Putting harm reduction into an adolescent context.

Abstract:

:Drug use is now widespread amongst Australian youth. Substance abuse and dependence are becoming increasingly significant health problems. Approximately 50% of 17-year-old Australians report regular consumption of alcohol and nearly 30% report tobacco smoking. The age of onset of substance use is reported to be decreasing. Between 1993 and 1995 the proportion of heroin users who had used the drug before the age of 16 years increased from 2% to 14%. The debate about youth substance use tends to be polarized between the views of Zero Tolerance and Legalization of drugs. The harm reduction approach spans between these two extremes. Examples of harm reduction strategies, such as education campaigns on safe injecting and needle exchange programs, have been effective in curbing the spread of blood-borne viruses such as HIV amongst intravenous drug using youth. The harm reduction approach, taking social context and developmental stage of the individual into account, may also be applied to adolescents at the less extreme end of the substance use spectrum. It is proposed that the harm reduction framework used in this way enables a rational, relevant and consistent response to contemporary youth substance use, aiming to minimize drug related harm.

authors

Bonomo Y,Bowes G

doi

10.1046/j.1440-1754.2001.00623.x

keywords:

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

5-8

issue

1

eissn

1034-4810

issn

1440-1754

pii

jpc623

journal_volume

37

pub_type

杂志文章
  • Pressure placed on paediatric haematopoietic stem cell donors: Views from health professionals.

    abstract:AIM:Paediatric haematopoietic stem cell donors undergo non-therapeutic procedures and endure known and unknown physical and psychosocial risks for the benefit of a family member. One ethical concern is the risk that they may be pressured by parents or health professionals to act as a donor. This paper adds to what is k...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.12934

    authors: Then SN

    更新日期:2015-12-01 00:00:00

  • Microvascular complications of insulin-dependent diabetes: risk factors, screening and intervention.

    abstract::The ability to detect subclinical signs of the microvascular complications of diabetes during adolescence and our increased understanding of risk factors for their development provide an opportunity to prevent irreversible organ damage. Glycaemic control makes a major contribution to the risk and progression of microv...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.1996.tb01531.x

    authors: Couper J

    更新日期:1996-02-01 00:00:00

  • Off-label use of medicines in paediatric inpatients at an Australian teaching hospital.

    abstract:AIM:The study aims to investigate the prevalence of off-label prescribing in the general paediatric ward at a major teaching hospital in Tasmania, Australia. METHOD:The drug charts and medical records from two groups of 150 consecutive paediatric patients, admitted 6 months apart in July 2009 and January 2010, were st...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.12065

    authors: Ballard CD,Peterson GM,Thompson AJ,Beggs SA

    更新日期:2013-01-01 00:00:00

  • Electroencephalograms, clinical observations and the monitoring of neonatal seizures.

    abstract:OBJECTIVE:To identify neonatal seizures and evaluate the efficiency of clinical observations and short duration electroencephalograms (EEG). METHODOLOGY:Sixty-three neonates were investigated using prolonged video/EEG monitoring. Patients with confirmed seizures were treated with sequential doses of phenobarbitone and...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.1995.tb00872.x

    authors: Bye A,Flanagan D

    更新日期:1995-12-01 00:00:00

  • Transgender adolescents and legal reform: How improved access to healthcare was achieved through medical, legal and community collaboration.

    abstract::Transgender children and adolescents face hardships in all domains of their lives, with many experiencing family rejection, social exclusion, discrimination, bullying and assaults. The mental health implications of these experiences include high rates of depression, anxiety, self-harm and attempted suicide. Gender-aff...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.14124

    authors: Telfer M,Kelly F,Feldman D,Stone G,Robertson R,Poulakis Z

    更新日期:2018-10-01 00:00:00

  • Standard management protocol to improve the short-term outcome of biliary atresia.

    abstract:AIM:This study compared the outcomes of patients with biliary atresia (BA) treated according to a standardised protocol with historical patients. METHODS:This is a single-centred retrospective study of BA patients treated from 1980 to 2016. A standardised treatment protocol was established since 2008 regarding peri-op...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.14698

    authors: Chung PH,Wong KK,Tam PK

    更新日期:2020-11-01 00:00:00

  • Breast milk substitutes in Hong Kong.

