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1 – 10 of over 1000Deivi Gaitan, Valerie Daw Tin Shwe, Predrag Bajcevic and Anita Gagnon
The purpose of this paper is to determine the prevalence of Alcohol Use Disorders (AUDs) among Myanmar male migrant workers (> 15 years) living in Mae Sot, Thailand, and their…
Abstract
Purpose
The purpose of this paper is to determine the prevalence of Alcohol Use Disorders (AUDs) among Myanmar male migrant workers (> 15 years) living in Mae Sot, Thailand, and their patterns of drinking.
Design/methodology/approach
A cross-sectional survey was administered to 512 participants to measure AUDs and drinking patterns. ANOVA and χ2 analyses were performed to assess demographic differences between abstainers, harmful and hazardous drinkers (HHDs) (those showing signs of AUDs) and non-harmful drinkers.
Findings
Results showed that 12.3 percent of male Myanmar migrants were HHDs, a rate only slightly higher than in Thai men (9.1 percent), but much higher than in men still living in Myanmar (2.7 percent) (WHO, 2014). Also, 19 percent of alcohol-consuming Myanmar male migrant workers reported patterns of heavy episodic drinking, which is markedly higher than in alcohol-consuming Thai (4.7 percent) and Myanmar men (1.5 percent) (WHO, 2014).
Originality/value
Given the health risks associated with AUDs and heavy episodic drinking, the findings of this study suggest a need for appropriate alcohol-related health education and intervention for Myanmar male migrant workers.
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The purpose of this paper is to examine correlates and predictors of hazardous drinking behaviour, that may be considered evidence of generalised strain, in a sample of…
Abstract
Purpose
The purpose of this paper is to examine correlates and predictors of hazardous drinking behaviour, that may be considered evidence of generalised strain, in a sample of incarcerated non-Aboriginal males in New South Wales, Australia.
Design/methodology/approach
Data were collected from 283 non-Aboriginal male inmates as part of a larger epidemiological survey of inmates in NSW undertaken in 2015 by the Justice Health and Forensic Mental Health Network. Data relating to a range of social factors were selected with reference to relevant literature and assessed with regards their predictive value for scores from the Alcohol Use Disorders Identification Test (AUDIT). To facilitate regression analysis, variables were logically organised into historical factors or adult factors.
Findings
Almost all participants reported some history of alcohol consumption. Hazardous drinking was common among participants. While parental alcohol problems and adult drug use were the only correlates of AUDIT scores, parental misuse of alcohol was shown to be an important predictor of AUDIT scores in regression analysis. The role of parent gender was inconclusive. Previous incarceration as an adult, employment status, and drug use as an adult also predicted AUDIT scores.
Originality/value
Alcohol abuse is common among inmates and the use of alcohol is implicated in the commission of many offences. A better understanding of its genesis may inspire novel approaches to treatment, leading to improved health outcomes for inmates.
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Lesley Graham, Stephen Heller‐Murphy, Lucy Aitken and Andrew McAuley
Alcohol misuse is internationally recognised as a major public health problem. The link between alcohol and crime is strong and offenders have a higher prevalence of alcohol…
Abstract
Purpose
Alcohol misuse is internationally recognised as a major public health problem. The link between alcohol and crime is strong and offenders have a higher prevalence of alcohol problems when compared with the general population. Alcohol‐related crime is estimated to cost the Scottish economy over £700 m per annum. The purpose of this paper is to measure the nature and prevalence of Alcohol Use Disorders (AUDs) in adult male prisoners on remand in a prison in Scotland.
Design/methodology/approach
Using the Alcohol Use Disorders Identification Test (AUDIT) screening tool, all new remand prisoners were screened over a two week period.
Findings
Prevalence of alcohol problems within the sample was high: 73 per cent of the sample was identified with an AUD, with 43 per cent with scores indicating possible alcohol dependence.
Originality/value
This is the first study to focus solely on a remand prisoner population and the results show high levels of need. The criminal justice setting is ideally placed to identify and treat alcohol problems in this hard to reach population.
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Mark Rallings, Peter Martin and Jeremy Davey
To prospectively investigate the alcohol consumption and health‐related behaviours of Australian police officers.
