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Prevention Through Empowerment in a Native American Community 美国原住民社区的赋权预防
Pub Date : 1998-05-11 DOI: 10.1300/J023V12N01_10
Evans Ms, K. Ma, J. D. Jong
SUMMARY This article describes a work in progress. It reports on a prevention demonstration grant program which combined several complementary strategies: a school-based cultural curriculum, training of teachers, development of a leadership core group, and a community curriculum, in an effort to address the self-perception of personal and communal powerlessness of Native Americans, which places them at risk for drug and alcohol abuse. A student survey was used to examine substance use, school bonding and the relationship between cultural affiliation and substance use for the youth population. Two sets of outcome results, quantitative and qualitative, are reported and discussed in relation to the Freirian model of community empowerment.
这篇文章描述了一项正在进行的工作。它报告了一项预防示范赠款方案,该方案结合了若干互补战略:以学校为基础的文化课程、教师培训、领导核心小组的发展和社区课程,以努力解决土著美国人对个人和社区无能为力的自我认知,这种无能为力使他们面临吸毒和酗酒的风险。一项学生调查被用来检查物质使用,学校结合和文化隶属关系和物质使用的青年人口之间的关系。报告和讨论了与社区赋权的弗赖安模式有关的两组结果,数量和质量。
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引用次数: 45
Strengthening Causal Inference in Adolescent Drug Prevention Studies: Methods and Findings from a Controlled Study of the Urban Youth Connection Program 加强青少年毒品预防研究的因果推理:城市青少年联系计划对照研究的方法与结果
Pub Date : 1998-05-11 DOI: 10.1300/J023V12N01_09
J. Valentine, J. Griffith, Robinson Ms, B. Gottlieb, Stefano Keel Msw
SUMMARY Introduction. The Urban Youth Connection represents a model substance abuse prevention program implemented in an urban public middle school and high school serving predominantly Hispanic and African American students. The program provided counseling, mentoring and academic support. Findings from the evaluation are presented in this paper. Methods. A pre-test, post-test comparison group design estimated the impact of the program on ultimate outcomes of 30-day use of alcohol, tobacco and other drugs, and intermediate outcomes of risk behaviors, psychosocial well-being, and school involvement, as measured by self-administered questionnaires given each fall and spring from 1993–1996. A non-equivalent comparison group was drawn from non-participants at each school. The data analysis strategy relied on a multivariate model comparing ultimate and intermediate outcomes at follow-up among treatment and comparison students after adjustment for demographic, baseline risk differences, and program exposures di...
总结介绍。城市青年联系代表了在城市公立中学和高中实施的药物滥用预防计划的典范,主要服务于西班牙裔和非洲裔美国学生。该项目提供咨询、指导和学术支持。本文介绍了评价结果。方法。通过1993-1996年每年秋季和春季发放的自我管理问卷,测试前和测试后的对照组设计评估了该项目对30天内使用酒精、烟草和其他药物的最终结果,以及风险行为、心理健康和学校参与的中间结果的影响。从每一所学校的非参与者中抽取了一个不相等的对照组。数据分析策略依赖于一个多变量模型,在调整了人口统计学、基线风险差异和项目暴露后,比较治疗组和对照组学生随访的最终和中期结果。
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引用次数: 15
Evolution of a Substance Abuse Prevention Program with Inner City African-American Families 内城非裔美国家庭药物滥用预防计划的演变
Pub Date : 1998-05-11 DOI: 10.1300/J023V12N01_04
Georgia B. Aktan
SUMMARY Substance abuse prevention programs successfully implemented and shown to be effective through rigorous evaluation must be able to respond to participant needs and changing environments in order to sustain themselves. The Safe Haven Program for the Prevention of Substance Abuse, a family skills training program for African-American families, is presented as an example of a substance abuse prevention program which evolved over time while the goals of the program remained stable. The author presents the program in a series of evolutionary stages: Program Implementation; Process/Outcome Evaluation; Environmental Impacts; Cultural Specificity Evaluation; Cross-site Evaluation; and Future Development. The author emphasizes the need to respond to participant needs and changing environments to enhance sustainability and calls for flexible evaluation components to accommodate the dynamic nature of substance abuse prevention programs.
通过严格的评估,成功实施并显示有效的药物滥用预防方案必须能够响应参与者的需求和不断变化的环境,以维持自身。预防药物滥用安全港计划是一个针对非裔美国家庭的家庭技能培训计划,它是一个药物滥用预防计划的例子,随着时间的推移,该计划的目标保持稳定。作者提出了计划的一系列发展阶段:计划实施;过程/结果评估;环境影响;文化特殊性评价;跨站点评估;和未来发展。作者强调需要响应参与者的需求和不断变化的环境,以提高可持续性,并呼吁灵活的评估组成部分,以适应药物滥用预防方案的动态性质。
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引用次数: 8
Voluntary Organizations and the State in the Prevention of Alcohol Problems 自愿组织和国家预防酒精问题
Pub Date : 1997-04-07 DOI: 10.1300/J023V11N01_03
R. Room
Don Cahalan and alcohol policy issues An essay on issues in alcohol policy and the community prevention of alcohol problems seemed an appropriate contribution to a journal issue in honor of Don Cahalan. In the first place, during the years we worked together, Don taught me many things about myself; one of these was that my fundamental metier is as an essayist. In the second place, in the later phases of his career, Don himself turned increasingly to concerns with community prevention and with alcohol policy issues. As initiator of the evaluation of the California Prevention Demonstration program (Wallack and Barrows, 1982), Don led the way in applying a community trial design, loosely modeled on the Stanford Heart Disease project, in the alcohol field. After his retirement, Don came into his own as a writer on alcohol and drug policies, both in terms of their development in the United States and in terms of laying out public health approaches to their prevention (Cahalan, 1987; 1991). This essay is offered in the spirit of these concerns.
