[article] 
inAddictive Behaviors > Vol.124 (January 2022) . - art. 107091

Titre :	Age-varying time trends in cannabis- and alcohol-related risk perceptions 2002-2019
Type de document :	Périodique
Auteurs :	J. T. WADDELL
Année de publication :	2022
Article en page(s) :	art. 107091
Langues :	Anglais (eng)
Mots-clés :	Thésaurus Géographique ETATS-UNIS Thésaurus TOXIBASE FACTEUR DE RISQUE ; PERCEPTION ; CANNABIS ; ALCOOL ; EVOLUTION ; AGE ; ADULTE JEUNE ; ADULTE ; ETUDE TRANSVERSALE
Mots-clés :	NSDUH
Domaine :	Alcool / Alcohol ; Drogues illicites / Illicit drugs
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	Background: Alcohol- and cannabis-related risk perceptions are strong predictors of use behavior. Studies suggest that attitudes toward cannabis are becoming increasingly permissive, however studies have yet to comprehensively a) compare time trends in cannabis-related attitudes to those of other commonly used substances, such as alcohol, and b) test whether trends significantly differ by age. Method: Public access data from the National Study on Drug Use and Health from 2002 to 2019 were used (N = 1,005,421). Structural Equation Models tested whether study year (linear trend), was associated with alcohol- and cannabis-related risk perceptions (correlated outcomes), and whether age (adolescence [12-17], emerging adulthood [18-25], adulthood [26-35], middle adulthood [36-49], and older adulthood [50+]) moderated time trends. Sex, race/ethnicity, and use frequency were covaried. Results: The linear trend of study year was associated with decreased cannabis-related risk perceptions (p < .001). There was also a significant interaction of age by study year for cannabis-related risk perceptions, such that adults, emerging adults, and middle adults had the largest decrease in attitudes over time. For alcohol-related risk perceptions, the linear trend of study year was significantly associated with increased risk perceptions (p = .001), but the interaction of time by age was non-significant; alcohol-related effects were extremely small (b < 0.01). Conclusions: Findings suggest that cannabis-related risk perceptions are becoming more permissive with time across ages, but particularly in adults, emerging adults, and middle adults. In contrast, alcohol-related risk perceptions have stayed relatively stable over time, with only negligible increases. Findings underscore the importance of targeting permissive cannabis-related attitudes via prevention efforts. Highlights: • Cannabis risk perceptions decreased over time across all ages. • The largest decrease was seen for emerging adults, adults, and middle adults. • Alcohol risk perceptions were stable over time with negligible increases. • Preventive efforts should target permissive cannabis-related attitudes across ages.
Affiliation :	Arizona State University, Tempe, AZ, USA
Lien :	https://doi.org/10.1016/j.addbeh.2021.107091
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84504

[article] Age-varying time trends in cannabis- and alcohol-related risk perceptions 2002-2019 [Périodique] / J. T. WADDELL . - 2022 . - art. 107091.
Langues : Anglais (eng)
in Addictive Behaviors > Vol.124 (January 2022) . - art. 107091

Mots-clés :	Thésaurus Géographique ETATS-UNIS Thésaurus TOXIBASE FACTEUR DE RISQUE ; PERCEPTION ; CANNABIS ; ALCOOL ; EVOLUTION ; AGE ; ADULTE JEUNE ; ADULTE ; ETUDE TRANSVERSALE
Mots-clés :	NSDUH
Domaine :	Alcool / Alcohol ; Drogues illicites / Illicit drugs
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	Background: Alcohol- and cannabis-related risk perceptions are strong predictors of use behavior. Studies suggest that attitudes toward cannabis are becoming increasingly permissive, however studies have yet to comprehensively a) compare time trends in cannabis-related attitudes to those of other commonly used substances, such as alcohol, and b) test whether trends significantly differ by age. Method: Public access data from the National Study on Drug Use and Health from 2002 to 2019 were used (N = 1,005,421). Structural Equation Models tested whether study year (linear trend), was associated with alcohol- and cannabis-related risk perceptions (correlated outcomes), and whether age (adolescence [12-17], emerging adulthood [18-25], adulthood [26-35], middle adulthood [36-49], and older adulthood [50+]) moderated time trends. Sex, race/ethnicity, and use frequency were covaried. Results: The linear trend of study year was associated with decreased cannabis-related risk perceptions (p < .001). There was also a significant interaction of age by study year for cannabis-related risk perceptions, such that adults, emerging adults, and middle adults had the largest decrease in attitudes over time. For alcohol-related risk perceptions, the linear trend of study year was significantly associated with increased risk perceptions (p = .001), but the interaction of time by age was non-significant; alcohol-related effects were extremely small (b < 0.01). Conclusions: Findings suggest that cannabis-related risk perceptions are becoming more permissive with time across ages, but particularly in adults, emerging adults, and middle adults. In contrast, alcohol-related risk perceptions have stayed relatively stable over time, with only negligible increases. Findings underscore the importance of targeting permissive cannabis-related attitudes via prevention efforts. Highlights: • Cannabis risk perceptions decreased over time across all ages. • The largest decrease was seen for emerging adults, adults, and middle adults. • Alcohol risk perceptions were stable over time with negligible increases. • Preventive efforts should target permissive cannabis-related attitudes across ages.
Affiliation :	Arizona State University, Tempe, AZ, USA
Lien :	https://doi.org/10.1016/j.addbeh.2021.107091
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84504

