Reduction of Intimate Partner Violence in a Gay Couple Following Alcohol Treatment

ABSTRACT

Although intimate partner violence among heterosexual couples is a growing topic of investigation, there remains a critical deficiency in the amount of research on violence and relationship functioning in gay men. This article presents baseline and follow-up data on a case study examining the effects of partial hospital alcohol treatment on one gay couple. This information may be helpful in understanding the relationship between alcohol use, violence, and relationship functioning in this population. On the basis of past research involving heterosexual couples as participants, we predicted that subsequent to one patient receiving alcohol treatment: 1) alcohol consumption would be reduced; 2) there would be a reduction in the amount of psychological aggression between partners; 3) there would be a reduction in the frequency of physically violent episodes; and 4) an overall improvement in relationship satisfaction would be evident. The couple was followed-up 6 and 12 months following the patient's alcohol treatment. The results indicate a decrease in alcohol use as well as reduced physical and psychological aggression, but no increase in relationship satisfaction. This case illustration may provide insight into the context surrounding intimate partner violence and relationship functioning in gay couples, with implications for further research and treatment.     

Community organization moderates the effect of alcohol outlet density on violence

There is growing evidence from multiple disciplines that alcohol outlet density is associated with community levels of assault. Based on the theoretical and empirical literatures on social organization and crime, we tested the hypothesis that the association between alcohol outlet density and neighbourhood violence rates is moderated by social organization. Using geocoded police data on assaults, geocoded data on the location of alcohol outlets, and controlling for several structural factors thought to be associated with violence rates, we tested this hypothesis employing negative binomial regression with our sample of 298 block groups in Cincinnati. Our results revealed direct effects of alcohol outlet density and social organization on assault density, and these effects held for different outlet types (i.e., off‐premise, bars, restaurants) and levels of harm (i.e., simple and aggravated assaults). More importantly, we found that the strength of the outlet‐assault association was significantly weaker in more socially organized communities. Subsequent analyses by level of organization revealed no effects of alcohol outlet density on aggravated assaults in organized block groups, but significant effects in disorganized block groups. We found no association between social (dis)organization and outlet density. These results clarify the community‐level relationship between alcohol outlets and violence and have important implications for municipal‐level alcohol policies.     

Working with Older People with Alcohol Problems: Insight from Specialist Substance Misuse Professionals and their Service Users

Significant numbers of older people worldwide have a drinking level or pattern which places them at risk of harm. In England, older people are more likely to be admitted to hospital for an alcohol-related condition than younger people and levels of alcohol-related harm are increasing fastest in this population. Whilst alcohol problems in older people are highly treatable, they frequently go undetected or ignored. The aim of this study was to develop guidelines for health and social care workers on what intervention strategies are likely to work best with older drinkers. Insight from alcohol practitioners who specialise in working with older people and the perspectives of older people receiving alcohol treatment were gained through focus groups and individual interviews. This paper reports some of the key findings including a perception that health and social care workers often did not intervene when alcohol misuse was suspected because of ageist attitudes and false beliefs about older people's drinking. Participants however acknowledged that social workers faced difficult choices in relation to the ‘right’ of older people with alcohol problems to continue to drink and the ‘risk’ associated with them doing so. The implications for social work education and training are discussed.     

Towards a Comprehensive Typology of Knowledge for Social Work and Alcohol

This article presents a theoretical model of knowledge acquisition by social workers with regards to alcohol, which formed the propositional element of a recently awarded doctoral thesis submission. It begins by briefly contextualising the relationship between alcohol and social work, the profession's response to the increasing sense of alcohol-related issues in workloads and calls for more effective intervention responses. In considering how this is often reflected in demands for social workers to receive more education about alcohol, it critically examines existing considerations of possible typologies of knowledge for social work, before encapsulating them within a model focusing on alcohol. The model suggests that any such typology is likely to be composed of multiple sources, including both codified and non-codified elements. It concludes by considerations of some of the implications for research approaches that could be used to gain a better understanding of these knowledge frameworks. In doing so it proposes that it is through these alternative considerations that more holistic understandings of social work knowledge will be established. Discussion of the implications of working within more inclusive knowledge frameworks, for social work education, policy, practice and research, are contained throughout the article.     

