scholarly journals Young adults' accounts of buying rounds of alcoholic drinks for friends: Implications for harm reduction

2016 ◽  
Vol 5 (3) ◽  
pp. 125-129
Author(s):  
Sima Riazi ◽  
Sarah MacLean
Keyword(s):  
Young Adults ◽  
Harm Reduction ◽  
Cultural Practice ◽  
Friendship Groups ◽  
Attitudes And Practices ◽  
Research Interviews ◽  
Alcoholic Drinks ◽  
Implicit And Explicit ◽  
Alcohol Related Harm ◽  
Related Harm

Riazi, S., & MacLean, S. (2016). Young adults' accounts of buying rounds of alcoholic drinks for friends: Implications for harm reduction. The International Journal Of Alcohol And Drug Research, 5(3), 125-129. doi:http://dx.doi.org/10.7895/ijadr.v5i3.229Aims: Buying or shouting rounds (purchasing alcoholic drinks for oneself and others at the same time) at on-premise licensed venues, such as nightclubs and bars, is a widespread Australian cultural practice. Our paper aims to provide detailed information on young adults’ attitudes and practices concerning round buying.Methods: Thematic analysis of research interviews involving 60 young adults living in Melbourne was conducted using NVivo 10, yielding three key themes.Findings: (1) Contexts where round buying occurred: young adults considered group size and culture, as well as bar activity, when determining whether they should round buy with their friends. In busy venues, round buying conveniently reduced the number of trips to and time waiting at the bar. Round buying was less likely to occur in groups larger than 4-5 people, as beyond this participants found it difficult to control the reciprocity of round buying, cost, and consumption of alcohol. (2) Sociability: while round buying did not occur within the friendship groups of all participants, it was seen by many as an important way of demonstrating connections with friends. (3) Consumption: overwhelmingly, participants believed that round buying increases their overall alcohol intake through implicit and explicit pressures to consume more.Conclusions: Policies that limit round buying may offer a means to reduce alcohol-related harm. In addition, education that challenges round buying rules and expectations may help alleviate pressure on young adults to consume heavily.

Friends drinking together: young adults’ evolving support practices

2018 ◽  
Vol 118 (3) ◽  
pp. 212-226 ◽  
Author(s):  
Emma Dresler ◽  
Margaret Anderson
Keyword(s):  
Young Adults ◽  
Alcohol Consumption ◽  
Design Methodology ◽  
Multiple Forms ◽  
Content Type ◽  
Friendship Group ◽  
Qualitative Descriptive ◽  
Support Practices ◽  
Alcohol Related Harm ◽  
Related Harm

Purpose Young adult’s drinking is about pleasure, a communal practice of socialising together in a friendship group. The purpose of this paper is to investigate the evolving support practices of drinking groups for better targeting of health communications messages. Design/methodology/approach This qualitative descriptive study examined the narratives of 28 young people’s (age 18-24 years old) experience of a “night out” framed as the Alcohol Consumption Journey. Findings The Alcohol Consumption Journey ritual consisted of three phases: preloading, going out and recovery. The participants described multiple forms of support practices located at each phase of the Alcohol Consumption Journey for maximising pleasure, minimising risk, encouraging supportive behaviours, enhancing group cohesion and protecting the drinkers from alcohol-related harm. Hence, support practices played a critical part in constituting and consolidating the drinking group. While the support practices appeared to be structured into the Alcohol Consumption Journey, they were activated differently for young men and young women. Support practices were an important driver in perpetuating the Alcohol Consumption Journey. Originality/value The paper extends Vander Ven’s concept of “drunk support” to better understand young adults’ evolving support practices in the ritualised Alcohol Consumption Journey.

Assessing University Students’ Self-efficacy to Employ Alcohol-Related Harm Reduction Strategies

2011 ◽  
Vol 59 (8) ◽  
pp. 736-742 ◽  
Author(s):  
Harold Rosenberg ◽  
Erin E. Bonar ◽  
Erica Hoffmann ◽  
Elizabeth Kryszak ◽  
Kathleen M. Young ◽  
...  
Keyword(s):  
University Students ◽  
Harm Reduction ◽  
Self Efficacy ◽  
Reduction Strategies ◽  
Alcohol Related Harm ◽  
Related Harm

Evaluation of Australia’s first older adult-specific early intervention for reducing alcohol-related harm

2018 ◽  
Vol 42 (6) ◽  
pp. 676 ◽  
Author(s):  
Stephen J. Bright ◽  
Cylie M. Williams
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Early Intervention ◽  
Alcohol Consumption ◽  
Harm Reduction ◽  
Older Adult ◽  
Health Care Providers ◽  
Care Providers ◽  
Alcohol Related Harm ◽  
Related Harm

