Alcohol misuse and gateway theory: a longitudinal study among adolescents in Switzerland

2016 ◽  
Vol 30 (1) ◽  
Author(s):  
Yara Barrense-Dias ◽  
André Berchtold ◽  
Christina Akre ◽  
Joan-Carles Surís
Keyword(s):  
Substance Use ◽  
Rural Areas ◽  
Alcohol Misuse ◽  
Demographic Data ◽  
Well Being ◽  
Risky Behaviors ◽  
Explanatory Variables ◽  
Gateway Theory ◽  
Exploratory Stage ◽  
Predictive Risk

Abstract Objective: Adolescence is a transitory and exploratory stage during which risky behaviors such as substance use take place. This study aims to assess the characteristics and predictive risk factors of alcohol misuse among adolescents. Methods: A sample of 621 youths was followed from ages 14 to 16 years in Switzerland between spring 2012 (T0) and spring 2014 (T1). Participants were divided into two groups according to their alcohol misuse evolution: those who increased it (Misusers) and those who decreased or never experimented it (Non-misusers). The final sample consisted of 574 adolescents. At T0, participants reported demographic data, substance use data and emotional well-being. A multivariate regression was performed to assess the explanatory variables of alcohol misuse at T1 using Non-misusers as the reference category. Results: Alcohol misuse in the previous month increased dramatically from 2.4% (T0) to 29.2% (T1). At the bivariate level, alcohol misuse was associated with residence, use of alcohol, tobacco and cannabis. Compared to Non-misusers, Misusers were significantly more likely to live in a rural area (aOR: 1.75 [1.1:2.8]), use cannabis (aOR: 3.2 [1.0:9.8]) and have consumed alcohol (aOR: 2.65 [1.6:4.3]) at T0. Conclusion: Alcohol misuse increases dramatically with age. However, the only demographic difference between groups was that young adolescents living in rural areas were more likely to misuse alcohol. Moreover, having consumed alcohol without drunkenness and using cannabis at age 14 years predicted alcohol misuse at age 16 years. This finding is in line with the reverse gateway theory, where cannabis use precedes the use of legal substances.

scholarly journals An Analysis of Campus Culture, Mental Health, and Drinking at Three Canadian Universities

2018 ◽  
Vol 37 (3) ◽  
pp. 97-113
Author(s):  
Laura Henderson ◽  
Kara Thompson ◽  
Amanda Hudson ◽  
Keith Dobson ◽  
Shu-Ping Chen ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Alcohol Misuse ◽  
Well Being ◽  
Campus Culture ◽  
Health Concern ◽  
Student Mental Health ◽  
Campus Environment ◽  
Environment Factors ◽  
Environment Variables

Although many individual risk factors have been identified for student mental health problems and alcohol misuse, there is a relative paucity of research that examines how variables, such as campus environment, contribute to students’ experiences of these problems. This study examined a series of perceived campus environment factors (e.g., feeling valued, feeling they fit in, believing faculty care about them, perceived administrative concern for mental health and substance abuse) and the relationships among these perceived campus environment variables and students’ mental well-being, risk of harmful drinking, and their willingness to seek help for a substance use or mental health concern. A total of 1,885 first-year undergraduate university students including 938 females, 936 males and 11 “non-binary” participants, from three geographically diverse Canadian university sites, completed online surveys. The results demonstrated significant associations among the perceived campus environment variables and both mental health and alcohol misuse outcomes. It was also observed that whether a student lived in residence or off campus significantly affected which campus environment factors were most associated with their reported mental health and alcohol misuse. Additionally, willingness to help-seek was related with students’ perceptions of campus culture. These patterns globally demonstrated the importance of campus culture for student mental health and alcohol use. Strengths and limitations of the study, as well as directions for future research on the relations of campus culture to mental health, substance use, and help-seeking are discussed.

scholarly journals Relationship between chewing tobacco, smoking, consuming alcohol and cognitive impairment among older adults in India: a cross‐sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
T. Muhammad ◽  
Manideep Govindu ◽  
Shobhit Srivastava
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Cognitive Impairment ◽  
Alcohol Consumption ◽  
Smokeless Tobacco ◽  
Rural Areas ◽  
Urban Areas ◽  
Chewing Tobacco ◽  
Sample Distribution ◽  
Explanatory Variables