An examination of the impact of maladaptive coping on the association between stressor type and alcohol use in college

Objective: Examine the impact of maladaptive coping style on the association between source of stress (academic, interpersonal, intrapersonal, environmental) and alcohol use (consumption, heavy episodic drinking, driving under the influence) among college students. Participants: 1,027 college students completed an online survey in April 2014. Methods: To test the mediating effects of maladaptive coping on the association between academic stress and alcohol use variables, indirect effects were examined using the PROCESS analytical framework for SPSS. Results: Maladaptive coping and academic stress were associated with alcohol use outcomes. Moreover, maladaptive coping mediated the relationship between academic stress and two of three alcohol use outcomes (consumption, heavy episodic drinking). Conclusions: Among college students, the association between academic stress and alcohol use may be driven by maladaptive coping. College students may benefit from interventions that seek to improve coping skills, potentially alleviating the burden of academic stress and decreasing problematic alcohol use.     

Health-Related Lifestyle Factors and Sexual Functioning and Behavior in Older Adults

This study explored associations between health-related lifestyle factors and sexual functioning and behavior in 6,916 adults aged 50 and over. Results showed that an active lifestyle was associated with a higher sex drive, more sexual activity, and lower levels of sexual dysfunction (with stronger associations among men). Poor sleep was associated with less sexual activity, higher levels of sexual dissatisfaction, and higher levels of sexual dysfunction. A healthier diet and a higher alcohol intake were associated with more sexual activity and a higher sex drive. Taken together, these findings demonstrate that health-related lifestyle factors are important for sexual functioning and behavior in older adulthood.     

Drinking places: Young people and cultures of alcohol consumption in rural environments

This paper focuses on the contemporary British moral panic about young people and the consumption of alcohol in public space. Most of this public debate has focused on binge drinking in urban areas as a social problem. Here, we consider instead the role of alcohol in rural communities, and in particular alcohol consumption in domestic and informal spaces, as well as the formal drinking landscape of pubs and bars. Drawing on empirical work (including a survey, interviews and participant observation) in rural Cumbria, UK we explore the specific socio-spatial nature of local attitudes to alcohol consumption and its regulation. In doing so, we reflect on the nature of rural lifestyles, community spaces and intergenerational relations. The paper concludes by highlighting some of the implications for health promotion professionals of the generally positive attitude towards young people's drinking in the rural area where the research was conducted. It also draws attention to the need for academics to pay closer attention to the ways that moral panics about binge drinking are implicitly producing a monolithic image of alcohol consumption in urban areas that fails to acknowledge the socio-spatially differentiated nature of practices of alcohol consumption and regulation.     

Attitudinal correlates associated with recent alcohol use and episodic heavy drinking among African American youth

African–American students in 7th–12th grades completed the PRIDE survey examining attitudinal correlates associated with recent alcohol use and heavy episodic drinking. Of participants, 13.6% reported using alcohol in the past 30 days and 5.1% reported frequent heavy episodic drinking. Logistic regression analyses indicate that male, in high school and employed increased the odds of engaging in recent use and frequent heavy episodic drinking. Perceived harm and parent/peer disapproval of substance use was negatively associated with use. Results may assist professionals in developing prevention programs for African-American youth.     

Food insecurity,financial priority,and nutrition literacy of university students at a mid-size private university

Abstract

Objectives: The purpose of the study was to examine food insecurity in a mid-sized private Catholic university, taking into consideration students’ financial prioritization and nutrition literacy. Participants: Participants included 560 university undergraduate and graduate students in the fall of 2017. Methods: Measures assessed food insecurity, nutrition literacy, and financial prioritization. The USDA 6-question food insecurity screener and the New Vital Signs Food Label Instruments were utilized to measure food security and nutrition literacy. To measure financial priority, participants ranked nine items from highest to lowest priority. Results: Out of 560 university students, 35.8% of students were characterized as food insecure. Students who prioritized spending money on alcohol or tuition had higher odds of experiencing food insecurity. Conclusion: Prevalence of food insecurity may be as prevalent in private universities as in public universities. This warrants exploration to identify contributing factors and long-term solutions.     

Natural Recovery from Substance Dependency

Abstract

The literature on cessation of drug and alcohol dependency without benefit of treatment or participation in self-help groups spans nearly forty years. While this literature is substantial and analyses of the processes of natural recovery well-developed, discussions directed at treatment providers around the value of these analyses for practice has been sparse. Drawing on our study as well as the research of others, this paper explores two dimensions of natural recovery that hold important implications for treatment providers who work with substance dependent clients. These include the common strategies used by remitters and the concept of recovery capital as a way to capture the embeddedness of these natural recovery strategies within a unique structural context of personal attributes and social environments.