    abstract:OBJECTIVE:In 1981 the World Health Assembly (WHA) adopted the International Code of Marketing of Breast Milk Substitutes (the Code) to support breastfeeding. Despite improving trends, Hong Kong has low rates of breastfeeding compared to other developed countries. METHODS:We surveyed companies marketing breast milk sub...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.2004.00400.x

    authors: Nelson EA,Chan CW,Yu CM

    更新日期:2004-07-01 00:00:00

  • Alternatives to ward admission from the emergency department.

    abstract::There is ever-increasing pressure on hospital resources in general and emergency departments (ED) in particular. At the same time, there is increasing recognition that traditional inpatient ward-based care is not necessary for the majority of children presenting to the ED with acute illness, and that there are patient...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章,评审

    doi:10.1111/jpc.13100

    authors: Bryant PA,Hopper SM

    更新日期:2016-02-01 00:00:00

  • Profound encephalopathy with complete recovery in three children with familial hemiplegic migraine.

    abstract::We describe three cousins who presented with agitation, dysphasia and/or coma, and developed hemiplegia following initial onset of symptoms. Two cases followed minor head injuries, two were pyrexial and two were associated with neutrophilia. Two cases required ventilatory support on the intensive care unit. Magnetic r...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.2009.01465.x

    authors: Hart AR,Trinick R,Connolly DJ,Mordekar SR

    更新日期:2009-03-01 00:00:00

  • Paediatric health-care professionals: relationships between psychological distress, resilience and coping skills.

    abstract:AIM:To investigate the impact of regular exposure to paediatric medical trauma on multidisciplinary teams in a paediatric hospital and the relationships between psychological distress, resilience and coping skills. METHOD:Symptoms of post-traumatic stress disorder, secondary traumatic stress, depression, anxiety, stre...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.12260

    authors: McGarry S,Girdler S,McDonald A,Valentine J,Lee SL,Blair E,Wood F,Elliott C

    更新日期:2013-09-01 00:00:00

  • Outbreak of variant hand-foot-and-mouth disease caused by coxsackievirus A6 in Auckland, New Zealand.

    abstract::Hand-foot-and-mouth disease is a common, usually mild childhood illness caused by enteroviruses. Over the last five years, coxsackievirus A6 has been identified as a causative agent in outbreaks in Europe, South-East Asia and America. It has an atypical presentation compared with other enteroviruses, with more widespr...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.12708

    authors: Hayman R,Shepherd M,Tarring C,Best E

    更新日期:2014-10-01 00:00:00

  • Vitamin A deficiency and xerophthalmia in children of a developed country.

    abstract:AIM:We aim (i) to characterise the clinical features of vitamin A deficiency (VAD) in a small cohort of Australian children; (ii) to determine the effects of VAD; and (iii) to quantify the prevalence of ophthalmic review in this group. METHODS:Data collected from the charts incorporated patient demographics, laborator...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.13243

    authors: Chiu M,Dillon A,Watson S

    更新日期:2016-07-01 00:00:00

  • Fifty years of immunisation in Australia (1964-2014): the increasing opportunity to prevent diseases.

    abstract::Medicine has seen dramatic changes in the last 50 years, and vaccinology is no different. Australia has made a significant contribution to world knowledge on vaccine-preventable diseases. Certain deadly diseases have disappeared or become rare in Australia following successful introduction of vaccines. As diseases bec...

    journal_title:Journal of paediatrics and child health

    pub_type: 历史文章,杂志文章

    doi:10.1111/jpc.12796

    authors: Royle J,Lambert SB

    更新日期:2015-01-01 00:00:00

  • Aminophylline and Doppler time-averaged mean velocity in the middle cerebral artery in preterm neonates.

    abstract:OBJECTIVE:The purpose of this study was to assess the effect of an intravenous loading dose of aminophylline (6 mg/kg) on Doppler time-averaged mean velocity in the middle cerebral artery in ventilated preterm neonates. METHODOLOGY:Twenty infants were studied by colour/duplex Doppler technique prior to and at 5, 10, 3...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.1995.tb00858.x

    authors: Govan JJ,Ohlsson A,Ryan ML,Myhr T,Fong K

    更新日期:1995-10-01 00:00:00

  • Pseudohermaphroditism, glomerulopathy and Wilms' tumour (Drash syndrome): a case report.