Abstract Background Physical aging increases the sensitivity to the effects of substance use, elevating the risk for cognitive impairment among older adults. Since studies on the association of substance use with cognitive ability in later years are scant in India, we aimed to explore the factors associated with cognitive impairment especially, alcohol consumption, smoking, and chewing tobacco later in life. Methods The present research used nationally representative data from Building a Knowledge Base on Population Aging in India (BKPAI) that was conducted in 2011, across seven states of India (N=9,453). Sample distribution along with percentage distribution was calculated for cognitive impairment over explanatory variables. For finding the association between cognitive impairment over explanatory variables, binary logistic regression models were estimated. Results About 16.5 percent of older adults in rural areas consumed smoked tobacco compared to 11.7 percent in urban areas. Nearly, 23.7 percent of rural older adults consumed smokeless tobacco in comparison to 16 percent in urban areas. Alcohol consumption was high among rural residents (7.9%) than urban counterparts (6.7%). The prevalence of cognitive impairment was 62.8% and 58% among older adults from rural and urban areas respectively. Older adults who smoked tobacco had a 24 percent significantly higher likelihood to have cognitive impairment with reference to older adults who did not smoke [OR: 1.24, CI: 1.02-1.49]. Moreover, older adults who consumed alcohol had a 30 percent significantly higher likelihood to have cognitive impairment [OR: 1.02, 1.65]. It was also found that older adults who had smoked along with consuming alcohol were at risk of worse cognitive outcomes than those who neither smoke nor drink alcohol [OR: 1.56, CI: 1.21-2.00] or consumed either of them unlike consuming smokeless tobacco only. Conclusion The encouragement of older people to stop smoking and smokeless tobacco use could be considered as part of a strategy to reduce the incidence of cognitive impairment. Further, appropriate measures should be taken for the detection of early stages of cognitive decline in older individuals and efforts should be made to improve the availability and quality of care for dementing older adults.

Substance Use in the Context of Adolescent Development

2016 ◽  
pp. 18-36
Author(s):  
John E. Schulenberg ◽  
Julie Maslowsky ◽  
Megan E. Patrick ◽  
Meghan Martz
Keyword(s):  
Substance Use ◽  
Adolescent Development ◽  
Turning Point ◽  
Well Being ◽  
Risky Behaviors ◽  
Cascading Effect ◽  
Developmental Disturbance ◽  
Contextual Characteristics ◽  
The Many ◽  
Health And Well Being

Adolescence is a prime time for substance use onset and escalation. Key developmental concepts regarding continuity, discontinuity, transitions, and tasks are identified. For many young people, substance use reflects a cascading effect whereby earlier difficulties contribute to substance use onset and escalation, which then cascades into other difficulties. In contrast, this cascading flow can get interrupted, resulting in ontogenetic discontinuity whereby substance use and other risky behaviors during adolescence are more the result of developmentally proximal individual and contextual characteristics than distal ones. This discontinuity can reflect either a temporary developmental disturbance or a turning point, a permanent change in course. Substance use is intertwined with the many developmental changes of adolescence, providing some developmentally functional experiences while posing serious risks to health and well-being that can reverberate into adulthood.

Human potential in the system of social and economic development: problems and prospects of Vinnytsia region

2020 ◽  
pp. 71-80
Author(s):  
Olesya Tomchuk
Keyword(s):  
Economic Development ◽  
Human Development ◽  
Rural Areas ◽  
Structural Changes ◽  
Agricultural Sector ◽  
Positive Impact ◽  
Well Being ◽  
Human Potential ◽  
High Tech ◽  
Social And Economic Development

