Early unsupervised drinking--reducing the risks. The School Health and Alcohol Harm Reduction Project.


:The School Health and Alcohol Harm Reduction Project (SHAHRP) aimed to reduce alcohol-related harm by enhancing students' abilities to identify and deal with high-risk drinking situations and issues. The SHAHRP study involved a quasi-experimental research design, incorporating intervention and control groups and measuring change over a 32-month period. The study occurred in metropolitan, government secondary schools (13 - 17-year-olds) in Perth, Western Australia. The 14 intervention and control schools involved in the SHAHRP study represent approximately 23% of government secondary schools in the Perth metropolitan area. The sample was selected using cluster sampling, with stratification by socio-economic area, and involved over 2,300 intervention and control students from junior secondary schools. The retention rate of the study was 75.9% over 32 months. The intervention incorporated evidence-based approaches to enhance potential for behaviour change in the target population. The intervention was a classroom-based programme, with an explicit harm minimization goal, and was conducted in two phases over a 2-year period. The results were analysed by baseline context of alcohol use to assess the impact of the programme on students with varying experience with alcohol. Knowledge and attitudes were modified simultaneously after the first phase of the intervention in all baseline context of use groups. The programme had little behavioural impact on baseline supervised drinkers; however, baseline non-drinkers and unsupervised drinkers were less likely to consume alcohol in a risky manner, compared to their corresponding control groups. In line with programme goals, early unsupervised drinkers from the intervention group were also significantly less likely to experience harm associated with their own use of alcohol compared to the corresponding control group. Unsupervised drinkers experienced 18.4% less alcohol-related harm after participating in both phases of the programme and this difference was maintained (19.4% difference) 17 months after the completion of the programme. This study indicates that a school drug education programme needs to be offered in several phases, that programme components may need to be included to cater for the differing baseline context of use groups, and that early unsupervised drinkers experience less alcohol-related harm after participating in a harm reduction programme.


Drug Alcohol Rev


Drug and alcohol review


McBride N,Farringdon F,Midford R,Meuleners L,Phillips M




Has Abstract


2003-09-01 00:00:00














  • Alcohol's role in sexual violence perpetration: theoretical explanations, existing evidence and future directions.

    abstract:ISSUES:There is controversy regarding the extent to which alcohol plays a causal role in sexual assault perpetration. APPROACH:This paper critically reviews the relevant alcohol administration and survey research literature. KEY FINDINGS:Alcohol administration researchers have randomly assigned male participants to d...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审


    authors: Abbey A

    更新日期:2011-09-01 00:00:00

  • Physical appearance concerns are uniquely associated with the severity of steroid dependence and depression in anabolic-androgenic steroid users.

    abstract:INTRODUCTION AND AIMS:Emerging research suggests that the sub-population of anabolic-androgenic steroid (AAS) users who experience physical appearance concerns may suffer greater psychological dysfunction than other sub-populations, including users with athletic or occupational concerns. Thus, among current AAS users, ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Griffiths S,Jacka B,Degenhardt L,Murray SB,Larance B

    更新日期:2018-07-01 00:00:00

  • Adolescent alcohol and cannabis use in Iceland 1995-2015.

    abstract:INTRODUCTION:Over the past two decades, alcohol consumption of Icelandic adolescents has decreased dramatically. The aim of this study was to quantify the extent of this reduction and compare it with the trend in cannabis use over a 20 year period and to identify possible explanations. METHODS:We used data from the Ic...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Arnarsson A,Kristofersson GK,Bjarnason T

    更新日期:2018-04-01 00:00:00

  • Self-limiting non-medical pharmaceutical opioid use among young people in Sydney, Australia: An exploratory study.

    abstract:INTRODUCTION AND AIMS:Indicators suggest an escalation in opioid use globally, with recent HIV outbreaks linked to non-medical pharmaceutical opioid (NMPO) use. Little is known about how young Australians engage in NMPO use. DESIGN AND METHODS:During 2015, we conducted qualitative interviews with young people (16-29 y...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Dertadian GC,Dixon TC,Iversen J,Maher L

    更新日期:2017-09-01 00:00:00

  • What is going on in underage drinking? Reflections on Finnish European school survey project on alcohol and other drugs data 1999-2015.

    abstract:INTRODUCTION AND AIMS:As alcohol use has decreased among Finnish adolescents, we aim to assess: (i) time trends in alcohol use, heavy episodic drinking (HED) and potential explanatory variables among adolescents; (ii) the relationship between trends of explanatory variables and trends in alcohol use and HED; and (iii) ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Raitasalo K,Simonen J,Tigerstedt C,Mäkelä P,Tapanainen H

