| 1. |
- Bjerre, Bo, et al.
(författare)
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Positive health-care effects of an alcohol ignition interlock programme among driving while impaired (DWI) offenders
- 2007
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Ingår i: Addiction. - : John Wiley & Sons. - 0965-2140 .- 1360-0443. ; 102:11, s. 1771-1781
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To compare the costs of hospital care and sick leave/disability pensions between two groups of driving while impaired (DWI) offenders: participants in an alcohol ignition interlock programme (AIIP) and controls with revoked licences, but with no comparable opportunity to participate in an AIIP. Setting: As an alternative to licence revocation DWI offenders can participate in a voluntary 2-year AIIP permitting the offender to drive under strict regulations entailing regular medical check-ups. The participants are forced to alter their alcohol habits and those who cannot demonstrate sobriety are dismissed from the programme. Participants: are liable for all costs themselves. Design: Quasi-experimental, with a non-equivalent control group used for comparison; intent-to-treat design. Based on the number of occasions/days in hospital and on sick leave/disability pension, the health-care costs for public insurance have been calculated. Finding: Average total health-care costs were 25% lower among AIIP participants (1156 individuals) than among controls (815 individuals) during the 2-year treatment period. This corresponds to over €1000 (SEK9610) less annual costs per average participant. For those who complete the 2-year programme the cost reduction was more pronounced; 37% during the treatment and 20% during the post-treatment period. Conclusions: The positive health-care effects were due apparently to reduced alcohol consumption. The social benefit of being allowed to drive while in the AIIP may also have contributed. The reduction in health-care costs was significant only during the 2-year treatment period, but among those who completed the entire AIIP sustained effects were also observed in the post-treatment period. The effects were comparable to those of regular alcoholism treatment programmes. (PsycINFO Database Record (c) 2012 APA, all rights reserved)(journal abstract)
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| 2. |
- Larm, Peter, et al.
(författare)
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Trajectories of resilience over 25 years of individuals who as adolescents consulted for substance misuse and a matched comparison group
- 2010
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Ingår i: Addiction. - : Wiley. - 0965-2140 .- 1360-0443. ; 105:7, s. 1216-1225
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To examine trajectories of resilience over 25 years among individuals who as adolescents received treatment for substance misuse, the clinical sample (CS) and a matched general population sample (GP). Design: Comparison of the CS and GP over 25 years using Swedish national registers of health care and criminality. Setting: A substance misuse clinic for adolescents in an urban area in Sweden. Measurements: Resilience was defined as the absence of substance misuse, hospitalizations for physical illnesses related to substance misuse, hospitalization for mental illness and law-abiding behaviour from ages 21 to 45 years. Participants: The CS included 701 individuals who as adolescents had consulted a clinic for substance misuse. The GP included 731 individuals selected randomly from the Swedish population and matched for age, sex and birthplace. Findings: A total of 52.4% of the GP and 24.4% of the CS achieved resilience in all domains through 25 years. Among the CS, another one-third initially displayed moderate levels of resilience that rose to high levels over time, one-quarter displayed decreasing levels of resilience over time, while 9.3% showed little but improving resilience and 8.8% showed no resilience. Levels of resilience were associated with the severity of substance misuse and delinquency in adolescence. Conclusions: Individuals who had presented substance misuse problems in adolescence were less likely to achieve resilience over the subsequent 25 years than was a matched general population sample, and among them, four distinct trajectories of resilience were identified. The severity and type of problems presented in adolescence distinguished the four trajectories.
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| 3. |
- Nilsson, Kent W., et al.
(författare)
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The monoamine oxidase A (MAO-A) gene, family function and maltreatment as predictors of destructive behaviour during male adolescent alcohol consumption
- 2007
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Ingår i: Addiction. - Uppsala Univ, Cent Hosp Vasteras, Clin Res Ctr, Vasteras, Sweden. Uppsala Univ, Pharmacol Unit, Dept Neurosci, Uppsala, Sweden. : Wiley. - 0965-2140 .- 1360-0443. ; 102:3, s. 389-398
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To investigate possible interactions between a polymorphism in the monoamine oxidase A (MAO-A) gene promoter, family relations and maltreatment/sexual abuse on adolescent alcohol-related problem behaviour among male adolescents. DESIGN, SETTING AND PARTICIPANTS: A cross-sectional study of a randomized sample of 66 male individuals from a total population of 16- and 19-year adolescents from a Swedish county. Boys, who volunteered to participate answering an alcohol-related problem/behaviour questionnaire, were investigated with regard to interactions between such problems, family function, maltreatment and MAO-A genotype. MEASUREMENTS: MAO-A genotype, family relations history, history of being maltreated or abused and alcohol-related problem behaviour. FINDINGS: Boys with the short (three-repeat) variant of the MAO-A gene, who had been maltreated/abused or came from families with poor relations, showed significantly higher scores of alcohol-related problems. We also found that maltreatment/abuse independently showed the strongest relation to alcohol-related problems among boys in our model. CONCLUSIONS: The results suggest that both maltreatment and MAO-A genotype may be useful for the understanding of male adolescent alcohol-related problem behaviour.
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| 4. |
- Özdemir, Metin, 1977-, et al.
(författare)
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Does promoting parents' negative attitudes to underage drinking reduce adolescents' drinking? : the mediating process and moderators of the effects of the Örebro prevention programme
- 2016
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Ingår i: Addiction. - : Wiley-Blackwell. - 0965-2140 .- 1360-0443. ; 111:2, s. 263-271
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Tidskriftsartikel (refereegranskat)abstract
- Background and aims: The Örebro Prevention Programme (ÖPP) was found previously to be effective in reducing drunkenness among adolescents [Cohen's d = 0.35, number needed to treat (NNT) = 7.7]. The current study tested the mediating role of parents’ restrictive attitudes to underage drinking in explaining the effectiveness of the ÖPP, and the potential moderating role of gender, immigration status, peers’ and parents’ drinking and parent–adolescent relationship quality.Design: A quasi‐experimental matched‐control group study with assessments at baseline, and at 18‐ and 30‐month follow‐ups.Participants: Of the 895 target youths at ages 12–13 years, 811 youths and 651 parents at baseline, 653 youths and 524 parents at 18‐month and 705 youths and 506 parents at 30‐month follow‐up participated in the study.Measurements: Youths reported on their past month drunkenness, their parents’ and peers’ alcohol use and the quality of their relationship with parents. Parents reported on their attitudes to underage drinking.Findings: The mediation analyses, using latent growth curve modeling, showed that changes in parents’ restrictive attitudes to underage drinking explained the impact of the ÖPP on changes in youth drunkenness, which was reduced, and onset of monthly drunkenness, which was delayed, relative to controls. Mediation effect explained 57 and 45% of the effects on drunkenness and onset of monthly drunkenness, respectively. The programme effects on both parents’ attitudes and youth drunkenness were similar across gender, immigrant status, parents’ and peers’ alcohol use and parent–youth relationship quality.Conclusions: Increasing parents’ restrictive attitudes to youth drinking appears to be an effective and robust strategy for reducing heavy underage drinking regardless of the adolescents’ gender, cultural origin, peers’ and parents’ drinking and relationship quality with parents.
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