supply reduction

  • 文章类型: Journal Article
    在许多方面,COVID-19大流行为替代生活和工作方式提供了自然实验。尽管酒精供应是受COVID-19限制影响的许多方面之一,这些与酒精有关的措施很少继续。这篇评论介绍了澳大利亚北部戈夫半岛的独特案例研究,在那里,大流行的限制是对已建立的酒精管理系统进行审查的催化剂。2008年,戈夫半岛引入了许可证制度,以控制谁可以购买外卖酒精以及他们每天可以购买多少。该系统的发展植根于社区发展和自决的原则。这篇评论描述了COVID-19和酒精危害水平的相关变化如何动员社区支持对该系统进行审查,在过去的十年里没有变化。COVID-19在揭示令人信服的本地化信息方面是偶然的,这些信息鼓励检查该系统的潜在改进。现在正在试用更新的政权,它对该地区每个人的酒精购买量设定了每日限制。这一经验说明了及时和相关的数据有助于社区为当地问题制定当地解决方案的好处。
    In many ways, the COVID-19 pandemic provided a natural experiment for alternate ways of living and working. Although alcohol supply was one of many aspects impacted by COVID-19 restrictions, few of those alcohol-related measures have been continued. This commentary presents a unique case study from the Gove Peninsula in northern Australia, where pandemic restrictions acted as a catalyst for a review of an established alcohol management system. A permit system was introduced on the Gove Peninsula in 2008 to control who can purchase takeaway alcohol and how much they could buy each day. Development of the system was rooted in the principles of community development and self-determination. This commentary describes how COVID-19 and associated changes in levels of alcohol harms mobilised community support for a review of the system, that had operated unchanged for the past decade. COVID-19 was adventitious in revealing compelling localised information which encouraged examination of potential improvements to the system. An updated regime is now being trialled, which sets daily limits on the alcohol purchases of everyone in the area. This experience illustrates the benefits of timely and relevant data to assist communities in formulating local solutions to local problems.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    限制获得赌博产品是一种可能的减少伤害的策略。我们研究了COVID-19大流行期间陆基赌博产品供应限制是否会影响赌博问题和赌博参与。在三波中,在线,纵向研究,462名赌博的澳大利亚成年人(Mage=44.94;87%的男性)完成了人口统计调查,参与赌博(陆基和在线),赌博问题,和心理困扰。分析已预先注册,并检查了限制对赌博问题和参与的影响。在限制期间,赌博问题没有显著差异(OR=0.88[95CI0.55-1.42],p=.610)也不是在线赌博(B=4.48[95CI-0.40-9.35],p=.071)在经历和未经历限制的状态之间。在限制后的2个月(t=2.03,p=0.043)和5个月(t=2.37,p=0.019),赌博参与度略有下降,但赌博问题没有变化(t=1.25,p=.211;t=1.50,p=.134)。在那些处于基线中到高风险的人中,限制后2个月和5个月,赌博参与度(t=0.58,p=.564;t=1.20,p=.232)或问题(t=0.92,p=.359;t=1.53,p=.126)没有显着降低。研究结果表明,与COVID相关的供应限制对赌博活动的影响不大,对赌博问题的影响不大,随访5个月。大流行的广泛的心理社会和财务影响可能掩盖了供应限制对问题赌博水平的任何潜在有益影响。即使在赌博产品的可用性减少之后,也需要促进和改善获得问题赌博治疗服务的政策。
    Restricting access to gambling products is one possible harm reduction strategy. We examined whether land-based gambling product supply restrictions during the COVID-19 pandemic impacted gambling problems and gambling engagement. In a three-wave, online, longitudinal study, 462 Australian adults (Mage = 44.94; 87% male) who gambled completed survey measures of demographics, gambling engagement (land-based and online), gambling problems, and psychological distress. Analyses were pre-registered and examined the impacts of restrictions on gambling problems and engagement. During the period of restrictions, there were no significant differences in gambling problems (OR = 0.88 [95%CI 0.55-1.42], p = .610) nor online gambling (B = 4.48 [95%CI-0.40-9.35], p = .071) between states experiencing and not experiencing restrictions. There was a small overall reduction in gambling engagement at 2-(t = 2.03, p = .043) and 5-months (t = 2.37, p = .019) post-restrictions, but no change in gambling problems (t = 1.25, p = .211; t = 1.50, p = .134). Amongst those at moderate-to-high risk of problems at baseline, there were no significant reductions in gambling engagement (t = 0.58, p = .564; t = 1.20, p = .232) or problems (t = 0.92, p = .359; t = 1.53, p = .126) at 2- and 5-months post-restrictions. Findings show only a modest impact of COVID-related supply restrictions on gambling engagement and no impact on gambling problems up to 5 months follow-up. The wide-ranging psychosocial and financial impacts of the pandemic may have overshadowed any potential beneficial effects of the supply restrictions on problem gambling levels. Policies to promote and improve access to problem gambling treatment services are needed even following periods of reduced availability of gambling products.
