Drug and Alcohol Review (Drug Alcohol Rev)

Publisher: Australasian Professional Society on Alcohol and other Drugs

Journal description

Now in its eighteenth year of publication Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in the study of treatment of alcohol, tobacco and drug problems. Contributors to the journal examine and report on alcohol and drug abuse from a wide range of clinical, biomedical, psychological and sociological standpoints. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reducation perspective. However, all philosophies will find a place in the journal: the principal criterion for publication of papers is their quality.

Current impact factor: 1.55

Impact Factor Rankings

Additional details

5-year impact 2.04
Cited half-life 5.30
Immediacy index 0.78
Eigenfactor 0.00
Article influence 0.67
Website Drug and Alcohol Review website
Other titles Drug and alcohol review (Online), Drug and alcohol review, Drug & alcohol review
ISSN 1465-3362
OCLC 47916431
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction and AimsA growing body of research indicates parental supply of alcohol to children and adolescents is common. The present study aimed to examine parents' reasons for supplying alcohol to adolescents that they may find hard to articulate or not be consciously aware of.Design and MethodsA projective methodology was used, whereby respondents were asked to explain the thoughts and motivations of a gender-matched parent in a scenario in which the parent did or did not provide alcohol to their teenage child. Respondents were 97 mothers and 83 fathers of teenagers who completed an anonymous online survey. Open-ended responses were coded thematically; t-tests were used to compare quantitative responses between the scenarios.ResultsThe quantitative analysis found the parent who provided alcohol was less likely to be seen as making sure their child was safe and educating them about boundaries, but more likely to be seen as being a friend as well as a parent and (for females only) making sure their child fits in with others. The open-ended responses showed explanations for not providing alcohol most commonly focused on ensuring the child's safety, obeying the law, and setting rules and boundaries, and for providing alcohol focused on ensuring the child fit in with peers and beliefs about harm minimisation.Discussion and Conclusions The findings suggest that these respondents (parents) harboured a number of misperceptions about underage drinking and experienced conflicts in weighing up the perceived benefits of providing alcohol to their children against the risks of adolescent drinking.
    Drug and Alcohol Review 04/2015; DOI:10.1111/dar.12258
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    ABSTRACT: Alcohol use has been associated with an increased risk of human immunodeficiency virus (HIV) transmission in sub-Saharan Africa. Despite this association, there are little data on drinking behaviours in Malawi, a country located in southern Africa. Utilising alternative techniques of data collection, such as mobile technology, may be necessary to eliminate this dearth of information. We use listeners' text messages (SMS) in response to a Malawian radio show to assess listeners' attitudes and perceived outcomes of drinking. Mobile phones provide a novel, low-cost platform from which to gather qualitative data directly from target audiences. To demonstrate the utility of a mobile data collection approach, we analysed listener feedback in the form of SMS in response to a Malawian radio show. As emergent themes indicate that the perceived outcomes of consumption affect different levels within a social system, results are stratified within a socioecological framework to identify perceived individual, household and community level outcomes. As the perceived effects of consumption are numerous and impact a wide swath of communities, alcohol consumption must be addressed through multiple levels. The utilisation of anonymous text responses as a data collection methodology may provide an innovative way to understand contributing factors, such as alcohol consumption, to HIV risk exposure. [Rooney M, Limaye RJ. A qualitative inquiry of Malawian radio listeners' attitudes and perceived outcomes of alcohol use using a mobile data collection platform. Drug Alcohol Rev 2015]. © 2015 Australasian Professional Society on Alcohol and other Drugs.
