Aim: To examine prospectively over a period of 4 years the profile of cannabis dependence and the risk of specific dependence criteria in a community sample of adolescents. Methods: A representative community sample of 2446 young adults aged 14–24 years at baseline was followed up over a period of 4 years. Frequency of use measures and of criteria for DSM-IV dependence were assessed by standardized diagnostic interview measures (CIDI). To explore the nature of this association, frequency of use and concomitant use of other psychoactive substances was considered. Results: 30% of the sample were cannabis users. Among all users 35% met at least one dependence criterion. Most frequently reported dependence criteria among all users were withdrawal (17%), tolerance (15%), loss of control (14%) and continued use despite a health problem (13%). Even without concomitant use of other illicit drugs, 22% of low frequency users and 81% of high frequency users met at least one dependence criterion. Symptom patterns were similar in high and low frequency users. The occurrence of a dependence syndrome or of specific dependence criteria could not be attributed to the use of other illicit drugs or to comorbid nicotine and alcohol dependence. Conclusions: Regular cannabis use in adolescence is associated with the development of a dependence syndrome. This association cannot be explained by the concomitant use of other illicit substances or by comorbid nicotine and alcohol dependence.

<p>HIV poses considerable social and health challenges in South Africa, particularly among young people aged 15-24. Research indicates a strong link between risky sexual behaviour and alcohol and illicit drugs. In the Western Cape drug-related behaviours is a growing concern among young people because of relatively high prevalence rates of drug abuse, particularly methamphetamine. Previous South African studies have tended to focused on the link between substance use and risky sexual behaviour among commercial sex workers. The theoretical approach of this study is the information motivation behavioural skills model. Participants were selected using non-probability sampling of 279 first year students registered for Psychology I at the University of the Western Cape. This study employed a quantitative research approach using a survey design. Results: Forty-six percent of students do not believe that the use of illicit drugs has an impact on a person&rsquo / s sexual behavior. However, the findings also showed that only 45% of students believed that there was a difference between illicit drug users correctly using condoms when compared to non-users. Data was analysed using descriptive and inferential statistics. Conclusion: Prevention is our best and most effective means of decreasing risk-taking behaviours associated with HIV infection. Information is the first line of intervention that is necessary to reduce risk-taking behaviours / however prevention strategies and interventions of risk-taking behaviours should aim to increase motivation and help young people integrate information in a way that it is personally relatable. This is vital to address the inconsistencies between perceptions of risk and the realities of risk-taking behaviour.</p>

<p>HIV poses considerable social and health challenges in South Africa, particularly among young people aged 15-24. Research indicates a strong link between risky sexual behaviour and alcohol and illicit drugs. In the Western Cape drug-related behaviours is a growing concern among young people because of relatively high prevalence rates of drug abuse, particularly methamphetamine. Previous South African studies have tended to focused on the link between substance use and risky sexual behaviour among commercial sex workers. The theoretical approach of this study is the information motivation behavioural skills model. Participants were selected using non-probability sampling of 279 first year students registered for Psychology I at the University of the Western Cape. This study employed a quantitative research approach using a survey design. Results: Forty-six percent of students do not believe that the use of illicit drugs has an impact on a person&rsquo / s sexual behavior. However, the findings also showed that only 45% of students believed that there was a difference between illicit drug users correctly using condoms when compared to non-users. Data was analysed using descriptive and inferential statistics. Conclusion: Prevention is our best and most effective means of decreasing risk-taking behaviours associated with HIV infection. Information is the first line of intervention that is necessary to reduce risk-taking behaviours / however prevention strategies and interventions of risk-taking behaviours should aim to increase motivation and help young people integrate information in a way that it is personally relatable. This is vital to address the inconsistencies between perceptions of risk and the realities of risk-taking behaviour.</p>

Adolescence is a time of great changes, a time where experimentation and exploration is expected and when the values of authority figures are examined and challenged. Adolescents will experiment and push the boundaries of all aspects of their life in order to find their own place and identity in a world that has changed its expectations of them. Use of drugs is one of the ways that they do this. Australian adolescents grow up in a society where alcohol and tobacco is an acceptable part of daily life. Their use of drugs is at least on par with and in some cases exceeds that of the general population. The overall goals of this research were to gain more information on drug use of Australian adolescents, using existing data sets. This research examined, using a number of different age groups, the differences in adolescent drug use between urban and rural Australia for lifetime use, use in the last year and use in the last month using the 2002 edition of the Australian School Student Alcohol and Drug (ASSAD) survey series in conjunction with the 2001 National Drug Strategy Household Survey (NDSHS). It also used these data sets to investigate differences between indigenous adolescents and non-Indigenous adolescents and whether there were any differences in adolescent drug use across socio-economic status groups. Four hypotheses were developed. The first was that rural adolescents are more likely than urban adolescents to use licit drugs and the second was that urban adolescents are more likely than rural adolescents to use illicit drugs. Thirdly, that Indigenous adolescents are more likely than non-Indigenous adolescents to use both licit and illicit drugs and the fourth was that adolescents from low socio-economic status (SES) groups are more likely than adolescents from high SES groups to use licit and illicit substances. The data offered little support for any of the hypotheses. The hypothesis on rural adolescents being more likely to use licit drugs was supported by the ASSAD surveydata but not the NDSHS. All other hypotheses were not supported by either of the data sets. While there are aspects of the information from the two data sets that are contradictory making it difficult to prove or disprove the hypotheses formulated for this research, they highlighted a number of aspects of adolescent drug use. The first of these is that this research supports the premise that rural adolescent drug use rates are converging with urban drug use rates for younger adolescents. It also highlighted that there are a large number of rural school students who are using alcohol and cannabis. The ASSAD data also confirmed other Australian research showing that Indigenous adolescents are less likely than their non-Indigenous counterparts to use alcohol. Both data sets confirmed previous research by indicating that adolescents from the high SES groups are more likely than their counterparts in the lower SES groups to consume alcohol. Further investigation is needed to find out why the data sets did not substantiate each other and to gain further insight into the consumption of alcohol by Indigenous adolescents and adolescents from the higher socio-economic status groups. Increasing the samples of Indigenous people in both of the data sets and lobbying the Australian Bureau of Statistics to increase their sample for the Indigenous Social Survey to include 12-14 year olds should give more information on Indigenous adolescents that could be used in research and prevention activities.

