Mistrust and Self-Isolation: Barriers to Social Support for Older Adult Methadone Clients

Objectives: The purpose of this study is to explore barriers to the use, maintenance, and expansion of social supports in older adult methadone clients. Methods: The data for this analysis were derived from a qualitative study of the needs of aging methadone clients. Data were collected through face-to-face interviews with 24 methadone clients over the age of 50. Results: A lack of trust was identified as a principal barrier to the use, maintenance, and expansion of the social supports of older adult methadone clients. Causes of this mistrust include issues associated with aging, past traumatic experiences, and difficult personal relationships. Implications: These findings imply that addressing the issue of self isolation and recognizing the reason older adult methadone clients engage in this behavior is a key element in getting this specific population to use, maintain, and foster healthy social supports. A common phrase echoed throughout the interviews is that a person cannot trust anybody. Because of this mistrust, some clients keep to themselves by electing to self-isolate and decline to use, maintain, or foster new relationships. As a result, these individuals are less likely foster and/or engage in healthy social relationships, which are a key component of substance abuse treatment and abstinence maintenance.     

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.     

A demographic examination of grandparent caregivers in the Census 2000 Supplementary Survey

As part of the 1996 Welfare Reform Act, the Census Bureau is required to determine how many grandparents are serving as caregivers to a grandchild. Using data from the Census 2000 Supplementary Survey, this paper presents demographic information on two types of grandparent households, and outlines the challenges associated with use of the new questions about grandparent care developed by the Census Bureau. We compare skipped-generation households, in which a grandparent and grandchild coreside but no parent is present, to three-generation shared-care households in which the grandparent claims primary responsibility for the grandchild. We focus on two geographic regions of the United States, New England and the Deep South, providing the first report on the prevalence and characteristics of these households, and the extent to which these attributes are geographically variable. We estimate that the population of three-generation shared-care families is at least as large as the population ofskipped-generation grandparent care families.We identify a number of differences between skipped-generation and shared-care households, especially with respect to the age of the grandchildren involved and the levels of economic hardship. Significant regional differences are also observed, with grandparent care households of both types being more common in the Deep South than in New England. We conclude that data using these new questions have the potential to greatly enrich our demographic understanding of grandparent households by shedding new light on a type of grandparent care often hidden from analysis: grandparents who are responsible for grandchildren in three-generation households.     

Parent-adolescent concordance on perceived need for mental health services and its impact on service use

Mental health service underutilization among African American adolescents is well documented, yet not fully understood. Discordance between adolescents and their parents on perceived need for seeing a counselor for an emotional need or psychiatrist for psychiatric or medical services may help explain low service use among this population. This exploratory, prospective study examined the relationship between parent-adolescent concordance on perceived need for emotional counseling or psychiatric services and mental health service use. The relationships between gender and perceived service need and concordance and adolescent severity of depressive symptoms were also explored. Parent-adolescent dyads (n = 108) receiving community-based adolescent outpatient mental health services responded to interview questions concerning their perception of whether an emotional counselor and a psychiatrist were needed in the past six months. Findings revealed low parent-adolescent concordance on perceived need for an emotional counselor and a psychiatrist. A greater proportion of adolescents reported a need than parents. There was no association between gender and perceived need for an emotional counselor and a psychiatrist. Lower rates of parent-adolescent concordance were found among youth reporting elevated depressive symptoms compared to youth reporting normal range symptoms. Concordant dyads kept a higher number of appointments than discordant dyads. Implications for clinical social work practice and future research are discussed.     

In vino silentium? Individual, situational, and alcohol-related factors in reporting violence to the police

This study identifies the individual, situational, and alcohol-related factors associated with reporting violent victimization to the police. Factors positively associated with reporting included older age and incident severity (the assailant's use of a weapon, incurring injury that required attendance at an emergency department). Factors negatively associated with reporting included higher educational qualifications, assault in the nighttime economy (NTE), and drinking more than two alcoholic drinks immediately prior to victimization. It is possible that drinkers engage in "moratorium" on reporting violence in the NTE. Recognizing and reducing the acceptability of violence in the NTE may help reduce incidence of alcohol-related violence. Organizations that use police records of violence to inform practice and policy should account for uneven distributions in reporting behavior when analyzing trends in violence.     

Where Do Our Problems Lie?: Comparing Rates of E-Access Problems Across Three Research Institutions

Abstract

In order to build upon the research of Brett, the author categorized over three hundred e-resources troubleshooting tickets at The University of Alabama Libraries into a coding scheme originally created by Goldfinger and Hemhauser with the goal of cross-comparing the results with that of two other research libraries. The results of the analysis shed light upon the most commonly reported types of problems among the three institutions, and patterns emerged that could be indicative of industry-wide concerns. The author also developed a more specific, local classification schema in order to identify areas in which local solutions could be implemented to improve user experience.     

Analytic approaches to problems of a middle-sized defence department

The application of operational research to the problems of Canadian defence was very similar to that in Great Britain and the United States during World War II and through the 1950s. But because of the rapidly increasing costs of major weapon systems, since the 1960s systems analysis has been very thoroughly applied to the study of the large procurement programs, including far-reaching examination of their economic impact on the nation. Other problems of special interest to Canada which received analytical attention included peacekeeping and military involvement in activities such as maritime surveillance and search and rescue. Analytical studies have been extended into examination of logistics and manpower, and into economic, sociological, and strategic problems of concern to the Canadian defence department, including arms control. This type of research represents a considerable excursion from the original operational research, but is needed in the Canadian Department of National Defence.     

Modelling data from single-photon emission computerized tomography

The completely random character of radioactive disintegration provides the basis of a strong justification for a Poisson linear model for single-photon emission computed tomography data, which can be used to produce reconstructions of isotope densities, whether by maximum likelihood or Bayesian methods. However, such a model requires the construction of a matrix of weights, which represent the mean rates of arrival at each detector of photons originating from each point within the body space. Two methods of constructing these weights are discussed, and reconstructions resulting from phantom and real data are presented.     

Exploring the Association Between Dispositional Cancer Worry,Perceived Risk,and Physical Activity Among College Women

Abstract

Objective: In this study, the authors explored the association between dispositional cancer worry (DCW), risk perceptions (RP), and physical activity (PA) among college females. Participants: Four hundred fifty-one females from a midwestern university completed an online survey in September/October 2012. Methods: DCW severity, DCW frequency, RP, and PA were measured along with qualitative data about PA as cancer prevention. Results: Sixty-nine percent of participants did not meet PA recommendations. DCW severity was a significant predictor of meeting PA recommendations (odds ratio = 1.2, 95% confidence interval [1.00, 1.38]; p = .05). Qualitative data revealed a lack of knowledge about breast cancer risk and PA as cancer prevention. Conclusions: College women do not engage in enough PA nor feel at risk for developing breast cancer. A lack of knowledge exists about the cancer prevention benefit of PA. Results indicate a need for PA interventions that both educate breast cancer risk and motivate health protective behaviors.