Pub Date : 2019-08-08DOI: 10.1080/1067828x.2020.1774024
Suzanne Spinola, Dezarie Moskal, S. Maisto, Aesoon Park, A. Labbe, T. Chung
Abstract As the number of adolescents seeking treatment for marijuana use increases, it is important to identify factors that mediate marijuana treatment outcomes. Alcohol consumption is highly prevalent in clinical samples of adolescents but has been neglected as a potential mediator of marijuana use treatment outcomes. In this study, we sought to examine alcohol consumption as a mediator of both marijuana use frequency (number of use days) and negative consequences related to marijuana use in a longitudinal study of 159 adolescents (Mage = 16.69 years; 35% female; 87% White; 70% marijuana as a preferred drug) enrolled in intensive outpatient substance use disorder (SUD) treatment. It was hypothesized that change in both frequency and quantity of alcohol consumption from baseline to 6-month follow-up mediates the association between marijuana use frequency and marijuana-related problems at baseline and 12-month follow-up. Results of path analyses showed that the number of drinking days and total number of drinks consumed at 6 months significantly mediated the change in marijuana-related problems over 12 months, after controlling for gender, preferred drug, and pre-treatment alcohol consumption. However, alcohol consumption was not found to mediate the change in marijuana use frequency. These results highlight the importance of examining both use- and non-use-based treatment outcomes to obtain a more complete picture of treatment outcomes. The findings also suggest that researchers and clinicians should address the use of multiple substances in an integrated way, rather than focusing primarily on an individual’s preferred drug.
{"title":"Change in Marijuana Use and Related Problems among Adolescents in Substance Use Disorder Treatment: The Mediating Effects of Alcohol Consumption","authors":"Suzanne Spinola, Dezarie Moskal, S. Maisto, Aesoon Park, A. Labbe, T. Chung","doi":"10.1080/1067828x.2020.1774024","DOIUrl":"https://doi.org/10.1080/1067828x.2020.1774024","url":null,"abstract":"Abstract As the number of adolescents seeking treatment for marijuana use increases, it is important to identify factors that mediate marijuana treatment outcomes. Alcohol consumption is highly prevalent in clinical samples of adolescents but has been neglected as a potential mediator of marijuana use treatment outcomes. In this study, we sought to examine alcohol consumption as a mediator of both marijuana use frequency (number of use days) and negative consequences related to marijuana use in a longitudinal study of 159 adolescents (Mage = 16.69 years; 35% female; 87% White; 70% marijuana as a preferred drug) enrolled in intensive outpatient substance use disorder (SUD) treatment. It was hypothesized that change in both frequency and quantity of alcohol consumption from baseline to 6-month follow-up mediates the association between marijuana use frequency and marijuana-related problems at baseline and 12-month follow-up. Results of path analyses showed that the number of drinking days and total number of drinks consumed at 6 months significantly mediated the change in marijuana-related problems over 12 months, after controlling for gender, preferred drug, and pre-treatment alcohol consumption. However, alcohol consumption was not found to mediate the change in marijuana use frequency. These results highlight the importance of examining both use- and non-use-based treatment outcomes to obtain a more complete picture of treatment outcomes. The findings also suggest that researchers and clinicians should address the use of multiple substances in an integrated way, rather than focusing primarily on an individual’s preferred drug.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828x.2020.1774024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45051561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-08DOI: 10.1080/1067828x.2020.1789527
Korine B. Cabrera, Kathleen M Palm Reed
Abstract Rates of alcohol use peak during the transition from adolescence to young adulthood, a developmental phase that encompasses heightened stress and emotion regulation demands. This mixed methods study examines the influence of a critical developmental transition, high school graduation, on the relationship between problem alcohol use and emotion regulation. High school seniors (N = 117) were surveyed within three months of graduation. Quantitative analyses show that transition stress, but not emotion regulation, predicts alcohol-related problems. Qualitative analyses reveal that adolescent high-risk drinkers engage in a variety of strategies to regulate distress. Implications for adolescent substance misuse prevention programs are discussed.
