Published online by Cambridge University Press: 02 January 2025
The use of psychoactive substances (legal, illegal, or prescribed) continues to be a major public health problem. The prevalence of alcohol and drug use/abuse among Muslims is extremely difficult to determine as it relies upon self-reporting and is a stigmatized behavior. While alcohol and drug consumption are ostensibly forbidden in Islam, some Muslims drink alcohol and take psychoactive substances. Islam takes a strong prohibitive stance and forbids all intoxicants (alcohol, drugs, and tobacco), regardless of the quantity or kind, because any substance that harms the body is prohibited. Islam established a zero-tolerance policy towards addictions. The public health approach in the response to addiction began in the seventh century during the first Islamic caliphate and is based on an abstinence model. In contrast to the abstinence model, due to the increased use of drugs and injecting behavior (and the control of HIV), harm reduction approaches have been adopted by few in the Islamic world.
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