Self-rated Health in Relation to Rape and Mental Health Disorders in a National Sample of College Women

Abstract

Objective: The purpose of this study was to employ a multivariate approach to examine the correlates of self-rated health in a college sample of women, with particular emphasis on sexual assault history and related mental health outcomes. Participants: A national sample of 2,000 female college students participated in a structured phone interview between January and June 2006. Methods: Interview modules assessed demographics, posttraumatic stress disorder, major depressive episode, substance use, rape experiences, and physical health. Results: Logistic regression analyses showed that poor self-rated health was associated with low income (odds ratio [OR] = 2.70), lifetime posttraumatic stress disorder (OR = 2.47), lifetime major depressive episode (OR = 2.56), past year illicit drug use (OR = 2.48), and multiple rape history (OR = 2.25). Conclusions: These findings highlight the need for university mental health and medical service providers to assess for rape history, and to diagnose and treat related psychiatric problems in order to reduce physical morbidity.     

Predictors of well-being among college students

ABSTRACT

Objectives: Identification of health-related risk behaviors associated with well-being in college students is essential to guide the development of health promotion strategies for this population. The purposes were to evaluate well-being among undergraduate students and to identify health-related risk behaviors that predict well-being in this population. Methods: A cross-sectional Web-based survey of undergraduate students was conducted at a metropolitan university in the Southeast United States. A total of 568 students responded (response rate 14.2%). Data were collected on health-related risk behaviors using the National College Health Assessment II. Results: Controlling demographic characteristics, the best predictive model included physical activity, current tobacco user, depression, ever received mental health services, and sleep quality, which was the strongest predictor (β = .45, p < .001). This model explained 35% of the variance in well-being. Conclusions: Interventions that promote sleep quality among college students may be most beneficial in improving well-being.     

Problem Gambling and Comorbid Psychiatric and Substance Use Disorders Among Drug Users Recruited from Drug Treatment and Community Settings

Little is known about gambling rates of drug users recruited from drug treatment compared with those recruited from the community. We use the Diagnostic Interview Schedule (DIS) to provide lifetime prevalence estimates of problem gambling (i.e., at least one gambling problem) and DSM-III-R pathological gambling (i.e., at least four gambling problems) and describe the association between gambling and psychiatric disorders for drug users recruited from drug treatment settings (n = 512) and from the community (n = 478). We also report the relative risk of being a recreational and problem gambler in this sample. The sample was first interviewed in 1989–90 as a partof two NIDA-funded St. Louis-based studies. The prevalence of problem gambling in the overall sample was 22% and the prevalence of pathological gambling was 11%. There were no statistically significant differences in problem and pathological gambling rates for subjects recruited from drug treatment and those recruited from the community. The conditional prevalence rates, that is, the rate of problem and pathological gambling only among gamblers were 27% and 13.5%, respectively. Major findings indicate that problem gambling was associated with Antisocial Personality Disorder (ASPD), even after controlling for recruitment source and socio-demographic characteristics. In fact, when examining the temporal order of these disorders, we found that pathological gambling was always secondary to ASPD, occurring on average 11.4 years after the onset of ASPD. Problem gamblers, compared with everyone else, were more likely to be male, African-American, recruited from drug treatment, have ASPD and be dependent on illicit drugs. Multinomial logistic regression analysis predicted the relative risk of being a recreational and problem gambler (compared with a nongambler) in this sample according to socio-demographics, ASPD, and dependence on illicit drugs. Results imply that screening for gambling problems will need to be broad-based among drug users.     

Applying an Ecological Framework to Understanding Drug Addiction and Recovery

ABSTRACT

A new conceptual model of drug addiction and recovery, the Acculturation Model, is presented, with “addiction” and “recovery” understood as distinct sociocultural phenomena with their unique prescribed behaviors, rituals, symbols, and language that serve to construct and consolidate a cultural identity. The model suggests that individuals in recovery from drug addiction will need to make a cultural transformation in order to maintain sobriety. Examples of specific rituals that may help facilitate movement from addiction to recovery are detailed.     

Perpetrator or Victim? Relationships Between Intimate Partner Violence and Well‐Being

In national surveys, around half of intimate partner violence perpetrators are also victims of partner assaults. However, data on intimate partner violence victimization and perpetration are rarely examined together. This study examines the relationships between perpetration, victimization, and three psychosocial variables—depression, self‐esteem, and substance abuse—that have been constructed in prior research as both causes and consequences of partner violence. Results indicate that associations between substance abuse and self‐esteem and partner violence perpetration are mediated by controlling for victimization, but depression is associated with both victimization and perpetration. Associations between mutual violence and depression and substance abuse are greater among women than men, supporting the position that gender symmetry in reported violence perpetration does not imply symmetry in outcomes.     

