convergence of these various factors is likely to be associated with continued growth in alcohol consumption and alcohol-related morbidity and mortality. CONCLUSIONS To address the emerging risk factors associated with increased alcohol consumption, African governments need to take a more active role in protecting the public's health. In particular, important strategic shifts are needed to increase implementation of intersectoral strategies, community involvement in the policy dialogue, health services re-orientation and better regulation of the alcohol beverage industry.
Collapse
Affiliation(s)
- Carina Ferreira-Borges
- Instituto de Higiene e Medica Tropical & GHTM, Universidade Nova de Lisboa, Lisboa, Portugal
| | - Sonia Dias
- Instituto de Higiene e Medica Tropical & GHTM, Universidade Nova de Lisboa, Lisboa, Portugal
| | - Thomas Babor
- Department of Community Medicine and Health Care, University of Connecticut School of Medicine, Farmington, USA
| | - Marissa B Esser
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Charles D H Parry
- Alcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town, South Africa.,Department of Psychiatry, Stellenbosch University, Cape Town, South Africa
| |
Collapse
|
6
|
Burk LR, Armstrong JM, Goldsmith HH, Klein MH, Strauman TJ, Costanzo P, Essex MJ. Sex, temperament, and family context: how the interaction of early factors differentially predict adolescent alcohol use and are mediated by proximal adolescent factors. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2011; 25:1-15. [PMID: 21443307 PMCID: PMC3174803 DOI: 10.1037/a0022349] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Adolescent alcohol use is common and has serious immediate and long-term ramifications. While concurrent individual and context factors are robustly associated with adolescent alcohol use, the influence of early childhood factors, particularly in interaction with child sex, are less clear. Using a prospective community sample of 362 (190 girls), this study investigated sex differences in the joint influence of distal childhood and proximal adolescent factors on Grade 10 alcohol use. All risk factors and two-way early individual-by-context interactions, and interactions of each of these with child sex, were entered into the initial regression. Significant sex interactions prompted the use of separate models for girls and boys. In addition to the identification of early (family socioeconomic status, authoritative parenting style) and proximal adolescent (mental health symptoms, deviant friends) risk factors for both girls and boys, results highlighted important sex differences. In particular, girls with higher alcohol consumption at Grade 10 were distinguished by the interaction of early temperamental disinhibition and exposure to parental stress; boys with higher alcohol consumption at Grade 10 were distinguished primarily by early temperamental negative affect. Results have implications for the timing and type of interventions offered to adolescents.
Collapse
Affiliation(s)
- Linnea R Burk
- Department of Psychiatry, University of Wisconsin School of Medicine and Public Health
| | - Jeffrey M Armstrong
- Department of Psychiatry, University of Wisconsin School of Medicine and Public Health
| | - H Hill Goldsmith
- Department of Psychiatry, University of Wisconsin School of Medicine and Public Health
| | - Marjorie H Klein
- Department of Psychiatry, University of Wisconsin School of Medicine and Public Health
| | | | | | - Marilyn J Essex
- Department of Psychiatry, University of Wisconsin School of Medicine and Public Health
| |
Collapse
|