Intervenciones preventivas en contextos recreativos nocturnos: revisión

Autores/as

  • Amador Calafat Irefrea (European Institute of Studies on Prevention). Enviar correspondencia a: Amador Calafat. Irefrea. Rambla, 15, 2º, 3ª 07003 Palma de Mallorca.
  • Montse Juan Irefrea (European Institute of Studies on Prevention).
  • Maria Angels Duch Irefrea (European Institute of Studies on Prevention).

DOI:

https://doi.org/10.20882/adicciones.226

Palabras clave:

drogas recreativas, prevención, diversión nocturna, evaluación, revisión

Resumen

Participar en la vida recreativa nocturna es una actividad cultural importante para muchos jóvenes. También es una actividad que interesa a la industria recreativa y a las corporaciones locales por los beneficios económicos, Pero estos aspectos positivos no impide que existan problemas que afectan a los jóvenes (abuso de alcohol y drogas, violencia, sexualidad de riesgo…) o a la propia actividad recreativa (ruido, consumo callejero de alcohol, vandalismo… Existen numerosas posibilidades preventivas, pero que sin embargo cuentan con escasas evaluaciones. Hemos clasificado estas actividades preventivas en 11 categorías en función de su objetivo principal (centrados en los locales, educación, cumplir leyes, colaboración con la industria…) y se ha procedido a revisar la evidencia que avala cada tipo de intervención. Intervenciones que han sido muy populares como proporcionar información o el testado de pastillas no están avaladas por la investigación. Otras que están siendo actualmente muy impulsadas por la industria como la dispensación responsable de bebidas o el conductor designado, tampoco tienen demostrada su eficacia, especialmente si no existe un sistema obligado de cumplimiento. Los programas comunitarios pueden ser efectivos, pero tiene problemas para conseguir su continuidad a medio plazo. Lo que se desprende de esta revisión es que la mejor combinación es la que incluye formación, cooperación y aplicación de la ley. Las medidas ‘clásicas’ (impuestos, control alcoholemia, prohibición consumo menores…) son eficaces y están basadas en evidencia. Es importante explorar intervenciones que influyan sobre la base cultural que sostiene la vida de noche. Pero este tipo de intervenciones no dependen de la voluntad o del buen hacer de los profesionales sino de cambios en la sociedad. El uso frecuente de programas populares ineficaces contribuyen más a aumentar el problema que a su solución y además tienen el efecto de dar una mala reputación a la prevención.

Biografía del autor/a

Amador Calafat, Irefrea (European Institute of Studies on Prevention). Enviar correspondencia a: Amador Calafat. Irefrea. Rambla, 15, 2º, 3ª 07003 Palma de Mallorca.

Citas

Allen, C. y Goody, H. (LGA) (2002). All day and all of the night: an

LGA discussion paper. London: LGA Publications, the Local Government Association.

Allen, J., Nicholas, S. Salisbury, H. y Wood, M. (2003). Nature of burglary, vehicle and violent crime. In Crime in England and Wales 2001/2002: Supplementary Volume, Edition (C. Flood-Page and J. Taylor ed.). Home Office Statistical Bulletin 01/03. London: Home Office.

Aresi, G., Fornari, L., Repetto, C. y Scolari, M. (2009). Evaluation of a

designated driver intervention to prevent alcohol-related road accidents in the clubs of Milan, Italy. Adicciones, 21, 279-288

Berkley, B. J. y Thayer, J. R. (2000). Policing entertainment districts.

Policing: An International Journal of Police Strategies & Management, 23, 466-491.

Bellis, M., Hale, G., Bennett, A., Chaudry, M. y Kilfoyle, M. (2000). Ibiza

uncovered: changes in substance use and sexual behaviour amongst young people visiting an international night-life resort. International Journal on Drug Policy, 11, 235–244.

Bellis, M., Hughes, K., Calafat, A., Juan, M., Ramon, A., Rodriguez, J.A. et

al. (2008). Sexual uses of alcohol and drugs and the associated health risks: a cross sectional study of young people in nine European cities. BMC Public Health, 8:155 doi:10.1186/1471-2458-8-155.

