170 likes | 308 Views
Use of alcohol and illicit drugs amongst young people-using the data to inform action. Kirsty Licence Consultant in Public Health Medicine. Messages from SALSUS 2006. Some positive trends in alcohol and drug use Bear in mind slightly younger respondents Set in context of longer term trends
E N D
Use of alcohol and illicit drugs amongst young people-using the data to inform action Kirsty Licence Consultant in Public Health Medicine
Messages from SALSUS 2006 • Some positive trends in alcohol and drug use • Bear in mind slightly younger respondents • Set in context of longer term trends • Self-report
Significant falls in number of 13 year olds and 15 year olds who had ever had a drink, or had a drink in past week
Drinking a lot and alcohol-related harms in Tayside • 30% of 13 yr olds and 48% of 15 yr olds said they had consumed 5 or more drinks on a single occasion in the past month • In the past year, 31% had an argument or fight, 28% vomited, 16% had been in trouble with the police as a result of drinking too much • Across Scotland, 40% of 13 yr olds and 58% of 15 yr olds reported at least one adverse effect of drinking too much
Long term harms-Institute of Child Health study • Binge drinkers and habitual drinkers at age 16 • Followed up at age 30 • Binge drinking associated with increased risk of heavy and dependent drinking at age 30 • Increased risk of illicit drug use and mental health problems • Poor educational outcomes, crime, homelessness
Associations with substance misuse • Deprivation • Family structure • Parental supervision • Time spent with peers vs family • Time spent in ‘constructive’ leisure activities • Attitudes to school, and behaviour in school • Behaviour traits
Questions from SALSUS • What are we doing that is working? • Where are we not doing so well? • Are we doing enough to investigate and address psychosocial associations in relation to substance misuse? • Are we addressing substance use in ways that take account of the close linkages between patterns of use?
Scottish Government Effective Interventions Unit, 2004 • “It’s no good us banging away about drugs and alcohol if their Dad is kicking the hell out of them, for instance. We need to try and address that first then look at the drug and alcohol stuff…….You can’t just jump in and do drug or alcohol education and pull out and leave them to it, cos nothing has changed for them” • “You have to be prepared to get into areas of a young person’s life, and be helpful in them, that really are nothing to do with substance misuse. They’re lifestyle problems, but it’s all part and parcel of the problem”