关键词: Cannabis Harm reduction Interventions Systematic review Typology

来  源:   DOI:10.1007/s00406-024-01839-3

Abstract:
Measures that seek to minimise the health and social consequences of substance use are an integral part of national drug strategies in many European countries. Against the backdrop of a high prevalence of cannabis use in the economically advanced countries, and increasing demand for treatment for cannabis-related problems, a range of harm reduction measures have been implemented by peers, statutory bodies and third-sector organisations. Based on a systematic review of the literature, the author describes these different forms of intervention, identifies innovative strategies and presents a simple typology that can be used when exploring existing measures or seeking to develop new policies. This typology covers different kinds of legal, socio-organisational and health-related interventions. All study designs were eligible for inclusion, with the exception of case reports, non-systematic reviews, editorials and news stories. Studies had to be published between 2011 and 2022, in English, and they had to refer to Europe, the Americas, Australia or New Zealand. A two-concept search was implemented using Embase.com and a number of other databases, combined with citation searches and manual website searching to improve coverage of research reports and advocacy documents. A total of 35 documents were deemed eligible, many of which rely on qualitative research methods.
摘要:
在许多欧洲国家,旨在最大程度地减少药物使用对健康和社会的影响的措施是国家毒品战略的组成部分。在经济发达国家大麻使用率高的背景下,以及对治疗大麻相关问题的需求不断增加,同行实施了一系列减少伤害的措施,法定机构和第三部门组织。在对文献进行系统回顾的基础上,作者描述了这些不同形式的干预,确定创新战略,并提出一种简单的类型学,可以在探索现有措施或寻求制定新政策时使用。这种类型涵盖了不同类型的法律,社会组织和健康相关干预措施。所有研究设计均符合纳入条件,除了病例报告,非系统评价,社论和新闻故事。研究必须在2011年至2022年之间以英文发表,他们不得不提到欧洲,美洲,澳大利亚或新西兰。使用Embase.com和许多其他数据库实现了两个概念的搜索,结合引文搜索和手动网站搜索,以提高研究报告和宣传文件的覆盖率。共有35份文件被视为符合资格,其中许多依赖于定性研究方法。
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