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ENHANCING ALCOHOL PREVENTION STRATEGIES BY ADDRESSING DETERMINANATS. Pubudu Sumanasekara Executive Director Alcohol and Drug Information Centre(ADIC) Sri Lanka National Conference-Malawi 12.11.2008. What are determinants?. Determinant :
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ENHANCING ALCOHOL PREVENTION STRATEGIES BY ADDRESSING DETERMINANATS PubuduSumanasekara Executive Director Alcohol and Drug Information Centre(ADIC) Sri Lanka National Conference-Malawi 12.11.2008
What are determinants? • Determinant : A thing that decides whether or how something happens
What are determinants? Cont.. • Do we know that what decides whether a child is going to take or not to take alcohol • Do we know what decides whether a user is going to continue or not to continue drugs • Do we know what factors decides whether alcohol use is going to increase or decline in a community
Benefit of addressing determinants • Cost effectiveness • Time saving • Well focused to the target population • Enhance creativity • Result is long term and sustainable
Determinants promote alcohol drinking • Attractiveness of alcohol use • Unfair privileges attached to alcohol use • Image of alcohol user • Image of alcohol • …………………
The alcohol industry associate alcohol to all our happy moments and after some time we couldn’t erase this from our minds OR We conditioned all our fun moments with alcohol And it will become symbol of fun and enjoyment Symbols are very strong than we think
What people say about alcohol experience • High • Kick • Pleasurable • ……………….. • ………………..
How was the First Experience ? What they report ? • Headaches • Nausea • Drowsy • …………..
What is the chemical effect of alcohol • Stimulant? • Depressant? • Neutral?
Why people start alcohol use while knowing the harm and unpleasantness • Why people keep using alcohol while knowing the harm and unpleasantness
World Situation Local Situation Sexual Successfulness-
Local Situation World Situation Promotions on the web-
Local Situation World Situation Greetings-
World Situation Local Situation Desktop wallpapers-
Local Situation World Situation • Sports-
Local Situation World Situation • Musical events-
World Situation Local Situation • Films-
Local Situation World Situation Dramas-
If the first experience is unpleasantwhy they continue? • Other positive factors • Membership of the group • Symbolic meanings • Sanctions to break social rules • Excuse for social inaptitude, poor performance and bad behavior • Group work • expectations
Addiction is for chemical or something else? • Addicted to the particular group than alcohol • Addicted to group activity than alcohol
What make people to behave badly after drinking alcohol? • What make people to behave badly after drinking alcohol?
Determinants promote irresponsible behaviour • Excuse from the victim • Excuse from the society
Identifying factors promoting drug use • Myths • Glamour • Image of drug • Image of user • Image of non user • Sub culture
Alcohol and other Drug effects + = Total Experience Other Influences • Symbolic Meanings • Rituals • Sanction to break rules • Social Belief • Membership of a group • Expectations • Image from advertising • Social excuse Neutral or Unpleasant + Highly Rewarding Overall Positive Chemical effect of drugs is not the most important factor influence the behaviour of a user. Culture, society, and the environment are more important.
Is it possible to take this discussion with a user? • Yes , but we need to take the discussion with ourselves first? • What is my belief of alcohol? • Can I come up with an example ? • ......................... • ………………………
Is it possible to take this discussion with others • Occasional alcohol user • Heavy alcohol user • Person who never tasted alcohol • Person who tasted but not continued
Do people experience the Drug Effect Itself? • Intoxicants have symbolic and ritualistic significance and they are widely used to provide excuses for social inaptitude, poor performance and bad behaviour. • The subjective influence of alcohol and other drugs, and behaviour they allegedly induce, can be changed by undermining widely held beliefs about their effects.
Theory behind the Model • Theory of Classical conditioning • Theory of Social learning