Public health interventions in the addictions field have in the past focused upon individual behavioural change at the cost of social interventions and environmental change. We wish to focus greater attention on reducing risks related to public injecting and encourage greater debate on 'safer environment interventions' in harm reduction.
There are high levels of public support for health information and warning labels on alcohol beverages. This study contributes much needed empirical guidance for developing alcohol beverage labelling strategies in an Australian context.
Objectives: To examine self‐reported patterns of alcohol consumption and experience of alcohol‐related harms among professional Australian Football League (AFL) players.
Design, setting and participants: Cross‐sectional survey of player alcohol consumption and self‐reported alcohol‐related harms among members of all 16 professional AFL clubs. Data relating to the 2006 football year were collected between 25 July and 30 August 2006 at regular football training sessions using a self‐administered structured questionnaire.
Main outcome measures: Risky/high‐risk drinking for long‐ and short‐term harm at different times of the year; Alcohol Use Disorders Identification Test (AUDIT) score.
Results: 582 AFL players completed the questionnaire (an 83% response rate). Alcohol consumption varied at different times of the year. During the playing season (approximately 22 weeks), the level of risky/high‐risk consumption for long‐term harm in AFL players (11/564 [2%]) was typically lower than in age‐matched Australian men in the general population (15%). However, risky/high‐risk consumption for long‐term harm was higher in AFL players during the end‐of‐season period (approximately 2 weeks) (303/561 [54%]) and vacation period (6–8 weeks) (231/559 [41%]) than in age‐matched Australian men. Risky/high‐risk drinking for short‐term harm on a monthly basis was frequent at all times of the year (eg, 395/560 [71%] in the pre‐season period). The mean AUDIT score was 8.8 (95% CI, 8.4 to 9.1; range, 0 to 36). Reports of harmful effects of drinking and negative consequences, such as getting involved in a fight (physical or verbal) while drinking (146/556 [26%]), were common. Risky/high‐risk consumption for short‐term harm on a monthly basis was associated with a variety of player characteristics, such as usually drinking in public locations (odds ratio, 1.55 [95% CI, 1.02 to 2.35]). AUDIT score was associated with variables such as marital status, with married players scoring more than two points lower (95% CI, – 3.58 to – 0.58) than single players. Formal club rules on alcohol consumption had little effect on outcome measures.
Conclusions: Drinking among AFL players is intricately related to time of year. This seasonal drinking pattern requires the development of specific club and league strategies to minimise drinking‐related harms to players.
In this Harm Reduction Digest Paul Dietze and John Fitzgerald provide another possible way of understanding what has come to be referred to as Australia's heroin 'drought'. They examine evidence from Melbourne, Victoria and suggest that the apparent downturn in heroin availability in 2000 may, in part, be the result of an end of a heroin 'glut' and that perceptions of this phenomenon may be coloured by the development of more sophisticated indicators of the heroin market. They conclude with claims that the reasons for the reduction in drug consumption and adverse health outcomes, such as those attributed to interdiction, are thus premature
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.