The aim of the present case study was to evaluate the service-wide implementation of Australia’s first older adult-specific early intervention called Older Wiser Lifestyles (OWL). OWL was designed to reduce alcohol consumption and alcohol-related harm among people identified as being at risk. OWL used the Australian Alcohol-Related Problems Survey (A-ARPS) to classify people’s drinking patterns as non-hazardous, hazardous or harmful. Participants of the present study were aged ≥60 years and consumed alcohol in the past month, although they did not require treatment for dependence. The Alcohol Use Disorders Identification Test – Consumption (AUDIT-C) was used as a composite measure of alcohol consumption. Data were collected before intervention and 3 and 6 months after intervention. In all, 140 clients were screened and attended at least one appointment (54% male; mean (± s.d.) age 72.8±7.6 years). Generalised estimating equation (GEE) examined the correlations between the intervention groups, time point and outcomes of interest. At 6 months, significant reductions were observed in A-ARPS classification (P=0.001) and AUDIT-C scores (P=0.001) among all clients, regardless of the number of sessions or intervention group. These preliminary findings warrant a randomised clinical trial of the intervention. Until this is completed, Australian health care providers should still consider the early intervention to reduce the risk of alcohol consumption among older adults. What is known about this topic? Older Australians are increasingly drinking alcohol at levels that place them at risk of experiencing harm. Although early interventions have been developed overseas that have been shown to reduce risky drinking among older adults, no such program has been implemented in Australia. What does this paper add? We developed an early intervention program (OWL) that drew from and extended intervention protocols developed overseas. In particular, we added harm reduction as a component of the intervention. Harm reduction interventions do not appear to have been evaluated among older adults. The OWL program was evaluated and found to be associated with decreased levels of alcohol-related harm. What are the implications for practitioners? Older adults have different needs when it comes to considering risk of alcohol-related harm. Many are taking medications that interact with alcohol or have comorbid conditions that can be exacerbated by alcohol or more difficult to treat. Yet, many such individuals are not considered to be at risk due to poor screening among this population. The program we developed takes into account these age-specific factors and has been manualised. As such, it could be implemented by a variety of healthcare workers in numerous settings. We hope that practitioners are interested in trialling the program and that a randomised controlled trial is conducted to establish the efficacy of the program.

scholarly journals Is it time for a more ambitious research agenda for decreasing alcohol-related harm among young adults?

Addiction ◽  
2016 ◽  
Vol 111 (9) ◽  
pp. 1531-1532 ◽  
Author(s):  
Katharine A. Bradley ◽  
Gwen T. Lapham
Keyword(s):  
Young Adults ◽  
Research Agenda ◽  
Alcohol Related Harm ◽  
Related Harm

scholarly journals Evaluation of a novel therapeutic education programme for people with alcohol use disorder in France: a mixed-methods intervention study protocol (ETHER)

2022 ◽  
Vol 19 (1) ◽  
Author(s):  
Saskia Antwerpes ◽  
Marie Costa ◽  
Marion Coste ◽  
Morgane Bureau ◽  
Gwenaelle Maradan ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Harm Reduction ◽  
Alcohol Use Disorder ◽  
Intervention Study ◽  
Therapeutic Education ◽  
Controlled Drinking ◽  
The People ◽  
Secondary Outcomes ◽  
Alcohol Related Harm ◽  
Related Harm

Abstract Background ETHER (“Education THEérapeutique pour la Réduction des dommages en alcoologie” or Therapeutic education for alcohol-related harm reduction) is a multicentre community-based mixed-methods study, which aims to evaluate the effectiveness of the innovative therapeutic patient education (TPE) programme ‘Choizitaconso’ in a sample of French people with alcohol use disorder (people with AUD). Choizitaconso teaches people with AUD psychosocial skills to help them (re)establish controlled drinking and reduce alcohol-related harms. Recruitment started in October 2019. We present here the protocol of the ETHER study. Methods ETHER’s quantitative component involves a 6-month controlled intervention study which evaluates Choizitaconso’s effectiveness by comparing 30 people with AUD following the programme with a control group of 60 people with AUD not enrolled in it, using a questionnaire co-constructed by the research team and members of the people with AUD community. Thirty-four alcohol-related harms are assessed and summed to provide an individual measure of the ‘harm burden’ from consuming alcohol (primary outcome). Secondary outcomes are anticipated and internalized stigma, alcohol consumption measures, craving for alcohol, coping strategies, health-related quality of life, self-confidence to control or abstain from drinking, treatment self-regulation, anxiety and depressive symptoms, alcohol-related neuropsychological impairments, and capabilities (a measure of wellbeing in adults). Data will be collected in face-to-face and phone-based interviews at enrolment and 6 months later. Linear regression models will be used to assess the impact of the TPE programme on changes in the primary and secondary outcomes, while adjusting for other correlates and confounders. The study’s qualitative component comprises semi-structured interviews with 16 people with AUD who have already completed the TPE programme at least 6 months before the interview. Qualitative interviews will be analysed using thematic analysis. Results and conclusions ETHER is the first evaluation study of an innovative TPE programme specifically designed to reduce alcohol-related harms and reach controlled drinking in France. The involvement of the people with AUD community in selecting which experienced and perceived alcohol-related harms to measure ensures that ETHER will provide healthcare staff and researchers with a relevant set of harm reduction criteria for use in future research. Finally, ETHER will provide scientific justification for implementing novel alcohol-related harm reduction approaches and champion controlled drinking as a therapeutic goal. Trial registration ClinicalTrials.gov, NCT03954054. Registered 17 May 2019—Prospectively registered, https://clinicaltrials.gov/ct2/show/NCT03954054?cond=alcohol&cntry=FR&city=Marseille&draw=1&rank=1.