    Drug and Alcohol Review 03/2015; DOI:10.1111/dar.12254
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    ABSTRACT: This study examined prevalence of alcohol consumption among immigrants and the Canadian-born populations of Ontario by ethnic origin, and the association between ethnicity, country of birth, age at arrival, length of residence in Canada and drinking measures. Data were derived from the Centre for Addiction and Mental Health (CAMH) Monitor, a cross-sectional survey of Ontario adults, conducted between January 2005 and December 2010 (n = 13 557). The prevalence of alcohol consumption and risk drinking was generally lower among foreign-born than Canadian-born respondents, but significant variations across ethnic groups were found. In general, foreign-born respondents of European descent reported higher rates of alcohol use and risk drinking than foreign-born respondents from other ethnic groups. We also observed that ethnicity effects varied by whether or not respondents were born in Canada, and by the age at which they arrived in Canada. While previous studies generally found an increase in immigrants' alcohol consumption with years in Canada, our data suggest that longer duration of residence may have either positive or negative effects on immigrants' alcohol use, depending on the country of origin/traditional drinking pattern. More research is needed to explore determinants of alcohol use and risk drinking among immigrants and to identify those groups at highest risk. [Agic B, Mann RE, Tuck A, Ialomiteanu A, Bondy S, Simich L, Ilie G. Drug Alcohol Rev 2015]. © 2015 Australasian Professional Society on Alcohol and other Drugs.
    Drug and Alcohol Review 03/2015; DOI:10.1111/dar.12250
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    ABSTRACT: Homelessness status is strongly correlated with higher rates of substance use. Few studies, however, examine the complex relationship between housing status and substance use in people who inject drugs (PWID). This study extends previous research by comparing the physical and mental health status and service utilisation rates between stably housed and homeless PWID. A cross-sectional sample of 923 PWID were recruited for the 2012 Illicit Drug Reporting System. Multivariate models were generated addressing associations between homelessness and the domains of demographics; substance use; and health status, service utilisation and criminal justice system contact, with significant correlates entered into a final multivariate model. Two-thirds of the PWID sample were male. The median age was 39 years and 16% identified as Indigenous. Almost one-quarter (23%) reported that they were homeless. Homeless PWID were significantly more likely to be unemployed [adjusted odds ratio (AOR) 2.83, 95% confidence interval (CI) 1.26, 6.34], inject in public (AOR 2.01, 95% CI 1.38, 3.18), have poorer mental health (AOR 0.98, 95% CI 0.97, 1.00), report schizophrenia (AOR 2.31, 95% CI 1.16, 4.60) and have a prison history (AOR 1.53, 95% CI 1.05, 2.21) than stably housed PWID. Findings highlight the challenge of mental health problems for homeless PWID. Our results demonstrate that further research that evaluates outcomes of housing programs accommodating PWID, particularly those with comorbid mental health disorders, is warranted. Results also emphasise the need to better utilise integrated models of outreach care that co-manage housing and mental health needs. © 2015 Australasian Professional Society on Alcohol and other Drugs.
    Drug and Alcohol Review 03/2015; DOI:10.1111/dar.12257
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    ABSTRACT: Despite an increased prevalence of risky alcohol consumption and alcohol-related harm among members of sporting groups and at sporting venues, sporting clubs frequently fail to implement alcohol management practices consistent with liquor legislation and best practice guidelines. The aim of this study was to assess the impact of a multi-strategy intervention in improving the implementation of responsible alcohol management practices by sports clubs. A randomised controlled trial was conducted with 87 football clubs, with half randomised to receive a multi-strategy intervention to support clubs to implement responsible alcohol management practices. The 2-year intervention, which was based on implementation and capacity building theory and frameworks, included project officer support, funding, accreditation rewards, printed resources, observational audit feedback, newsletters, training and support from state sporting organisations. Interviews were undertaken with club presidents at baseline and post-intervention to assess alcohol management practice implementation. Post-intervention, 88% of intervention clubs reported implementing '13 or more' of 16 responsible alcohol management practices, which was significantly greater than the proportion of control groups reporting this level of implementation (65%) [odds ratio: 3.7 (95% confidence interval: 1.1-13.2); P = 0.04]. All intervention components were considered highly useful and three-quarters or more of clubs rated the amount of implementation support to be sufficient. The multi-strategy intervention was successful in improving alcohol management practices in community sports clubs. Further research is required to better understand implementation barriers and to assess the long-term sustainability of the change in club alcohol management practices. [Kingsland M, Wolfenden L, Tindall J, Rowland B, Sidey M, McElduff P, Wiggers JH. Improving the implementation of responsible alcohol management practices by community sporting clubs: A randomised controlled trial. Drug Alcohol Rev 2015]. © 2015 Australasian Professional Society on Alcohol and other Drugs.