The article highlights the problems and prospects of human development, which is the basis for the long-term strategies of social and economic growth of different countries and regions at the present stage. Submitting strategies of this type provides an opportunity to focus on individual empowerment and to build a favorable environment for effective management decisions in the field of forming, maintaining, and restoring human potential. The analysis of the Vinnytsia region human potential dynamics in the regional system of social and economic development factors was carried out. Application of generalized assessment of the regional human development index components allowed the identification of the main trends that characterize the formation of human potential of the territory, including the reproduction of the population, social environment, comfort and quality of life, well-being, decent work, and education. The article emphasizes that despite some positive changes in the social and economic situation of the region and in assessing the parameters of its human development level relative to other regions of Ukraine, Vinnytsia region is now losing its human potential due to negative demographic situation and migration to other regions and countries. The main reason for such dynamics is proven to be related to the outdated structure of the region's economy, the predominance of the agricultural sector, the lack of progressive transformations in the development of high-tech fields of the economy. An important factor is the low level of urbanization of the region, which leads to the spread of less attractive working conditions and less comfortable living conditions. The key factors that cause the growth of urbanization in the region have been identified, including the significant positive impact of the transport and social infrastructure expansion, the lack of which in rural areas leads to a decrease in the level and comfort of life. Without progressive structural changes in the economy and the resettlement system, the loss of human potential will continue.

The Nexus Between Seniors' Tourism Expenditure and Well-Being in China

2020 ◽  
Vol 25 (1) ◽  
pp. 169-174
Author(s):  
Renuka Mahadevan ◽  
Vanessa Sha Fan
Keyword(s):  
Economic Growth ◽  
Life Satisfaction ◽  
Government Policy ◽  
Rural Areas ◽  
Empirical Relationship ◽  
Well Being ◽  
Tourism Demand ◽  
Leisure Travel ◽  
Policy Strategy ◽  
Tourism Expenditure

An examination of the two-way relationship between tourism expenditure and life satisfaction for seniors is undertaken in this article. This examination uses panel data on China's seniors and tracks the same seniors over 3 years. Results show that there is bidirectional causality between tourism expenditure and life satisfaction, casting doubt on previous studies that do not consider this two-way relationship. This empirical relationship highlights the importance of a two-pronged policy strategy— a government policy committed to social tourism programs for seniors who may not be able to afford travel and those who reside in rural areas. Another government strategy is to address aged concerns related to mobility and health to improve well-being and the provision of appropriate facilities for leisure travel. Senior tourism demand was found to be income inelastic and this result means that senior tourism can buffer Chinese economic growth in times of economic crisis and uncertainty, making the twin policy strategy a worthwhile consideration.

Barriers and Facilitators of Using Telehealth to Identify and Manage Behavioral Health and Substance Use Disorder Conditions in Rural Areas: An Environmental Scan (Preprint)

2020 ◽  
Author(s):  
Naim Naim ◽  
Laura Dunlap
Keyword(s):  
Substance Use ◽  
Behavioral Health ◽  
Substance Use Disorder ◽  
Rural Areas ◽  
Primary Care Providers ◽  
Care Patient ◽  
Direct Patient Care ◽  
Care Providers ◽  
Provider Education ◽  
Opioid Use

BACKGROUND Access to behavioral health services, particularly substance use disorder (SUD) treatment services, is challenging in rural and other underserved areas. Some of the reasons for these challenges include local primary care providers without experience in behavioral health treatment, few specialty providers, and concerns over stigma and lack of privacy for individuals from smaller communities. Telehealth can ease these challenges and support behavioral health, specifically SUD treatment, in a variety of ways, including direct patient care, patient engagement, and provider education. Telehealth is particularly relevant for the growing opioid epidemic, which has profoundly affected rural areas. OBJECTIVE We sought to understand how telehealth is used to support behavioral health and SUDs, with a particular focus on implications for medication-assisted treatment for opioid use disorders. The intent was to understand telehealth implementation and use, financing and sustainability, and impact in the field. The results of this work can be used to inform future policy and practice. METHODS We reviewed literature and interviewed telehealth stakeholders and end users in the field. The team identified a diverse set of participants, including clinical staff, administrators, telehealth coordinators, and information technology staff. We analyzed research notes to extract themes from participant experiences to answer the study questions. RESULTS Organizations varied in how they implemented telehealth services and the services they offered. Common themes arose in implementation, such as planning for technical and organizational impacts of telehealth, the importance of leadership support, and tailoring programs to community needs. CONCLUSIONS Telehealth is used in a variety of ways to expand access to services and extend service delivery. As the policy and reimbursement landscape continues to evolve, there may be corresponding changes in telehealth uptake and services provided. CLINICALTRIAL NA

scholarly journals A Model of Stress Change under the First COVID-19 Pandemic among the General Public in Japanese Major Cities and Rural Areas