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  • 文章类型: Journal Article
    Although China has played a significant role in the emergence and expansion of new psychoactive substances (NPS) worldwide, little research has specifically focused on the illicit supply of NPS within China and smuggling from China. In this study, data were extracted from sentencing files obtained from closed criminal cases to develop an objective understanding of the NPS supply chain in China. The sample consisted of 341 major cases concerning the illicit supply of three groups of NPS (ketamine, synthetic cathinone, and fentanyl) and five categories of offense, including manufacturing, distributing, retailing, transporting, and manufacturing-retailing. Significant differences between these categories of offense in terms of offenders\' profiles, behaviors, and supply patterns were observed. Our results suggest the existence of a dynamic and complex supply network both in China and in terms of smuggling routes from China.
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  • 文章类型: Journal Article
    Since 2005, the Australian Government has subsidized the production and distribution of Low Aromatic Fuel (LAF) as a deterrent against petrol (gasoline) sniffing in remote Indigenous communities. LAF is used in place of unleaded petrol as a fuel for vehicles and other engines. This paper reports findings from an independent evaluation of the LAF rollout.
    Forty one Indigenous communities were surveyed between 2010 and 2014, with each community being visited twice at a two yearly interval. Quantitative data on prevalence of petrol sniffing were collected, as well as qualitative data on the acceptability of LAF, evidence of substitution for inhaled petrol with other drugs, and programs such as recreational, training and employment opportunities. Prevalence rates of sniffing per 1000 population for each survey year and community were calculated by dividing the total number of sniffers by the population aged 5-39 years and multiplying by 1000.
    Between 2011-12 and 2013-14, the total estimated number of people sniffing petrol declined from 289 to 204, a fall of 29.4%. At both times, the median petrol sniffing prevalence rate was lower in communities with LAF than in communities without LAF. In 17 of the 41 communities, comparable data were available over a longer period, commencing in 2005-06. Fifteen of these communities stocked LAF over the entire period. In these communities, the median rate of petrol sniffing declined by 96%, from 141.6 per 1000 population in 2005-06 to 5.5 in 2013-14 (p < 0.05). LAF was widely accepted, although acceptance was often qualified by a belief that LAF harmed engines. Anecdotal reports suggest that the fall in petrol sniffing may have been offset by increased use of cannabis and other drugs, but the relationship is not one of simple cause-and-effect, with evidence that an increase in cannabis use in communities commenced before the LAF rollout began. Provision of services in communities has improved in recent years, but many programs continue to be inadequately resourced.
    The rollout of LAF appears to have contributed to reducing petrol sniffing and associated harms in Australian Indigenous communities.
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  • 文章类型: Journal Article
    This article introduces the concept of \'secondary harm mitigation\' as a framework for improving the humanitarian credentials of international drug law enforcement agencies. The concept is rooted in a critical analysis of the compatibility of the harm reduction philosophy with Australia\'s international drug law enforcement practices. On a utilitarian level, the net benefits of international drug law enforcement are determined to be, at best inconclusive, arguably counterproductive and in most cases, incalculable. On a humanitarian level, international drug law enforcement is also determined to be problematic from a criminological standpoint because it generates secondary harms and it is indifferent to the vulnerability of individuals who participate in illicit drug trafficking. Accordingly, the article concludes that a philosophy of harm reduction grounded in the public health perspective is inadequate for mitigating secondary harms arising from Australia\'s efforts to combat international illicit drug trafficking. A tentative list of secondary harm mitigation principles is presented and the article argues that secondary harm mitigation should replace supply reduction as a core tenet of Australia\'s National Drug Strategy. The article also concludes that secondary harm mitigation may provide a viable framework for stimulating a productive dialogue between those who advocate prohibition and those who call for decriminalisation at the global level.
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