    Drug and Alcohol Review 03/2015; DOI:10.1111/dar.12252
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    ABSTRACT: Analysis of the health expenditure on alcohol and other drug (AOD) treatment provides important information regarding the funding sources and distribution of AOD treatment funds. This study aimed to provide an estimate of annual health expenditure on AOD treatment in Australia and document a methodology for future estimates. The study followed international standards for health accounts and calculated health expenditure for the federal government, state/territory governments and private expenditure for the year 2012/2013. Multiple data sources were used to generate the estimates. The total expenditure was estimated at AUD$1.2 billion in 2012/2013. The states/territories account for 51% of this total, the Commonwealth 31% and private sources 18%. In 2012/2013, AOD treatment represented 0.8% of total health-care spending. The higher proportion of expenditure in AOD treatment programs outside hospitals is consistent with the community-focused models of care for AOD treatment. The Commonwealth's investment in AOD treatment funding resides predominantly in its dedicated AOD treatment grant programs. The analysis of health expenditure does not tell us whether the investment mix is effective in reducing AOD-related harm and producing positive health outcomes, but it provides the basis for analysis of the distributions of expenditure between funding sources and assessment of AOD treatment spending relative to all health areas, and creates a base for tracking trends over time. [Ritter A, Chalmers J, Berends L. Health expenditure on alcohol and other drug treatment in Australia (2012/2013). Drug Alcohol Rev 2015]. © 2015 Australasian Professional Society on Alcohol and other Drugs.
    Drug and Alcohol Review 03/2015; early view(DOI: 10.1111/dar.12248). DOI:10.1111/dar.12248
  • Drug and Alcohol Review 03/2015; 34(2). DOI:10.1111/dar.12221
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    ABSTRACT: Introduction and AimsSynthetic cannabinoid dependence and withdrawal are not well described in the literature. We aimed to report on the characteristics and treatment course of clients attending a detoxification service for support with synthetic cannabinoid withdrawal in Auckland, New Zealand.Design and MethodsA retrospective audit of electronic and paper files for clients presenting for treatment in association with problematic synthetic cannabinoid use between May 2013 and May 2014 was conducted. Demographic information, reported synthetic cannabinoid use, other substance use, reported adverse effects, withdrawal symptoms and treatment information were recorded using a piloted template. Descriptive statistics were used to summarise the characteristics of the audit sample.ResultsIn the 12 month period, 47 people presented to detoxification services reporting problems withdrawing from synthetic cannabinoids. Twenty clients were admitted for medical management within an inpatient setting. Coexisting substance dependence apart from nicotine dependence was low. The most common withdrawal symptoms were agitation, irritability, anxiety and mood swings. Withdrawal symptoms were managed with diazepam and quetiapine.Discussion and Conclusions The harm associated with use of synthetic cannabinoids has had a direct impact on the utilisation of specialist alcohol and drug services in Auckland, New Zealand. Many clients with synthetic cannabinoid withdrawal symptoms required intensive support including medication and admission to an inpatient detoxification unit. Clients withdrawing from synthetic cannabinoids were the third largest group of clients admitted to inpatient detoxification services in Auckland, New Zealand, between May 2013 and May 2014. [Macfarlane V, Christie G. Synthetic cannabinoid withdrawal: A new demand on detoxification services. Drug Alcohol Rev 2015]
    Drug and Alcohol Review 02/2015; DOI:10.1111/dar.12225
  • Drug and Alcohol Review 02/2015; DOI:10.1111/dar.12242
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    ABSTRACT: Introduction and AimsTo examine women's drinking behaviour relative to Australian guidelines and identify associated factors over the lifespan.Design and Methods Data came from three prospective cohorts of the Australian Longitudinal Study on Women's Health aged 18–23 (n = 14 247), 45–50 (n = 13 715) and 70–75 years (n = 12 432) when first surveyed in 1996. The same women were re-surveyed at roughly 3-year intervals until 2012. At each survey, four drinking behaviours were based on two guidelines: long-term drinking (no more than two standard drinks per day) and episodic drinking (no more than four standard drinks on an occasion): (i) no risk (within both guidelines); (ii) low episodic