Becoming married, depression, and alcohol problems among young adults

This paper examines three questions regarding the relationship between marriage and mental health, specifically depression and alcohol problems. First, does marriage lead to improved mental health compared to never marrying? Second, do any mental health benefits of marriage primarily accrue to men? Third, what qualitative aspects of marriage are related to psychological disorder? We explore these questions in a longitudinal sample of young adults sampled at age 21 and again at age 24. We find no indication that marriage reduces depression. Married people do report fewer alcohol problems than the never-married but this could be due to the selection of less problematic drinkers into marriage. We also fail to find that men receive disproportionate mental health benefits from marriage. Finally, we find that marital conflict is associated with problem drinking for men and depression for women. The results indicate the importance of considering stage in the life cycle and gender-sensitive indicators of psychological disorder in studies of marriage and mental health.     

Cannabis and alcohol use in young adults: Connections

People with HIV, as well as those who are uninfected, do well on long‐term treatment with opioids (methadone or buprenorphine), researchers have found. There is a strong dose‐response relationship between mortality (all causes), unnatural death and overdose, with the higher morphine equivalent daily doses having the best outcomes, according to the study, by Ajay Manhapra, M.D., and colleagues and published online Sept. 16 in the Journal of Drug and Alcohol Dependence. “Opioid risk mitigation approaches should be expanded to address the potential effects of higher dose on all‐cause mortality in addition to unnatural and overdose fatalities,” the researchers conclude in the abstract. For the study, there were 22,996 patients on long‐term treatment, 6,578 (29%) with HIV and 16,418 (71%) uninfected. Among 5,222 (23%) deaths, 12% were unnatural deaths and 6% overdoses. The study, “All‐cause mortality among males living with and without HIV initiating long‐term opioid therapy, and its association with opioid dose, opioid interruption and other factors,” also found that benzodiazepine use was associated with overdose.     

An exploratory study of alcohol dependence and problem gambling co-development trajectories in young adults

This study examines whether there are multiple trajectories of alcohol dependence and problem gambling symptom co-occurrence in a sample (n = 679) of emerging adults. Six joint trajectory classes were identified and several baseline risk factors were associated with increased probability of being in more problematic joint trajectory classes relative to the low-risk normative class. There was no joint trajectory class characterized by both higher problem gambling risk and persistent high alcohol dependence, suggesting that alcohol dependence and problem gambling are not directly related but perhaps share common underlying causes. Contrary to this, though, none of the examined risk factors were common to both more problematic gambling and drinking trajectories. Overall, the findings (which should be considered exploratory due to small class sizes) suggest the co-development of alcohol and gambling is not uniform across all young adults, and that the reciprocal nature of this relationship in adulthood may not solidify until later in young adulthood. Future research should re-examine these findings with a larger sample, spanning further into adulthood, with additional risk factors.     

Attitudinal and normative predictors of alcohol use by older adolescents and young adults

A model of alcohol use based on the theory of planned behavior, expectancy theory, and the developmental literature on the influence of parents and peers was examined with 87 eleventh grade students, 105 college freshmen, and 107 college juniors. Specifically, the influence of attitudes about the positive and negative consequences of drinking, perceived parental and peer norms about alcohol consumption, and perceived control over drinking predicted self-reported alcohol use. The results suggest that, during adolescence, decisions to consume alcohol are rational, based on the consideration of the positive consequences of alcohol use and perceptions of control over drinking; however, the negative consequences of alcohol use are discounted. While perceived peer norms predicted alcohol consumption in all three age groups, the influence of perceived parental norms varied such that they predicted alcohol use only among the college juniors. Implications and avenues for future research are discussed.     

Early onset of drinking as a predictor of alcohol consumption and alcohol-related problems in college

A survey of 4,202 students enrolled in the State University System of Florida from 1986 to 1988 showed that 14 percent started drinking in elementary school, 34 percent started in middle school, 45 percent in high school, and 7 percent in college. A General Linear Models analysis of variance procedure showed that the time of first drink significantly predicted the quantity-frequency of alcohol consumption and the incidence of alcohol-related problems reported by students in college. Students who started to drink while in elementary and middle school reported significantly higher levels of consumption and problems than those who started drinking while in high school or college.     