Benger, J. y Carter, R. (2008). Could inter-agency working reduce emergency department attendances due to alcohol consumption? Emergency Medicine Journal, 25, 331–334.

Brady, J.E., Baker, S.P., Dimaggio, C., McCarthy, M.L., Rebok, G.W. y Li,

G. (2009). Effectiveness of mandatory alcohol testing programs in reducing alcohol involvement in fatal motor carrier crashes. American Journal of Epidemiology, 170, 775-82

Briscoe S., Donnelly N. (2001). Assaults on Licensed Premises in Inner-

Urban Areas. Alcohol Studies Bulletin 2. Perth: Curtin University of Technology Western Australia National Drug Research Institute.

Brown, B. (1995). CCTV in Town Centres: Three Case Studies Police

Research Group-Crime Disorder and Prevention Series Paper 68. London: The Home Office.

Buka, S. L. y Birdthistle, I. J. (1999). Long-term effects of a communitywide alcohol server training intervention. Journal of Studies on

Alcohol, 60, 27–36.

Calafat, A., Bohrn, K., Juan, M., Kokkevi, A., Maal.sté, N., Mendes, F. et

al. (1999). Night life in Europe and recreative drug use. Palma de Mallorca: Irefrea.

Calafat, A., Fernandez, C., Juan, M., Anttila, A., Arias, R., Bellis, M. A. et

al. (2003). Enjoying nightlife in Europe. The role of moderation. Palma de Mallorca: Irefrea.

Calafat, A., Fernández, C., Juan, M. y Becoña, E. (2008). Recreational

nightlife: Risk and protective factors for drug misuse among young Europeans in recreational environments. Drugs: education, prevention and policy, 15, 189-200.

Calafat, A., Blay, N., Juan, M., Adrover, D., Bellis, M.A., Hughes, K., Stocco, P., Siamou, I., Mendes, F. y Bohrn K (2009). Traffic risk behaviours at nightlife: drinking, taking drugs, driving and use of public transport by young people. Traffic injury prevention, 10, 162-169.

Calafat, A., Juan, M., Becoña, E. y Mantecón A. (2008). Que drogas se

prefieren para las relaciones sexuales en contextos recreativos. Adicciones, 20, 37-48.

Carmona, M. y Stewart, K. (1996). A Review of Alternative Activities

and Alternative Programs in Youth-Oriented Prevention. CSAP Technical Report 13; DHHS Pub. No. SMA 96–3117. Rockville, MD: Center for Substance Abuse Prevention.

Chikritzhs, T., Catalano, P., Pascal, R. y Henrickson, N. (2007). Predicting

alcohol-related harms from licensed outlet density: A feasibility study. Tasmania: National Drug Law Enforcement Research Fund.

Chikritzhs. T y Stockwell. T (2007). The impact of later trading hours for

hotels (public houses) on breath alcohol levels of apprehended impaired drivers. Addiction, 102, 1609-17.

Collin, M. (1997). Altered State: The Story of Ecstasy Culture y Acid

House. London: Serpent’s Tail. Department of Culture, Media y Sport. (DCMS) (2004). Draft Guidance issued under Section 182 of the Licensing Act 2003. Tabled Before Parliament on 23 March 2004. London: DCMS. Downloadable from: www.dcms.gov.uk

Doherty, S.J. y Roche, A.M. (2003). Alcohol and Licensed Premises: Best

Practice in Policing. A Monograph for Police and Policy Makers. Payneham: Australasian Centre for Policing Research.

Dualibi, S., Ponicki, W., Grube, J. et al. (2007). The Effect of restricting opening hours on alcohol-related violence. American Journal. of Public Health, 97, 2276-2280.

EMCDDA (2006). Annual report 2006. Lisbon: EMCDDA.

EMCDDA (2006). Developments in drug use within recreational settings. Lisbon: EMCDDA.

EMCDDA (2009). Trends and availability of responses to drug use in

recreational settings in Europe. Poster downloadable in http://

www.emcdda.europa.eu/attachements.cfm/att_78666_EN_RES%2020.pdf

Eurocare (2003). Drinking and Driving in Europe: A Eurocare Report to

the European Union. Eurocare: Saint Ives, Cambridgeshire.