2021 ◽  
Vol 13 (3) ◽  
pp. 1207
Author(s):  
Misato Uehara ◽  
Makoto Fujii ◽  
Kazuki Kobayashi
Keyword(s):  
Rural Areas ◽  
Healthcare Workers ◽  
Explanatory Variable ◽  
Large City ◽  
Stress Change ◽  
Multiple Factor Analysis ◽  
Explanatory Variables ◽  
Private Research ◽  
The Difference ◽  
The Relationship

Research on stress related to the COVID-19 pandemic has been dominated by the cases of healthcare workers, students, patients, and their stress during the COVID-19 pandemic. This study examined the relationship between the amount of stress change under the COVID-19 pandemic and demographic factors (age, sex, occupation, etc.) in residents of a large city and a rural area of Japan. A total of 1331 valid responses were received in June 2020 from residents of Tokyo, Osaka, and Nagano registered with a private research firm. We were able to identify 15 statistically significant variables out of 36 explanatory variables, which explained the significant increase in stress compared to the pre-pandemic period. Multiple-factor analysis showed that the relationship with people is a more significant explanatory variable for the level of increase in stress than the difference in environment between big cities (Tokyo, Osaka) and rural areas (Nagano), the type of housing, and the decrease in income compared to the pre-pandemic period.

scholarly journals Evaluating the Impacts of Smallholder Farmer’s Participation in Modern Agricultural Value Chain Tactics for Facilitating Poverty Alleviation—A Case Study of Kiwifruit Industry in Shaanxi, China

Agriculture ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 462
Author(s):  
Hongyu Wang ◽  
Xiaolei Wang ◽  
Apurbo Sarkar ◽  
Lu Qian
Keyword(s):  
Value Chain ◽  
Rural Areas ◽  
Poverty Alleviation ◽  
Poverty Reduction ◽  
Smallholder Farmers ◽  
Multidimensional Poverty ◽  
Well Being ◽  
Reduction Degree ◽  
Poverty Level ◽  
Storage Technology

Market-based initiatives like agriculture value chain (AVC) are becoming progressively pervasive to support smallholder rural farmers and assist them in entering larger market interventions and providing a pathway of enhancing their socioeconomic well-being. Moreover, it may also foster staggering effects towards the post-era poverty alleviation in rural areas and possessed a significant theoretical and practical influence for modern agricultural development. The prime objective of the study is to explore the effects of smallholder farmers’ participation in the agricultural value chain for availing rural development and poverty alleviation. Specifically, we have crafted the assessment employing pre-production (improved fertilizers usage), in-production (modern preservation technology), and post-production (supply chain) participation and interventions of smallholder farmers. The empirical data has been collected from a micro survey dataset of 623 kiwifruit farmers from July to September in Shaanxi, China. We have employed propensity score matching (PSM), probit, and OLS models to explore the multidimensional poverty reduction impact and heterogeneity of farmers’ participation in the agricultural value chain. The results show that the total number of poor farmers who have experienced one-dimensional and two-dimensional poverty is relatively high (66.3%). We also find that farmers’ participation in agricultural value chain activities has a significant poverty reduction effect. The multidimensional poverty level of farmers using improved fertilizer, organizational acquisition, and using storage technology (compared with non-participating farmers) decreased by 30.1%, 46.5%, and 25.0%, respectively. The multidimensional poverty reduction degree of male farmers using improved fertilizer and participating in the organizational acquisition is greater than that of women. The multidimensional poverty reduction degree of female farmers using storage and fresh-keeping technology has a greater impact than the males using storage and improved storage technology. Government should widely promote the value chain in the form of pre-harvest, production, and post-harvest technology. The public–private partnership should also be strengthened for availing innovative technologies and infrastructure development.

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