Regulating availability: how access to alcohol affects drinking and problems in youth and adults

Regulations on the availability of alcohol have been used to moderate alcohol problems in communities throughout the world for thousands of years. In the latter half of the 20th century, quantitative studies of the effects of these regulations on drinking and related problems began in earnest as public health practitioners began to recognize the full extent of the harmful consequences related to drinking. This article briefly outlines the history of this work over four areas, focusing on the minimum legal drinking age, the privatization of alcohol control systems, outlet densities, and hours and days of sale. Some historical background is provided to emphasize the theoretical and empirical roots of this work and to highlight the substantial progress that has been made in each area. In general, this assessment suggests that higher minimum legal drinking ages, greater monopoly controls over alcohol sales, lower outlet numbers and reduced outlet densities, and limited hours and days of sale can effectively reduce alcohol sales, use, and problems. There are, however, substantial gaps in the research literature and a near absence of the quantitative theoretical work needed to direct alcohol-control efforts. Local community responses to alcohol policies are complex and heterogeneous, sometimes reinforcing and sometimes mitigating the effects of availability regulations. Quantitative models of policy effects are essential to accelerate progress toward the formulation and testing of optimal control strategies for the reduction of alcohol problems.     

Relationship between balance and gait stability in healthy older adults

Age-related adaptations during walking create a more stable walking pattern, which is less effective for forward progression and might be related to balance deficiencies. This study determined the relationship between walking stability and measures of balance in older adults. Seventeen older and 20 young adults performed the Berg Balance Test (BBT) and walked 10 m. Walking velocity (WV) and cadence were measured, and a gait-stability ratio (GSR) was calculated. Higher GSR indicated that a greater portion of the gait cycle was spent in double-limb support. Age-group comparisons established declines in BBT scores and WV and increases in GSR with age. Significant relationships were identified for BBT Item 12 (alternate stepping on a stool) with WV (r =.58, r(2) =.34) and GSR (r = -.74, r(2) =.54). The correlation of BBT Item 12 with GSR was stronger than with WV (p <.05). Results indicated a strong relationship between increased gait stability and decreased balance for a dynamic weight-shifting task. Therefore, GSR is a better indicator of balance deficits during walking than is WV alone.     

Collective caring: creating safety through interactions between young activist groups and young adults in Sweden

Existing research explores safety among young adults as a complex phenomenon in diverse social spaces. Nonetheless, it largely approaches perceptions of unsafety and safety strategies as discrete individual action. In this paper, we show how safety is created through the social interactions between young activist groups and their main target or audience, young adults. Our study aimed to explore how young adults created meanings and actions of safety within their activism. Grounded Theory method was use to collect and analyze qualitative interviews with young adults of ten social change groups located in two medium-size cities in Sweden. To interpret our findings, we drew upon interactionist concepts of shared definitions and joint action [Blumer, Herbert. 1966. “Sociological Implications of the thought of George Herbert Mead.” American Journal of Sociology 71 (5): 535–544]. Shared definitions challenged narrow notions of unsafety by identifying uniform categories and harmful stereotypes as the source of the problem, and thereby locating constraints upon the capacity of different groups of young adults to define situations as (un)safe. Joint action combined an immediate response of moving to where young adults were with an enduring response of being there for young adults. Combined, these constituted an overarching social process of collective caring, which we linked to Isabel Lorey’s [2015. State of Insecurity. London: Verso] concept of practices of caring.     