    更新日期:2018-04-01 00:00:00

  • Contingency management treatment for methamphetamine use disorder in South Africa.

    abstract:INTRODUCTION AND AIMS:As South Africa, especially the Western Cape Province, faces an epidemic of methamphetamine use disorder, therapeutic approaches suited to the South African context are needed. This secondary analysis assessed retention and methamphetamine abstinence outcomes in response to an 8-week pilot conting...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Okafor CN,Stein DJ,Dannatt L,Ipser J,van Nunen LJ,Lake MT,Krishnamurti T,London ED,Shoptaw S

    更新日期:2020-03-01 00:00:00

  • Effects of a responsible retailing mystery shop intervention on age verification by servers and clerks in alcohol outlets: A cluster randomised cross-over trial.

    abstract:INTRODUCTION AND AIMS:Clerks and servers at alcohol establishments often fail to verify age. Using mystery shoppers to provide performance feedback is one approach to improving age verification. Few controlled studies have evaluated mystery shop interventions. This paper reports on a cluster randomised cross-over trial...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,随机对照试验


    authors: Grube JW,DeJong W,DeJong M,Lipperman-Kreda S,Krevor BS

    更新日期:2018-09-01 00:00:00

  • Causes of death of patients with methamphetamine dependence: a record-linkage study.

    abstract:INTRODUCTION AND AIMS:Methamphetamine use leads to increased likelihood of premature death. The authors investigated the causes of death and risk of mortality in a large cohort of patients with methamphetamine dependence. DESIGN AND METHODS:A cohort of 1254 subjects with methamphetamine dependence, admitted to a psych...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Kuo CJ,Liao YT,Chen WJ,Tsai SY,Lin SK,Chen CC

    更新日期:2011-11-01 00:00:00

  • An overview of take-home naloxone programs in Australia.

    abstract:INTRODUCTION AND AIMS:Take-home naloxone (THN) programs commenced in Australia in 2012 in the Australian Capital Territory and programs now operate in five Australian jurisdictions. The purpose of this paper is to record the progress of THN programs in Australia, to provide a resource for others wanting to start THN pr...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Dwyer R,Olsen A,Fowlie C,Gough C,van Beek I,Jauncey M,Lintzeris N,Oh G,Dicka J,Fry CL,Hayllar J,Lenton S

    更新日期:2018-05-01 00:00:00

  • Clinical and demographic characteristics of people who smoke versus inject crystalline methamphetamine in Australia: Findings from a pharmacotherapy trial.

    abstract:INTRODUCTION AND AIMS:There has been a rapid increase in smoking crystalline methamphetamine in Australia. We compare the clinical and demographic characteristics of those who smoke versus inject the drug in a cohort of people who use methamphetamine. DESIGN AND METHODS:Participants (N = 151) were dependent on methamp...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: McKETIN R,Quinn B,Higgs P,Berk M,Dean OM,Turner A,Kelly PJ,Lubman DI,Carter G,Baker AL,Manning V,Thomas T,Bathish R,Raftery D,Saunders L,Wrobel A,Meehan A,Sinclair B,Reid D,Arunogiri S,Hill H,Cordaro F,Dietze

    更新日期:2020-10-06 00:00:00

  • Facilitators and barriers to integrating physical health care during treatment for substance use: A socio-ecological analysis.

    abstract:INTRODUCTION AND AIMS:Clinical practice guidelines recommend physical health be addressed when treating substance use disorders. Yet, the integration of alcohol and other drug (AOD) treatment and physical health care is seldom actualised. This is particularly the case in the non-government sector. Using the socio-ecolo...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Osborne B,Kelly PJ,Robinson LD,Ivers R,Deane FP,Larance B

    更新日期:2020-10-23 00:00:00

  • Barriers and missed opportunities to HIV testing among injection drug users in two Mexico--US border cities.

    abstract:INTRODUCTION AND AIMS:Despite increasing HIV prevalence in cities along the Mexico--US border, HIV testing among high-risk populations remains low. We sought to identify barriers associated with HIV testing among injection drug users (IDUs) in Tijuana and Ciudad Juarez, the two largest Mexican border cities located acr...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Moyer LB,Brouwer KC,Brodine SK,Ramos R,Lozada R,Cruz MF,Magis-Rodriguez C,Strathdee SA

