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Swedish experiences
Maria Renström
Director
Ministry of Health and Social Affairs
Socialdepartementet
Separate National Alcohol and Drug Action Plans
since 2001
Laws and regulations since 50 years (restricting
availability, high excise duties, enforced licensing
systems, bans/restrictions marketing, access to
treatment, social welfare), etc.)
BUT – LEARNINGS ARE…..
Socialdepartementet
To complement laws/measures/interventions already
in place…
Increased focus on;
• The local, regional and EU/Global level
• Coordination and cooperation
• Risk- and protective factors, especially for the preventive work
(public health/social welfare)
• The whole “chain” (prevention, treatment, control/law
enforcement, rehabilitation)
• Involvement of all actors and sectors
Socialdepartementet
New structure since 2008
• Inter Governmental ANDT- secretariat and Inter Governmental
group to coordinate Governments ANDT-policy
• A National ANDT- Council
• National financial support to Alcohol and Drug coordinators;
National, Regional and Local level
• Yearly follow-up, assessments basis for Government ANDT
yearly action plan, concretization of long-term framework
strategy
Socialdepartementet
Socialdepartementet
Plans for 2011- 2016
• Final step towards a Governmental Comprehensive National
Strategy on Alcohol, Narcotics, Doping and Tobacco policy
• Focus on sustainable structures (including financial framework)
for coordination and cooperation and knowledgebased
measures
• National indicators and a structure for follow- up and evaluation
• But, still recognize the differences between the substances
Socialdepartementet
The negative trend from 1990’s is broken!
• ”Binge-drinking decreasing
• Decreased under-age drinking
• Decreased consumption among young adults, especially young
men
• Smoking decreasing (including snus)
• Illicit drugs still on a low level compared with the rest of Europé
• BUT: increased consumption among elderly
Socialdepartementet
Alcohol, tobacco and drug users 15 – 16-years
Alcohol: Percentage consuming 1
glass beer,
2 cl vine or 2 cl spirit once/12
months (lifetime prevalence)
• Tobacco: Percentage cigarrettesand/or snus
consumers (break 1997/1998 new
question – general trend is
decreasing use.
100
90
80
70
60
50
40
• Illegal drugs: lifetime prevalence
30
20
Källa: CAN
10
Socialdepartementet
flickor alkohol
flickor tobak
flickor narkotika
pojkar alkohol
pojkar tobak
pojkar narkotika
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
0
Alcohol consumption
Alcohol consumption
Figur 3
Selfreported alcohol consumption 100 % pure
alcohol and percentage ”binge-drinkers”
among men 16-19 years, 20-24 years and 2529 år.
Socialdepartementet
Consumption in different age groups, changes
between 2004- 2005 and 2008 - 2009
Litres of pure alcohol/month
Self reported alcohol consumption among young men decreasing the most. Young women drink less
during ”child bearing age”
Socialdepartementet
Thank you!
Socialdepartementet