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Setting the policy agenda for the treatment of substance use disorders in Iran

BACKGROUND: Drug use is one of the most common public health problems globally. This study was done to analyze the agenda-setting of policies related to substance use disorder treatment in Iran since 1979. METHODS: The current qualitative study was done through document review and interviews with po...

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Autores principales: Mirzaei, Saeid, Yazdi-Feyzabadi, Vahid, Mehrolhassani, Mohammad Hossein, Nakhaee, Nouzar, Oroomiei, Nadia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8922872/
https://www.ncbi.nlm.nih.gov/pubmed/35292060
http://dx.doi.org/10.1186/s12954-022-00612-w
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author Mirzaei, Saeid
Yazdi-Feyzabadi, Vahid
Mehrolhassani, Mohammad Hossein
Nakhaee, Nouzar
Oroomiei, Nadia
author_facet Mirzaei, Saeid
Yazdi-Feyzabadi, Vahid
Mehrolhassani, Mohammad Hossein
Nakhaee, Nouzar
Oroomiei, Nadia
author_sort Mirzaei, Saeid
collection PubMed
description BACKGROUND: Drug use is one of the most common public health problems globally. This study was done to analyze the agenda-setting of policies related to substance use disorder treatment in Iran since 1979. METHODS: The current qualitative study was done through document review and interviews with policymakers and executives. Purposive sampling with snowball strategy was considered for sampling. Semi-structured interviews were done. A total of 22 documents were examined, and the data were saturated with 32 interviews. Kingdon's Multiple Streams Framework was used to analyze the data. RESULTS: The results indicated the intersection of problem stream, policy stream, political stream, and opening the opportunity window. In the problem stream, the rapid growth of AIDS among people who inject drugs (PWID), the decrease in the average age of first drug use, the increase in the prevalence of substance use disorder in women, the ineffectiveness of compulsive treatment, and criminological perspectives played key roles. The policy stream included criminological perspective and war on drugs, and harm reduction. The political stream included announcing general anti-narcotics policies by the Supreme Leader of Iran and understanding the need for treatment, rehabilitation, harm reduction, and social support for substance use disorder by officials and policymakers. CONCLUSIONS: For a long time in Iran, policies based on the war on drugs were the dominant approach, and then, policies based on harm reduction and patient-centeredness were considered. The ideology and political parties influenced the executive apparatus's policy stream in this area. In countries with an ideological approach, the political stream plays a critical role in setting issues on the agenda. Therefore, policy entrepreneurs can put the points on the agenda by attracting the attention of political forces to the issue.
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spelling pubmed-89228722022-03-23 Setting the policy agenda for the treatment of substance use disorders in Iran Mirzaei, Saeid Yazdi-Feyzabadi, Vahid Mehrolhassani, Mohammad Hossein Nakhaee, Nouzar Oroomiei, Nadia Harm Reduct J Research BACKGROUND: Drug use is one of the most common public health problems globally. This study was done to analyze the agenda-setting of policies related to substance use disorder treatment in Iran since 1979. METHODS: The current qualitative study was done through document review and interviews with policymakers and executives. Purposive sampling with snowball strategy was considered for sampling. Semi-structured interviews were done. A total of 22 documents were examined, and the data were saturated with 32 interviews. Kingdon's Multiple Streams Framework was used to analyze the data. RESULTS: The results indicated the intersection of problem stream, policy stream, political stream, and opening the opportunity window. In the problem stream, the rapid growth of AIDS among people who inject drugs (PWID), the decrease in the average age of first drug use, the increase in the prevalence of substance use disorder in women, the ineffectiveness of compulsive treatment, and criminological perspectives played key roles. The policy stream included criminological perspective and war on drugs, and harm reduction. The political stream included announcing general anti-narcotics policies by the Supreme Leader of Iran and understanding the need for treatment, rehabilitation, harm reduction, and social support for substance use disorder by officials and policymakers. CONCLUSIONS: For a long time in Iran, policies based on the war on drugs were the dominant approach, and then, policies based on harm reduction and patient-centeredness were considered. The ideology and political parties influenced the executive apparatus's policy stream in this area. In countries with an ideological approach, the political stream plays a critical role in setting issues on the agenda. Therefore, policy entrepreneurs can put the points on the agenda by attracting the attention of political forces to the issue. BioMed Central 2022-03-15 /pmc/articles/PMC8922872/ /pubmed/35292060 http://dx.doi.org/10.1186/s12954-022-00612-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Mirzaei, Saeid
Yazdi-Feyzabadi, Vahid
Mehrolhassani, Mohammad Hossein
Nakhaee, Nouzar
Oroomiei, Nadia
Setting the policy agenda for the treatment of substance use disorders in Iran
title Setting the policy agenda for the treatment of substance use disorders in Iran
title_full Setting the policy agenda for the treatment of substance use disorders in Iran
title_fullStr Setting the policy agenda for the treatment of substance use disorders in Iran
title_full_unstemmed Setting the policy agenda for the treatment of substance use disorders in Iran
title_short Setting the policy agenda for the treatment of substance use disorders in Iran
title_sort setting the policy agenda for the treatment of substance use disorders in iran
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8922872/
https://www.ncbi.nlm.nih.gov/pubmed/35292060
http://dx.doi.org/10.1186/s12954-022-00612-w
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