| 1. |
- Alexanderson, Karin, 1952-, et al.
(författare)
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Children´s experiences of the role of the other parent when one parent has addiction problems
- 2017
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Ingår i: Drugs. - Taylor & Francis : Informa UK Limited. - 0968-7637 .- 1465-3370. ; 24:1, s. 32-39
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Tidskriftsartikel (refereegranskat)abstract
- This paper concerns children's and young people's accounts about the situation when one parent is misusing substances but the other parent is not. Earlier research on the other parent is scarce and fragmented. The aim of the paper is to discuss the role of the other parent from a child perspective. The results are based on qualitative analysis of interviews with 23 children who had one parent who misused substances while the other parent, according to public knowledge, did not. The main finding is that the other parent is a source of support, help and protection to some children, but difficulties may reduce the other parent's ability to protect the children. Moreover, the challenges differ in the situations before and after the parents' separation. The conclusion underlines the importance of taking a family perspective, working with the whole family and seeking solutions that take into account all persons of importance to the children's welfare. It cannot be taken for granted that the other parent is able to protect the children. A careful assessment of the children's living conditions is warranted and that assessment should include listening to the children.
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| 2. |
- Andersson, Lisa, et al.
(författare)
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Patient choice as a means of empowerment in opioid substitution treatment : a case from Sweden
- 2020
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Ingår i: Drugs. - : Taylor & Francis. - 0968-7637 .- 1465-3370. ; 27:2, s. 105-117
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Tidskriftsartikel (refereegranskat)abstract
- Patient choice of treatment provider was introduced within opioid substitution treatment in the southern Swedish county of Skåne in 2014. Substitution treatment has often been criticised for being strict, rule-based, and driven by an ethos of discipline. This study explores the patients’ views and experiences of patient choice, particularly as a potential means of empowerment. The study is based on semi-structured interviews with 33 patients at six substitution treatment clinics in two cities. Patient choice within substitution treatment has empowered the patients in that many are able to choose their treatment provider and transfer to another provider. The interviewees appreciated the possibility to choose and transfer, and felt that they had gained more influence on their treatment. Experiences of poor staff conduct and the new clinic’s policies and practice on prescribing benzodiazepines were important reasons for choosing and transferring between clinics. In particular, the patients stressed the importance of the possibility to leave a clinic they felt offered substandard treatment, and the psychologically important feeling of knowing that they could transfer to another facility. However, patient choice in addiction treatment is very rare in Sweden, and the demographic structure limits the development of patient choice within substitution treatment.
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| 3. |
- Arve, Kristin, et al.
(författare)
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Drug use trajectories among young people with experiences of problematic tramadol use
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Ingår i: Drugs: Education, Prevention and Policy. - 0968-7637.
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Tidskriftsartikel (refereegranskat)abstract
- Aim: Non-medical use of prescription opioids, such as tramadol, is a major health concern globally. in sweden, non-medical tramadol use among young people is widely recognized. this study explores the central components that characterize drug use trajectories among young people with experiences of problematic tramadol use. Methods: 24 qualitative interviews were conducted with 13 young people (aged 19–24) with self-reported experiences of problematic tramadol use. the concepts of drug, set, and setting from Zinberg’s theoretical framework were applied to explore significant aspects of their drug use trajectories. Findings: Four themes corresponding to different stages in the young people’s drug use trajectories, were identified: (1) initiating tramadol use; (2) developing continuous tramadol use; (3) expanding the drug repertoire and; (4) starting to lose control. Overall there was a progression toward more severe drug use over time, where self-medication and dependence dynamics, as well as peer influence and other environmental factors were significant. Conclusion: the study demonstrates that the drug use trajectories of young people with problematic tramadol use involve a complex interaction between the drugs’ effects, personal circumstances, and environmental factors. increasing the understanding of this process can be helpful in improving both preventive and therapeutic measures for this target group.
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| 4. |
- Berg, Karin, 1981, et al.
