More than 1 in 4 12th graders vapes nicotine monthly

A research letter from National Institute on Drug Abuse Director Nora Volkow, M.D., published online Sept. 18 in the New England Journal of Medicine (NEJM), gives a preview of some of the data that will be released in December from the Monitoring the Future (MTF) survey of high schoolers. The data was released early in the interest of public health.     

Good news in NSDUH: New heroin use down

New users of heroin were down in 2017 from the previous year, according to the National Survey on Drug Use and Health (NSDUH) released Sept. 14. The decline is dramatic: from 170,000 new heroin users in 2016, to 81,000 in 2017. But there are concerns about increasing cocaine and methamphetamine use, a continuing increase in widespread use of marijuana, and increased substance use in the “transitional‐age” (18–25‐year‐olds) population and pregnant women.     

Heaviest drinkers still drinking during lockdown: UK research

Lockdown due to the COVID‐19 pandemic doesn't necessarily result in an across‐the‐board increase in alcohol consumption, according to research commissioned by Alcohol Change UK and released last month. The study found that 21% of adults who drink alcohol are drinking more often since the March 23 lockdown began in England, but that 35% reduced their frequency of consumption or stopped drinking altogether. Of those surveyed, 6% of previous drinkers chose to stop drinking altogether during lockdown. The study, a representative survey of more than 2,000 people, extrapolates to 8.6 million adults in the United Kingdom drinking more frequently since lockdown, while 14 million are drinking less often or have stopped drinking entirely. In addition, many people are seeking help based on visits to the “Get help now” section of Alcohol Change UK's website increasing 355% between March 23 and April 13, compared to the same period last year.     

Supplemental SOR grants released to states

Last month, the federal Department of Health and Human Services (HHS) released an additional $487 million to states and territories in its State Opioid Response (SOR) grant program, bringing the 2019 total to $1.4 billion, including the $933 million in second‐year, continuation SOR grants to be provided later this year. The SOR grants increase access to medication‐assisted treatment (MAT), reduce unmet treatment need and reduce opioid‐related overdose deaths.     

CCAPP: Number of deaths from untreated addiction may rival those from COVID‐19

In a far‐reaching clarion call for attention to addiction in the midst of the COVID‐19 pandemic, Pete Nielsen, CEO of the California Consortium of Addiction Professionals and Programs (CCAPP), urges policymakers to recognize that the isolation required in shelter‐in‐place will fuel even more deaths from alcohol, drugs and suicide. In The Disease of Addiction Thrives on Isolation, released this month, Nielsen warns that these deaths were already “on track to break records in the number of victims in our state this year,” and goes on to say that those “who survive this year will face a second wave of death due to tobacco related diseases and or relapse to drug of choice unless tobacco is routinely treated in substance use disorder.”     

Comparing Gender Expression,Gender Nonconformity,and Parents' Responses of Female-to-Male and Male-to-Female Transgender Youth

Abstract

Twenty-four female-to-male (FTM) and 31 male-to-female (MTF) transgender youth reported on their gender development and expression, and parental responses to their gender nonconformity. Both groups of youth felt different from others of their same birth sex at a mean age of seven and one-half years. The age when parents suggested they were different was younger for the MTF than the FTM youth. The MTF youth were called “sissy” at an earlier age than the FTM were called “tomboy.” Parents of FTM youth encouraged them to act in more traditional gender typical ways at a younger age than the MTF. The MTF youth considered themselves transgender two years earlier than the FTM youth. More parents of MTF youth felt that their children needed counseling than the parents of the FTM youth. While the majority of both groups reported past verbal victimization, comparatively more MTF youth reported being physically victimized. Implications of the developmental trajectories and experiences of transgender youth for school and family counselors are discussed.     

