Fundo

Novas intervenções de saúde pública são necessárias para lidar com o fornecimento de drogas tóxicas e atender às necessidades das pessoas que usam drogas em meio à crise de overdose. O fornecimento mais seguro – distribuição de baixa barreira de substâncias de grau farmacêutico – foi implementado em algumas jurisdições para fornecer alternativas mais seguras ao fornecimento não regulamentado de medicamentos, mas nenhum estudo até o momento explorou as perspectivas das partes interessadas profissionais sobre essa abordagem.

Métodos

A amostragem intencional foi usada para recrutar...

Background

There is a higher prevalence of substance use disorder (SUD) among justice-involved children (JIC). It is critical to ensure that JIC who report current use are referred for SUD assessment and potentially life-saving treatment services. Prior research suggests that certain minoritised groups may be less likely to have ever been referred for screening, and research on intersectionality suggests that these disparities may be exacerbated for racially minoritised females.

Methods

Multivariate logistic regression and interaction effects were employed to analyse longitudinal data from...

Background

COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected between 2016 and 2021, to explore the impact of the COVID-19 pandemic on LHD substance use-related services.

Results

Before the pandemic, the proportion of LHDs providing some level of substance use prevention services was increasing, and many were expanding their level of provision...

The Canadian Community Epidemiology Network on Drug Use (CCENDU) is a pan-Canadian network of community partners co-ordinated by the Canadian Centre on Substance Use and Addiction (CCSA). The network has sites in British Columbia, Manitoba, Thunder Bay, Toronto, Quebec, Nova Scotia, and Newfoundland and Labrador.

In April 2019, CCENDU published a bulletin on changes in stimulant use and related harms, which focused on methamphetamine and cocaine* based on data collected by CCENDU sites in November 2018: Changes in Stimulant Use and Related Harms: Focus on Methamphetamine and Cocaine.1 The...

Background

The COVID-19 emergency has tested the public health, medical, and public safety infrastructure of the United States (U.S.) in unprecedented ways. As the focal point for public health in their communities, local health departments (LHDs) were particularly impacted by the pandemic’s onset. The pandemic limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not reduced.

Methods

Six quantitative data sources were examined, collected between...

BACKGROUND:

A close relationship between a parent and a child and parental acceptance can mediate the appropriate self-acceptance of an adolescent, which is an important variable related to personality and a pillar of emotional health. In the paper we present the conclusions of a research study about the quality of the attachment towards parents and self-acceptance of adolescents at Czech secondary schools.

AIMS:

The aim of the study was the exploration of the relation between the attachment style and self-acceptance.

SAMPLE:

The research sample consists of 3,239 adolescents aged 15–19 in...

BACKGROUND:

Electronic nicotine delivery systems (ENDS) generate an aerosol by vaporising e-liquids that usually consist of propylene glycol (PG), vegetable glycerine (VG), and other ingredients (water, nicotine, and flavours). The chemical and physical properties of these components have a significant effect on aerosol formation and must be identified in order to improve product attractiveness and assess the degree of health risks.

AIM:

The aim of this article is to provide a description of the composition of the e-liquid base and its impact on the physical properties of the liquid used...

Canada’s Low-Risk Alcohol Drinking Guidelines were originally published by CCSA in November 2011 and were the result of the work of alcohol research experts in Canada. Since then, substantial new research on the association between alcohol use and physical, mental and social harms has been completed. Many countries have updated their guidance on drinking to reflect these advancements in what is known about the risks and benefits associated with alcohol consumption.

The report is composed of three documents: the Public Summary, the Technical Summary and the Technical Report. 

• The Public...

Background

Opioid overdose remains a public health crisis in diverse communities. Between 2019 and 2020, there was an almost 40% increase in drug fatalities primarily due to opioid analogues of both stimulants and opioids. Medications for opioid use disorder (MOUD; e.g., buprenorphine) are effective, evidence-based treatments that can be delivered in office-based primary care settings. We investigated disparities in the proportion of national prescribers who have obtained a waiver issued to prescribe MOUD by demographic characteristics.

Methods

Data for the secondary data analyses were...

Background

Substance use among youth (ages 12–24) is troublesome given the increasing risk of harms associated. Even more so, substance use services are largely under utilised among youth, most only accessing support when in crisis. Few studies have explored young people’s help-seeking behaviours to address substance use concerns. To address this gap, this study explored how youth perceive and experience substance use services in British Columbia (BC), Canada.

Methods

Participatory action research methods were used by partnering with BC youth (under the age of 30) from across the province...

Background

When used in combination with other therapies for drug use disorders, neurofeedback (NF) has been classified as "probably effective," according to recent research in the community of people with opioid use disorder. Despite these encouraging results, the severity of the opioid crisis, and the high risk of relapse even with the most effective medication-assisted maintenance therapy, NF remains a little-studied therapeutic option. The possibility of incorporating Alpha/Theta Neurofeedback into standard opioid addiction therapy in an outpatient urban treatment facility is examined in...