risk (less than once a month); high episodic risk (at least once a month); long-term risk (more than two drinks per day regardless of episodic drinking).ResultsNo risk drinking increased with age, low episodic risk drinking remained almost constant between ages 18 and 39, and high episodic risk drinking declined rapidly. Few women drank at long-term risk. Factors associated with risky drinking varied with age; however, being a past or current smoker consistently increased the risk, and risks for smokers increased with age. Risky drinking was less likely to be practised by women providing care and needing help with daily tasks, or by pregnant women and those living with children.Discussion and Conclusions Risky drinking behaviour should be addressed in younger women and in those who smoke. Interventions to reduce risky drinking, possibly in combination with reducing smoking, could be offered through general practice centres. [Powers JR, Anderson AE, Byles JE, Mishra G, Loxton DJ. Do women grow out of risky drinking? A prospective study of three cohorts of Australian women. Drug Alcohol Rev 2015]
    Drug and Alcohol Review 02/2015; DOI:10.1111/dar.12246
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    ABSTRACT: IssuesUK clinical guidelines published in 2007 recommended contingency management (CM) as an adjunct to opiate substitution therapy. However, CM has not been adopted in the UK despite evidence of clinical effectiveness. Evidence for the cost-effectiveness of CM is less clear and will need to be explored if CM is to be adopted by national health systems in countries such as the UK.ApproachSystematic review and descriptive synthesis of published economic evaluations.Key FindingsThe review identified nine published studies that could be classified as economic evaluations. These were all based within US treatment settings, and five were conducted by the same group of authors. All studies found that the addition of CM to usual care increased both costs and effects (commonly drug abstinence or medication adherence).ImplicationsThis review confirms that the existing evidence base for cost-effectiveness has limited generalisability beyond the original research clinical settings and populations.Conclusion The data were not sufficiently strong to make any conclusion about the cost-effectiveness of CM. More relevant and comprehensive evidence for cost-effectiveness than currently exists is needed. [Shearer J, Tie H, Byford S. Economic evaluations of contingency management in illicit drug misuse programmes: A systematic review. Drug Alcohol Rev 2015]
    Drug and Alcohol Review 02/2015; DOI:10.1111/dar.12240
  • Drug and Alcohol Review 01/2015; 34(1). DOI:10.1111/dar.12245
  • Drug and Alcohol Review 01/2015; 34(1). DOI:10.1111/dar.12200
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    ABSTRACT: IntroductionEnvironmental and societal factors are significant determinants of children's initiation to and use of alcohol. Schools are important settings for promoting well-being and substantial resources have been devoted to curriculum-based alcohol programs, but the effects of these in reducing the misuse of alcohol have been modest. Adults can and do consume alcohol at school events when students are present, but there is a dearth of evidence about parents' level of support for the practice. The aim of this study was to examine parents' level of support for the purchase and consumption of alcohol at primary school fundraising events when children are present.Methods Four hundred seventy-nine Australian parents of children aged 0–12 years participated in an online survey. Logistic regression was used to assess the impact of parent characteristics on the level of agreement with parental purchase and consumption of alcohol at school fundraising events when children are present.ResultsThe majority of parents (60%) disagreed/strongly disagreed with the practice of adults being able to purchase and consume alcohol at school fundraising events when children were present. The 21% of parents who supported the practice were more likely to be daily smokers and/or have higher (>6) Alcohol Use Disorders Identification Test—alcohol consumption scores.Conclusions Despite the fact that the majority of parents disagree with this practice, published reports suggest that adults' use of alcohol at primary school events is an emerging issue. It is important that school decision-makers are mindful of the financial and educational value of fundraising activities. [Ward B, Kippen R, Buykx P, Gilligan C, Chapman K. Parents' level of support for adults' purchase and consumption of alcohol at primary school events when children are present. Drug Alcohol Rev 2014]
    Drug and Alcohol Review 12/2014; DOI:10.1111/dar.12231