Faggiano, F. y Vigna-Taglianti, F. (2008). Drugs, Illicit – Primary Prevention Strategies. In: Kris Heggenhougen and Stella Quah (editors). International Encyclopedia of Public Health, Vol 2. San Diego: Academic Press.

Fell, J.C., Fisher, D.A., Voas, R.B., Blackman, K. y Tippetts, A.S. (2007).

The relationship of 16 underage drinking laws to reductions in underage drinking drivers in fatal crashes in the United States. Annual Proceedings Association for the Advance of the Automotive Medicine, 51, 537-57.

Fernández-Hermida, J R, y Secades, R. (2003). Guía de referencia para

la evaluación de programas de prevención de ocio alternativo. Gijón: Colegio Oficial de Psicólogos.

Forsyth. A.J.M. (2008). Banning glassware from nightclubs in Glasgow

(Scotland): observed impacts, compliance and patrons views. Alcohol and Alcoholism, 43,111-117.

Forsyth, A.J.M. (2009). Lager, lager shouting’: The role of music and DJs in nightclub disorder control. Adicciones, 21, 327-345.

Forsyth, A.J.M., Barnard, M. y McKeganey, N.P. (1997). Musical preference as an indicator of adolescent drug use. Addiction, 92, 1317-25.

Fountain, J. y Griffiths, P. (1997). Inventory, bibliography and synthesis

of qualitative research in the European Union (Rep. No. 1). London: National Addiction Center.

Giesbrecht, N. (2008). Recent Developments in Overall Alcohol Consumption and High Risk Drinking: A Case for Effective Population Level Interventions in Canada. Adicciones, 20, 207-220.

Gliksman, L., McKenzie, D., Single. E., et al. (1993). The role of alcohol

providers in prevention: an evaluation of a sever intervention programme. Addiction, 88, 1195-1203.

Goswami, N. (2004). Work ethic? They’ll settle for a social life, thanks.

The Sunday Times October 3, 2004. Retrieved in: http://www.timesonline.co.uk/article/0,2087-1291215,00.html Graham, K. (2000). Preventive interventions for on-premise drinking: a promising but under researched area of prevention. Contemporary drug problems, 27, 593-668.

Graham, K. (2001). The ying and yang of alcohol intoxication: implications for research on the social consequences of drinking. Addiction, 98, 1021-1023.

Graham K., Bernards, S., Osgood, D. W., Homel, R. y Purcell, J. (2005).

Guardians and handlers: the role of bar staff in preventing and managing aggression. Addiction, 100, 755–66.

Graham, K., Bernards, S., Osgood, D.W. y Wells, S. (2006). Bad nights

or bad bars? Multi-level analysis of environmental predictors of aggression in late-night large-capacity bars and clubs. Addiction, 101, 1569-1580.

Graham K., LaRocque L., Yetman R., Ross T. J., Guistra E. (1980). Aggression and bar-room environments. Journal of Studies on Alcohol, 41, 468–85.

Graham, C.A., McLeod, L.S. y Steedman, D.J. (1998). Restricting extensions to permitted licensing hours does not influence the numbers of alcohol or assault related attendances at an inner city accident and emergency department. Journal of accident and emergency medicine, 15, 23-25.

Graham, K. y Wells, S. (2001). Aggression among young adults in the social context of the bar. Addiction Research, 9, 193-219.

Greater London Authority. (2002). Late night London: planning and

managing the late night economy. London: Greater London Authority.

Gripenberg, J., Wallin, E. y Andreasson. S. (2007). Effects of a Community-Based Drug Use Prevention Program Targeting Licensed Premises. Substance use and misuse, 42,1183-1898.

Guéguen, N., Jacob, C., Le Guellec, H., Morineau, T. y Lourel, M. (2008).

Sound level of environmental music and drinking behavior: a field experiment with beer drinkers. Alcoholism: clinical and experimental research, 32, 1-4.