    abstract::A baby with ambiguous genitalia and 46XY chromosomes was raised as a female. Sudden and unexpected death at 11 months of age led to a post-mortem diagnosis of Drash syndrome. ...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.1990.tb02436.x

    authors: Hutson JM,Werther G

    更新日期:1990-08-01 00:00:00

  • Use of propranolol for treatment of infantile haemangiomas in an outpatient setting.

    abstract:INTRODUCTION:Propranolol has recently emerged as an effective drug treatment for infantile haemangiomas. The side effect profile of the drug and the safety of administering propranolol in outpatient settings in this age group remain uncertain. We report our experience with 200 infants and children prescribed propranolo...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.2012.02521.x

    authors: Phillips RJ,Penington AJ,Bekhor PS,Crock CM

    更新日期:2012-10-01 00:00:00

  • Restraint in paediatrics: A delicate balance.

    abstract::Patient restraint in health care is currently under intense review. There are two disparate groups that should be considered. First, infants and young children are commonly restrained while undergoing simple medical procedures such as venepuncture or immunisation, and this practice may be better framed as 'hugging' no...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.14607

    authors: Preisz A,Preisz P

    更新日期:2019-10-01 00:00:00

  • When is family history obtained? - Lack of timely documentation of family history among overweight and hypertensive paediatric patients.

    abstract:AIM:Taking a detailed family history is an inexpensive way for healthcare providers to screen patients for increased risk of various chronic conditions. Documentation of family history, however, has been shown to be incomplete in the majority of patient charts. The current study examines when family history is collecte...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.2010.01798.x

    authors: Benson L,Baer HJ,Greco PJ,Kaelber DC

    更新日期:2010-10-01 00:00:00

  • Point-of-care ultrasound in paediatric emergency medicine.

    abstract::Point-of-care ultrasound (POC US) is an adjunct to clinical paediatric emergency medicine practice that is rapidly evolving, improving the outcomes of procedural techniques such as vascular access, nerve blocks and fluid aspiration and showing the potential to fast-track diagnostic streaming in a range of presenting c...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章,评审

    doi:10.1111/jpc.13098

    authors: O'Brien AJ,Brady RM

    更新日期:2016-02-01 00:00:00

  • Factors related to passing the safety fast test among neonates with hypoglycemia in the neonatal intensive care unit.

    abstract:AIM:To investigate the success rates and predictors of safety fast test among neonates admitted to the neonatal intensive care unit for hypoglycemia. METHODS:A retrospective review of neonates transferred from the newborn nursery unit to the neonatal intensive care unit for intravenous dextrose therapy for hypoglycemi...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.15247

    authors: Olowoyeye A,Eisenberg R,Kim M,Havranek T

    更新日期:2020-11-03 00:00:00

  • Adrenal cortical tumours: 25 years' experience at the Royal Children's Hospital, Melbourne.

    abstract:AIMS:Adrenal cortical tumours remain a rare entity with inconsistent consensus about treatment and follow up. This article reviews 25 years of experience in the Royal Children's Hospital, Melbourne, Australia. METHODS:All records with the diagnosis of adrenal adenoma or carcinoma between 1976 and 2001 were reviewed, e...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1046/j.1440-1754.2003.00268.x

    authors: McDonnell CM,Zacharin MR

    更新日期:2003-12-01 00:00:00

  • Point-of-care lung ultrasound in paediatric critical and emergency care.

    abstract::Ultrasound techniques have been developed since the past century and are becoming more useful in different areas of medical knowledge. More recently, lung ultrasound gained importance throughout artefacts analysis to help clinical evaluation at bedside and became subject of interest in the paediatric intensive care an...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章,评审

    doi:10.1111/jpc.14067

    authors: Dominguez A,Gaspar HA,Preto M,Ejzenberg FE

    更新日期:2018-09-01 00:00:00

  • Child rearing and cultural beliefs and practices amongst Thai mothers in Victoria, Australia: implications for the sudden infant death syndrome.