Titre :	2021 National report (2020 data) to the EMCDDA by the Reitox National Focal Point France
Titre traduit :	Rapport national 2021 (données 2020) à l'EMCDDA par le point focal français du réseau Reitox
Type de document :	Rapport
Auteurs :	OFDT ; J. MOREL D'ARLEUX, Directeur de publication ; M. A. DOUCHET, Coordonnateur
Editeur :	Paris : OFDT
Année de publication :	2021
Présentation :	tabl., graph.
Langues :	Anglais (eng) Français (fre)
Mots-clés :	Organismes OFDT ; MILDECA Anciens noms : DGLDT, MILT, MILDT Thésaurus TOXIBASE EVOLUTION ; POLITIQUE ; LEGISLATION ; PRODUIT ILLICITE ; PREVENTION ; REDUCTION DES RISQUES ET DES DOMMAGES ; MARCHE DE LA DROGUE ; CRIMINALITE ; PRISON ; RECHERCHE ; SANTE PUBLIQUE ; PLANIFICATION SANITAIRE ; DEPENSE ; ACTION COMMUNAUTAIRE ; EVALUATION ; SANCTION PENALE ; CONDAMNATION ; PREVALENCE ; CANNABIS ; STIMULANTS ; HEROINE ; DROGUES DE SYNTHESE ; COCAINE ; POLYCONSOMMATION ; INTERVENTION ; CONSULTATION JEUNES CONSOMMATEURS ; ALCOOL ; TABAC ; MILIEU SCOLAIRE ; MILIEU PROFESSIONNEL ; QUALITE ; TRAITEMENT ; DISPOSITIF DE SOIN ; TRAITEMENT DE MAINTENANCE ; CSAPA ; CAARUD ; ACCES AUX SOINS ; PRISE EN CHARGE ; MEDECIN GENERALISTE ; TRAITEMENT AMBULATOIRE ; TRAITEMENT RESIDENTIEL ; BUPRENORPHINE ; RECOMMANDATION ; MORTALITE ; SURDOSE ; VIH ; OPIOIDES ; URGENCE ; MEDICAMENTS ; INFECTION ; HEPATITE ; NALOXONE ; SALLE DE CONSOMMATION A MOINDRE RISQUE ; CULTURE ILLICITE ; PRIX ; SAISIE ; LUTTE ; INCARCERATION Thésaurus Géographique FRANCE
Domaine :	Drogues illicites / Illicit drugs ; Plusieurs produits / Several products
Discipline :	SAN Santé publique / Public health
Résumé :	Chaque année, à l'instar de l'ensemble des points focaux constituant le Reitox (Réseau européen d'information sur les drogues et les toxicomanies - 27 pays membres de l'UE en 2020, la Norvège et la Turquie) en Europe, l'OFDT adresse à l'Observatoire européen des drogues et des toxicomanies (EMCDDA) un rapport national sur l'état des drogues dans le pays. C'est à partir de l'ensemble de ces rapports nationaux que l'agence de l'Union européenne rédige l'année suivante son Rapport européen annuel sur les drogues. Le rapport national est présenté sous la forme de 10 chapitres ou workbooks. Après avoir décrit le cadre légal et la politique de lutte contre les drogues illicites, ce rapport 2021 réunit les dernières données de prévalence d'usage en populations adulte et jeune, celles relatives à la prévention et aux conséquences sanitaires de ces consommations, ainsi qu'aux demandes de traitement et à la réduction des risques et des dommages. Il détaille aussi les évolutions des marchés des différentes drogues et aborde la réponse pénale, notamment grâce à un chapitre dédié à la prison. Enfin, il dresse un panorama (en anglais uniquement) des bonnes pratiques et de la recherche en matière de conduites addictives en France.
Note de contenu :	WB 1 - Politique et stratégie nationale / Drug policy. WB 2 - Cadre légal / Legal framework. WB 3 - Usages de substances illicites / Drugs. WB 4 - Prévention / Prevention. WB 5 - Prise en charge et offre de soins / Treatment. WB 6 - Best practice (English only). WB 7 - Conséquences sanitaires et réduction des risques / Harms and harm reduction. WB 8 - Marchés et criminalité / Drug market and crime. WB 9 - Prison. WB 10 - Research (English only).
Refs biblio. :	dissém.
Affiliation :	OFDT, France
Lien :	https://www.ofdt.fr/publications/collections/rapports/rapports-nationaux/rapport [...]
URL :	English version
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84485

2021 National report (2020 data) to the EMCDDA by the Reitox National Focal Point France = Rapport national 2021 (données 2020) à l'EMCDDA par le point focal français du réseau Reitox [Rapport] / OFDT ; J. MOREL D'ARLEUX, Directeur de publication ; M. A. DOUCHET, Coordonnateur . - Paris : OFDT, 2021 . -  : tabl., graph.
Langues : Anglais (eng) Français (fre)

Mots-clés :	Organismes OFDT ; MILDECA Anciens noms : DGLDT, MILT, MILDT Thésaurus TOXIBASE EVOLUTION ; POLITIQUE ; LEGISLATION ; PRODUIT ILLICITE ; PREVENTION ; REDUCTION DES RISQUES ET DES DOMMAGES ; MARCHE DE LA DROGUE ; CRIMINALITE ; PRISON ; RECHERCHE ; SANTE PUBLIQUE ; PLANIFICATION SANITAIRE ; DEPENSE ; ACTION COMMUNAUTAIRE ; EVALUATION ; SANCTION PENALE ; CONDAMNATION ; PREVALENCE ; CANNABIS ; STIMULANTS ; HEROINE ; DROGUES DE SYNTHESE ; COCAINE ; POLYCONSOMMATION ; INTERVENTION ; CONSULTATION JEUNES CONSOMMATEURS ; ALCOOL ; TABAC ; MILIEU SCOLAIRE ; MILIEU PROFESSIONNEL ; QUALITE ; TRAITEMENT ; DISPOSITIF DE SOIN ; TRAITEMENT DE MAINTENANCE ; CSAPA ; CAARUD ; ACCES AUX SOINS ; PRISE EN CHARGE ; MEDECIN GENERALISTE ; TRAITEMENT AMBULATOIRE ; TRAITEMENT RESIDENTIEL ; BUPRENORPHINE ; RECOMMANDATION ; MORTALITE ; SURDOSE ; VIH ; OPIOIDES ; URGENCE ; MEDICAMENTS ; INFECTION ; HEPATITE ; NALOXONE ; SALLE DE CONSOMMATION A MOINDRE RISQUE ; CULTURE ILLICITE ; PRIX ; SAISIE ; LUTTE ; INCARCERATION Thésaurus Géographique FRANCE
Domaine :	Drogues illicites / Illicit drugs ; Plusieurs produits / Several products
Discipline :	SAN Santé publique / Public health
Résumé :	Chaque année, à l'instar de l'ensemble des points focaux constituant le Reitox (Réseau européen d'information sur les drogues et les toxicomanies - 27 pays membres de l'UE en 2020, la Norvège et la Turquie) en Europe, l'OFDT adresse à l'Observatoire européen des drogues et des toxicomanies (EMCDDA) un rapport national sur l'état des drogues dans le pays. C'est à partir de l'ensemble de ces rapports nationaux que l'agence de l'Union européenne rédige l'année suivante son Rapport européen annuel sur les drogues. Le rapport national est présenté sous la forme de 10 chapitres ou workbooks. Après avoir décrit le cadre légal et la politique de lutte contre les drogues illicites, ce rapport 2021 réunit les dernières données de prévalence d'usage en populations adulte et jeune, celles relatives à la prévention et aux conséquences sanitaires de ces consommations, ainsi qu'aux demandes de traitement et à la réduction des risques et des dommages. Il détaille aussi les évolutions des marchés des différentes drogues et aborde la réponse pénale, notamment grâce à un chapitre dédié à la prison. Enfin, il dresse un panorama (en anglais uniquement) des bonnes pratiques et de la recherche en matière de conduites addictives en France.
Note de contenu :	WB 1 - Politique et stratégie nationale / Drug policy. WB 2 - Cadre légal / Legal framework. WB 3 - Usages de substances illicites / Drugs. WB 4 - Prévention / Prevention. WB 5 - Prise en charge et offre de soins / Treatment. WB 6 - Best practice (English only). WB 7 - Conséquences sanitaires et réduction des risques / Harms and harm reduction. WB 8 - Marchés et criminalité / Drug market and crime. WB 9 - Prison. WB 10 - Research (English only).
Refs biblio. :	dissém.
Affiliation :	OFDT, France
Lien :	https://www.ofdt.fr/publications/collections/rapports/rapports-nationaux/rapport [...]
URL :	English version
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84485

