AMADOR CALAFAT; MONTSE JUAN; MARIA ANGELS DUCHEnviar correspondencia a: Amador Calafat. Irefrea. Rambla, 15, 2º, 3ª 07003 Palma de Mallorca. irefrea@irefrea.org
Irefrea (European Institute of Studies on Prevention)Participating in nightlife it is a meaningful cultural activity for young people. Councils welcome a flourishing late-night entertainment industry. But there also problems related to the people involved (alcohol and drug abuse, violence, risky sex…) and to the recreational activity itself (noise, street drinking, vandalism…). Prevention intervention possibilities are numerous, and most have been implemented, however assessment of their outcomes is less common. We have identified 11 types of prevention according to their main objective (venues centred, community, education, law enforcement, industry collaboration…) and we have reviewed the existing evidence in relation to each form of intervention. Popular types of interventions as providing information or pill testing are not evidence based. Other interventions as Responsible beverage services or designated driver programmes, backed by the industry, are not exactly the most effective, especially if they are not enforced. Others like community approaches can be effective but it can be a problem how to achieve their continuity. From the present review, what emerges as the best strategy is the combination of training, cooperation and enforcement. 'Classical' measures (taxation, reduced BAC limits, minimum legal purchasing age…) are also evidence-based and effective. Could be interesting to investigate interventions that address the cultural aspects of nightlife. But this sort of interventions do not depend on the will or the skills of professionals, and are more related to societal changes. The highly frequent use of popular but ineffective interventions contributes more to the problem than to its solution, and only facilitates giving preventive efforts a bad reputation.Key words: recreational drugs, prevention, nightlife, evaluation, review.
RESUMEN ABSTRACTParticipar en la vida recreativa nocturna es una actividad cultural importante para muchos jóvenes. También es una actividad que interesa a la industria recreativa y a las corporaciones locales por los beneficios económicos, Pero estos aspectos positivos no impide que existan problemas que afectan a los jóvenes (abuso de alcohol y drogas, violencia, sexualidad de riesgo…) o a la propia actividad recreativa (ruido, consumo callejero de alcohol, vandalismo… Existen numerosas posibilidades preventivas, pero que sin embargo cuentan con escasas evaluaciones. Hemos clasificado estas actividades preventivas en 11 categorías en función de su objetivo principal (centrados en los locales, educación, cumplir leyes, colaboración con la industria…) y se ha procedido a revisar la evidencia que avala cada tipo de intervención. Intervenciones que han sido muy populares como proporcionar información o el testado de pastillas no están avaladas por la investigación. Otras que están siendo actualmente muy impulsadas por ...