Abstract
Purpose
To prospectively investigate the alcohol consumption and health‐related behaviours of Australian police officers.
Design/methodology/approach
Demographic, work environment, general health and wellbeing, and alcohol consumption measures were obtained from 100 Australian police officers at two time points; the first as they underwent initial training before the commencement of operational policing duties (time 1), and the second after they had completed 12 months of operational duties (time 2).
Findings
Results indicated a significant increase in the quantity and frequency of alcohol consumption over time. The number of female officers, but not male officers, who reported drinking at harmful levels increased between time periods. Overall, there were no changes in the number of officers who reported risk of harmful drinking or alcohol dependency. Alcohol consumption measure scores were not associated with age, marital status, education level, general health and wellbeing, or work‐environment variables. Smoking was associated with harmful drinking behaviour at time 1, but not at time 2. The number of officers who reported smoking increased significantly over time.
Originality/value
This paper builds on findings of previous studies by examining the within‐groups reported drinking behaviours of a sample of Australian police officers for changes over time associated with exposure to police work and the police environment.
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Dorothy Newbury‐Birch, Barbara Harrison, Nicola Brown and Eileen Kaner
The annual cost of alcohol‐related harm in the UK is estimated to be between £17.7 and £25.1 billion with healthcare costs alone reaching £2.7 billion and the costs of…
Abstract
The annual cost of alcohol‐related harm in the UK is estimated to be between £17.7 and £25.1 billion with healthcare costs alone reaching £2.7 billion and the costs of alcohol‐fuelled crime and disorder accounting for £7.3 billion each year. The aim of the study was to examine the prevalence of alcohol use disorders (AUD) in prison and probation settings in the North East of England, and to compare the ability of the Alcohol Use Disorders Identification Test (AUDIT) and Offender Assessment System (OASys) at identifying alcohol‐related need in probation clients. A quantitative prevalence study was carried out using anonymous questionnaires with participants from four prisons and three probation offices in the North East who voluntarily completed the AUDIT questionnaire during a 1‐month period in 2006. Response outcomes on AUDIT were compared with OASys scores which identify alcohol‐related need in probation. At the time of the study OASys scores were not available for offenders in prison. Seven hundred and fifteen questionnaires were completed. Sixty‐three per cent of men and 57% of women were identified as having an AUD with over a third of all individuals scoring within the possibly dependant range (20+ on AUDIT). Around 40% of probation cases who were classified as either hazardous, harmful or possibly dependant drinkers on AUDIT were not identified by OASys. The results indicate that the prevalence of AUD in offenders is much higher than in the general population. In addition, current methods of identifying offenders with alcohol‐related need in probation are flawed and as many such people go undetected. Alcohol assessment procedures need to be improved in criminal justice setting order to correctly identify people with AUD.
This paper seeks to explore some of the issues around older people and alcohol.
Abstract
Purpose
This paper seeks to explore some of the issues around older people and alcohol.
Design/methodology/approach
The paper highlights good practice through case studies and identifies some practical ways to prevent and reduce the risk of alcohol abuse by older people.
Findings
More brief intervention for older drinkers, more specialist projects for older drinkers, and training and support for staff in all services dealing with older people who misuse alcohol is urgently needed. Additionally, specialist training for dementia services to enable them to work effectively with alcohol‐related brain injury and drinkers in drug and alcohol services who are ageing are also needed. Finally, we need more research on substance misuse in older people, primarily in order to generate practical responses.
Originality/value
The epidemic of excessive drinking described by the media fails to include people over 65, even though there is plenty of evidence to show that they are experiencing many of the same social and economic pressures as young people.
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The development of policy and delivery of interventions in the connected fields of alcohol and criminal justice is a complex area with implications for the single and joined‐up…
Abstract
The development of policy and delivery of interventions in the connected fields of alcohol and criminal justice is a complex area with implications for the single and joined‐up work of a range of agencies working across health, criminal justice and local government. This paper provides an overview of some of the connected health and criminal justice policy challenges relating to the commissioning and delivery of alcohol services for offenders.