[article] 
inPresse Médicale Formation (La) > Vol.2, n°3 (Août 2021) . - 273-281

Titre :	Addictions en temps de pandémie
Titre traduit :	(Pandemia and addictions)
Type de document :	Périodique
Auteurs :	L. KARILA ; A. BENYAMINA
Année de publication :	2021
Article en page(s) :	273-281
Langues :	Français (fre)
Mots-clés :	Thésaurus TOXIBASE EPIDEMIE ; ADDICTION ; PRODUIT LICITE ; PRODUIT ILLICITE ; JEU D'ARGENT ET DE HASARD ; PSYCHOPATHOLOGIE ; TABAC ; ALCOOL ; FACTEUR DE RISQUE ; JEU VIDEO ; INTERNET
Mots-clés :	confinement
Domaine :	Addictions sans produit / Addictions without drug ; Alcool / Alcohol ; Drogues illicites / Illicit drugs ; Tabac / Tobacco
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	FRANÇAIS : L'Organisation Mondiale de la Santé a déclaré la maladie causée par le coronavirus 2 comme pandémie en mars 2020. Via les différentes mesures prises, un phénomène stressant psychosocial induit par cette épidémie a, dès lors, émergé en raison des difficultés financières, de l'isolement social et du caractère incertain du futur. L'ensemble des études nationales et internationales a mis en évidence une augmentation des usages de tabac, d'alcool et de substances illicites. Outre les comportements de consommation excessive, voire les décompensations addictives liées aux substances, il faut également prendre en considération l'usage excessif de la pornographie, des jeux de hasard et d'argent, des jeux vidéo essentiellement via Internet et l'exercice physique. La COVID-19 peut être à l'origine d'un certain nombre de conséquences et de complications chez les personnes souffrant de troubles liés à l'usage de substances licites ou illicites, population particulièrement vulnérable. Dans cette revue de la littérature narrative, nous analyserons les données concernant les comportements de consommation excessive et les addictions aux substances psychoactives licites et illicites et à certains types de comportements de la vie quotidienne. Nous avons, pour ce faire, utilisé les combinaisons de mots-clés pour sélectionner les articles scientifiques de langue anglaise et française publiés entre 2019 et 2021 en consultant les bases de données Medline, Embase, PsycInfo, Google Scholar. ENGLISH: The World Health Organization declared the disease caused by coronavirus 2 as a pandemic in March 2020. Through the various measures taken, a psychosocial stressful phenomenon induced by this epidemic has therefore emerged due to financial difficulties, social isolation and the uncertain nature of the future. All national and international studies have shown an increase in the use of tobacco, alcohol and illicit substances. In addition to excessive consumption behavior and even addictive decompensations linked to substances, excessive use of pornography, gambling, gambling, video games mainly via the Internet and physical exercise must also be taken into account. COVID-19 can cause a number of consequences and complications for people with legal and illegal substance use disorders, a particularly vulnerable population. In this review of the literature, we will analyze the data concerning the behaviors of excessive consumption and addiction to licit and illicit psychoactive substances and to certain types of behaviors of daily life. To do this, we used the keyword combinations to select the scientific articles in English and French published between 2018 and 2021 by consulting the Medline, Embase, PsychInfo, Google Scholar databases.
Sous-type de document :	Revue de la littérature / Literature review
Refs biblio. :	60
Affiliation :	UR PSYCOMADD, université Paris Saclay, hôpital universitaire Paul Brousse, département de psychiatrie et d’addictologie, Villejuif, France
Lien :	http://dx.doi.org/10.1016/j.lpmfor.2021.06.014
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84436

[article] Addictions en temps de pandémie = (Pandemia and addictions) [Périodique] / L. KARILA ; A. BENYAMINA . - 2021 . - 273-281.
Langues : Français (fre)
in Presse Médicale Formation (La) > Vol.2, n°3 (Août 2021) . - 273-281

Mots-clés :	Thésaurus TOXIBASE EPIDEMIE ; ADDICTION ; PRODUIT LICITE ; PRODUIT ILLICITE ; JEU D'ARGENT ET DE HASARD ; PSYCHOPATHOLOGIE ; TABAC ; ALCOOL ; FACTEUR DE RISQUE ; JEU VIDEO ; INTERNET
Mots-clés :	confinement
Domaine :	Addictions sans produit / Addictions without drug ; Alcool / Alcohol ; Drogues illicites / Illicit drugs ; Tabac / Tobacco
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	FRANÇAIS : L'Organisation Mondiale de la Santé a déclaré la maladie causée par le coronavirus 2 comme pandémie en mars 2020. Via les différentes mesures prises, un phénomène stressant psychosocial induit par cette épidémie a, dès lors, émergé en raison des difficultés financières, de l'isolement social et du caractère incertain du futur. L'ensemble des études nationales et internationales a mis en évidence une augmentation des usages de tabac, d'alcool et de substances illicites. Outre les comportements de consommation excessive, voire les décompensations addictives liées aux substances, il faut également prendre en considération l'usage excessif de la pornographie, des jeux de hasard et d'argent, des jeux vidéo essentiellement via Internet et l'exercice physique. La COVID-19 peut être à l'origine d'un certain nombre de conséquences et de complications chez les personnes souffrant de troubles liés à l'usage de substances licites ou illicites, population particulièrement vulnérable. Dans cette revue de la littérature narrative, nous analyserons les données concernant les comportements de consommation excessive et les addictions aux substances psychoactives licites et illicites et à certains types de comportements de la vie quotidienne. Nous avons, pour ce faire, utilisé les combinaisons de mots-clés pour sélectionner les articles scientifiques de langue anglaise et française publiés entre 2019 et 2021 en consultant les bases de données Medline, Embase, PsycInfo, Google Scholar. ENGLISH: The World Health Organization declared the disease caused by coronavirus 2 as a pandemic in March 2020. Through the various measures taken, a psychosocial stressful phenomenon induced by this epidemic has therefore emerged due to financial difficulties, social isolation and the uncertain nature of the future. All national and international studies have shown an increase in the use of tobacco, alcohol and illicit substances. In addition to excessive consumption behavior and even addictive decompensations linked to substances, excessive use of pornography, gambling, gambling, video games mainly via the Internet and physical exercise must also be taken into account. COVID-19 can cause a number of consequences and complications for people with legal and illegal substance use disorders, a particularly vulnerable population. In this review of the literature, we will analyze the data concerning the behaviors of excessive consumption and addiction to licit and illicit psychoactive substances and to certain types of behaviors of daily life. To do this, we used the keyword combinations to select the scientific articles in English and French published between 2018 and 2021 by consulting the Medline, Embase, PsychInfo, Google Scholar databases.
Sous-type de document :	Revue de la littérature / Literature review
Refs biblio. :	60
Affiliation :	UR PSYCOMADD, université Paris Saclay, hôpital universitaire Paul Brousse, département de psychiatrie et d’addictologie, Villejuif, France
Lien :	http://dx.doi.org/10.1016/j.lpmfor.2021.06.014
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84436