‘Sperm Milkshakes with Poo Sprinkles’: The Challenges of Identifying Family Meals Practices through an Online Survey with Adolescents

This article contributes to a long‐overdue discussion about research with adolescents. While young people are now recognised as competent and reliable participants, there are particular difficulties associated with using adolescents as respondents. Furthermore, it is rare for young people’s reactions to the research process to be heard. This article reports on some of the methodological challenges faced in designing and administering a Web‐based survey to 15‐year‐old school students in Perth, Western Australia, in an attempt to gain insight into meals practices and beliefs among adolescents and their families. Using empirical data, we discuss issues concerning the competence of adolescents to participate in social research. We conclude that using a Web‐based survey actively facilitates high levels of adolescent engagement in the research process, allowing them to be both subject and object of the research.     

A Multidimensional Exploration of the Foundations of Community Attachment among Seasonal and Year‐Round Residents

Utah is a popular second‐home destination because of its unique landscapes offering numerous natural amenities. This research utilized data from a mail survey of residents in six Utah counties and had two objectives: (1) to test a multidimensional conceptualization of community attachment and (2) to determine if the foundations of community attachment, based on those conceptual dimensions, are different for year‐round and seasonal residents. The study utilized structural equation models, which allow the use of latent variables, to complete those objectives. Results revealed that a multidimensional conceptualization of community attachment is appropriate. The conceptual dimensions (social bonds, participation, and sentiments) used in this research all proved to be important elements of the higher order construct “community attachment” for both year‐round and seasonal residents. For year‐round residents, community attachment is best predicted by the social bonds dimension, while for seasonal residents the participation dimension is most important. However, all three of the dimensions of attachment used herein are important among both residence categories, indicating that future research on this topic would be best served by using a multidimensional conceptualization of community attachment.     

THe Use of Hormone Therapy in the Male-to-Female Transgender Population: Issues for Consideration in Thailand

ABSTRACT

Objectives: Prejudice against transgender people is evident around the world with discrimination in many aspects of life, including access to health care. Even in Thailand, where male-to-female (MTF) transgender people are particularly visible and society is reputedly accepting, barriers to attaining appropriate health care still exist. The vast majority of MTF transgender people in Thailand are reported to be taking hormone therapy; however, most do not seek medical advice regarding these regimens, with the initiation and tailoring of medication often being guided by sympathetic peers instead. The objectives of this review are to consider hormone therapy in the context of the Thai population and provide recommendations regarding ways to improve practice and reduce health risks. Methods: The data analysis in this article represents a comprehensive literature review regarding hormone therapy for MTF transgender people including the guidelines for initiation, prescribing, and monitoring of hormone therapy, risks for serious adverse events and reported hormone use by the MTF transgender population in Thailand. Results: There is a notable lack of published research regarding hormone therapy in the transgender population. Guidelines, whilst relying considerably on expert opinion, do provide clear recommendations on the initiation, maintenance and monitoring of hormone therapy. Comparison of endocrine guidelines with reported practice in Thailand reveals significant opportunities for improvement in MTF transgender hormone therapy. Conclusions: The incautious use of hormone therapy may represent a considerable health risk behavior undoubtedly contributing to the morbidity and mortality in MTF transgender people. Although there is currently considerable focus on sexually transmitted infections in the MTF transgender population, a more comprehensive approach to health care is required, including education for transgender people and the health professionals who attend to them regarding appropriate hormone therapy.     

Family Dynamics and Self‐Injury Behaviors: A Correlation Analysis

This study tested the relationship between family dynamics and self‐injury. A total of 189 participants responded to a web‐based survey collecting information related to previous self‐injury behaviors and family dynamics. Participants were over 18 years old who had used self‐injury (intentionally harming themselves physically to relieve painful emotions without suicidal intent), but who had not used self‐injury for over a year. Results indicated that healthy family dynamics were negatively correlated and associated with higher scores of self‐injury behaviors. This study offers some evidence that family dynamics influence self‐injury behaviors. The implications for family therapy are discussed.     

