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5 years ago

NAT 6/08 - THL

NAT 6/08 - THL

itiba (Souza-Formigoni

itiba (Souza-Formigoni et al. 553–564), Juiz de Fora (Ronzani et al. 529–538) and Ribeiro Preto (Furtado et al.) suggest that large scale training programs, when combined with clinical guidelines, health policy changes, and feedback from evaluation research, can change the attitudes, knowledge and confidence of health workers, and such programs are capable of reaching large numbers of at-risk drinkers. Beyond platitudes and wishful thinking If alcohol-related problems were easy to prevent and cure, the medical profession would long ago have adopted early intervention as a routine part of primary health care. Not only are the effects of brief interventions relatively small, they are also difficult to produce without a major investment in training, planning and coordination. Although the story thus far lacks a happy ending in even one of the countries were a national or regional demonstration program has been attempted, it should not discourage us from appreciating how much progress has been made to this point. Twenty-five years ago there were no screening tests for early detection, virtually no intervention research on at-risk drinkers, and little interest in the use of the medical care system to detect and prevent alcohol-related problems. At a time when science policy in countries like the United States is now calling for a new gen- 580 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 2 5. 2 0 0 8 . 6 eration of practice-oriented “translational” research to accelerate the transfer of scientific findings to patient care, the alcohol field can point to a clear example of how new technologies and concepts, supported by clinical research, have begun to put alcohol-related health risks on the agenda of mainstream health practitioners for the first time. What is also remarkable is how this movement evolved so rapidly in a variety of different countries with different levels of economic development and different health care systems. Perhaps one day a historian of medical science will investigate the growth of early intervention research in health care settings that were initially reluctant to include at-risk drinking as a legitimate health issue. That history is likely to show a remarkable trajectory of international collaboration among a disparate group of clinicians, organizations, scientists and program administrators, all of whom shared a common public health perspective on how to bring preventive health services to populations at high risk of developing alcohol-related problems. It may also show that the pessimism of the Nordic countries and the enthusiasm of the Latin American nations were both well justified. Thomas F. Babor Ph.d., M.P.h. dep. of community Medicine and health care university of connecticut health center, Farmington, connecticut, usa e-mail: babor@nso.uchc.edu REFERENCE WHO Brief Intervention Study Group (1996): A cross-national trial of brief interventions with heavy drinkers. American Journal of Public Health 86 (7): 948–955.

Nummer 1 Nordisk alkohol- & narkotikatidskrift Nordic Studies on Alcohol and Drugs Vol. 25 NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 NAT Contents 2008 LEDARE __________________________________________________________________________ 3 ARTIKEL Christoffer Tigerstedt & Jaana Markkula & Thomas Karlsson & Jukka Jokela & Minna Pietikäinen Finlands svenskspråkiga ungdomars dryckesvanor i Österbotten och huvudstadsregionen. En jämförelse med finskspråkiga ungdomar _______ 5 ÖVERSIKT Salme Ahlström & Leena Metso & Petri Huhtanen & Minna Ollikainen Unga väljer bort tobak, sprit och droger – men vilka unga? Resultaten av ESPAD-undersökningen i Finland 2007 ___________________________________________________________________22 DEBATT Marjatta Montonen Alkoholindustrins politiska inflytande växer _____________________36 Johan Sandelin Vem dricker egentligen mera efter alkoholskattesänkningen år 2004? ___45 Christopher Jarnvall SoRAD har fått gott om utrymme i Alcohol Update Forum ________52 Mats Ramstedt & Johan Svensson Slutreplik ________________________________________53 RECENSION Åsa Lindberg Mig äger ingen (av Ingalill Österberg) __________________________________54 MEDDELANDE Petri Huhtanen Är fängelsernas uppgift på 2000-talet att vårda och straffa? ____________56 LANDSRAPPORTER Dorte Hecksher & Torsten Kolind Rapport fra Danmark _______________________________58 Rafn Jónsson Rapport fra Island ___________________________________________________63 Elin Bye Rapport fra Norge ________________________________________________________65 Martin Stafström Rapport från Sverige _____________________________________________68 Johan Sandelin Rapport från Finland ______________________________________________70 581