Hadfield, P. (2009). Nightlife and Crime: Social. Order and Governance

in International Perspective. Oxford: Oxford University Press.

Holder. H.D. y Wagenaar. A.C. (1994). Mandated server training and

reduced alcohol-involved traffic crashes: a time series analysis of the Oregon experience. Accident analysis and prevention, 26, 89-97.

Holder, H.D., Gruenewald, P.J., Ponicki, W.R., Treno, A.J., Grube, J.B.,

Saltz, R.F. et al. (2000). Effect of community-based interventions on High Risk drinking and alcohol-related injuries. JAMA 284, 2341-47.

Home Office/KPMG LLP (2008). Review of the Social Responsibility

Standards for the production and sale of alcoholic drinks. Birmingham: KPMG LLP. Retrieved from: http://drugs.homeoffice.gov.uk/publication-search/alcohol/alcohol-industryresponsibility/alcohol-industry-vol-3?view=Binary.

Homel, R., Carvolth, R., Hauritz, M. y McIlwain G. (2004). Teague R.

Making licensed venues safer for patrons: what environmental factors should be the focus of interventions? Drug and Alcohol Review, 23, 19–29.

Homel, R. y Clark, J. (1994). The prediction and prevention of violence

in pubs and clubs. Crime Prevention Studies, 3, 1–46.

Homel, R., Hauritz, M., Wortly, R., McIlwain, G. y Carvolth, R. (1997).

Preventing alcohol-related crime though community action: the surfers paradise safety action project. In Homel, R. (Ed.) Policing for prevention: reducing crime, public intoxication and injury. Monsey, NY: Criminal Justice Press.

Homel, R., McIlwain, G. y Carvolth, R. (2001). Creating safer drinking

environments. In: Heather N, Peters TJ, Stockwell T, eds. International handbook of alcohol dependence and problems. Chichester: John Wiley & Sons, 721–40

Homel, R., Tomsen, S. y Thommeny, J. (1992). Public drinking and violence: not just an alcohol problem. Journal of Drug Issues, 22, 679–97.

Horkheimer, M. y Adorno, T.H. (1944). Dialektik der Aufklärung. Philosophische Fragmente. (Ed. en castellano (1998). Dialéctica de la Ilustración. Fragmentos filosóficos. Madrid: Trotta.

Hugues, K., Bellis, M., Calafat, A., Juan, M., Schnittzer, S. y Anderson, Z.

(2008). Predictors of violence in young tourists: a comparative of British, German and Spanish holidaymakers. European Journal of Public Health, 18, 569-74.

Jeffs, B.W., Saunders, W.M. (1983). Minimizing Alcohol Related Offences by Enforcement of the Existing Licensing Legislation. British Journal of Addiction, 78, 67-77.

Jochelson, R. (1997). Crime and Place: An anysis of assaults and robberies in inner Sydney. Sydney: NSW Bureau of Crime Statistics and Research.

Jones, S.C. y Lynch, M. (2007). Non-advertising alcohol promotions in

licensed premises: does the Code of Practice ensure responsible promotion of alcohol? Drug and Alcohol Review, 26, 477-85.

Ker, K. y Chinnock, P. (2008). Interventions in the alcohol server setting

for preventing injuries, Cochrane Database Systematic Review, 16, 3, CD005244.

Krevor, B., Capitman, J.A., Oblak. L. et al. (2003). Preventing illegal tobacco and alcohol sales to minors through electronic ageverification

devices: a field effectiveness study. Journal of Public Health Policy, 24, 251-268.

Lang, E. y Rumbold, G. (1997). The effectiveness of community based interventions to reduce violence in and around licensed premises: a comparison of three Australian models. Contemporary drug problems, 24, 805-826.

Lopez, A.D., Mathers, M.D., Ezzati, M., Jamison, D.T. y Murray, C. (2006).

Measuring the Global Burden of Disease and Risk Factors, 1990-2001: The Global Burden of Disease and Risk Factors. New York: Oxford University Press.

Marsh, P. y Kibby, K. (1992). Drinking and Public Disorder. London:

Portman Group.