[article] 
inJournal of Psychoactive Drugs > Vol.53, n°4 (September-October 2021) . - 312-318

Titre :	Age-related differences in cannabis product use
Type de document :	Périodique
Auteurs :	L. F. UENO ; M. N. MIAN ; B. R. ALTMAN ; E. GIANDELONE ; M. LUCE ; M. EARLEYWINE
Année de publication :	2021
Article en page(s) :	312-318
Langues :	Anglais (eng)
Mots-clés :	Thésaurus Géographique ETATS-UNIS Thésaurus TOXIBASE CANNABIS ; TYPE D'USAGE ; AGE ; ETUDE TRANSVERSALE ; ALIMENTATION ; MATERIEL LIE A L'USAGE ; PREFERENCE
Domaine :	Drogues illicites / Illicit drugs
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	Cannabis use varies with age and gender, but less is known regarding specific product choices. Previous work suggests that older adults are inclined to stick to the more "classic" and familiar, while "novel" products are more likely to appeal to younger populations. We examined cross-sectional, retrospective data to determine whether the type of cannabis products used varied according to participant age (N = 1406, 71.3% female). The extensive list of products included: loose flower, pre-rolled joints, edibles, concentrates, oil vaporizers (vape pens), dry vaporizers, tinctures, topicals, and ingestible oils. Overall, rates of use for cannabis-infused ingestible oils, topicals, and tinctures are the lowest and show no age or gender-related differences. In contrast, the use of pre-rolled joints, vape pens, and edibles tends to decrease with age. Loose flower and dry vaporizer use also decrease with age, although less consistently. These age-related differences in product choices can facilitate prevention and treatment efforts toward specific populations. While harm-reduction efforts targeting loose flower and edible products would benefit all age groups, those targeting concentrates might focus only on younger users. On the other hand, learning about concentrates might be beneficial for older medical users due to their larger THC doses and rapid onset.
Affiliation :	Department of Psychology, University at Albany, State University of New York, Albany, NY, USA High Yield Insights, Chicago, IL, USA
Cote :	Abonnement
Lien :	https://doi.org/10.1080/02791072.2020.1870778
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84499

[article] Age-related differences in cannabis product use [Périodique] / L. F. UENO ; M. N. MIAN ; B. R. ALTMAN ; E. GIANDELONE ; M. LUCE ; M. EARLEYWINE . - 2021 . - 312-318.
Langues : Anglais (eng)
in Journal of Psychoactive Drugs > Vol.53, n°4 (September-October 2021) . - 312-318

Mots-clés :	Thésaurus Géographique ETATS-UNIS Thésaurus TOXIBASE CANNABIS ; TYPE D'USAGE ; AGE ; ETUDE TRANSVERSALE ; ALIMENTATION ; MATERIEL LIE A L'USAGE ; PREFERENCE
Domaine :	Drogues illicites / Illicit drugs
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	Cannabis use varies with age and gender, but less is known regarding specific product choices. Previous work suggests that older adults are inclined to stick to the more "classic" and familiar, while "novel" products are more likely to appeal to younger populations. We examined cross-sectional, retrospective data to determine whether the type of cannabis products used varied according to participant age (N = 1406, 71.3% female). The extensive list of products included: loose flower, pre-rolled joints, edibles, concentrates, oil vaporizers (vape pens), dry vaporizers, tinctures, topicals, and ingestible oils. Overall, rates of use for cannabis-infused ingestible oils, topicals, and tinctures are the lowest and show no age or gender-related differences. In contrast, the use of pre-rolled joints, vape pens, and edibles tends to decrease with age. Loose flower and dry vaporizer use also decrease with age, although less consistently. These age-related differences in product choices can facilitate prevention and treatment efforts toward specific populations. While harm-reduction efforts targeting loose flower and edible products would benefit all age groups, those targeting concentrates might focus only on younger users. On the other hand, learning about concentrates might be beneficial for older medical users due to their larger THC doses and rapid onset.
Affiliation :	Department of Psychology, University at Albany, State University of New York, Albany, NY, USA High Yield Insights, Chicago, IL, USA
Cote :	Abonnement
Lien :	https://doi.org/10.1080/02791072.2020.1870778
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84499

[article] 
inAddiction > Vol.116, n°12 (December 2021) . - 3369-3380

Titre :	Alcohol consumption during the COVID-19 pandemic in Europe: a large-scale cross-sectional study in 21 countries
Type de document :	Périodique
Auteurs :	C. KILIAN ; J. REHM ; P. ALLEBECK ; F. BRADDICK ; A. GUAL ; M. BARTAK ; K. BLOOMFIELD ; A. GIL ; M. NEUFELD ; A. O'DONNELL ; B. PETRUZELKA ; V. ROGALEWICZ ; B. SCHULTE ; J. MANTHEY ; European Study Group on Alcohol Use and COVID-19
Année de publication :	2021
Article en page(s) :	3369-3380
Langues :	Anglais (eng)
Mots-clés :	Thésaurus Géographique EUROPE Thésaurus TOXIBASE ETUDE TRANSVERSALE ; ALCOOL ; CONSOMMATION ; EPIDEMIE ; ADULTE ; PREVALENCE ; ABUS ; STRESS ; REVENU
Domaine :	Alcool / Alcohol
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	AIMS: To investigate changes in alcohol consumption during the first months of the COVID-19 pandemic in Europe as well as its associations with income and experiences of distress related to the pandemic. DESIGN: Cross-sectional on-line survey conducted between 24 April and 22 July 2020. SETTING: Twenty-one European countries. PARTICIPANTS: A total of 31 964 adults reporting past-year drinking. MEASUREMENTS: Changes in alcohol consumption were measured by asking respondents about changes over the previous month in their drinking frequency, the quantity they consumed and incidence of heavy episodic drinking events. Individual indicators were combined into an aggregated consumption-change score and scaled to a possible range of -1 to +1. Using this score as the outcome, multi-level linear regressions tested changes in overall drinking, taking into account sampling weights and baseline alcohol consumption [Alcohol Use Disorder Identification Test (AUDIT-C)] and country of residence serving as random intercept. Similar models were conducted for each single consumption-change indicator. FINDINGS: The aggregated consumption-change score indicated an average decrease in alcohol consumption of -0.14 [95% confidence interval (CI) = -0.18, -0.10]. Statistically significant decreases in consumption were found in all countries, except Ireland (-0.08, 95% CI = -0.17, 0.01) and the United Kingdom (+0.10, 95% CI = 0.03, 0.17). Decreases in drinking were mainly driven by a reduced frequency of heavy episodic drinking events (-0.17, 95% CI = -0.20, -0.14). Declines in consumption were less marked among those with low- or average incomes and those experiencing distress. CONCLUSIONS: On average, alcohol consumption appears to have declined during the first months of the COVID-19 pandemic in Europe. Both reduced availability of alcohol and increased distress may have affected consumption, although the former seems to have had a greater impact in terms of immediate effects.
Refs biblio. :	53
Affiliation :	Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany
Cote :	Abonnement
Lien :	https://doi.org/10.1111/add.15530
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84488