{"title":"Transitional Stress Influences Problem Alcohol Use and Emotion Regulation in Late Adolescence: A Mixed-Methods Study","authors":"Korine B. Cabrera, Kathleen M Palm Reed","doi":"10.1080/1067828x.2020.1789527","DOIUrl":"https://doi.org/10.1080/1067828x.2020.1789527","url":null,"abstract":"Abstract Rates of alcohol use peak during the transition from adolescence to young adulthood, a developmental phase that encompasses heightened stress and emotion regulation demands. This mixed methods study examines the influence of a critical developmental transition, high school graduation, on the relationship between problem alcohol use and emotion regulation. High school seniors (N = 117) were surveyed within three months of graduation. Quantitative analyses show that transition stress, but not emotion regulation, predicts alcohol-related problems. Qualitative analyses reveal that adolescent high-risk drinkers engage in a variety of strategies to regulate distress. Implications for adolescent substance misuse prevention programs are discussed.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828x.2020.1789527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45793965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-08DOI: 10.1080/1067828x.2020.1774026
A. Mannocci, F. Guerra, V. Colamesta, I. Backhaus, A. Firenze, S. Provenzano, M. Fiore, M. Ferrara, E. Langiano, E. De Vito, C. Lorini, G. Bonaccorsi, P. Villari, G. La Torre
Abstract Background Pictorial warnings may contribute to lower attractiveness of smoking, particularly among adolescents. The present study compared the impact of two different label styles of tobacco product warnings (textual and pictorial) among adolescents in a new standardized way, using the Adolescent Label Impact Index (ALII). Methods A school-based cross-sectional study was conducted. Adolescent aged 10–20 years completed an online questionnaire. The ALII score was used to assess the impact of only-textual (ALII-T) and pictorial advertisements (ALII-P). Results A total of 1,759 students (68.4% response-rate) declared that graphic warnings have a significant impact than textual ones (p < 0.05). The younger group, which has never smoked or just tried and believed in the harmful effects of tobacco, is associated with both scales of ALII scales (T and P) (p < 0.01). The socioeconomic status was associated with ALII-T (p < 0.01), but not ALII-P; female gender, smoker-peers, perception of the body weight are related to the ALII-P (p < 0.05) but not ALII-T. Conclusions The pictorial labels represent a policy of tobacco use control that has potential effects, in particular in reducing communication inequalities between socio-economic categories, reinforcing the knowledge about the damage of smoking, discouraging adolescents, especially the younger ones who do not have never smoked or have just tried to become smokers. Collaborative Group Siriana Campioni, Department of Public Health and Infectious Disease, “Sapienza” University of Rome Gabriele Castorina, Armando Platania, Specialization School of Hygiene and Preventive Medicine, Department “GF Ingrassia” Hygiene and Public Health, University of Catania, Italy; Ilenia Bellini, School of Specialization in Hygiene and Preventive Medicine, University of Florence Omar Enzo Santangelo, Specialization School of Hygiene and Preventive Medicine, Department of Sciences for Health Promotion and Mother and Child Care “Giuseppe D’Alessandro,” University of Palermo Clara Ferrara, Department of Gynecology and Obstetrics Palermo Civic Hospital and National Center of Clinical Excellence (ARNAS Di Cristina-Benfratelli) Palermo, Italy.
{"title":"The Adolescent Label Impact Index in a Multicentric Observational Study. Have the Tobacco Advertisements an Impact on the Adolescents?","authors":"A. Mannocci, F. Guerra, V. Colamesta, I. Backhaus, A. Firenze, S. Provenzano, M. Fiore, M. Ferrara, E. Langiano, E. De Vito, C. Lorini, G. Bonaccorsi, P. Villari, G. La Torre","doi":"10.1080/1067828x.2020.1774026","DOIUrl":"https://doi.org/10.1080/1067828x.2020.1774026","url":null,"abstract":"Abstract Background Pictorial warnings may contribute to lower attractiveness of smoking, particularly among adolescents. The present study compared the impact of two different label styles of tobacco product warnings (textual and pictorial) among adolescents in a new standardized way, using the Adolescent Label Impact Index (ALII). Methods A school-based cross-sectional study was conducted. Adolescent aged 10–20 years completed an online questionnaire. The ALII score was used to assess the impact of only-textual (ALII-T) and pictorial advertisements (ALII-P). Results A total of 1,759 students (68.4% response-rate) declared that graphic warnings have a significant impact than textual ones (p < 0.05). The younger group, which has never smoked or just tried and