MCM Research (2003). Implications for noise disturbance arising from the liberalisation of licensing laws: Report of research and consultation conducted by MCM Research Ltd for the Department for Environment, Food and Rural Affairs (Defra). London: MCM Research Ltd.

Maguire, M. y Nettleton, H. (2003). Reducing alcohol-related violence

and disorder: an evaluation of the ‘TASC’ project. Home Office Research Study 265. London: Home Office.

Measham, F. (2004). The decline of ecstasy, the rise of ‘binge’ drinking

and the persistence of pleasure. Probation Journal, 51, 309-326.

Measham, F. y Hadfield, P. (2009). Everything Starts with an ‘E’: Exclusion, ethnicity and elite formation in contemporary English clubland. Adicciones, 21, 363-386.

Milich, R., Lynam, D.R., Zimmerman, R., Logan, T.K., Martin, C., Leukefeld, C.G., Portis, C., Miller, J. y Clayton, R. (2000). Differences in young adult psychopathology among drug abstainers, experimenters, and frequent users. Journal Substance Abuse, 11, 69-88.

Moreira, M.T., Smith, L.A. y Foxcroft, D. (2009). Cochrane Social norms

interventions to reduce alcohol misuse in university or college students. Database Systematic Review, Jul 8, 3, CD006748.

Mosher, J.F., Toomey, T.L., Good, C., Harwood, E. y Wagenaar, A.C.

(2002). State laws mandating or promoting training programs for alcohol servers and establishment managers: an assessment of statutory and administrative procedures. Journal of Public Health Policy, 23, 90-113.

Norman, E., Turner, S., Zunz, S. y Stillson, K. (1997). Prevention programmes reviewed: What works? In: E. Norman (Ed.), Drug free youth: A compendium for prevention specialists. New York: Garland.

Newton, A., Sharker, S.J., Pahal, G.S., van den Bergh, E. y Young, C.

(2007). Impact of the new licensing law on emergency hospital attendances: a cohort study. Emergency Medicine Journal, 24, 532-534.

Parker, H. (2003). Pathology or modernity? Rethinking risk Factor analyses of young drug users. Addiction Research and Theory, 11, 141-144.

Paschall MJ, Grube J W, Black C y Ringwalt C L. (2007). Is Commercial

Alcohol Availability Related to Adolescent Alcohol Sources and Alcohol Use? Findings from a Multi-Level Study. Journal of Adolescent Health, 41, 168–174.

Philliber, S. (1999). Search of Peer Power: A Review of Research on

Peer-Based Interventions for Teens. In Peer Potential: Making the Most of How Teens Influence Each Other. Washington, DC: National Campaign to Prevent Teen Pregnancy.

Quigley, B. M., Leonard K. E. y Collins R. L. (2003). Characteristics of

violent bars and bar patrons. Journal of Studies on Alcohol, 64, 765–72.

Rabinovich, L., Brutscher, P., de Vries, H., Tiessen, J., Clift, J. y Reding, A.

(2008). The affordability of alcoholic beverages in the European Union. Understanding the link between alcohol affordability, consumption and harms. Cambridge: Rand.

Rifkin, J. (2000). The Age of Access: The New Culture of Hypercapitalism.

N. Y.: Penguin Group (USA).

Roberts, M. (2004). Good Practice in Managing the Evening and Late Night Economy: A Literature Review from an Environmental Perspective. London: Office of the Deputy Prime Minister. Retrieved from: http://www.communities.gov.uk/documents/communities/pdf/131197.pdf

Roeper, Voas, R.B., Padilla-Sanchez. L. et al. (2000). A long-term

community-wide intervention to reduce alcohol-related traffic injuries: Salinas, California, Drugs: education, prevention and policy, 7, 51-60.

Rothe, P.J. y Carroll, L.J. (2009). Hazards faced by young designated

drivers: in-car risks of driving drunken passengers. International Journal of Environmental. Research Public Health, 6, 1760-77.

Shedler, J. y Block, J. (1990). Adolescent drug use and psychological

health: A longitudinal inquiry. American Psychology, 45, 612-630.