[article] Alcohol consumption during the COVID-19 pandemic in Europe: a large-scale cross-sectional study in 21 countries [Périodique] / C. KILIAN ; J. REHM ; P. ALLEBECK ; F. BRADDICK ; A. GUAL ; M. BARTAK ; K. BLOOMFIELD ; A. GIL ; M. NEUFELD ; A. O'DONNELL ; B. PETRUZELKA ; V. ROGALEWICZ ; B. SCHULTE ; J. MANTHEY ; European Study Group on Alcohol Use and COVID-19 . - 2021 . - 3369-3380.
Langues : Anglais (eng)
in Addiction > Vol.116, n°12 (December 2021) . - 3369-3380

Mots-clés :	Thésaurus Géographique EUROPE Thésaurus TOXIBASE ETUDE TRANSVERSALE ; ALCOOL ; CONSOMMATION ; EPIDEMIE ; ADULTE ; PREVALENCE ; ABUS ; STRESS ; REVENU
Domaine :	Alcool / Alcohol
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	AIMS: To investigate changes in alcohol consumption during the first months of the COVID-19 pandemic in Europe as well as its associations with income and experiences of distress related to the pandemic. DESIGN: Cross-sectional on-line survey conducted between 24 April and 22 July 2020. SETTING: Twenty-one European countries. PARTICIPANTS: A total of 31 964 adults reporting past-year drinking. MEASUREMENTS: Changes in alcohol consumption were measured by asking respondents about changes over the previous month in their drinking frequency, the quantity they consumed and incidence of heavy episodic drinking events. Individual indicators were combined into an aggregated consumption-change score and scaled to a possible range of -1 to +1. Using this score as the outcome, multi-level linear regressions tested changes in overall drinking, taking into account sampling weights and baseline alcohol consumption [Alcohol Use Disorder Identification Test (AUDIT-C)] and country of residence serving as random intercept. Similar models were conducted for each single consumption-change indicator. FINDINGS: The aggregated consumption-change score indicated an average decrease in alcohol consumption of -0.14 [95% confidence interval (CI) = -0.18, -0.10]. Statistically significant decreases in consumption were found in all countries, except Ireland (-0.08, 95% CI = -0.17, 0.01) and the United Kingdom (+0.10, 95% CI = 0.03, 0.17). Decreases in drinking were mainly driven by a reduced frequency of heavy episodic drinking events (-0.17, 95% CI = -0.20, -0.14). Declines in consumption were less marked among those with low- or average incomes and those experiencing distress. CONCLUSIONS: On average, alcohol consumption appears to have declined during the first months of the COVID-19 pandemic in Europe. Both reduced availability of alcohol and increased distress may have affected consumption, although the former seems to have had a greater impact in terms of immediate effects.
Refs biblio. :	53
Affiliation :	Institute of Clinical Psychology and Psychotherapy, Technische Universität Dresden, Dresden, Germany
Cote :	Abonnement
Lien :	https://doi.org/10.1111/add.15530
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84488

[article] 
inDrugs: Education, Prevention and Policy > Vol.28, n°5 (2021) . - 389-398

Titre :	Are members of mutual aid groups better equipped for addiction recovery? European cross-sectional study into recovery capital, social networks, and commitment to sobriety
Type de document :	Périodique
Auteurs :	T. F. MARTINELLI ; D. VAN DE MHEEN ; D. BEST ; W. VANDERPLASSCHEN ; G. E. NAGELHOUT
Année de publication :	2021
Article en page(s) :	389-398
Langues :	Anglais (eng)
Mots-clés :	Thésaurus Géographique ROYAUME-UNI ; PAYS-BAS ; BELGIQUE ; EUROPE Thésaurus TOXIBASE ENTRAIDE ; GUERISON ; ETUDE TRANSVERSALE ; RESEAUX SOCIAUX ; ALCOOLIQUES ANONYMES ; NARCOTIQUES ANONYMES
Domaine :	Plusieurs produits / Several products
Discipline :	TRA Traitement et prise en charge / Treatment and care
Résumé :	An increasing body of evidence shows that informal mutual aid groups benefit those in addiction recovery. However, attention for mutual aid groups in practice and policy varies internationally and is only recently emerging in continental Europe. Existing evidence is mostly limited to studies of Alcoholics Anonymous groups in the United States. The aim of this cross-sectional study is to examine the relationship between membership of a variety of mutual aid groups and recovery capital, participation in social networks, and commitment to sobriety for individuals in drug addiction recovery (N = 367), living in the UK, the Netherlands, and Belgium. A convenience sample of participants completed an extensive assessment about their recovery experiences. Sixty-nine percent of participants reported lifetime (ever) membership of different mutual aid groups. Analyses reveal that membership of mutual aid groups is strongly associated with more participation and (self-reported) changes in social networks, greater levels of recovery capital, and a stronger commitment to sobriety. The findings suggest that participation in mutual aid groups may support addiction recovery through multiple mechanisms of change in favor of recovery. These findings highlight how mutual aid support may complement formal addiction treatment.
Affiliation :	IVO Research Institute, The Hague, The Netherlands School of Social and Behavioural Sciences, Tranzo Scientific Center for Care and Wellbeing, Tilburg University, Tilburg, The Netherlands
Cote :	Abonnement
Lien :	https://doi.org/10.1080/09687637.2020.1844638
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84446

[article] Are members of mutual aid groups better equipped for addiction recovery? European cross-sectional study into recovery capital, social networks, and commitment to sobriety [Périodique] / T. F. MARTINELLI ; D. VAN DE MHEEN ; D. BEST ; W. VANDERPLASSCHEN ; G. E. NAGELHOUT . - 2021 . - 389-398.
Langues : Anglais (eng)
in Drugs: Education, Prevention and Policy > Vol.28, n°5 (2021) . - 389-398

