{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T06:25:36Z","timestamp":1773901536022,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T00:00:00Z","timestamp":1710028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1062879"],"award-info":[{"award-number":["APP1062879"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The aim of this paper was to examine the client and psychosocial characteristics associated with polydrug use in patients with alcohol misuse as their primary drug of concern (PDC) seeking treatment from substance use treatment centres.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Self\u2010report surveys were undertaken with clients attending 1 of 34 community\u2010based substance use treatment centres across Australia with alcohol as their PDC. Survey items included client's socio\u2010demographic characteristics, level of alcohol dependence, use of other drugs including tobacco, health and wellbeing factors including health\u2010related quality of life. The factors associated with polydrug use (alcohol use concurrent with at least one other drug) were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In a sample of 1130 clients seeking treatment primarily for alcohol problems, 71% reported also using another drug. The most frequently used drug was tobacco (50%) followed by cannabis (21%) and benzodiazepines (15%). Excluding tobacco use, 35% of participants reported polydrug use. Factors associated with any polydrug use were younger age, lower education levels, lower levels of mental health related quality of life and housing risk (i.e., risk of eviction or experienced homelessness in past 4\u2009weeks). When tobacco was excluded, factors associated with polydrug use were age, lower physical and mental health\u2010related quality of life, and housing risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Most adults seeking treatment for alcohol misuse as their PDC reported using another drug in addition to alcohol. Treatment services should be designed accordingly to maximise the likelihood of treatment engagement and success.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13833","type":"journal-article","created":{"date-parts":[[2024,3,11]],"date-time":"2024-03-11T03:39:35Z","timestamp":1710128375000},"page":"1194-1203","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence and factors associated with polydrug use among clients seeking treatment for alcohol misuse"],"prefix":"10.1111","volume":"43","author":[{"given":"Samuel","family":"Lawson","sequence":"first","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing University of Newcastle  Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie","family":"Bryant","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing University of Newcastle  Newcastle Australia"},{"name":"Equity in Health and Wellbeing Research Program Hunter Medical Research Institute  Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6231-0536","authenticated-orcid":false,"given":"Megan","family":"Freund","sequence":"additional","affiliation":[{"name":"Health Behaviour Research Collaborative, School of Medicine and Public Health, College of Health, Medicine and Wellbeing University of Newcastle  Newcastle Australia"},{"name":"Equity in Health and Wellbeing Research Program Hunter Medical Research Institute  Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua","family":"Dizon","sequence":"additional","affiliation":[{"name":"Clinical Research Design and Statistics Hunter Medical Research Institute  Newcastle Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul S.","family":"Haber","sequence":"additional","affiliation":[{"name":"Edith Collins Centre, Royal Prince Alfred Hospital, and Specialty of Addiction Medicine The University of Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Shakeshaft","sequence":"additional","affiliation":[{"name":"Poche Centre for Indigenous Health University of Queensland  Brisbane Australia"},{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3309-2453","authenticated-orcid":false,"given":"Meryem","family":"Jefferies","sequence":"additional","affiliation":[{"name":"Western Sydney Local Health District Drug Health  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Farrell","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre UNSW Sydney  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,3,10]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Australian Institute of Health and Welfare Alcohol and other drug treatment services in Australia annual report","year":"2022"},{"key":"e_1_2_10_3_1","unstructured":"Office for Health Improvement & Disparities Adult substance misuse treatment statistics 2020 to 2021: report. 2021."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.18215"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2017.07.009"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10550887.2012.759861"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.04.003"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/09687630600655596"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13267"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-016-0956-9"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000068"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2013.00061"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15422"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2012.02.014"},{"key":"e_1_2_10_15_1","unstructured":"PaulD WallisM HenskensF NolanK.A generic platform for the collation and sharing of web survey data. 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