Oral health among student veterans: Effects on mental and physical health

Abstract

Objective: The purpose of this study was to explore differences in oral health among students by military service status in postsecondary settings. Participants: Secondary data were obtained from the American College Health Association’s 2011–2014 National College Health Assessment II. Method: Demographic characteristics of the study sample were explored by calculating frequencies and percentages by military service status. Research questions were explored with maximum likelihood multiple logistic regression. Results: Service member and veteran students are at greater risk for neglecting health behaviors associated with positive oral health, including that they were less likely to get dental exams and that those who deployed in the past were the least likely to be practicing good oral health. Conclusions: The results suggest that improving oral health will contribute to improving health and mental health outcomes in this population, and provide important information for health specialists working with service members and veterans on college campuses.     

Veteran-nonveteran differences in alcohol and drug misuse by tobacco use status in Alabama SBIRT

ABSTRACT

Alcohol and substance use can challenge military veterans who live in rural communities. In 2016, the screening, brief intervention, and referral to treatment in Alabama (AL-SBIRT) program was implemented in west Alabama. The primary aim of this study was to determine whether current tobacco use modified the relationship between veteran status and substance misuse. Self-reported wellness data was collected regarding substance, alcohol, or tobacco consumption. Risk levels for alcohol and drug use were measured using the United States Alcohol Use Disorders Identification Test (US-AUDIT) and the Drug Abuse Screening Test (DAST)-10. Substance and tobacco use were significantly and positively correlated. Veterans had a higher US-AUDIT and DAST score than nonveterans, and tobacco appeared to be an exacerbating factor. Effective evidence-based interventions are needed in rural settings. Technology based programs and motivational interviewing with trained clinicians may serve as beneficial and cost-effective interventions for tobacco use prevention and cessation efforts.     

Exploring the effectiveness of methadone treatment from the perspective of drug users and their families: a qualitative study in Iran

ABSTRACT

The aim of this study was to explore the effectiveness of Methadone Maintenance Treatment (MMT) from the perspective of drug users and their families. For this qualitative content analysis study, 15 participants were selected via purposive sampling. Data collection was done using deep and semi-structured interviews, which were then analyzed. The results showed that MMT can bring favorable impacts into the patients’ lives and help them with the process of treatment and rehabilitation despite the medical side effects.     

“Me,the street,and a backpack”: employment,income, and physical capital in rural recovery

ABSTRACT

Recovery capital is a framework for understanding individuals’ resources for recovery from substance misuse. In a qualitative analysis of rural individuals in recovery (N = 49), the role of physical capital emerged prominently across ten focus groups. Participants highlighted the effects of employment status, income, and other forms of physical capital directly, as well as indirect effects through changes in human capital. Negative cultural capital components, in the form of stigma and employment discrimination, were described as barriers to physical capital acquisition and successful recovery. Based on these findings, we discuss rural recovery challenges and propose a model of recovery capital interactions.     

Adolescents in residential treatment: The prevalence of ACEs,substance use and justice involvement

Abstract

Although associations between developmental trauma, juvenile justice involvement and youth substance use have been previously reported in the published literature, the interconnection among these three factors has not been adequately studied. This article describes the interconnection among these three factors and calls for greater attention to the role of adverse childhood experiences (ACEs) in the diagnosis and treatment of youth who present with histories of substance use and/or offending behavior. Pilot data are presented that show high rates of self-reported trauma exposure, substance use history, justice involvement, and mental health problems in a sample of adolescents in residential treatment. The data point to the need for residential treatment centers to consider trauma histories in developing treatment plans for youth with current and prior substance use and offending behavior.     

Addiction science and the perception of freewill

Do people think individuals with Substance Use Disorder (SUD) have freewill? How does addiction science inform views on the issue? We distinguish between two senses of freewill: 1) libertarian freewill , in which freedom turns on a particular metaphysical conception of action (sometimes operationalized as “could have done otherwise”), and 2) compatibilist freewill , in which freedom depends on the relation between the actor's psychology and her actions (e.g., “was the act what she wanted to do?”). We argue that, in different ways, scientific accounts can impact conceived freewill by linking addictive behavior to mechanisms that observers view as peripheral to the actor ( motivation modularity) . While a variety of impacts on conceived compatibilist freewill are plausible, we argue that contemporary addiction science has no direct bearing on conceived libertarian freewill. Addiction science may, however, indirectly impact conceived libertarian freewill by priming an explanatory framework in which intention is superfluous (especially materialism).     

Research note: The consequences of different methods for handling missing network data in stochastic actor based models

Although stochastic actor-based models (e.g., as implemented in the SIENA software program) are growing in popularity as a technique for estimating longitudinal network data, a relatively understudied issue is the consequence of missing network data for longitudinal analysis. We explore this issue in our research note by utilizing data from four schools in an existing dataset (the AddHealth dataset) over three time points, assessing the substantive consequences of using four different strategies for addressing missing network data. The results indicate that whereas some measures in such models are estimated relatively robustly regardless of the strategy chosen for addressing missing network data, some of the substantive conclusions will differ based on the missing data strategy chosen. These results have important implications for this burgeoning applied research area, implying that researchers should more carefully consider how they address missing data when estimating such models.     

Relearning to Live Life Without Substances: A Grounded Theory of the Impact of Group Physical Exercise on Sobriety

Research has found significant benefits in using exercise as an adjunct treatment for substance use. This study used a qualitative grounded theory approach to explore the role of group exercise on maintaining sobriety. Sixteen persons (13 White men and 3 White women, age M = 31.81, SD = 8.23), recruited from a substance use recovery group that meets at a gym in an urban area in the Southeast part of the United States, were individually interviewed. Data were analyzed using Charmaz’s (2006) constructivist grounded theory strategies. Central themes revealed a parallel process between the steps taken to seek sobriety and those taken to maintain sobriety. The driving forces of sobriety success in both was 12 steps and group exercise programming that included elements of mentorship, structure, accountability, and fellowship or community. This study supported the use of physical group exercise as an adjunct treatment option for substance use treatment.     

Does the Role of Student Factors with Adolescent Substance Use Vary by Geography?

This study assesses the association of 12th-grade student factors (e.g., grades, classroom misbehaviors) with substance use (i.e., binge drinking, cigarette smoking, marijuana) across large, medium-sized, and nonmetropolitan areas. Based on a sample of 2,189 students from the 2013 Monitoring the Future data set, logistic regression analyses showed that poor student academic and behavioral factors were associated with higher substance use after controlling for gender, race, and socioeconomic status. Interaction analyses further showed no significant differences in the influence of student factors on substance use across locales. Results suggest that prevention efforts against substance use should target student factors regardless of area of residency.     

杜威教师观的实质及其启示

杜威以类比的方式描述教师角色，表达了他希望通过教育实现社会民主的愿望，带有明显的宗教痕迹与理想主义色彩。杜威围绕其教师观的精髓——“教师是学生思维发展的领导者”——对教师这一支撑性角色做了不同表述，丰富了教师角色的多样性。但杜威将教育者与教师等同的理解方式，在某种程度上导致教师概念过度泛化，模糊了家庭、学校、社会不同场域的育人特征与方式。新时代下，要客观地把握杜威教师观的现实意义，秉持取其精华、去其糟粕的科学理性观点。