believed in the harmful effects of tobacco, is associated with both scales of ALII scales (T and P) (p < 0.01). The socioeconomic status was associated with ALII-T (p < 0.01), but not ALII-P; female gender, smoker-peers, perception of the body weight are related to the ALII-P (p < 0.05) but not ALII-T. Conclusions The pictorial labels represent a policy of tobacco use control that has potential effects, in particular in reducing communication inequalities between socio-economic categories, reinforcing the knowledge about the damage of smoking, discouraging adolescents, especially the younger ones who do not have never smoked or have just tried to become smokers. Collaborative Group Siriana Campioni, Department of Public Health and Infectious Disease, “Sapienza” University of Rome Gabriele Castorina, Armando Platania, Specialization School of Hygiene and Preventive Medicine, Department “GF Ingrassia” Hygiene and Public Health, University of Catania, Italy; Ilenia Bellini, School of Specialization in Hygiene and Preventive Medicine, University of Florence Omar Enzo Santangelo, Specialization School of Hygiene and Preventive Medicine, Department of Sciences for Health Promotion and Mother and Child Care “Giuseppe D’Alessandro,” University of Palermo Clara Ferrara, Department of Gynecology and Obstetrics Palermo Civic Hospital and National Center of Clinical Excellence (ARNAS Di Cristina-Benfratelli) Palermo, Italy.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828x.2020.1774026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47899956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-08DOI: 10.1080/1067828x.2020.1766619
Angela J. Nash, E. Hennessy, Crystal Collier, J. Kelly
Abstract Although 12-step participation is related to improved outcomes, young people’s 12-step involvement is rare. There is limited research on the role of 12-step philosophy and practices for supporting young people’s recovery or addressing why so few engage in 12-step practices. To explore these issues, content analysis was applied to qualitative data from two prior studies conducted with individuals who participated in an Alternative Peer Group (APG), a 12-step facilitated adolescent recovery support model. Findings revealed new information on barriers to 12-step involvement and suggest strategies for addressing barriers, boosting motivation, and changing young people’s perceptions of 12-step philosophy and practices.
{"title":"Young People’s Perceptions of the 12-Steps’ Role in Supporting Their Recovery (or Not)","authors":"Angela J. Nash, E. Hennessy, Crystal Collier, J. Kelly","doi":"10.1080/1067828x.2020.1766619","DOIUrl":"https://doi.org/10.1080/1067828x.2020.1766619","url":null,"abstract":"Abstract Although 12-step participation is related to improved outcomes, young people’s 12-step involvement is rare. There is limited research on the role of 12-step philosophy and practices for supporting young people’s recovery or addressing why so few engage in 12-step practices. To explore these issues, content analysis was applied to qualitative data from two prior studies conducted with individuals who participated in an Alternative Peer Group (APG), a 12-step facilitated adolescent recovery support model. Findings revealed new information on barriers to 12-step involvement and suggest strategies for addressing barriers, boosting motivation, and changing young people’s perceptions of 12-step philosophy and practices.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828x.2020.1766619","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48642088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-04DOI: 10.1080/1067828x.2020.1751367
J. Randall
Two potential barriers that may prevent community based clinicians from implementing Contingency Management (CM) with fidelity for adolescent substance use disorders include: First, fidelity measur...
{"title":"Potential Usefulness of Technological Interventions to Improve Community Based Clinicians’ Implementation of Contingency Management with Fidelity for Adolescents with Substance Use Disorders","authors":"J. Randall","doi":"10.1080/1067828x.2020.1751367","DOIUrl":"https://doi.org/10.1080/1067828x.2020.1751367","url":null,"abstract":"Two potential barriers that may prevent community based clinicians from implementing Contingency Management (CM) with fidelity for adolescent substance use disorders include: First, fidelity measur...","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828x.2020.1751367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46957974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-04DOI: 10.1080/1067828x.2020.1736223
E. Collins
Prescription drug abuse is on the rise among Canadian youth. However, there is a lack of qualitative research in this area. The primary goal of this study was to understand the risk factors and liv...
