Culture Change as a Universal Intervention of Behaviour Change in Tobacco and Alcohol Use and Suicide

3267 WordsJan 30, 201813 Pages
Culture change as a universal intervention of behaviour change in tobacco and alcohol use and suicide GENERAL INTRODUCTION Impact, personal and otherwise, of alcohol, tobacco and suicide is pervasive and pronounced. Primary and secondary prevention of tobacco and alcohol use and suicide have mixed stories of success. Disability Adjusted Life Years (DALYs) attributable to alcohol use is relatively much higher than for many other conditions (1). In the Global Burden of Disease study from 2010 alcohol is estimated to account for 3.9% of life years lost globally, up from 3.0% in 1990. This makes alcohol the fifth leading risk factor globally for ill health and premature deaths (1). Impact of tobacco use and suicide is equally significant. Across the world five million people die every year due to tobacco smoking and 600,000 die due to second-hand smoke (2). One million die due to suicide every year (3). Alcohol and tobacco use and suicidal behaviour are three common health conditions for clinicians as well as public health professionals. Behaviour is fundamental in causation and in treatment of these conditions, compared to conditions such as pneumonia or sceptic arthritis. Universal models of primary and secondary prevention for pneumonia and sceptic arthritis are available (4) (5). Although such models are available for conditions such as alcohol use, their effectiveness is not remarkable. For an example the UKMAS (United Kingdom Multicentre Acamprosate Study) reported

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