Adolescent and adult alcohol attitudes in a high alcohol consumption community

The study examines alcohol-related attitudes among adolescents and adults in a high consumption community, exploring whether adolescents and adults hold similar or different views regarding adolescent drinking. Data were gathered from adults in a Midwestern city via random telephone survey of 487 adults (30% with children under the age of 21). Students in grades 6-12 (n = 558) also completed a youth version of the survey in classrooms. Results indicated that becoming a parent was associated with more restrictive attitudes about adolescent alcohol use, regardless of the age of their children. Adolescents aged 14 to 17 had the least restrictive attitudes. Adults aged 18 to 24 (who were not parents) reported values similar to older adolescents. Younger adolescents, while similar to older adolescents in perception of community alcohol problems, were more like parents and older adults in attitudes about adolescent drinking. Both adolescents and adults greatly overestimated actual amounts of community adolescent binge drinking.     

Using alcohol to sell cigarettes to young adults: a content analysis of cigarette advertisements

OBJECTIVE: Advertising influences the health-related behaviors of college-aged individuals. Cigarette manufacturers aggressively market to young adults and may exploit their affinity for alcohol when creating advertisements designed to increase cigarettes' appeal. Internal tobacco industry documents reveal that cigarette manufacturers understood the popularity of alcohol among young adults and sought to produce pertinent marketing strategies. METHODS: The authors conducted a content analysis of cigarette and alcohol advertisements in young adult-oriented magazines to investigate portrayed associations between cigarettes and alcohol. RESULTS: The content analysis revealed that 32 of 114 cigarette advertisements referenced alcohol and that those advertisements were more likely than others to portray active smoking. Conversely, 0 of 317 alcohol advertisements referenced cigarettes, and alcohol advertisements were only slightly more likely than cigarette advertisements to feature alcohol-related settings. CONCLUSIONS: Such advertising may detrimentally affect smoking patterns of college students. An understanding of these strategies can benefit on-campus tobacco control efforts.     

Social identity and alcohol in young adolescence: the perceived difference between youthful and adult drinking

This paper examines the evolving social identities of young adolescents in regard to alcohol and drinking culture in Norway. Detailed analysis of 29 focus group interviews and 32 individual interviews with 12–13-year-olds reveal a thorough negative attitude towards alcohol, especially when enjoyed by young people. Young adolescents found young people to be too irresponsible and immature to drink, while adults were portrayed as capable of enjoying alcohol without losing control or experiencing other negative effects. Through symbolic boundary work, they distanced themselves from adolescents who drank. The young adolescents rejected the idea that drinking alcohol was a sign of maturity; instead, they exhibited maturity by distancing themselves from drunk adolescents. We discuss how these findings reflect the participants’ socio-cognitive development, and how symbolic boundaries are often drawn against those closest in social distance. We conclude that boundaries between ‘adolescents’ and ‘adults’ are fundamental when understanding emerging adolescent social identities, especially when it comes to drinking and drinking culture.     

The working alliance between homeless young adults and workers: A dyadic approach

The development of a strong working alliance between homeless young adults and their social workers is seen as a critical component in the recovery process. The purpose of this study was to examine the composition of the working alliance between homeless young adults and their social workers, and its association with self-determination, resilience and quality of life. A sample of 102 homeless young adults and 32 social workers from ten Dutch shelter facilities participated. Homeless young adults were interviewed twice: when entering the facility (baseline) and sixth months after baseline or when care ended earlier. Social workers were questioned about the working alliance at follow-up. Data were analyzed by using a one-with-many design. Results showed that homeless young adults who generally reported strong alliances with their social worker, do not have a social worker who generally reported strong alliances (generalized reciprocity). In addition, if a young adult reported to have an especially strong alliance with his worker, this worker did not necessarily reported to have a strong alliance in return (dyadic reciprocity). Homeless young adults who perceived a stronger working alliance with their social worker than other young adults, who were supported by the same social worker, improved more on self-determination than young adults who reported to have a weaker alliance. Our results indicate that the working alliance is important in achieving outcomes. A dialogical approach should be encouraged in which young adults feel valued and safe enough to express their expectations and to build a strong working alliance.     