{"title":"Understanding the Risk Factors and Lived Experiences of Prescription Drug Abuse Among Canadian Children and Adolescents: A Retrospective Phenomenological Study","authors":"E. Collins","doi":"10.1080/1067828x.2020.1736223","DOIUrl":"https://doi.org/10.1080/1067828x.2020.1736223","url":null,"abstract":"Prescription drug abuse is on the rise among Canadian youth. However, there is a lack of qualitative research in this area. The primary goal of this study was to understand the risk factors and liv...","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828x.2020.1736223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46232434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-04DOI: 10.1080/1067828X.2019.1667285
H. Dubowitz, S. Roesch, Richard L. Metzger, A. Arria, Richard Thompson, D. English
Abstract This longitudinal prospective study examined the relationship between child maltreatment as per reports to child protective services (CPS) and adolescent self-reported marijuana use, and the association between relationships with mothers and fathers and use of marijuana. The association between relationships with parents early in childhood (ages 6 to 8 years) and during adolescence with adolescent marijuana use were also probed. Another aim examined whether relationships with parents moderated the link between child maltreatment and youth marijuana use. The sample included 702 high-risk adolescents from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a consortium of five studies related to maltreatment. Children were recruited at age 4 or 6 years together with their primary caregiver. Some were recruited due to their risk for child maltreatment, others were already involved with CPS, and children in one site had been placed in foster care. Logistic regression analysis was performed using youth self-report of marijuana use as the criterion variable and child maltreatment and the relationships with parents as predictor variables, controlling for youths’ perceptions of peer substance use and parental monitoring, parental substance use, race/ethnicity, sex, and study site. Approximately half the youths had used marijuana. Most of them described quite positive relationships with their mothers and fathers. Participant marijuana use was associated with a poorer quality of relationship with mother during adolescence, and with peer and parental substance use. A better relationship with father, but not mother, during adolescence attenuated the connection between child maltreatment and youth marijuana use.
{"title":"Child Maltreatment, Relationship With Father, Peer Substance Use, and Adolescent Marijuana Use","authors":"H. Dubowitz, S. Roesch, Richard L. Metzger, A. Arria, Richard Thompson, D. English","doi":"10.1080/1067828X.2019.1667285","DOIUrl":"https://doi.org/10.1080/1067828X.2019.1667285","url":null,"abstract":"Abstract This longitudinal prospective study examined the relationship between child maltreatment as per reports to child protective services (CPS) and adolescent self-reported marijuana use, and the association between relationships with mothers and fathers and use of marijuana. The association between relationships with parents early in childhood (ages 6 to 8 years) and during adolescence with adolescent marijuana use were also probed. Another aim examined whether relationships with parents moderated the link between child maltreatment and youth marijuana use. The sample included 702 high-risk adolescents from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN), a consortium of five studies related to maltreatment. Children were recruited at age 4 or 6 years together with their primary caregiver. Some were recruited due to their risk for child maltreatment, others were already involved with CPS, and children in one site had been placed in foster care. Logistic regression analysis was performed using youth self-report of marijuana use as the criterion variable and child maltreatment and the relationships with parents as predictor variables, controlling for youths’ perceptions of peer substance use and parental monitoring, parental substance use, race/ethnicity, sex, and study site. Approximately half the youths had used marijuana. Most of them described quite positive relationships with their mothers and fathers. Participant marijuana use was associated with a poorer quality of relationship with mother during adolescence, and with peer and parental substance use. A better relationship with father, but not mother, during adolescence attenuated the connection between child maltreatment and youth marijuana use.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828X.2019.1667285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46182382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-04DOI: 10.1080/1067828X.2019.1680469
Xiang Zhao, Gareth Davey, Xiangxing Wan
Abstract This study investigates smoking intention, nicotine dependence, and mindfulness among Dai Lue adolescents (N = 1322, ages = 14–18), an understudied Buddhist ethnic minority in China. Based on the Theory of Planned Behavior (TPB), mindfulness showed a negative association with smoking intention. However, for participants with nicotine dependence, the mindfulness-intention association diminished, while volitional processes remained salient. Results from this study contribute to debates in the literature regarding habit versus planned behavior, and provide empirical support for integrating mindfulness into the TPB. The cognitive pathways identified could be targeted in anti-smoking interventions to curb the high prevalence of smoking among Dai Lue adolescents.