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    ABSTRACT: Introduction and AimsInternational research has shown that gay, bisexual and other homosexually active men (hereafter ‘gay men’) report disproportionately higher rates of risky alcohol use and associated problems compared with heterosexual men. However, little is known about alcohol use among this population in Australia. This study aimed to examine rates of risky alcohol use among a community-based sample of gay men in Sydney and characteristics of men reporting high-risk alcohol use and adverse consequences.Design and MethodsA cross-sectional survey of gay men was conducted in Sydney in August 2013 as part of the ongoing Gay Community Periodic Surveys (n = 1546 eligible respondents). The Alcohol Use Disorders Identification Test–Consumption questions were used to assess alcohol use in the previous 12 months.ResultsNine per cent of respondents were categorised as abstinent from alcohol, 33% as low-risk drinkers, 42% as moderate-risk drinkers and 16% as high-risk drinkers. In separate multivariate logistic regression analyses, high-risk drinking and reporting ≥4 adverse alcohol consequences were associated with younger age, being Australian-born, recruitment from licensed premises and having met men for sex at gay bars and dance parties. Fifty-eight per cent of high-risk drinkers reported a desire to reduce their alcohol use.Discussion and Conclusions In this community-based sample of gay men, we found high levels of moderate- to high-risk alcohol use. The results suggest that gay men should be a priority population for health promotion campaigns and treatment services. [Lea T, Ryan D, Prestage G, Zablotska I, Mao L, de Wit J, Holt M. Alcohol use among a community-based sample of gay men: Correlates of high-risk use and implications for service provision. Drug Alcohol Rev 2014]
    Drug and Alcohol Review 12/2014; DOI:10.1111/dar.12234
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    ABSTRACT: Introduction and AimsFew studies have described those seeking treatment for codeine dependence. This study aimed to compare patients presenting for treatment where either codeine or a strong pharmaceutical opioid (oxycodone or morphine) was the principal drug of concern to understand if codeine users may have unique treatment needs.Design and Methods Retrospective case review of 135 patients from three geographical areas in New South Wales, Australia. Cases where the principal drug of concern was codeine (n = 53) or a strong pharmaceutical opioid (oxycodone or morphine, n = 82) were compared. Differences in demographic characteristics, pain history, mental health, substance use history and, subsequently, the treatment that was received were examined.ResultsPeople whose principal drug of concern was codeine were more likely to be female (66% vs. 37%, P < 0.001), employed (43% vs. 22%, P < 0.01) and use only one pharmaceutical opioid (91% vs. 49%, P < 0.001). There was no difference in age between the codeine group (mean 38.6 years) and the strong opioid group (39.3 years). Opioid substitution therapy was the most common treatment received by both groups although codeine patients were more likely to be treated with buprenorphine than methadone (odds ratio = 7.7, 95% confidence interval 2.2–27.2, P < 0.001) and more likely to attempt withdrawal (odds ratio = 2.6, 95% confidence interval 1.2–5.3, P = 0.010).Discussion and Conclusions There are important differences between codeine-dependent patients and strong prescription opioid-dependent patients. Further work should explore the outcomes of withdrawal versus maintenance treatment for codeine users. [Nielsen S, Murnion B, Dunlop A, Degenhardt L, Demirkol A, Muhleisen P, Lintzeris N. Comparing treatment-seeking codeine users and strong opioid users: Findings from a novel case series. Drug Alcohol Rev 2014]
    Drug and Alcohol Review 12/2014; DOI:10.1111/dar.12224
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    ABSTRACT: New amendments to child welfare policy in New South Wales turn a spotlight on parents who use drugs and raise concerns about adequate provision of services for families facing issues with alcohol and other drug use. Sections of the new legislation are explicitly focused on parents who use illicit drugs, expanding the reach of child protection services over expectant parents during pregnancy. This targeting of women who are ‘addicted’ highlights the ambiguous scientific and moral attention to drug use in pregnancy. It also raises practical questions about the potential for the legislation to increase stigma towards drug use and disproportionately affect vulnerable and disadvantaged families. [Olsen A. Punishing parents: Child removal in the context of drug use. Drug Alcohol Rev 2014]
    Drug and Alcohol Review 11/2014; 34(1). DOI:10.1111/dar.12219