    abstract:OBJECTIVE:To examine the perceptions of sudden infant death syndrome (SIDS) and to describe the role of cultural beliefs and practices on child rearing amongst Thai mothers in Victoria, Australia. METHODOLOGY:In-depth interviews and participant observation conducted with 30 Thai mothers during 1995-96. RESULTS:SIDS w...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1046/j.1440-1754.1998.00234.x

    authors: Rice PL,Naksook C

    更新日期:1998-08-01 00:00:00

  • Epidemiology of necrotizing enterocolitis--Part II: Risks and susceptibility of premature infants during the surfactant era: a regional study.

    abstract:OBJECTIVES:We observed a reduced incidence of necrotizing enterocolitis (NEC) despite increased survival of extremely premature infants over the last two decades. A different susceptibility pattern to NEC according to gestation has been proposed. We aim to examine the influence of perinatal risk factors for NEC in infa...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.2005.00583.x

    authors: Luig M,Lui K,NSW & ACT NICUS Group.

    更新日期:2005-04-01 00:00:00

  • Infant care practices associated with sudden infant death syndrome: findings from the Pacific Islands Families study.

    abstract:AIM:To report infant care practice prevalence for known modifiable sudden infant death syndrome (SIDS) risk factors among a generally disadvantaged yet low-SIDS rate population of mothers with Pacific infants. METHODS:The Pacific Islands Families study follows a cohort of Pacific infants born at a large tertiary hospi...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.2007.01085.x

    authors: Schluter PJ,Paterson J,Percival T

    更新日期:2007-05-01 00:00:00

  • Smoking in pregnancy and child development to age 9 years.

    abstract::This study examined the association between women's retrospective reports of smoking during pregnancy and subsequent language, cognitive, behavioural and physical development in their children up to age 9 years. While there was a strong association between maternal smoking and an index of disadvantageous child rearing...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.1994.tb00631.x

    authors: McGee R,Stanton WR

    更新日期:1994-06-01 00:00:00

  • Botulinum toxin A versus fixed cast stretching for dynamic calf tightness in cerebral palsy.

    abstract:OBJECTIVE:To compare botulinum toxin A injections with fixed plaster cast stretching in the management of cerebral palsied children with dynamic (i.e. non-fixed) calf tightness. METHODS:The settings were the Women's and Children's Hospital (WCH) and the Crippled Children's Association of South Australia (CCA), Adelaid...

    journal_title:Journal of paediatrics and child health

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1440-1754.1999.00330.x

    authors: Flett PJ,Stern LM,Waddy H,Connell TM,Seeger JD,Gibson SK

    更新日期:1999-02-01 00:00:00

  • Soy protein supplement intake for 12 months has no effect on sexual maturation and may improve nutritional status in pre-pubertal children.

    abstract:AIM:To evaluate the intake of a soy protein-based supplement (SPS) and its effects on the sexual maturation and nutritional status of prepubertal children who consumed it for a year. METHODS:Healthy children (n = 51) were recruited and randomly assigned to consume the lunch fruit juice with (n = 29) or without (n = 22...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.13934

    authors: Duitama SM,Zurita J,Cordoba D,Duran P,Ilag L,Mejia W

    更新日期:2018-09-01 00:00:00

  • Paediatric sunburn: the experience of an Australian paediatric burns unit.

    abstract:AIM:The number of hospital presentations and admissions for treatment of sunburn remains significant, despite efforts to educate the public regarding sun protection. Current literature chiefly examines public health campaigns and sun protection behaviours and attitudes. There are very few articles that explore paediatr...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/jpc.12268

    authors: Mah L,Di Giovine P,Quinn L,Sparnon A

    更新日期:2013-08-01 00:00:00

  • Adverse reactions to immunization with newer vaccines in the very preterm infant.

    abstract:OBJECTIVE:To study the frequency and types of adverse reactions to currently available vaccines in very preterm infants. METHODS:Case notes were obtained for very preterm infants < or =30 weeks' gestational age who received their first immunization at the Royal Women's Hospital, Melbourne, during 1999-2003. Data were ...

    journal_title:Journal of paediatrics and child health

    pub_type: 杂志文章

    doi:10.1111/j.1440-1754.2005.00663.x

    authors: Ellison VJ,Davis PG,Doyle LW

    更新日期:2005-08-01 00:00:00