Mots-clés :	Thésaurus Géographique ROYAUME-UNI ; PAYS-BAS ; BELGIQUE ; EUROPE Thésaurus TOXIBASE ENTRAIDE ; GUERISON ; ETUDE TRANSVERSALE ; RESEAUX SOCIAUX ; ALCOOLIQUES ANONYMES ; NARCOTIQUES ANONYMES
Domaine :	Plusieurs produits / Several products
Discipline :	TRA Traitement et prise en charge / Treatment and care
Résumé :	An increasing body of evidence shows that informal mutual aid groups benefit those in addiction recovery. However, attention for mutual aid groups in practice and policy varies internationally and is only recently emerging in continental Europe. Existing evidence is mostly limited to studies of Alcoholics Anonymous groups in the United States. The aim of this cross-sectional study is to examine the relationship between membership of a variety of mutual aid groups and recovery capital, participation in social networks, and commitment to sobriety for individuals in drug addiction recovery (N = 367), living in the UK, the Netherlands, and Belgium. A convenience sample of participants completed an extensive assessment about their recovery experiences. Sixty-nine percent of participants reported lifetime (ever) membership of different mutual aid groups. Analyses reveal that membership of mutual aid groups is strongly associated with more participation and (self-reported) changes in social networks, greater levels of recovery capital, and a stronger commitment to sobriety. The findings suggest that participation in mutual aid groups may support addiction recovery through multiple mechanisms of change in favor of recovery. These findings highlight how mutual aid support may complement formal addiction treatment.
Affiliation :	IVO Research Institute, The Hague, The Netherlands School of Social and Behavioural Sciences, Tranzo Scientific Center for Care and Wellbeing, Tilburg University, Tilburg, The Netherlands
Cote :	Abonnement
Lien :	https://doi.org/10.1080/09687637.2020.1844638
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84446

[article] 
inPrescrire (La Revue) > Tome 41, n°458 (Décembre 2021) . - 917-921

Titre :	Arrêter un usage prolongé de tramadol : Proposer un accompagnement avec diminution progressive des doses, voire une substitution
Type de document :	Périodique
Auteurs :	Prescrire Rédaction
Année de publication :	2021
Article en page(s) :	917-921
Langues :	Français (fre)
Mots-clés :	Thésaurus TOXIBASE TRAMADOL ; ANTALGIQUES ; OPIOIDES ; REDUCTION DE CONSOMMATION ; SEVRAGE ; TRAITEMENT DE MAINTENANCE ; ACCOMPAGNEMENT ; BUPRENORPHINE ; METHADONE
Domaine :	Autres substances / Other substances
Discipline :	TRA Traitement et prise en charge / Treatment and care
Résumé :	Cet antalgique opioïde, qui a aussi des effets sérotoninergiques et noradrénergiques, expose à des dépendances et des syndromes de sevrage lors d'un arrêt. Anticiper le rebond douloureux, diminuer de 10 % toutes les 1 à 4 semaines, voire proposer une substitution par buprénorphine ou méthadone.
Refs biblio. :	30
Affiliation :	France
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84509

[article] Arrêter un usage prolongé de tramadol : Proposer un accompagnement avec diminution progressive des doses, voire une substitution [Périodique] / Prescrire Rédaction . - 2021 . - 917-921.
Langues : Français (fre)
in Prescrire (La Revue) > Tome 41, n°458 (Décembre 2021) . - 917-921

Mots-clés :	Thésaurus TOXIBASE TRAMADOL ; ANTALGIQUES ; OPIOIDES ; REDUCTION DE CONSOMMATION ; SEVRAGE ; TRAITEMENT DE MAINTENANCE ; ACCOMPAGNEMENT ; BUPRENORPHINE ; METHADONE
Domaine :	Autres substances / Other substances
Discipline :	TRA Traitement et prise en charge / Treatment and care
Résumé :	Cet antalgique opioïde, qui a aussi des effets sérotoninergiques et noradrénergiques, expose à des dépendances et des syndromes de sevrage lors d'un arrêt. Anticiper le rebond douloureux, diminuer de 10 % toutes les 1 à 4 semaines, voire proposer une substitution par buprénorphine ou méthadone.
Refs biblio. :	30
Affiliation :	France
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84509

[article] 
inInternational Journal of Drug Policy > Vol.97 (November 2021) . - art. 103278

Titre :	Associations between self-reported cannabis use frequency, potency, and cannabis/health metrics
Type de document :	Périodique
Auteurs :	C. M. STEEGER ; L. N. HITCHCOCK ; A. D. BRYAN ; K. E. HUTCHISON ; K. G. HILL ; L. C. BIDWELL
Année de publication :	2021
Article en page(s) :	art. 103278
Langues :	Anglais (eng)
Mots-clés :	Thésaurus Géographique ETATS-UNIS Thésaurus TOXIBASE CANNABIS ; TETRAHYDROCANNABINOL ; SANTE ; TYPE D'USAGE ; MESURES QUANTITATIVES ; SANTE MENTALE ; USAGE PROBLEMATIQUE ; AUTOEVALUATION ; USAGE RECREATIF ; LEGALISATION
Mots-clés :	cannabidiol
Domaine :	Drogues illicites / Illicit drugs
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	Background: Research shows that cannabis use frequency is associated with cannabis dependence and health metrics. However, much less is known about how self-reported cannabis potency (THC and CBD) may be associated with the same metrics, and whether any associations exist after accounting for frequency of cannabis use. Moreover, even less is known about how these relations may differ across cannabis product forms. This exploratory study examined 1) associations between cannabis frequency, potency, and cannabis/health metrics, and 2) whether associations between potency and cannabis/health metrics remained after controlling for frequency of use. Methods: Using a sample of adult recreational cannabis users in Colorado (N = 300), we tested the relationship between self-reported cannabis use metrics of frequency and potency of flower, edible, and concentrate products with separate measures of problematic cannabis use (i.e., dependence, withdrawal, craving), depression, anxiety, and general perceived health. Results: Greater frequency of flower and concentrate (but not edible) use were associated with greater problematic cannabis use, and greater concentrate use frequency was also associated with more mental health problems. Partial correlations controlling for average frequency of use across all product forms and CBD potency per product showed that one significant association between THC potency and cannabis/health metrics remained (i.e., higher THC concentrate potency with better health), and one emerged (i.e., higher THC concentrate potency with lower cannabis withdrawal). Conclusions: Frequency of use is reliably associated with problematic cannabis use for flower and concentrates, but it did not account for all observed associations in this study. Differences in patterns of associations between frequency and potency and cannabis/health metrics across cannabis forms suggest a need for better understanding user reports of THC and CBD potency, individual differences among users, and improved measurement. Highlights: • Higher frequency of flower and concentrate use was related to cannabis use problems. • Frequency of concentrate use was positively correlated with anxiety and depression. • Cannabis frequency of use was more reliably associated with outcomes than potency. • Associations between potency and cannabis/health metrics varied across product form. • Research should account for frequency of use when examining cannabis potency.
Affiliation :	Institute of Behavioral Science, University of Colorado Boulder, Boulder, CO, USA
Cote :	Abonnement
Lien :	https://doi.org/10.1016/j.drugpo.2021.103278
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84479