Perceived norms and alcohol consumption: differences between college students from rural and urban high schools

OBJECTIVE: The authors examined perceived norms and drinking among college students who attended high schools in rural and urban communities. PARTICIPANTS AND METHODS: Undergraduates (99 men and 85 women) who attended high schools in communities with populations ranging from less than 100 to more than 400,000 completed surveys assessing perceived norms and alcohol consumption. RESULTS: Analyses revealed that students from smaller towns and in smaller high school graduating classes reported heavier drinking and that perceived norms were positively associated with drinking. Perceived norms were unrelated to population variables, and the relationship between perceived norms and drinking did not vary as a function of population variables. Results suggest that differences in drinking as a function of coming from more rural areas contribute to drinking behavior in college independently of perceived norms. CONCLUSIONS: College students may adjust to campus drinking norms relatively quickly, and longitudinal research would be useful in understanding this transition.     

Stress and coping of adults and young adults in economically uncertain rural areas

This paper discusses the degree and type of stress experienced by adults and young adults, coping strategies used, and their family, financial, and community satisfaction in economically distressed rural counties. Data were analyzed from questionnaires completed by 447 adults and 118 young adults. Results indicate greater perceived stress, use of some less effective coping strategies, and less satisfaction among young adults. Both groups indicate similar numbers of stressful events and a generally positive perception of community social services.Dorothy Z. Price received her Ph.D. from Michigan State University. She is a Professor, Department of Child & Family Studies, Washington State University, Pullman, WA 99164-2010. Research interests include decision-making and consumer behavior.Lonnie J. Dunlap, M.A. is a Graduate Research Assistant, Interdisciplinary Ph.D. Program, Department of Child & Family Studies, Washington State University, Pullman, WA 99164-2010. Research interests include work and family interactions and career development.     

The association between sensation seeking and e-cigarette use in Texas young adults: A cross-sectional study

Objective: To examine the associations between sensation seeking and ever and current e-cigarette use in Texas young adults (18–29 years old). Current cigarette use was examined as a potential effect modifier of the associations. Participants: Participants included college students enrolled in four-year and two-year colleges in four metropolitan areas in Texas (n = 5,418) who completed the survey between November 2014 and February 2015. Methods: This cross-sectional study utilized mixed effects logistic regression to determine the associations between mean sensation seeking scores and ever and current e-cigarette use after controlling for covariates. Results: After controlling for covariates, significant associations between sensation seeking and both ever and current e-cigarette use were observed; however, these associations were significant for noncurrent smokers only (adjusted odds rations [AOR] = 1.55, 95% confidence interval (CI) = 1.39, 1.73; AOR = 1.82, 95% CI = 1.54, 2.15, respectively). Conclusions: Sensation seeking is an important factor in identifying college students who may be at increased risk for e-cigarette use behaviors.     

An investigation of the link between gambling motives and social context of gambling in young adults

The current study examined the relationship between gambling motives and gambling in various social contexts using both retrospective and real-time assessment of gambling social context. Ninety-five young adults (79 males, 16 females; aged 19–24 years) who reported gambling at least 4 times in the past month participated. Scores on the Gambling Motives Questionnaire (GMQ; Stewart & Zack, 2008) were used as a measure of gambling motives (Enhancement, Social, Coping). Data on the social context of gambling (alone, with family, with friends, with strangers) were derived retrospectively from the Gambling Timeline Follow-Back (G-TLFB; Weinstock, Whelan, & Meyers, 2004) as well as in real time using experience sampling (ES) methods (Conner Christensen, Feldman Barrett, Bliss-Moreau, Lebo, & Kaschub, 2003). For both the G-TLFB and ES data, we conducted a series of multivariate regression analyses with the block of gambling motives predicting gambling behaviour in each social context. Across the two assessment methods, coping gambling motives positively predicted gambling alone, whereas social gambling motives negatively predicted gambling alone and positively predicted gambling with friends. These findings suggest that individuals who gamble for particular motives are more likely to do so in specific social contexts.