National profile on substance use, substance use‐related problems and policy: The case of Chile.

Aim: To provide a comprehensive overview of substance use, related problems, and policy responses in Chile, highlighting epidemiological trends, institutional contexts, and research findings. Methods: Narrative review of policy documents, published government and academic research, and primary analy...

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Publicado en:Addiction Vol. 120; no. 7; pp. 1466 - 1475
Autor principal: Castillo‐Carniglia, Alvaro
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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      tig:
        atl: National profile on substance use, substance use‐related problems and policy: The case of Chile.
      aug:
        au: Castillo‐Carniglia, Alvaro
        affil: Departamento Nacional de Salud Pública, Facultad de Medicina y Ciencia, Universidad San Sebastián, Santiago, Chile
      sug:
        subj:
          Substance Abuse Epidemiology
          Substance Abuse Complications
          Health Policy
          Human
          Chile
          Rules and Regulations
          Alcohol Abuse
          Cannabis
          Prevalence
          Narcotics
          Cocaine
          Program Implementation
          Sellers and Selling
          Advertising
          Health Care Reform
          Descriptive Statistics
          Funding Source
      ab: Aim: To provide a comprehensive overview of substance use, related problems, and policy responses in Chile, highlighting epidemiological trends, institutional contexts, and research findings. Methods: Narrative review of policy documents, published government and academic research, and primary analysis of national drug surveys and administrative data. It estimates trends in substance use prevalence, analyzes the regulatory landscape for tobacco, alcohol, and other drugs, and syntheses the current state of substance use research in Chile. Results: Chile exhibits a high prevalence of substance use, particularly for alcohol and cannabis, compared with other South American countries. Tobacco use has declined since the early 2000s, while alcohol use has remained stable. Cannabis use increased significantly between 2010 and 2016, reaching the highest prevalence in Latin America, but has since declined. While opioids and injecting substances are rare, alcohol and cocaine base paste are responsible for the largest health burden, representing 70% of all publicly funded treatments. Chile has approved and implemented various policy measures, including restrictions on alcohol sales and advertising, smoke‐free legislation, and reforms to drug laws that include home cultivation of cannabis for medical purposes. Research on substance use in Chile has increased in recent years, with only a few studies focusing specifically on policy evaluation. Conclusion: Although Chile has made progress in implementing evidence‐based substance use policies and expanding treatment services, substantial policy evaluation and enforcement gaps remain.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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