[article] Associations between self-reported cannabis use frequency, potency, and cannabis/health metrics [Périodique] / C. M. STEEGER ; L. N. HITCHCOCK ; A. D. BRYAN ; K. E. HUTCHISON ; K. G. HILL ; L. C. BIDWELL . - 2021 . - art. 103278.
Langues : Anglais (eng)
in International Journal of Drug Policy > Vol.97 (November 2021) . - art. 103278

Mots-clés :	Thésaurus Géographique ETATS-UNIS Thésaurus TOXIBASE CANNABIS ; TETRAHYDROCANNABINOL ; SANTE ; TYPE D'USAGE ; MESURES QUANTITATIVES ; SANTE MENTALE ; USAGE PROBLEMATIQUE ; AUTOEVALUATION ; USAGE RECREATIF ; LEGALISATION
Mots-clés :	cannabidiol
Domaine :	Drogues illicites / Illicit drugs
Discipline :	EPI Epidémiologie / Epidemiology
Résumé :	Background: Research shows that cannabis use frequency is associated with cannabis dependence and health metrics. However, much less is known about how self-reported cannabis potency (THC and CBD) may be associated with the same metrics, and whether any associations exist after accounting for frequency of cannabis use. Moreover, even less is known about how these relations may differ across cannabis product forms. This exploratory study examined 1) associations between cannabis frequency, potency, and cannabis/health metrics, and 2) whether associations between potency and cannabis/health metrics remained after controlling for frequency of use. Methods: Using a sample of adult recreational cannabis users in Colorado (N = 300), we tested the relationship between self-reported cannabis use metrics of frequency and potency of flower, edible, and concentrate products with separate measures of problematic cannabis use (i.e., dependence, withdrawal, craving), depression, anxiety, and general perceived health. Results: Greater frequency of flower and concentrate (but not edible) use were associated with greater problematic cannabis use, and greater concentrate use frequency was also associated with more mental health problems. Partial correlations controlling for average frequency of use across all product forms and CBD potency per product showed that one significant association between THC potency and cannabis/health metrics remained (i.e., higher THC concentrate potency with better health), and one emerged (i.e., higher THC concentrate potency with lower cannabis withdrawal). Conclusions: Frequency of use is reliably associated with problematic cannabis use for flower and concentrates, but it did not account for all observed associations in this study. Differences in patterns of associations between frequency and potency and cannabis/health metrics across cannabis forms suggest a need for better understanding user reports of THC and CBD potency, individual differences among users, and improved measurement. Highlights: • Higher frequency of flower and concentrate use was related to cannabis use problems. • Frequency of concentrate use was positively correlated with anxiety and depression. • Cannabis frequency of use was more reliably associated with outcomes than potency. • Associations between potency and cannabis/health metrics varied across product form. • Research should account for frequency of use when examining cannabis potency.
Affiliation :	Institute of Behavioral Science, University of Colorado Boulder, Boulder, CO, USA
Cote :	Abonnement
Lien :	https://doi.org/10.1016/j.drugpo.2021.103278
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84479

[article] 
inAddictive Behaviors > Vol.123 (December 2021) . - art. 107076

Titre :	Associations of housing stress with later substance use outcomes: A systematic review
Type de document :	Périodique
Auteurs :	A. E. AUSTIN ; K. Y. SHIUE ; R. B. NAUMANN ; M. C. FIGGATT ; C. GEST ; M. E. SHANAHAN
Année de publication :	2021
Article en page(s) :	art. 107076
Langues :	Anglais (eng)
Mots-clés :	Thésaurus TOXIBASE LOGEMENT ; SANS ABRI ; STRESS ; PRODUIT ILLICITE ; ALCOOL ; SURDOSE ; TRAITEMENT
Domaine :	Alcool / Alcohol ; Drogues illicites / Illicit drugs
Discipline :	SHS Sciences humaines et sociales / Humanities and social sciences
Résumé :	A synthesis of existing evidence regarding the association of housing stress with later substance use outcomes can help support and inform housing interventions as a potential strategy to address problematic substance use. We conducted a comprehensive search of PubMed, Web of Science, PsycInfo, CINAHL, Social Work Abstracts, and Sociological Abstracts and systematically screened for articles examining housing stress and later substance use outcomes among U.S. adults. Across 38 relevant articles published from 1991 to 2020, results demonstrated an association of homelessness with an increased likelihood of substance use, substance use disorders (SUD), and overdose death. Results regarding the association of homelessness with receipt and completion of SUD treatment were mixed, and one study indicated no association of homelessness with motivation to change substance use behaviors. Several studies did not find an association of unstable housing with substance use or receipt of SUD treatment, while others found an association of unstable housing with intensified SUD symptoms and a decreased likelihood of completing SUD treatment. Overall, while there is evidence of an association of homelessness with later substance use, SUD, and overdose death, results for other forms of housing stress and some substance use outcomes are less consistent. There are several methodological considerations specific to selected measures of housing stress and substance use, study populations, and analytic approaches that have implications for results and directions for future research. Despite these considerations, results collectively suggest that innovative interventions to address housing stress, namely homelessness, may help mitigate some substance use outcomes. Highlights: • We reviewed 38 studies on housing stress and later substance use outcomes. • Homelessness was associated with substance use, use disorders, and overdose death. • Evidence on homelessness and substance use disorder treatment was inconsistent. • Results for other forms of housing stress and substance use outcomes were mixed. • Initiatives to address housing stress may help mitigate some substance use outcomes.
Sous-type de document :	Revue de la littérature / Literature review
Affiliation :	Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, USA
Lien :	https://doi.org/10.1016/j.addbeh.2021.107076
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84503

[article] Associations of housing stress with later substance use outcomes: A systematic review [Périodique] / A. E. AUSTIN ; K. Y. SHIUE ; R. B. NAUMANN ; M. C. FIGGATT ; C. GEST ; M. E. SHANAHAN . - 2021 . - art. 107076.
Langues : Anglais (eng)
in Addictive Behaviors > Vol.123 (December 2021) . - art. 107076