(författare)
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Keeping concerned significant others at a distance in compulsory treatment for people with substance use in Sweden
- 2022
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Ingår i: Drugs: education prevention and policy. - : Informa UK Limited. - 0968-7637 .- 1465-3370. ; 29:2, s. 121-129
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Tidskriftsartikel (refereegranskat)abstract
- While previous drug treatment research has focused on the importance of supportive social relationships for recovery from alcohol and drugs, less is known about how this theme relates to compulsory drug treatment. This study analyzes how staff at four compulsory treatment institutions for adult drug users in Sweden rationalize the importance of maintaining contact with concerned significant others (CSOs) during the client’s treatment. Four focus groups (22 participants) were carried out and analyzed thematically. This study shows that staff perceives the client’s initial isolation as a necessity, primarily making CSOs a problem or distraction in relation to the recovery process. Moreover, staff position CSOs in two broad categories, as either ‘problematic’ or ‘resourceful’ in relation to a client’s recovery. The two categories are used to justify individual regulation between clients and their CSOs, which varies between strictness and leniency. In addition, staff position themselves as guides, finding it necessary to help clients regulate problematic CSOs themselves and strengthen the link to those who are seen as resources. These two forms of regulatory work – setting rules and providing guidance – are analyzed in terms of disciplinary and pastoral power.
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| 5. |
- Bergh, Daniel, 1974-, et al.
(författare)
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Parental monitoring, peer activities and alcohol use : A study based on data on Swedish adolescents
- 2011
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Ingår i: Drugs. - London : Informa Healthcare. - 0968-7637 .- 1465-3370. ; 18:2, s. 100-107
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Tidskriftsartikel (refereegranskat)abstract
- Aim: This study investigates the association between two types of social relations during leisure time (to parents and peers) and the frequency of alcohol use among Swedish adolescents, taking possible interaction effects into account.Methods: The data were collected during the 1995–2005 time period by using a questionnaire handed out in the class room. The study includes about 10,000 Swedish adolescents aged 15–16 years.Results: The results show that there are strong associations between the social relations adolescents have during leisure time (both to parents and peers) and the frequency of alcohol use. High levels of peer activity were associated with higher frequencies of alcohol use. Although the effects of relations with parents were modified by peer activity frequencies, high levels of parental monitoring were significantly associated with lower frequencies of alcohol use, regardless of the peer activity frequencies.Conclusions: Parental monitoring is an efficient way to prevent or reduce adolescents’ alcohol use, although its importance may vary due to peer activity frequency.
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| 6. |
- Blomqvist, Jan, et al.
(författare)
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'More cure and less control' or 'more care and lower costs'? Recent changes in services for problem drug users in Stockholm and Sweden
- 2009
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Ingår i: Drugs. - : Informa UK Limited. - 0968-7637 .- 1465-3370. ; 16:6, s. 479-496
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Tidskriftsartikel (refereegranskat)abstract
- This article deals with the development of drug services in Stockholm, Sweden since the mid-1990s. Initially, data were collected as part of a European Union comparative study of the development of drug services in six major European cities. However, the present article uses these data to analyse to what extent the traditional 'Swedish model' of dealing with narcotic drugs can be said to have come to a crossroad. The article describes and analyses changes in drug use, and in the structure, organization and utilization of social services based, as well as healthcare-based drug services in Stockholm during the past decade. As pointed out in the article, the 'drug-free society' is still the ultimate goal of Swedish drug policy. However, as the Stockholm example hints, when it comes to the care and treatment of individual drug problems, there seems to be an on-going shift, from in-patient treatment towards measures such as substitution treatment, outpatient care and housing. The article discusses whether these changes signify a softening of Sweden's restrictive drug policy, or whether they rather point to a 're-medicalization' of drug services, and shift in focus from 'cure' and social re-integration towards a focus on 'care' and on attempts to avoid 'public nuisance'.
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| 7. |
- Bloomfield, Kim, et al.
