Prevention, early intervention, and harm reduction of substance use in adolescents
Prevention, early intervention, and harm reduction of substance use in adolescents
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DOI：
10.4103/0019-5545.204444
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发表时间：
2017-01-01
影响因子：
3.1
通讯作者：
Jiloha, R. C.
中科院分区：
文献类型：
--
作者：
Jiloha, R. C.
本文对预防、早期干预和减少危害的有效性进行了系统综述，包括对青少年烟草、酒精和非法药物滥用的治疗。税收、公共消费禁令、广告限制和消费的最低法律的年龄是减少烟草和酒精使用的有效措施。以学校为基础的预防和技能培训干预措施是减少青少年吸毒的有效工具。减少青少年药物使用的社会规范和干预措施没有有效的有力证据。路边测试和减少喷射相关危害是有效的。然而，需要进一步的研究来支持它，而且，现有的研究证据来自西方国家，在印度环境中的适用性值得怀疑。需要进行研究，以增加旨在减少印度青少年使用药物的沉重负担的干预措施的证据基础。
This paper presents a systematic review on the effectiveness of prevention, early intervention, and harm reduction including treatment of substance abuse among adolescents for tobacco, alcohol and illicit drugs. Taxation, public consumption bans, restriction on advertisements, and minimum legal age for consumption, are effective measures to reduce the use of tobacco and alcohol. School-based prevention and skill-training interventions are effective tools to reduce substance use among adolescents. Social norms and intervention to reduce substance use in adolescents do not have strong evidence of effectiveness. Road-side testing and reduction of injection related harm are effective. However, further research is needed to support it. Moreover, the available research evidence comes from the Western countries with questionable applicability in Indian setting. Research is needed to increase the evidence base on interventions that aim to reduce the high burden of substance use in adolescents in India.