Unequal networks: comparing the pre‐migration overseas networks of Indonesian and Filipino migrant domestic workers

Previous studies of Asian migrant domestic workers' pre‐migration overseas networks have tended to be ethnographic, small‐n case studies such that it is unclear if network differences between migrants are due to individual‐ or country‐level differences or both. This article draws from an original survey of 1,206 Filipino and Indonesian domestic workers in Singapore and Hong Kong to reveal statistically significant differences in the pre‐migration overseas networks of these two nationality groups even after controlling for migrants' educational attainment, marital status, employment status, age, year of first migration, and survey location. Multiple regression analysis highlights how Filipino respondents are more likely than Indonesian respondents to have known existing migrants prior to their first migration from their homeland. Filipino respondents' overseas networks are also significantly larger, more geographically dispersed, and comprise more white‐collar contacts. These findings open up new terrain for migration scholars to study the impact of these nationality‐based network differences on the two groups' divergent migration experiences and aspirations.     

Current State and Issues Surrounding Construction of an Independent Support Network for Child Abuse Victims Over 18 Years Old in Japan

This study aims to briefly explain the current child abuse laws as they relate to 18‐year‐old child abuse victims in Japan who are no longer minors, but not yet adults. It explains the gap in services during this transitional period and presents the results of a survey, distributed to 275 facilities, requesting information about this problem. It also examines the status of current support systems available to help these transitional abuse victims, who are on the verge of becoming adults, in establishing lives independent of their parents; and give some suggestions to improve the support system.     

NAATP releases 3‐year pilot outcomes report

Last week, the National Association of Addiction Treatment Providers (NAATP) released the results of its three‐year Outcomes Pilot Program, in which eight pilot sites tested out a method for a standardized outcomes tracking tool. The project was a success, said NAATP Executive Director Marvin Ventrell on March 12. The project resulted in the Outcomes Measurement Toolkit: The Addiction Treatment Provider Guide to Standardized Outcomes Measurement, which NAATP members can start using now.     

Nonparental Adults as Social Resources in the Transition to Adulthood

This short‐term longitudinal study examined whether the social resources of important nonparental adults (VIPs) perceived by youth during their senior year of high school had a significant relation to their educational and socioemotional adjustment 1 year later. One month before their high school graduation, a multiethnic sample of youths (N=754) reported on their grades, educational expectations, and selected psychosocial characteristics (i.e., depressed mood and misconduct); the educational attainment and perceived psychosocial characteristics of an important nonparental adult in their lives; and the educational plans and perceived psychosocial characteristics of their close friends. Key measures were included in a mailed survey 1 year later. VIP characteristics (particularly their educational attainment) were associated with post‐high school adjustment, even after controlling for previous level of youth adjustment and contributions from demographic and peer characteristics.     

MOVING OUT TO MOVE UP: DUAL‐CAREER MIGRATION AND WORK–FAMILY TRADEOFFS

Using data from a survey of new entrants to the junior PhD job market in economics, this paper shows that dual‐career location problems compromise the personal and professional lives of early‐career PhDs. Contrary to the common assumption that couples who do not live together break up, we find that living apart is a viable solution to location problems in the first year after graduate school. Surprisingly, PhDs facing moderate location problems are more likely than those facing severe location problems to make career sacrifices on behalf of their relationship; PhDs facing severe location problems are more likely to live apart. (JEL, J12, J44, A11)     

INDIVIDUAL AND CONTEXTUAL INFLUENCES OF WAR ON ETHNIC PREJUDICE IN CROATIA

This article examines what the determinants of ethnic prejudice in Croatia were in the aftermath of the 1991–1995 war. The analysis is based on a nationwide survey (N = 2,202) conducted in March and April 1996, less than a year after the cessation of war activities in Croatia. The main focus of our analysis is on how war influences the ethnic prejudice of individuals. The influences of individual war‐related experiences and the effects of regional differences in the level of war activities are analyzed simultaneously by conducting a multilevel analysis. The main findings are that individual war‐related experiences have little impact on prejudice, but that the contextual influence of war is somewhat stronger. Variables that are not directly related to the conflict—such as education, religiosity and size of the place of residence—have the strongest effect on prejudice. Insofar as our results can be generalized to other large‐scale ethnic conflicts, they indicate that a recent history of conflict is not in itself a major hindrance to the process of ethnic reconciliation.     

