Inference Problems in the Analysis of the Relationship Between Alcohol Consumption and Coronary Heart Disease

Results concerning the dependence of life durations on alcohol use of individuals who die of coronary heart disease are brought into question when no account is taken of the mortality risks associated with other competing diseases. Procedures which restrict the analysis of coronary heart disease to respondents who die of this disease will produce biased estimates of the parameters of interest. Other dimensions of coronary heart disease are neglected by focusing on durations of life and well-constructed sample surveys can provide important new information on how alcohol consumption affects the risks of getting coronary heart disease.     

Effective Adolescent Substance Abuse Treatment in Juvenile Justice Settings: Practice and Policy Recommendations

Juvenile justice—increasingly the service delivery point for adolescents with substance abuse and co-occurring problems lacking resources for other assistance—can be a model for improved and expanded, yet cost-effective, adolescent substance abuse treatment. An emergent standard of care challenges systemic inequities; a new service array facilitates dialogue among justice and treatment professionals, families, and the youth themselves. Such evidence-based practice—and the policy to implement it—have the power to transform disconnected laws, programs and professionals into an effective, efficient and successful community of responders, helping youth reclaim their lives while improving public health and public safety.

Gender orientation and alcohol-related weight control behavior among male and female college students

Objective: We examine weight control behavior used to (a) compensate for caloric content of heavy alcohol use; and (b) enhance the psychoactive effects of alcohol among college students. We evaluate the role of gender orientation and sex. Participants: Participants completed an online survey (N = 651; 59.9% women; 40.1% men). Method: Weight control behavior was assessed via the Compensatory-Eating-and-Behaviors-in Response-to-Alcohol-Consumption-Scale. Control variables included sex, race/ethnicity, age, and depressive symptoms. Gender orientation was measured by the Bem Sex Role Inventory. The prevalence and probability of alcohol-related weight control behavior using ordinal logistic regression are reported. Results: Men and women do not significantly differ in compensatory-weight-control-behavior. However, regression models suggest that recent binge drinking, other substance use, and masculine orientation are positively associated with alcohol-related weight control behavior. Conclusions: Sex was not a robust predictor of weight control behavior. Masculine orientation should be considered a possible risk factor for these behaviors and considered when designing prevention and intervention strategies.     

Subjective evaluations of alcohol-related consequences among college students: Experience with consequences matters

Objective: Research suggests college students rate some alcohol-related consequences less negatively than others, yet it is unclear how or when these differences in perception develop. The current study compared college students' subjective evaluations of alcohol-related consequences that they had and had not experienced in order to test the hypothesis that students become desensitized to the consequences they experience. Participants: Participants were 269 undergraduate students enrolled at a large, public, Midwestern university. Methods: Participants completed measures of drinking behaviors, consequences experienced, and subjective evaluations of consequences via an online survey. Results: Participants rated the consequences they had personally experienced more positively than those they had not experienced. Similarly, individuals who reported experiencing consequences rated them as significantly more positive than those who had not experienced the same consequences. Conclusions: Experience with consequences is associated with more positive evaluations of those consequences. Therefore, it may be important to consider individuals' experiences with, and evaluations of, alcohol-related consequences in college student drinking interventions.     

Examining residence status as a risk factor for health risk behaviors among college students

Objective: The current study is aimed to evaluate college student residence as a unique risk factor for a range of negative health behaviors. Participants: We examined data from 63,555 students (66% females) from 157 campuses who completed the National College Health Assessment Survey in Spring 2011. Methods: Participants answered questions about the frequency of recent use of alcohol, tobacco, marijuana, and illicit drugs, as well as sexual risk behavior in the last 30 days. Sexual risk behaviors were operationalized as having unprotected vaginal sex (yes/no) and the number of sexual partners. Results: Logistic regression analyses revealed that living off-campus is a unique predictor of alcohol, tobacco, marijuana, and illicit drug use, as well as engaging in unprotected sex and a greater number of sexual partners (all ps <. 01). Conclusions: Students living off-campus exhibit more substance use and sexual risk behaviors than students living on-campus, independent of gender, age, or race.     