Schults, R., Elder, R.W., Sleet, D.A., Nichols, J.L., Alao, M.O., Carande-

Kulis, V.G. et al. (2001). Reviews of Evidence Regarding Interventions to Reduce Alcohol-Impaired Driving. American Journal of Preventive Medicine, 21, 4S.

Stockwell, T. and Chikritzhs, T. (2009). Do relaxed trading hours for

bars and clubs mean more relaxed drinking? A review of international research on the impacts of changes to permitted hours of drinking. Crime Prevention and Community Safety, 11, 153-70.

Tay, R. (2005). Mass media campaigns reduce the incidence of drinking

and driving. Evidence-based Healthcare Public Health, 9, 26–29.

Tossmann, P., Boldt, S. y Tensil, M. D. (2001), ‘The use of drugs within

the techno party scene in European metropolitan cities’, European Addiction Research, 7, 2–23.

Treno, A.J., Lee, J.P., Freisthler, B., Remer, L.G. y Gruenewald, P.J. (2005).

Application of evidence-based approaches to community interventios. In Stockwell, T., Gruenewald, P.J., Toumbourou, J.W., Loxley, W. (Eds), Preventing Harmful Substance Use: the Evidence Base for Policy and Practice. West Sussex: John Wiley & Sons Van Sassenbroeck, D.K., Calle,

P.A., Rousseau, F.M., Verstraete, A.G., Belpaire, F.M., Monsieurs, K.G. et al. (2003). Medical problems related to recreationaldrug use at nocturnal dance parties. European Journal of Emergency Medicine, 10, 302-8.

Villar, J.A. (2008). Ibiza: beauty of the day, queen of the night: the

influence of clubbing on the Ibizan population. Proceedings from Club Health Conference Ibiza.

Wagenaar. A.C, Murray. D.M y Toomey. T.L (2000). Communities

mobilizing for change on alcohol (CMCA): effects of a randomized trial on arrests and traffic crashes. Addiction, 95, 209-217.

Wagenaar, A.C., Toomey, T.L. y Erickson. D.J. (2005). Preventing youth

access to alcohol: outcomes from a multi-community timeseries trial. Society for the study of Addiction, 100, 335-345

Wallin, E. y Andréasson, S. (2005). Effects of a community action program on problems related to alcohol consumption at licensed premises. In Stockwell, T., Gruenewald, P.J., Toumbourou, J.W., Loxley, W. (Eds), Preventing Harmful Substance Use: the Evidence Base for Policy and Practice. West Sussex: John Wiley & Sons.

Warburton, A. L. y Shepherd, J. P. (2000). Effectiveness of toughened

glassware in terms of reducing injury in bars: a randomised controlled trial. Injury Prevention, 6, 36–40.

Warburton. A.L. y Shepard, J.P. (2005). Tackling alcohol related violence in city centres: effect of emergency medicine and police intervention. Emergency Medical Journal, 23,12-17.

Wells, S., Graham, K. y West, P. (1998). ‘The good, the bad and the

ugly’: responses by security staff to aggressive incidents in public drinking settings. Journal of Drug Issues, 28, 817–36.

Willis, C., Lybrand, S. y Bellamy, N. (2004). Alcohol ignition interlock

programmes for reducing drink driving recidivism. Cochrane Database of Systematic Reviews, 4, CD004168

Wilkins , C. y Sweetsur, P. (2009). Differences in harm from legal BZP/

TFMPP party pills between North Island and South Island users in New Zealand: A case of effective industry self-regulation? International Journal of Drug Policy (in press).

Wood. D.W, Greene. S.L, Alldus. G., Huggett, D., Nicolaou, M., Chapman, K. et al. (2008). Improvement in the pre-hospital care of recreational drug users through the development of club specific ambulance referral guidelines. Substance abuse treatment, prevention and policy, 3: 14. doi: 10.1186/1747-597X-3-14.

Worpole, K. (1992). Towns For People: Transforming Urban Life. Buckingham: Open University Press.

Zhu, L., Gorman, D.M., y Horel, S. (2004). Alcohol outlet density and

violence: A geospatial analysis. Alcohol and Alcohology 39, 369–375.

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