Mots-clés :	Thésaurus TOXIBASE LOGEMENT ; SANS ABRI ; STRESS ; PRODUIT ILLICITE ; ALCOOL ; SURDOSE ; TRAITEMENT
Domaine :	Alcool / Alcohol ; Drogues illicites / Illicit drugs
Discipline :	SHS Sciences humaines et sociales / Humanities and social sciences
Résumé :	A synthesis of existing evidence regarding the association of housing stress with later substance use outcomes can help support and inform housing interventions as a potential strategy to address problematic substance use. We conducted a comprehensive search of PubMed, Web of Science, PsycInfo, CINAHL, Social Work Abstracts, and Sociological Abstracts and systematically screened for articles examining housing stress and later substance use outcomes among U.S. adults. Across 38 relevant articles published from 1991 to 2020, results demonstrated an association of homelessness with an increased likelihood of substance use, substance use disorders (SUD), and overdose death. Results regarding the association of homelessness with receipt and completion of SUD treatment were mixed, and one study indicated no association of homelessness with motivation to change substance use behaviors. Several studies did not find an association of unstable housing with substance use or receipt of SUD treatment, while others found an association of unstable housing with intensified SUD symptoms and a decreased likelihood of completing SUD treatment. Overall, while there is evidence of an association of homelessness with later substance use, SUD, and overdose death, results for other forms of housing stress and some substance use outcomes are less consistent. There are several methodological considerations specific to selected measures of housing stress and substance use, study populations, and analytic approaches that have implications for results and directions for future research. Despite these considerations, results collectively suggest that innovative interventions to address housing stress, namely homelessness, may help mitigate some substance use outcomes. Highlights: • We reviewed 38 studies on housing stress and later substance use outcomes. • Homelessness was associated with substance use, use disorders, and overdose death. • Evidence on homelessness and substance use disorder treatment was inconsistent. • Results for other forms of housing stress and substance use outcomes were mixed. • Initiatives to address housing stress may help mitigate some substance use outcomes.
Sous-type de document :	Revue de la littérature / Literature review
Affiliation :	Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, USA
Lien :	https://doi.org/10.1016/j.addbeh.2021.107076
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84503

[article] 
inTherapies > Vol.76, n°6 (Novembre-Décembre 2021) . - 539-547

Titre :	Bacterial infections in people who inject psychoactive substances: An observational study in a French university hospital
Type de document :	Périodique
Auteurs :	S. ROY ; C. EIDEN ; S. XATART ; M. SOLER ; V. FAUCHERRE ; M. C. PICOT ; J. REYNES ; H. DONNADIEU-RIGOLE ; H. PEYRIÈRE
Année de publication :	2021
Article en page(s) :	539-547
Note générale :	Editorial : Lapeyre-Mestre M. Bacterial infections in people who inject psychoactive substances: An observational study in a French university hospital. A comment. Therapies, 2021, Vol. 76, n° 6, p. 525-526. https://doi.org/10.1016/j.therap.2021.05.008
Langues :	Anglais (eng)
Mots-clés :	Thésaurus Géographique FRANCE Thésaurus TOXIBASE HOPITAL ; INJECTION ; BACTERIE ; INFECTION ; ETUDE TRANSVERSALE ; USAGER ; PEAU ; PRODUIT ILLICITE ; OPIOIDES ; FACTEUR DE RISQUE
Domaine :	Drogues illicites / Illicit drugs
Discipline :	MAL Maladies infectieuses / Infectious diseases
Résumé :	Aim of the study: To describe bacterial infections in injection drug users (IDUs) hospitalized at Montpellier University Hospital, France, and to identify factors that might influence the development of local or systemic infections. Methods: This cross-sectional observational monocentric study prospectively included bacterial infections in IDUs hospitalized at Montpellier University Hospital between 2012 and 2018. Types of infection (local or systemic) were described and compared to identify specific features (injection practices). Results: The study included 144 bacterial infections (56% of local infections and 44% of systemic infections) concerning 117 IDUs. The most common infection types were abscesses (50%), skin and soft tissue infections (33%), bacteremia/sepsis (20%), endocarditis (17%), and bone and joint infections (16%). Patients were mainly men (n=94; 80%), and the median age was 40 years [IQR25-75: 34-47]. Four deaths related to systemic infection were reported. The most frequent injected substances were cocaine, opioid maintenance treatments (OMT), and opioids. According to the multivariate analysis, factors associated with the occurrence of systemic infections were number of injection (OR 2.59 [1.07-6.27]; P=0.034) and injection of at least one opioid (OR 3.52 [1.28-9.72]; P=0.015). Conclusion: Different types of bacterial infections, local or systemic, are observed in IDUs. Skin infections are quite common, but other infection types also are reported, with sometimes serious consequences. It is already known that injection practices are contributing factors in infection development, but the type of injected psychoactive substance(s) also may have an influence.
Refs biblio. :	26
Affiliation :	Regional Addictovigilance Center, Montpellier University Hospital, Montpellier, France
Lien :	https://doi.org/10.1016/j.therap.2021.05.008
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84453

[article] Bacterial infections in people who inject psychoactive substances: An observational study in a French university hospital [Périodique] / S. ROY ; C. EIDEN ; S. XATART ; M. SOLER ; V. FAUCHERRE ; M. C. PICOT ; J. REYNES ; H. DONNADIEU-RIGOLE ; H. PEYRIÈRE . - 2021 . - 539-547.
Editorial : Lapeyre-Mestre M. Bacterial infections in people who inject psychoactive substances: An observational study in a French university hospital. A comment. Therapies, 2021, Vol. 76, n° 6, p. 525-526. https://doi.org/10.1016/j.therap.2021.05.008
Langues : Anglais (eng)
in Therapies > Vol.76, n°6 (Novembre-Décembre 2021) . - 539-547

Mots-clés :	Thésaurus Géographique FRANCE Thésaurus TOXIBASE HOPITAL ; INJECTION ; BACTERIE ; INFECTION ; ETUDE TRANSVERSALE ; USAGER ; PEAU ; PRODUIT ILLICITE ; OPIOIDES ; FACTEUR DE RISQUE
Domaine :	Drogues illicites / Illicit drugs
Discipline :	MAL Maladies infectieuses / Infectious diseases
Résumé :	Aim of the study: To describe bacterial infections in injection drug users (IDUs) hospitalized at Montpellier University Hospital, France, and to identify factors that might influence the development of local or systemic infections. Methods: This cross-sectional observational monocentric study prospectively included bacterial infections in IDUs hospitalized at Montpellier University Hospital between 2012 and 2018. Types of infection (local or systemic) were described and compared to identify specific features (injection practices). Results: The study included 144 bacterial infections (56% of local infections and 44% of systemic infections) concerning 117 IDUs. The most common infection types were abscesses (50%), skin and soft tissue infections (33%), bacteremia/sepsis (20%), endocarditis (17%), and bone and joint infections (16%). Patients were mainly men (n=94; 80%), and the median age was 40 years [IQR25-75: 34-47]. Four deaths related to systemic infection were reported. The most frequent injected substances were cocaine, opioid maintenance treatments (OMT), and opioids. According to the multivariate analysis, factors associated with the occurrence of systemic infections were number of injection (OR 2.59 [1.07-6.27]; P=0.034) and injection of at least one opioid (OR 3.52 [1.28-9.72]; P=0.015). Conclusion: Different types of bacterial infections, local or systemic, are observed in IDUs. Skin infections are quite common, but other infection types also are reported, with sometimes serious consequences. It is already known that injection practices are contributing factors in infection development, but the type of injected psychoactive substance(s) also may have an influence.
Refs biblio. :	26
Affiliation :	Regional Addictovigilance Center, Montpellier University Hospital, Montpellier, France
Lien :	https://doi.org/10.1016/j.therap.2021.05.008
Permalink :	https://bdoc.ofdt.fr/index.php?lvl=notice_display&id=84453