The Long‐Term Effects of Building Strong Families: A Program for Unmarried Parents

The authors present findings from a large‐scale, random‐assignment evaluation of Building Strong Families (BSF), a program offering group sessions on relationship skills education to low‐income, unmarried parents who were expecting or had recently had a baby. Findings based on a 3‐year follow‐up survey of over 4,000 couples indicate that BSF did not succeed in its central objectives of improving the couple relationship, increasing the quality of coparenting, or enhancing father involvement. In fact, the program had modest negative effects on some of these outcomes. BSF also had little impact on child well‐being, with no effect on children's family stability or economic well‐being and only a modest positive effect on children's socioemotional development. Impacts varied across the 8 study sites. Although attendance at group sessions was relatively low, there is little evidence of program effects even among couples who attended sessions regularly.     

Neighborhood Structure,Social Organization,and Number of Short‐Term Sexual Partnerships

We examine the relationship between neighborhood structural characteristics, social organization, and the sexual partnering practices of adults. Analyses of 1990 census and 1995–1997 survey‐based data on Chicago neighborhoods and adult sexual activity reveal for men a number of neighborhood influences on sexual partnering practices. First, residential stability is negatively associated with having a short‐term sexual partner in the last year. Second, neighborhood social ties are positively associated with short‐term sexual partnering in neighborhoods with low levels of collective efficacy—the combination of cohesion and shared expectations for beneficial action among neighbors—but this effect is substantially reduced as collective efficacy increases. Moreover, neighborhood collective efficacy and social ties mediate the effect of residential stability on sexual partnering practices. Neighborhood characteristics were not associated with short‐term sexual partnering for women.     

Measuring Children's Experience of Their Right to Participate in School and Community: A Rights‐Based Approach

This paper discusses the development of a children's rights‐based measure of participation and the findings from its use in a survey of 10‐ to 11‐year‐old children (n = 3773). The measure, which was developed in collaboration with a group of children, had a high reliability (Cronbach's alpha = 0.89). Findings suggest that children's positive experience of their participation rights is higher in school than in community, and higher for girls compared to boys. It is argued that involving children in the ‘measurement’ of their own lives has the potential to generate more authentic data on children's lived experiences.     

Rural communities and well‐being: a good place to grow up?

This study looks at young people's accounts of life in communities in rural northern Scotland, and considers in what ways affective and social aspects of community are bound up with well‐being, over and above young people's concerns for the future, rural youth transitions, and out‐migration. Interviews were held with 15–18 year‐olds in four study areas (16 groups, N=60+) and a parallel survey of 11–16 year‐olds was conducted in eight study areas (N=2400+). Themes to emerge from the interviews included: opportunities locally, the future and staying on, as well as local amenities and services; but older teenagers also spoke at length about their social lives, family and social networks, and their community, both as close‐knit and caring and as intrusive and controlling. Rural communities were seen as good places in childhood, but not necessarily for young people. In parallel with that, the survey data paints a picture where feelings of support, control, autonomy, and attachment were all associated with emotional well‐being. Importantly, links between emotional well‐being and practical, material concerns were outweighed by positive identifications of community as close‐knit and caring; and equally, by negative identifications as intrusive and constraining, where the latter was felt more strongly by young women. Certainly, beliefs about future employment and educational opportunities were also linked to well‐being, but that was over and above, and independently of, affective and social aspects of community life. Additionally, migration intentions were also bound up with sense of self and well‐being, and with feelings about community life; and links between thoughts about leaving and community life as controlling and constraining were, yet again, felt more strongly by young women. Thus, gender was a key dimension affecting young people's feelings about their communities with significant implications for well‐being, and out‐migration. The study illustrates the importance of understanding the experiences young people have of growing up in rural areas, and how they evaluate those experiences: particularly, how life in rural communities matters for young people's well‐being; and especially, for young women.