No place like home? Availability,opportunity, and substance use in adolescence

Surveys on drugs and alcohol availability show that (1) alcohol is much more easily accessible than both cannabis and tobacco, and that (2) many adolescents still do not find it ‘easy’ to access those substances. In the current study, we examine the importance of both opportunity and availability in assessing substance use in adolescence. Our measures of opportunity include skipping school and unstructured socializing, while availability measures include parental substance use and perceived availability of tobacco, alcohol, and cannabis at home. We draw from two waves of the National Longitudinal Study of Adolescent to Adult Health (Add Health) survey, and distinguish between (a) predictors of Wave II substance use for the whole sample, and (b) predictors of Wave II initiation for those respondents who reported no use at Wave I. We find that availability at home and parental substance use is correlated with substance-specific current adolescent consumption, but these indicators are not associated with initiation behavior. Instead, initiation seems to be carried by unstructured socializing outside of the home, with availability at home acting as reinforcement once some level of substance use is established.     

The role of private corporations in regional planning and development: Opportunities and challenges for the governance of housing and land use

There is a broad consensus that the corporate sector has an active role in facilitating community development through corporate-community investment. However, there remains uncertainty as to how much the sector should invest without taking on responsibilities and influencing decisions which are traditionally within the realm of the state. This paper explores the contemporary role of mining companies in regional governance through a case study of housing and residential land use planning and supply within the Bowen Basin coal mining and coal seam gas extraction region in Queensland, Australia. Mining companies were found to have a broad role in planning and development with far-reaching implications for land use and the wider regional community. These arrangements have emerged in response to corporate sensibilities, some recent policy requirements and most importantly, in pragmatic response to the institutional void apparent in many regional communities. In the absence of an effective regional framework with a clear and defined role for governments and corporations, powerful corporate interests risk effectively ‘capturing’ the regional development agenda within a framework that works on short-term paternalism rather than long-term regional partnerships. This also has implications for the efficiency of governance. Stronger institutional arrangements need to be developed to strengthen the capacity of the state to oversee these relationships. Regional governance and planning theory also needs to address this deficit.     

Collegiate Recovery Communities Programs: What Do We Know and What Do We Need to Know?

As the broad construct of recovery increasingly guides addiction services and policy, federal agencies have called for the expansion of peer-driven recovery support services. The high prevalence of substance use and abuse in colleges and universities in the United States constitutes a significant obstacle to pursuing an education for the unknown number of youths who have attained remission from substance use dependence. Collegiate recovery programs (CRPs) are an innovative and growing model of peer-driven recovery support delivered on college campuses. Although no systematic research has examined CRPs, available site-level records suggest encouraging outcomes: low relapse rates and above-average academic achievement. The number of CRPs nationwide is growing, but there is a noticeable lack of data on the model, its students, and their outcomes. We review the literature supporting the need for the expansion of CRPs, present information on the diversity of CRP services, and outline key areas where research is needed.     

Does Internet use provide a deeper sense of political empowerment to the Less Educated?

In politics, there is an offline power imbalance between the Educated and the Less Educated caused, in part, by the fact that those individuals with more extensive levels of education are more equipped to influence the political process. This study analyses the impact of Internet use on this imbalance and investigates whether the disparity remains intact in the Digital Age. Accessibility to the Internet is somewhat agnostic to one’s education and may be a quick and cost-effective tool to affect the political process. This study employs the concept of online political efficacy (OPE), which is likely to impact online political participation (OPP), to test whether Internet use provokes a sense of political effectiveness in the less educated to a greater extent than those more educated. Internet Service Types, particularly social media, were found to be positively associated with OPE to a much greater extent among the less educated. These findings indicate that, as a result of an enhanced positive perception of the Internet from using the Internet Service Types, the less educated are likely to feel empowered to affect the political process to a greater degree than the educated. Such use, in turn, is more likely to lead the less educated to OPP. This flow in the context of Internet use and education levels was presented in the framework of the O-S-R-O-R model of communication effects. As such, Internet use has the potential to contribute toward an equalization of the offline power imbalance.     

“How Could I Have Done This?” Thoughts of Mothers of Children with Fetal Alcohol Syndrome

Biological mothers of children with fetal alcohol syndrome (FAS) must cope with the struggles of parenting a child with special needs with the knowledge that their children’s problems are due to their alcohol use during pregnancy. Qualitative interviews were conducted by telephone with 11 biological mothers of children with FAS. This group of mothers understood their use of alcohol during pregnancy through reliance on the disease model, inaccurate or incomplete knowledge of the consequences of drinking during pregnancy, the advice of others, and a lack of awareness of the pregnancy.