Caregiving environment and socio-emotional development of foster-placed FASD-children

The study investigated the role of the postnatal caregiving environment in the socio-emotional development of children under the age of 16 who had been exposed to alcohol in utero and placed in foster family care (n = 38). Quantitative and qualitative methods of analysis were utilized. Based on psychological examinations, most of the children (76%) were reported to have at least one developmental problem; concentration, attention and language/speech problems being the most typical. The critical issues affecting children's development were 1) the range of somatic illnesses and disabilities that had impaired their functional capacity, 2) children's age at the time of the first placement and of entry into long-term foster family care, and 3) the number of traumatic experiences. Placement outside a biological family at an early age decreased, and traumatic experiences, illnesses and disabilities increased socio-emotional problems (including neuropsychological problems). Undiagnosed children had more behavioural problems measured by the Child Behaviour Checklist than children with foetal alcohol syndrome, but in general the differences between the diagnostic categories were small. Damage to the central nervous system by prenatal alcohol exposure together with lack of constructive early interaction seems to launch a process which may make it difficult for the child to form a coherent picture of him-/herself and to control his/her feelings and behaviour.     

Understanding the Complexity of Alcohol-Related Intimate Partner Violence in the Lives of Hispanic Men Who Have Sex with Men: Methodological Issues and Considerations

The purpose of this paper is to highlight methodological issues and considerations which will be of use to researchers interested in further understanding the complexity of intimate partner violence in the lives of Hispanic men who have sex with men. We present a brief review of the research on intimate partner violence which highlights intersections of health and behavior risk factors (i.e., alcohol-related-intimate-partner-violence and HIV/AIDS risk) pertaining to gender, ethnicity, and sexuality in this population of males. We then present the reader with a synthesis and critique of several methodological concerns relevant to furthering research in this area including: locating participants, considerations of the impact of local cultural contexts, and impact of researcher positionality. Research recommendations for addressing intimate partner violence as a complex public health concern embedded in “hidden populations” conclude the paper.

The alcohol contexts of consent,wanted sex,sexual pleasure,and sexual assault: Results from a probability survey of undergraduate students

Objective: To examine, in a probability sample of undergraduate students, characteristics of students’ most recent sexual experiences (including alcohol use) as well as their experiences with nonconsensual sex. Participants: In January and February 2015, 22,046 students were invited to participate in an anonymous, cross-sectional, Internet-based survey; 7,032 surveys were completed (31.9%). Methods: Measures included background characteristics (age, gender, sexual orientation), most recent sexual event items (sexual pleasure, wantedness, alcohol use), and experiences with nonconsensual sex (since college and lifetime). Results: Respondents reporting sober consensual sex were more likely to report higher levels of sexual pleasure and wantedness. Nonconsensual oral, vaginal, or anal penetration occurring during college were reported by 15.8% of women and 7.7% of men. Students more often told friends, partners, or family members and rarely disclosed to university faculty or police. Conclusions: Implications for campus policy and health education are addressed.     

Military-civilian differences in a driving under the influence (DUI) program sample

ABSTRACT

It is unknown how military-connected participants in DUI programs differ from civilians on sociodemographic, health, and alcohol severity factors. This study analyzed data from 19,639 DUI program participants from 2009 to 2014. Compared to civilians, active duty participants were younger, more likely male and married/partnered or separated, less likely disabled, more likely to be Black, less likely to report anxiety or involvement in domestic violence, more likely to report prior alcohol treatment and having a first-time conviction, and less likely to score in the problematic drinking category. Veterans showed patterns similar to those of active duty with some notable exceptions. Results may be helpful in tailoring culturally competent DUI program content, particularly among social workers who often serve this population.     

Departies: conceptualizing extended youth parties

Every year, millions of young people travel away from home to party for days or weeks on end in permissive environments, such as music festivals, dance parties, and nightlife resorts. The studies that have been conducted on these extended youth parties have focused primarily on specific risk-taking behaviors, such as drug use and violence. Here, we scrutinize the research on extended youth parties to identify general changes that young people undergo at these events. We call these celebrations departies, because they center on the organization and facilitation of momentary departures from the participants’ everyday life. Participants depart (1) spatially, by traveling to locations that are constructed as sites of opportunity and excess; (2) temporally, by partying for several days in a row and focusing on immediate gratifications; (3) morally, by engaging in activities that are widely deemed immoral; (4) stylistically, by altering their stylistic expressions through dress, demeanor, and consumption; and (5) experientially, because the parties generate mood and mind alterations. These are overlapping and intertwined elements, the combination of which amounts to a distinct type of youth party. Departies constitute exceptional events in the lives of many young people, and ought to be studied from a comparative perspective.