(författare)
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Alcohol survey measures for Europe : A literature review
- 2013
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Ingår i: Drugs. - : Informa UK Limited. - 0968-7637 .- 1465-3370. ; 20:5, s. 348-360
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Forskningsöversikt (refereegranskat)abstract
- This article reports the results of a purposive review of the different alcohol survey instruments currently used in survey research. The review was conducted to support the development of a standardized comparative survey methodology for Europe. It examines various types of instruments used to measure alcohol consumption, risky drinking, alcohol abuse and dependence, social consequences and third-party harm. The review of literature provides several insights for a European comparative survey. The beverage-specific quantity-frequency measure is recommended for use across countries. A reference period of 1 year for alcohol consumption is considered important if one is to link associated problems with alcohol intake. With regard to risky drinking, objective measures based on the quantity of approximately 60-70 g of ethanol per drinking occasion are preferable to subjective measures of drunkenness. In choosing an instrument for measuring abuse and dependence, the key issue is to decide whether the instrument is to serve as a screening or diagnostic tool. In the case of screening, the Alcohol Use Disorders Identification Test or the Rapid Alcohol Problem Screen-4 appears more appropriate. But if one desires to approximate a diagnostic category, then the Composite International Diagnostic Interview or another operationalization of ICD-10/DSM-IV criteria would be the better choice. Due to a lack of validated scales for social consequences and third-party harm, no recommendations are justified.
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| 8. |
- Bogren, Alexandra, 1976-, et al.
(författare)
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Rethinking intoxicated sexual encounters
- 2023
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Ingår i: Drugs. - : Taylor & Francis. - 0968-7637 .- 1465-3370. ; 30:1, s. 31-41
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Tidskriftsartikel (refereegranskat)abstract
- Social research on alcohol and sexual encounters has tended to be siloed into several different research endeavors, each addressing separate aspects of wanted and unwanted sexual encounters. While sociologists have focused on the patterns of social interaction, status competition, and emotional hierarchies of sexual encounters, they have left the role of alcohol intoxication largely unexamined. Conversely, the two dominant approaches to sexual encounters within alcohol research, the theories of alcohol myopia and alcohol expectancy, while focusing on alcohol have tended to take little account of the socio-relational dynamics and gendered meanings involved in those encounters. Our aim in this theoretical paper is to begin to bring together some of the concepts from these different research strands in examining how the social processes of intoxication potentially impact heteronormative sexual scripts and hence notions of femininity and masculinity among cisgender, heterosexual women and men. Our discussion is focused on the concepts of ritual and scripts; power, status, and hierarchies; and socio-spatial contexts, which are central to an understanding of the gendered and embodied social practices that take place within intoxicated sexual events; the emotional nature of the socio-spatial contexts within which they occur; and the socio-structural conditions that frame these events.
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| 9. |
- Callinan, Sarah, et al.
(författare)
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A gender-focused multilevel analysis of how country, regional and individual level factors relate to harm from others' drinking
- 2022
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Ingår i: Drugs. - : Informa UK Limited. - 0968-7637 .- 1465-3370. ; 29:1, s. 13-20
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of this study was to examine how gender, age and education, regional prevalence of male and female risky drinking and country-level economic gender equality are associated with harms from other people's drinking.Methods: 24,823 adults in 10 countries were surveyed about harms from drinking by people they know and strangers. Country-level economic gender equality and regional prevalence of risky drinking along with age and gender were entered as independent variables into three-level random intercept models predicting alcohol-related harm.Findings: At the individual level, younger respondents were consistently more likely to report harms from others' drinking, while, for women, higher education was associated with lower risk of harms from known drinkers but higher risk of harms from strangers. Regional rate of men's risky drinking was associated with known and stranger harm, while regional-level women's risky drinking was associated with harm from strangers. Gender equality was only associated with harms in models that did not include risky drinking.Conclusions: Youth and regional levels of men's drinking were consistently associated with harm from others attributable to alcohol. Policies that decrease the risky drinking of men would be likely to reduce harms attributable to the drinking of others.
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| 10. |
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