Author: D. Thanki, J. Matias, P. Griffiths, A. Noor, D. Olszewski, R. Simon and J. Vicente (EMCDDA)

This report brings together, for the first time in Europe, an integrated overview of the prevalence of intensive cannabis use. Cannabis use is relatively common in the European Union (EU) and Norway, with around 23 million people (6.8 % of all 15- to 64-year-olds) having used the drug in the past year and about 12 million (3.6 % of all 15- to 64-year-olds) in the last month. Although the prevalence of last-year cannabis use among the general population is generally stable or decreasing in many countries, demands for treatment in which cannabis is the primary drug continue to rise, indicating a possible increase in related problems.

Author: Dimiter Toshkov (Leiden University)

Policy-making is embedded in politics, but an increasing number of issues, like obesity, tobacco control, or road safety, do not map well on the major dimensions of political conflict. This article analyzes the enactment of restrictions on smoking in bars and restaurants in 29 European countries – a conflictual issue which does not fit easily traditional party ideologies. Indeed, the comparative empirical analyses demonstrate that government ideological positions are not associated with the strictness and the timing of adoption of the smoking bans. On the other hand, economic factors like the scale of tobacco production in a country, smoking prevalence in society and public support for tough anti-smoking policy are all significantly related to the time it takes for a country to adopt smoking bans, and to the comprehensiveness and enforcement of these restrictions.

Written by: Belinda Loring, Aileen Robertson

This policy guidance aims to support European policy-makers to improve the design, implementation and evaluation of interventions and policies to reduce inequities in overweight and obesity. The prevalence of obesity in Europe is rising in many countries, and rising fastest in low socioeconomic population groups. There is a strong relationship between obesity and low socioeconomic status, especially for women. Reducing health inequities is a key strategic objective of Health 2020 – the European policy framework for health and well-being endorsed by the 53 Member States of the WHO European Region in 2012. This guide seeks to assist European policy-makers in contributing to achieving the objectives of Health 2020 in a practical way. It draws on key evidence, including from the Review of social determinants and the health divide in the WHO European Region. It sets out options to reduce the unequal distribution of obesity in Europe, through approaches which address the social determinants of obesity and the related health, social and economic consequences ofthe obesity inequity gradient. 

Authors: Emmanuel Kuntsche, Ingeborg Rossow, Bruce Simons-Morton, Tom Ter Bogt, Anna Kokkevi, and Emmanuelle Godeau.

Many studies have reported that the earlier the age at first drink (AFDrink) the higher the later drinking levels and related problems. However, unless adolescents proceed into drunkenness, it is unclear why consuming small quantities at early age should lead to later problems. This study investigates the link between AFDrink and problem behaviors (smoking, cannabis use, injuries, fights, and low academic performance) among 15-year-olds who did and did not proceed into drunkenness. Among those with drunkenness experience, the study tested whether AFDrink predicted problem behaviors over and above the age at first drunkenness (AFDrunk).

Authors: EMCDDA/Robert West

A better understanding of the complex science of ‘addiction’ can improve responses to drug problems. This report contains a critical review of existing addiction theories and explores how these can be organised into an overarching structure to inform how we assess, prevent and treat addictive behaviours. This model is not limited to illicit drugs, but can also be applied to alcohol, tobacco and even non-pharmacological addictions, such as gambling or compulsive use of the Internet.

Models of addiction delivers the message that understanding the biological basis of addiction, along with the broader social and psychological aspects of addictive behaviour, can lead to successful prevention and treatment responses.