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Methamphetamine, also known as ice or meth, is the drug Australians most associate with a drug problem and the drug they’re most concerned about, according to the latest .

Yet the survey, released today, shows recent use of methamphetamine has been declining. It’s at its lowest in more than a decade, with using methamphetamine in the past 12 months.

So why are Australians still worried about this drug, and why does it matter?

There’s a global trend in viewing drug use as a health rather than criminal justice issue. The Australian Capital Territory methamphetamine and a range of other illicit drugs for personal use. Other states are , which means the public’s opinion is increasingly important.

Let’s take a look at the reasons why some drugs are viewed more negatively than others (such as alcohol and cannabis). We know it’s not always to do with .

How do we develop attitudes about drugs?

Messages conveyed by news media and government advertising affect public beliefs and attitudes about many important social and health issues .

Media reports about drug use tend to focus on the negative aspects of illicit drugs rather than presenting it as a health or social issue. People who use methamphetamine are . A review of articles in print media found stories about methamphetamine were on crime or justice-related topics.

Methamphetamine use, especially the use of the crystal form (ice), has been called a “” and an ““.

Interaction with has been shown to decrease stigmatising attitudes, but with such a low rate of use, most Australians wouldn’t know anyone who uses methamphetamine.

As a result, many Australians hold misconceptions about methamphetamine and its effects. A found more than half (57.4%) thought methamphetamine was the most popular illicit drug in Australia and one-quarter (25.5%) believed most teenagers had used methamphetamine.

But compared with other drugs such as cannabis (11.5%), cocaine (4.5%) and ecstasy (2.1%). The most commonly used drugs among young people are alcohol, cannabis and cocaine.

Methampehtamine use has increasing heart rate and body temperature, disrupting sleep, and making you feel alert or agitated. Long-term use of methamphetamine heart or lung problems, exhaustion and dependence. But most people who try methamphetamine .

The also found Australians in poorer areas were more likely to have used crystal methamphetamine, while those in wealthier areas were more likely to use its powdered form, or speed.

Why do attitudes to illicit drugs need to change?

Negative attitudes lead to stigma, isolation and unfair treatment of people who use drugs, and their friends and family.

Stigma toward people who use crystal methamphetamine , with one in three people who use crystal methamphetamine reporting they have felt discriminated against by other people (for example, community members or health workers) because of their drug use.

Stigma leads to psychological distress for people who use drugs and has been linked with . We know to help-seeking and treatment. This can make the problem worse because people who need help aren’t able to get it, and continue to use drugs. According to one participant in a study by :

There’s this big stigma around drug use, especially with crystal methamphetamine. Because of that, you tend to hide a lot of what you’re going through.

Reducing stigma is important as often , the better the outcome is and the (for example, less absences from work, less crime, and fewer visits to health care). The harms and costs of drug use are higher for people dependent on drugs.

So, what can we do to change people’s attitudes?

We know accurate information improves knowledge and understanding, and can lead to more empathetic attitudes.

A number of free evidence-based resources are available for all Australians, such as the . When , people who visited the website knew more about crystal methamphetamine and held less negative or stigmatising attitudes towards people who use it.

The media also have an important role to play by not sensationalising drug use. Guidelines such as those from set out advice for accurate and non-stigmatising reporting on suicide, mental health and alcohol and other drugs.

These include Mindframe guidelines specifically developed for . Using Mindframe guidelines has been shown to be .

Similarly, highlights examples of good and stigmatising reporting in the media.

Language is . If we talk about drugs openly, focusing on health and wellbeing rather than crime, it provides better support for people to make informed decisions and improves access to help when people need it. This in turn helps reduce the problems associated with methamphetamine and other drugs.

For free and confidential advice about alcohol and other drugs, call the ³Ô¹ÏÍøÕ¾ Alcohol and Other Drug Hotline on 1800 250 015.

Steph Kershaw receives funding from The Australian Government Department of Health and Aged Care and is affiliated with the Cracks in the Ice online toolkit.

Cath Chapman is Director of Research Development and Strategy at The Matilda Centre, The Universoty of Sydney. She receives funding from the ³Ô¹ÏÍøÕ¾ Health and Medical Research Council, the Australian Government, Paul Ramsay Foundation and other research organisations. She is affiliated with Cracks in the Ice, Positive Choices and OurFutures and is Chair, The Mental Health Services Learning Network (TheMHS).

Maree Teesson is Chair of Australia’s Mental Health Think Tank which is funded by the BHP Foundation. She is Director of The Matilda Centre, The University of Sydney. She receives funding from the ³Ô¹ÏÍøÕ¾ Health and Medical Research Council, Medical Research Future Fund, the Australian Government, BHP Foundation, Paul Ramsay Foundation and other research organisations. She is co-director and co-founder of OurFutures Institute a not-for-profit company established to distribute evidence resources to education organisations.

Nicole Lee works as a paid consultant in the alcohol and other drug sector. She has previously been awarded grants by state and federal governments, ³Ô¹ÏÍøÕ¾ Health and Medical Research Council and other public funding bodies for alcohol and other drug research. She is a Board member of drug checking organisation The Loop Australia. She is CEO at Hello Sunday Morning, which receives funding from the Australian Government.