    更新日期:2008-01-01 00:00:00

  • Is there enough naloxone to deter the diversion? Effect of concurrent administration of intravenous naloxone on opioid agonist effects of intravenous buprenorphine: A randomised, double-blind, within-subject, crossover study among opioid-dependent subject

    abstract:INTRODUCTION AND AIMS:We aimed to evaluate and compare the effect of different intravenous doses of naloxone on reinforcing effect of intravenous buprenorphine (2 mg) in patients stabilised on sublingual buprenorphine. DESIGN AND METHODS:This is a double-blind, within-subject, randomised, crossover study. Opioid-depen...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Dhagudu NK,Ambekar A,Agrawal A,Rao R,Mishra AK,Jain R,Singh S

    更新日期:2020-07-01 00:00:00

  • Combining transdermal and breath alcohol assessments, real-time drink logs and retrospective self-reports to measure alcohol consumption and intoxication across a multi-day music festival.

    abstract:INTRODUCTION AND AIMS:Comprehensively investigating alcohol-related behaviours in the context of a dynamic multi-day alcohol-licensed event is important for understanding and minimising patron risk. We aimed to assess the measurement utility of implementing a multi-dimensional alcohol assessment battery using biometric...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Norman T,Peacock A,Ferguson SG,Kuntsche E,Bruno R

    更新日期:2020-11-10 00:00:00

  • Factors associated with antenatal smoking among Aboriginal and Torres Strait Islander women in two jurisdictions.

    abstract:INTRODUCTION AND AIMS:Smoking rates are three times as high for pregnant Indigenous women relative to non-Indigenous women, in Australia. This paper describes Indigenous women's self-reported antenatal smoking behaviour and compares knowledge and attitudes of those who: (i) smoke and don't smoke during pregnancy; and (...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Passey ME,D'Este CA,Stirling JM,Sanson-Fisher RW

    更新日期:2012-07-01 00:00:00

  • Do public expenditures on health and families relate to alcohol abstaining in adolescents? Multilevel study of adolescents in 24 countries.

    abstract:INTRODUCTION AND AIMS:Several European countries have observed an increase in the proportion of adolescents that abstain from drinking alcohol in the last decade. The reasons for this trend remain underexplored. We hypothesised that more generous government expenditures on health services and benefits to families with ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Vieno A,Altoè G,Kuntsche E,Elgar FJ

    更新日期:2018-04-01 00:00:00

  • The acute and repeated effects of cigarette smoking and smoking-related cues on impulsivity.

    abstract:INTRODUCTION AND AIMS:Impulsivity may be a risk factor that increases vulnerability to nicotine dependence. However, nicotine exposure itself may directly increase impulsivity. This is a secondary analysis of the first study in a controlled laboratory setting, which assessed the effects of nicotine administration (acut...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Martinez S,Jones JD,Vadhan NP,Brandt L,Comer SD,Bisaga A

    更新日期:2020-11-02 00:00:00

  • Alcohol consumption and driving intentions amongst hotel patrons.

    abstract::To examine the extent to which hotel patrons drink in excess of current health recommendations, and to identify risk factors for excessive drinking, hotel patrons were invited to participate in a survey of social drinking, which included a free breath test. Patrons were approached at 15 min. intervals, and 1000 subjec...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: McLean S,Wood LJ,Davidson J,Montgomery IM,Jones ME

    更新日期:1993-01-01 00:00:00

  • What factors contributed to the misconduct of health practitioners? An analysis of Australian cases involving the diversion and supply of pharmaceutical drugs for non-medical use between 2010 and 2016.

    abstract:INTRODUCTION AND AIMS:Increasing quantities of pharmaceutical drugs are used non-medically around the world, including in Australia, resulting in rising harms. This study examines the role of health practitioners (HP) in diversion and the circumstances surrounding their misconduct in Australia. DESIGN AND METHODS:Trib...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Hulme S,Hughes CE,Nielsen S

    更新日期:2019-05-01 00:00:00

  • The influence of alcohol consumption among partners in newly cohabiting relationships.

    abstract:INTRODUCTION AND AIMS:Research has linked exposure to the drinking of one's partner or spouse and changes in alcohol-related behaviours. However, there is a dearth of studies which consider only cohabiting relationships. More couples are preferring to cohabit prior to and in place of marriage. As a result, studies focu...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Leggat G,Livingston M,Kuntsche E,Kuntsche S,Callinan S

    更新日期:2020-01-01 00:00:00

  • 'The lesser of two evils': A qualitative study of staff and client experiences and beliefs about addressing tobacco in addiction treatment settings.

    abstract:INTRODUCTION AND AIMS:The aim of this study was to explore beliefs about tobacco dependence treatment from the perspective of staff and clients in addiction treatment settings. DESIGN AND METHODS:A qualitative study was conducted between August and November 2013 using grounded theory methodology. Participants were rec...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Wilson AJ,Bonevski B,Dunlop A,Shakeshaft A,Tzelepis F,Walsberger S,Farrell M,Kelly PJ,Guillaumier A