With the epidemiological transition, causes of death shifted from communicable to non-communicable diseases (NCDs) and life expectancy increased, as these NCD deaths occurred later in life. However, in the United States, over the past years, life expectancy has been stagnating or decreasing despite decreasing NCD mortality rates. Analyses of the most important underlying causes of death with increasing premature mortality reveal that psychoactive substance use played a crucial role for these increases. Furthermore, it can be shown, that a high proportion of the increased premature mortality and decreased life expectancies happened in lower socio-economic strata. Substance use policies should thus focus on lowering the gap between substance-attributable mortality in higher versus lower socioeconomic strata.

Aim: To examine prospectively over a period of 4 years the profile of cannabis dependence and the risk of specific dependence criteria in a community sample of adolescents. Methods: A representative community sample of 2446 young adults aged 14–24 years at baseline was followed up over a period of 4 years. Frequency of use measures and of criteria for DSM-IV dependence were assessed by standardized diagnostic interview measures (CIDI). To explore the nature of this association, frequency of use and concomitant use of other psychoactive substances was considered. Results: 30% of the sample were cannabis users. Among all users 35% met at least one dependence criterion. Most frequently reported dependence criteria among all users were withdrawal (17%), tolerance (15%), loss of control (14%) and continued use despite a health problem (13%). Even without concomitant use of other illicit drugs, 22% of low frequency users and 81% of high frequency users met at least one dependence criterion. Symptom patterns were similar in high and low frequency users. The occurrence of a dependence syndrome or of specific dependence criteria could not be attributed to the use of other illicit drugs or to comorbid nicotine and alcohol dependence. Conclusions: Regular cannabis use in adolescence is associated with the development of a dependence syndrome. This association cannot be explained by the concomitant use of other illicit substances or by comorbid nicotine and alcohol dependence.

Il existe peu de recherches, surtout en francophonie, qui portent une attention au point de vue des parents qui consomment des drogues sur leurs expériences personnelles en lien avec la prise en charge de leurs enfants par les services de protection de la jeunesse. Cette étude cherche à contribuer à la connaissance en la matière, en donnant une voix aux mères qui consomment des drogues illicites, des voix essentielles pour le développement et la bonification des services de soutien qui leur sont destinés. Ancrée dans deux cadres théoriques, la théorie de la reconnaissance et la théorie de l’intersectionnalité, cette recherche se focalise sur l’expérience, les stratégies et les logiques d’action des mères qui consomment des drogues illicites ayant des enfants pris en charge par les services de protection de la jeunesse. S’inscrivant dans une méthodologie qualitative et phénémonologique, neuf entretiens ont été menés avec des mères en s’inspirant de l’outil du récit de vie de Bertaux (2006). L’analyse des récits permet de faire émerger trois types de logiques d’action mises en place par les mères dans leur recherche de reconnaissance avec les services de protection de la jeunesse au Québec : une logique d’action d’indignation, une logique d’action de collaboration et une logique d’action de distanciation. Les résultats mettent en lumière l’articulation entre les expériences et les rapports que vivent ces mères avec la protection de la jeunesse et les stratégies qu’elles adoptent pour préserver leur dignité. Elle souligne l’importance des expériences de reconnaissance et de mépris dans la construction de leurs logiques d’action. Les récits des mères rencontrées et les résultats de cette recherche témoignent de l’impact que le mépris peut avoir sur leurs vies et de la grande nécessité de penser et d’agir à travers le prisme de la reconnaissance. Sur la base de ces résultats, quatre recommandations d’approches d’intervention sont évoquées comme étant prometteuses pour le renforcement de la reconnaissance et du pouvoir d’agir des mères qui consomment des drogues illicites. / There is little research, especially in the French language, that pays attention to the point of view of parents who use drugs and their personal experiences in relation to Child Protection Services (CPS). This study seeks to contribute to knowledge in this area, by giving a voice to mothers who use illicit drugs. These voices are essential for the development and improvement of the support services intended for these mothers and their children. Anchored in two theoretical frameworks, the theory of recognition and the theory of intersectionality, this research focuses on the experience, strategies, and logics of action of mothers who use illicit drugs with children taken into care by CPS. As part of a qualitative and phenemonological methodology, nine interviews, based on the life story tool of Bertaux (2006), were conducted with mothers who use illicit drugs. The analysis of these accounts reveals three types of logics of action put in place by mothers in their search for recognition with the youth protection services: a logic of indignation, a logic of collaboration and a logic of distancing. The results highlight the articulation between the experiences and relationships these mothers have with CPS and the strategies they adopt to preserve their dignity. It underlines the importance of experiences of recognition and contempt in the construction of their logics of action. The stories of these mothers and the results of this research testify to the impact that contempt can have on their lives and the great need to think and act through the prism of recognition. Based on these findings, four recommendations for intervention are invoked as being promising for strengthening recognition and empowerment of mothers who use illicit drugs.