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Lolita Alfred, Mark Limmer and Susan Cartwright
Alcohol workplace policies (AWPs) can help organizations to manage and support employees with alcohol-related problems. Over the last two decades, there has been a slow but steady…
Abstract
Purpose
Alcohol workplace policies (AWPs) can help organizations to manage and support employees with alcohol-related problems. Over the last two decades, there has been a slow but steady rise of research on AWPs with some indication that these can contribute to reducing employee excessive consumption. However, there does not appear to be any empirical literature reviews to consolidate and evaluate what this body of evidence says regarding the impact of these policies. The following review seeks to address this gap.
Design/methodology/approach
Five electronic databases were searched for papers published between January 1996 and January 2020. To capture additional relevant papers (including those from non-peer reviewed sources), the search was extended to Google Scholar, professional and human resource management websites, trade publications and the website of one United Kingdom (UK)-based alcohol charity. Inclusion and exclusion criteria were used to systematically screen the paper titles, abstracts and full-text records. 14 papers were deemed eligible and therefore included in the integrative review. After extracting data, all 14 papers were appraised for quality and then analysed using the narrative synthesis guide by Popay et al. (2006).
Findings
Five themes were identified, namely, Associations between Policy and Consumption Levels/Patterns, Deterrence, Policy and Programme Type, Knowledge and Understanding and Enforcement and Discipline. These themes encapsulated what the included papers concluded about the impact and associated benefits or challenges of AWPs.
Research limitations/implications
This review identifies that despite the benefits of AWPs, up to 40% of workplaces do not have these policies in place. Future research needs to explicitly explore the reasons for this.
Practical implications
This review highlights that AWPs can benefit employees and workplaces. Therefore, organizations are encouraged to develop and implement AWPs to support health improvement and prevention of alcohol problems in the workplace.
Originality/value
This review provides a current synthesis of literature published over the last two decades regarding the impact of AWPs on employees and workplaces.
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Prisoners experience high rates of chronic physical health problems, poor mental health and high rates of substance misuse. However, little is known about what happens to…
Abstract
Prisoners experience high rates of chronic physical health problems, poor mental health and high rates of substance misuse. However, little is known about what happens to prisoners after release from custody, except that many re‐offend and a disproportionate number die from drug overdose, suicide, accidents and other causes. Using a prospective design, 160 prisoners in Queensland, Australia were interviewed prior to release then 1 and 4 months post‐release. Most prisoners had a history of substance misuse and many reported poor mental health pre‐release. The prevalence of these problems was also high post‐release and there was a high degree of continuity of impairment. These findings add support to calls for (a) population‐level pre‐release planning and post‐release support for prisoners returning to the community, and (b) screening and targeted intervention for those most at risk of poor post‐release outcomes.
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Sarah McDonald and Mike Homfray
The purpose of this paper is to explore the views of drug and alcohol workers on existing alcohol-related public health policies in the UK. Alcohol consumption is closely linked…
Abstract
Purpose
The purpose of this paper is to explore the views of drug and alcohol workers on existing alcohol-related public health policies in the UK. Alcohol consumption is closely linked to negative health outcomes, social problems and increasing cost burdens for the UK public, yet alcohol consumption is legal and drinking alcohol is a normalised feature of society.
Design/methodology/approach
Nine drug and alcohol workers completed semi-structured interviews, exploring awareness of alcohol-related public health strategies, views on how both their clients and the public orient towards drinking behaviour, and perceptions of links between alcohol treatment and public health services.
Findings
Ambivalence towards alcohol-related public health strategies, and a lack of mutual awareness and coordination between public health and treatment services were expressed by participants. Participants felt that public health strategies around alcohol were out of reach to their client group, and failing to have a behavioural change effect on the wider public. Participants proposed several ways of improving public health strategies.
Research limitations/implications
Drug and alcohol workers are potentially valuable contributors in developing public health policy. Their views, based both on interactions with service users and on occupationally influenced observations of society, could be utilised more effectively than is currently the case.
Originality/value
This study uniquely ties together public health and treatment aspects of alcohol services and employs a methodology that opens the way for further research and clinical development.
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