    更新日期:2016-01-01 00:00:00

  • The association of alcohol dependence with general practice attendance.

    abstract:INTRODUCTION AND AIMS:This study was designed to examine the relationship between alcohol dependence and general practitioner (GP) service attendance in Australia. DESIGN AND METHODS:Data were analysed from the 1997 Australian National Survey of Mental Health and Wellbeing. In this survey, a representative sample of t...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Proudfoot H,Teesson M

    更新日期:2009-03-01 00:00:00

  • The relationship between placebo alcohol and affect: motives for drinking.

    abstract:INTRODUCTION AND AIMS:Although alcohol is often used in an attempt to alleviate negative affect, alcohol oftentimes exacerbates depressive symptoms. Therefore the relationship between alcohol and affect, and the role of motives for drinking remain unclear. The present study hypothesised that placebo alcohol would blunt...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,随机对照试验


    authors: Bailey RC,Baillie AJ

    更新日期:2013-03-01 00:00:00

  • Alcohol screening and brief intervention in a policing context: A mixed methods feasibility study.

    abstract:INTRODUCTION AND AIMS:There is a strong association between alcohol and offending behaviour and 25% of police time involves alcohol-related incidents. This pilot study aimed to investigate the feasibility of delivering alcohol screening and brief intervention (ASBI) to individuals arrested for offences linked to drinki...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Brown N,Newbury-Birch D,McGovern R,Phinn E,Kaner E

    更新日期:2010-11-01 00:00:00

  • Correlates of caring for the drinkers and others among those harmed by another's drinking.

    abstract:INTRODUCTION AND AIMS:This study identifies the correlates of caring for harmful drinkers and others, and examines how caring for that person impacts on respondents' well-being and use of services. DESIGN AND METHODS:The study utilises the data from the 2008 Australian Alcohol Harm to Others Survey (n = 2649), in whic...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Jiang H,Callinan S,Laslett AM,Room R

    更新日期:2015-03-01 00:00:00

  • In-patient setting and long duration for the treatment of alcohol dependence? Out-patient care is as good.

    abstract::A combined narrative/meta-analytic review of the results of a number of well-conducted randomized controlled clinical trials indicates that there is no evidence that usual treatment delivered in an in-patient or residential setting is superior to treatment delivered on an out-patient or non-residential basis for the t...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Mattick RP,Jarvis T

    更新日期:1994-01-01 00:00:00

  • Patient-centred tobacco management.

    abstract::Patient-centred tobacco management approaches tobacco smoking as a chronic disease and can be offered to all smokers irrespective of their attitude to quitting. Maintaining a long-term relationship with smokers enables the adoption of flexible solutions and shared goals. It is argued that patient-centred tobacco manag...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Gould GS

    更新日期:2014-01-01 00:00:00

  • Health and safety risks associated with public injecting among people who inject drugs in Bangkok, Thailand.

    abstract:INTRODUCTION AND AIMS:The injection of illicit drugs in public spaces is known to pose significant health risks to people who inject drugs (IDU). However, to our knowledge this practice has not been explored in the Asian context. Therefore, we sought to characterise the prevalence of and factors associated with public ...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Leung LT,Ti L,Hayashi K,Suwannawong P,Kaplan K,Wood E,Kerr T

    更新日期:2013-11-01 00:00:00

  • Reflections on the development and implementation of an early warning system for ecstasy and related drug markets in Australia.

    abstract::Regular and systematic monitoring of drug markets provides the basis for evidence-based policy. In Australia, trends in ecstasy and related drug (ERD) markets have been monitored in selected jurisdictions since 2000 and nationally since 2003, by the Party Drugs Initiative (PDI). The PDI maximises the validity of concl...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章,评审


    authors: Kinner SA,Degenhardt L

    更新日期:2006-09-01 00:00:00

  • Etizolam: A rapid review on pharmacology, non-medical use and harms.

    abstract:ISSUES:Etizolam is a thienodiazepine derivative, with high affinity for the benzodiazepine site of GABAA receptors. It is often referred to as a new (or novel) psychoactive substance, a 'designer' benzodiazepine or a 'street benzodiazepine'. Increasing reports of non-medical use, identification of etizolam as an ingred...

    journal_title:Drug and alcohol review

    pub_type: 杂志文章


    authors: Nielsen S,McAuley A

    更新日期:2020-05-01 00:00:00