scholarly journals Building a social marketing Strategy to reduce alcohol-related harm in France

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Hochet ◽  
G Quatremère ◽  
R Andler ◽  
C Cogordan ◽  
V Nguyen Thanh
Keyword(s):  
Public Health ◽  
Alcohol Consumption ◽  
Harm Reduction ◽  
Marketing Strategy ◽  
Social Marketing ◽  
The Social ◽  
Set Up ◽  
Alcohol Harm Reduction ◽  
Alcohol Related Harm ◽  
Related Harm

Abstract Background Alcohol use ranks among the top three risk factors in France, leading to about 40 000 deaths annually. French health authorities wished to renew the public health message about alcohol consumption and build a social marketing Strategy to lower the social and health consequences of alcohol consumption in France. Objectives Two main steps were followed: 1) gathering a group of experts to provide up-to-date low-risk drinking guidelines, 2) building, testing and implementing a social marketing Strategy based on this expertise. Results In 2017, the group of experts established low-risk drinking Guidelines based on both scientific evidence and socially acceptable risks for the French population. They suggested to increase awareness on alcohol-related harm as well as on the new Guidelines. In 2018, a social marketing Strategy was set up by Santé publique France, the French national public health Agency. Qualitative and quantitative pretests allowed to develop understandable and potentially effective communication materials consisting of the following message: “To protect your health, no more than 2 alcoholic drinks a day, and not every day”. A web-based brief intervention to assess a person’s alcohol consumption was developed, based on a previous tool whose effectiveness had been demonstrated. In 2019, the Campaign was launched: health professionals were informed at first, followed by a national mass media Campaign that was broadcasted for 3 weeks, targeting the general population (TV, radio, press, the Internet). Conclusions It is the first time in France that such a global Strategy is set up to promote an alcohol harm reduction message. A robust evaluation is in progress but this structured approach seems feasible and reproducible abroad. Key messages In France, an alcohol harm reduction Strategy has been built up and implemented, based on scientifically-established Guidelines. The social marketing campaign is rigorously evaluated to assess its impact and portability.

scholarly journals Harm Reduction for Adolescents and Young Adults During the COVID-19 Pandemic: A Case Study of Community Care in Reach

2021 ◽  
pp. 003335492199939
Author(s):  
Elizabeth Noyes ◽  
Ellis Yeo ◽  
Megan Yerton ◽  
Isabel Plakas ◽  
Susan Keyes ◽  
...  
Keyword(s):  
Young Adults ◽  
Harm Reduction ◽  
Community Care ◽  
Control Measures ◽  
Adolescents And Young Adults ◽  
People Who Use Drugs ◽  
Staff Members ◽  
Infection Control Measures ◽  
Semistructured Interviews ◽  
High Level

The coronavirus disease 2019 (COVID-19) pandemic has challenged the ability of harm reduction programs to provide vital services to adolescents, young adults, and people who use drugs, thereby increasing the risk of overdose, infection, withdrawal, and other complications of drug use. To evaluate the effect of the COVID-19 pandemic on harm reduction services for adolescents and young adults in Boston, we conducted a quantitative assessment of the Community Care in Reach (CCIR) youth pilot program to determine gaps in services created by its closure during the peak of the pandemic (March 19–June 21, 2020). We also conducted semistructured interviews with staff members at 6 harm reduction programs in Boston from April 27 through May 4, 2020, to identify gaps in harm reduction services, changes in substance use practices and patterns of engagement with people who use drugs, and how harm reduction programs adapted to pandemic conditions. During the pandemic, harm reduction programs struggled to maintain staffing, supplies, infection control measures, and regular connection with their participants. During the 3-month suspension of CCIR mobile van services, CCIR missed an estimated 363 contacts, 169 units of naloxone distributed, and 402 syringes distributed. Based on our findings, we propose the following recommendations for sustaining harm reduction services during times of crisis: pursuing high-level policy changes to eliminate political barriers to care and fund harm reduction efforts; enabling and empowering harm reduction programs to innovatively and safely distribute vital resources and build community during a crisis; and providing comprehensive support to people to minimize drug-related harms.

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