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Updated: Apr 3, 2026

Diagonal Method to Measure Synergy Among Any Number of Drugs
Published on: June 21, 2018
3 × 3 model for drug use normalisation: Insights from a scoping review
Daniëlle T P Ketelaars1, Alexandra J Karl1, Maartje Luijten2
1Novadic-Kentron, Network for Addiction Treatment Services, PO Box 243, 5260 AE Vught, the Netherlands.
This review defines drug use normalisation as a dynamic, multidimensional process impacting accessibility, prevalence, and legitimacy across societal, contextual, and individual levels. A new model operationalises this concept for clearer measurement and policy development.
Area of Science:
- Social Sciences
- Public Health
- Substance Use Research
Background:
- Drug use normalisation has evolved conceptually, yet lacks a unified definition and operationalised measures.
- Previous research offered partial perspectives, necessitating a comprehensive and contemporary approach.
Conclusions:
- The proposed model offers a comprehensive operationalisation of drug use normalisation.
- This model enhances conceptual clarity and supports consistent measurement.
- It provides a foundation for future research, monitoring, prevention, and policymaking in substance use.
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