Don Cahalan和酒精政策问题一篇关于酒精政策问题和社区预防酒精问题的文章似乎是为纪念Don Cahalan的期刊发表的一篇合适的文章。首先,在我们一起工作的那些年里,唐教会了我很多关于我自己的事情;其中之一就是我的基本技能是随笔。其次,在他职业生涯的后期,唐自己越来越关注社区预防和酒精政策问题。作为加利福尼亚预防示范项目评估的发起者(Wallack和Barrows, 1982), Don率先在酒精领域应用社区试验设计,该设计松散地模仿了斯坦福心脏病项目。退休后,唐成为了一名关于酒精和毒品政策的作家,无论是在美国的发展,还是在制定预防酒精和毒品的公共卫生方法方面(Cahalan, 1987;1991)。这篇文章就是本着这些关切的精神写的。
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引用次数: 10
Don Cahalan: A Biographical Sketch 唐·卡哈兰:传记小品
Pub Date : 1997-04-07 DOI: 10.1300/J023V11N01_02
E. Gomberg
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引用次数: 2
The Politics of Alcohol Research 酒精研究的政治
Pub Date : 1997-04-07 DOI: 10.1300/J023V11N01_04
R. Straus
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引用次数: 0
The Emergence of an Alcohol Policy Reform Agenda in the United States: A Don Cahalan Legacy 美国酒精政策改革议程的出现:唐·卡哈兰的遗产
Pub Date : 1997-04-07 DOI: 10.1300/J023V11N01_06
J. Mosher
During the last two decades our society has experienced a fundamental shift in its understanding of and response to alcohol problems. These developments occurred on several fronts: the formation of the anti-drunk driving movement; the government’s increased attention to prevention policy; the creation of various national coalitions of health, safety and consumer groups seeking governmental regulations of alcohol industry marketing practices; and increased attention among alcohol researchers to social, economic, and political factors that contribute to the incidence and severity of alcohol problems. Today, an intense political drama is occurring at all levels of governmentlocal, state and federalregarding alcohol policy. The alcohol industry and its allies are using their enormous financial resources and political clout to forestall the increasing pressure from citizen action groups, governmental agencies, and scholars for meaningful changes in the role of alcohol in our society. This essay examines the theoretical, philosophical and political underpinnings of these shifts in societal understanding of alcohol, alcohol problems, and alcohol policy. It first analyzes the shifts that occurred in alcohol research in the late 1960s and early 1970s,
在过去的二十年中,我们的社会在对酒精问题的理解和反应方面发生了根本性的转变。这些发展发生在几个方面:反酒后驾车运动的形成;政府对预防政策的日益重视;建立健康、安全和消费者团体的各种全国联盟,寻求政府对酒类行业的营销做法制定法规;酒精研究人员越来越关注导致酒精问题发生率和严重性的社会、经济和政治因素。今天,一场激烈的政治戏剧正在各级政府——地方、州和联邦政府——上演。酒精行业及其盟友正在利用其巨大的财政资源和政治影响力,阻止公民行动团体、政府机构和学者对酒精在我们社会中的作用进行有意义的改变的日益增长的压力。本文考察了社会对酒精、酒精问题和酒精政策理解的这些转变的理论、哲学和政治基础。它首先分析了20世纪60年代末和70年代初酒精研究的转变,
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引用次数: 1
The Epidemiology of Alcohol-Related Problems in the U.S.: Concepts, Patterns and Opportunities for Research 美国酒精相关问题的流行病学:概念、模式和研究机会
Pub Date : 1997-04-07 DOI: 10.1300/J023V11N01_05
Raul Caetano Md and
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引用次数: 12
Don Cahalan: A Bibliography of His Work 唐·卡哈兰:他的作品参考书目
Pub Date : 1997-04-07 DOI: 10.1300/J023V11N01_08
Andrea Mitchell Mls
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引用次数: 1
Research Topics for the Problem of Volatile Solvent Abuse 挥发性溶剂滥用问题的研究课题
Pub Date : 1997-04-01 DOI: 10.1300/J023V10N01_06
F. Beauvais
SUMMARY Solvent abuse has received comparatively little attention from the public and from drug abuse researchers and practitioners. This neglect has resulted in a dearth of knowledge regarding this hazardous behavior. Based on the experience of the staff of the Tri-Ethnic Center for Prevention Research, a research agenda is proposed that addresses the major dimensions of solvent abuse. Topics for both prevention and treatment are included.
溶剂滥用受到公众和药物滥用研究人员和从业人员的相对较少的关注。这种忽视导致了对这种危险行为缺乏了解。根据三民族预防研究中心工作人员的经验,提出了一项研究议程,以解决溶剂滥用的主要方面。包括预防和治疗的主题。
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引用次数: 9
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Drugs in society
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