Interventions to prevent misuse of alcohol, drugs and gambling in youth
There is a need for interventions other than the structured programs evaluated to be developed and assessed in well-designed studies. Further research is also needed that focuses on young adults in non-school settings, as well as research focused on the hazardous use of performance enhancing drugs,...
| Corporate Author: | |
|---|---|
| Format: | eBook |
| Language: | English |
| Published: |
Stockholm
Swedish Agency for Health Technology Assessment and Assessment of Social Services
November 2015, 2015
|
| Series: | SBU assessments
|
| Subjects: | |
| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | There is a need for interventions other than the structured programs evaluated to be developed and assessed in well-designed studies. Further research is also needed that focuses on young adults in non-school settings, as well as research focused on the hazardous use of performance enhancing drugs, prescription medications and gambling However, multimodal community programs aimed at changing attitudes, norms or behaviors, have little or no effect on the amount of alcohol, cannabis or tobacco young people consume.3. Brief interventions such as motivational interviews (MI) or personalized normative feedback may reduce alcohol consumption by young people who engage in hazardous drinking.4. The model based health economic analysis of alcohol prevention estimates that two preventive interventions may cost less than 500,000 SEK per QALY. A structured school based program may be cost effective, provided that the proportion of binge drinking youth is reduced by at least 5%. MI may be cost effective provided that the proportion of binge drinking youth is reduced by at least 2.5%.5. Despite the vast number of studies evaluating interventions to prevent or reduce drug and alcohol abuse, there continues to be significant knowledge gaps. Background Use of alcohol, illicit drugs, doping substances, tobacco and gambling (ANDTG) are common among young people. A large number of interventions have been developed for prevention, but the evidence for them is unclear. Conclusions1. None of the structured school based programs can prevent drug use in general. A few programs can reduce the consumption of tobacco or cannabis, or reduce binge drinking. The effects are usually between 1 and 5%. There was insufficient evidence to draw any conclusions on programs using structured family support groups. Some studies reported increased consumption after school or parental support programs.2. When implemented correctly, broadly coordinated community coalitions that limit young people's access to alcohol in multiple ways (i.e. licensing, restricting opening hours), may reduce their alcohol consumption. |
|---|---|
| Physical Description: | 1 PDF file (4 pages) illustrations |