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Regulatory Policies for Alcohol, other Psychoactive Substances and Addictive Behaviours: The Role of Level of Use and Potency. A Systematic Review

Author

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  • Jürgen Rehm

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON M5S 2S1, Canada
    Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON M5S 2S1, Canada
    Dalla Lana School of Public Health, University of Toronto, 155 College Street, 6th floor, Toronto, ON M5T 3M7, Canada
    Faculty of Medicine, Institute of Medical Science, University of Toronto, Medical Sciences Building, 1 King’s College Circle, Room 2374, Toronto, ON M5S 1A8, Canada)

  • Jean-François Crépault

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON M5S 2S1, Canada
    Dalla Lana School of Public Health, University of Toronto, 155 College Street, 6th floor, Toronto, ON M5T 3M7, Canada)

  • Omer S.M. Hasan

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON M5S 2S1, Canada
    Dalla Lana School of Public Health, University of Toronto, 155 College Street, 6th floor, Toronto, ON M5T 3M7, Canada)

  • Dirk W. Lachenmeier

    (Chemisches und Veterinäruntersuchungsamt (CVUA) Karlsruhe, Weissenburger Strasse 3, 76187 Karlsruhe, Germany)

  • Robin Room

    (Centre for Alcohol Policy Research, La Trobe University, Bundoora, Victoria 3086, Australia
    Centre for Social Research on Alcohol and Drugs, Department of Public Health Sciences, Stockholm University, 106 91 Stockholm, Sweden)

  • Bundit Sornpaisarn

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, ON M5S 2S1, Canada)

Abstract

The object of this contribution based on a systematic review of the literature is to examine to what degree the level of use and potency play a role in regulatory policies for alcohol, other psychoactive substances and gambling, and whether there is an evidence base for this role. Level of use is usually defined around a behavioural pattern of the user (for example, cigarettes smoked per day, or average ethanol use in grams per day), while potency is defined as a property or characteristic of the substance. For all substances examined (alcohol, tobacco, opioids, cannabis) and gambling, both dimensions were taken into consideration in the formulation of most regulatory policies. However, the associations between both dimensions and regulatory policies were not systematic, and not always based on evidence. Future improvements are suggested.

Suggested Citation

  • Jürgen Rehm & Jean-François Crépault & Omer S.M. Hasan & Dirk W. Lachenmeier & Robin Room & Bundit Sornpaisarn, 2019. "Regulatory Policies for Alcohol, other Psychoactive Substances and Addictive Behaviours: The Role of Level of Use and Potency. A Systematic Review," IJERPH, MDPI, vol. 16(19), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3749-:d:273583
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    References listed on IDEAS

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    1. Nandi Siegfried & Charles Parry, 2019. "Do alcohol control policies work? An umbrella review and quality assessment of systematic reviews of alcohol control interventions (2006 – 2017)," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-23, April.
    2. Shiyi Cao & Chen Yang & Yong Gan & Zuxun Lu, 2015. "The Health Effects of Passive Smoking: An Overview of Systematic Reviews Based on Observational Epidemiological Evidence," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-12, October.
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    Cited by:

    1. María Fernanda Páramo & Fernando Cadaveira & Carolina Tinajero & María Soledad Rodríguez, 2020. "Binge Drinking, Cannabis Co-Consumption and Academic Achievement in First Year University Students in Spain: Academic Adjustment as a Mediator," IJERPH, MDPI, vol. 17(2), pages 1-14, January.
    2. Nino Berdzuli & Carina Ferreira-Borges & Antoni Gual & Jürgen Rehm, 2020. "Alcohol Control Policy in Europe: Overview and Exemplary Countries," IJERPH, MDPI, vol. 17(21), pages 1-14, November.

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