{"title":"Mindfulness, Smoking Intention, and Nicotine Dependence Among Buddhist Ethnic Minority Adolescents in China","authors":"Xiang Zhao, Gareth Davey, Xiangxing Wan","doi":"10.1080/1067828X.2019.1680469","DOIUrl":"https://doi.org/10.1080/1067828X.2019.1680469","url":null,"abstract":"Abstract This study investigates smoking intention, nicotine dependence, and mindfulness among Dai Lue adolescents (N = 1322, ages = 14–18), an understudied Buddhist ethnic minority in China. Based on the Theory of Planned Behavior (TPB), mindfulness showed a negative association with smoking intention. However, for participants with nicotine dependence, the mindfulness-intention association diminished, while volitional processes remained salient. Results from this study contribute to debates in the literature regarding habit versus planned behavior, and provide empirical support for integrating mindfulness into the TPB. The cognitive pathways identified could be targeted in anti-smoking interventions to curb the high prevalence of smoking among Dai Lue adolescents.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828X.2019.1680469","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48600466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-04DOI: 10.1080/1067828X.2019.1680468
Denise D. Tran, W. Brown, Susan Lee, Holly E. R. Morrell
Abstract Research suggests that religiosity, familial factors, and smoking are associated with adolescent alcohol use. The aims of the current study were to investigate whether filial piety, resistance self-efficacy to smoking, and willingness to smoke mediate the relationship between religiosity and alcohol use in 180 adolescents (Mage = 13.23; 60.0% female). Religiosity was not associated with alcohol use, but was associated with filial piety. Resistance self-efficacy, filial piety, and willingness to smoke were all associated with alcohol use. Future prevention programs may benefit from promoting respect toward older family members and should be designed to address both alcohol and smoking-related factors.
{"title":"Religiosity, Filial Piety, and Drinking in Adolescence","authors":"Denise D. Tran, W. Brown, Susan Lee, Holly E. R. Morrell","doi":"10.1080/1067828X.2019.1680468","DOIUrl":"https://doi.org/10.1080/1067828X.2019.1680468","url":null,"abstract":"Abstract Research suggests that religiosity, familial factors, and smoking are associated with adolescent alcohol use. The aims of the current study were to investigate whether filial piety, resistance self-efficacy to smoking, and willingness to smoke mediate the relationship between religiosity and alcohol use in 180 adolescents (Mage = 13.23; 60.0% female). Religiosity was not associated with alcohol use, but was associated with filial piety. Resistance self-efficacy, filial piety, and willingness to smoke were all associated with alcohol use. Future prevention programs may benefit from promoting respect toward older family members and should be designed to address both alcohol and smoking-related factors.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828X.2019.1680468","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48298709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-04DOI: 10.1080/1067828X.2019.1679688
S. Axson, N. Giordano, C. McDonald, J. Pinto-Martin
Abstract The purpose of this study was to examine prescribing patterns and identify characteristics associated with an adolescent being prescribed an opioid at time of discharge from a hospital stay of 48 hours or less. We performed a retrospective cross-sectional analysis of EHR data from a pediatric health system. Our sample included 2,180 patient visits resulting in a pain medication prescribed at time of discharge. We found 35% of the sample received a prescription for an opioid medication upon discharge. Both patient and clinical factors such as age, insurance status, pain scores, and unit of discharge were significantly associated with increased odds of receiving an opioid upon discharge. This work contributes to understanding how an adolescent population is exposed to opioids through the healthcare system. Characterizing opioids prescribed upon discharge is one step towards a better understanding of how opioids enter communities and impact public health.
{"title":"Opioid Prescribing to Adolescents upon Discharge from an Admission of 48 Hours or Less","authors":"S. Axson, N. Giordano, C. McDonald, J. Pinto-Martin","doi":"10.1080/1067828X.2019.1679688","DOIUrl":"https://doi.org/10.1080/1067828X.2019.1679688","url":null,"abstract":"Abstract The purpose of this study was to examine prescribing patterns and identify characteristics associated with an adolescent being prescribed an opioid at time of discharge from a hospital stay of 48 hours or less. We performed a retrospective cross-sectional analysis of EHR data from a pediatric health system. Our sample included 2,180 patient visits resulting in a pain medication prescribed at time of discharge. We found 35% of the sample received a prescription for an opioid medication upon discharge. Both patient and clinical factors such as age, insurance status, pain scores, and unit of discharge were significantly associated with increased odds of receiving an opioid upon discharge. This work contributes to understanding how an adolescent population is exposed to opioids through the healthcare system. Characterizing opioids prescribed upon discharge is one step towards a better understanding of how opioids enter communities and impact public health.","PeriodicalId":46463,"journal":{"name":"JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2019-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/1067828X.2019.1679688","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49606505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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