1
|
Espinosa da Silva C, Fatch R, Emenyonu N, Muyindike W, Adong J, Rao SR, Chamie G, Ngabirano C, Tumwegamire A, Kekibiina A, Marson K, Beesiga B, Sanyu N, Katusiime A, Hahn JA. Psychometric assessment of the Runyankole-translated Marlowe-Crowne Social Desirability Scale among persons with HIV in Uganda. BMC Public Health 2024; 24:1628. [PMID: 38898463 PMCID: PMC11186284 DOI: 10.1186/s12889-024-18886-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 05/17/2024] [Indexed: 06/21/2024] Open
Abstract
BACKGROUND Social desirability can negatively affect the validity of self-reported measures, including underreporting of stigmatized behaviors like alcohol consumption. The Marlowe-Crowne Social Desirability Scale (SDS) is widely implemented and comprised of Denial and Attribution Domains (i.e., tendencies to deny undesirable traits or attribute socially desirable traits to oneself, respectively). Yet, limited psychometric research has been conducted in sub-Saharan Africa, where the prevalence of unhealthy alcohol consumption is high as well as religiosity and hierarchical social norms. To address this gap, we (a) conducted an exploratory study assessing certain psychometric properties of the 28-item SDS (Runyankole-translated) among persons with HIV (PWH) in Uganda, and (b) examined the relationship between social desirability and self-reported alcohol use. METHODS We pooled baseline data (N = 1153) from three studies of PWH engaged in alcohol use from 2017 to 2021. We assessed the translated scale's construct validity (via confirmatory factor analysis), internal consistency, item performance, differential item functioning by gender, concurrent validity with the DUREL religiosity index domains, and the association between social desirability and self-reported alcohol use. RESULTS Participants had a mean age of 40.42 years, 63% were men, and 91% had an undetectable HIV viral load. The 28-item SDS had satisfactory construct validity (Model fit indices: RMSEA = 0.07, CFI = 0.84, TLI = 0.82) and internal consistency (Denial Domain ΩTotal = 0.82, Attribution Domain ΩTotal = 0.69). We excluded Item 14 ("I never hesitate to help someone in trouble") from the Attribution Domain, which mitigated differential measurement error by gender and slightly improved the construct validity (Model fit indices: RMSEA = 0.06, CFI = 0.86, TLI = 0.85) and reliability (Attribution Domain ΩTotal = 0.72) of the 27-item modified SDS. Using the 27-item SDS, we found that social desirability was weakly correlated with religiosity and inversely associated with self-reported alcohol use after adjusting for biomarker-measured alcohol use and other confounders (β = -0.05, 95% confidence interval: -0.09 to -0.01, p-value = 0.03). CONCLUSIONS We detected and mitigated measurement error in the 28-item Runyankole-translated SDS, and found that the modified 27-item scale had satisfactory construct validity and internal consistency in our sample. Future studies should continue to evaluate the psychometric properties of the Runyankole-translated SDS, including retranslating Item 14 and reevaluating its performance.
Collapse
Affiliation(s)
| | - Robin Fatch
- Department of Medicine, University of California, San Francisco, CA, USA
| | - Nneka Emenyonu
- Department of Medicine, University of California, San Francisco, CA, USA
| | - Winnie Muyindike
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Julian Adong
- School of Public Health, Makerere University, Kampala, Uganda
| | - Sowmya R Rao
- School of Public Health, Boston University, Boston, MA, USA
| | - Gabriel Chamie
- Department of Medicine, University of California, San Francisco, CA, USA
| | - Christine Ngabirano
- Global Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Adah Tumwegamire
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Allen Kekibiina
- Global Health Collaborative, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Kara Marson
- Department of Medicine, University of California, San Francisco, CA, USA
| | - Brian Beesiga
- Infectious Diseases Research Collaboration (IDRC), Kampala, Uganda
| | - Naomi Sanyu
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Anita Katusiime
- Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Judith A Hahn
- Department of Medicine, University of California, San Francisco, CA, USA
| |
Collapse
|
2
|
McCarty B, Hanlen-Rosado E, Taylor J, Yang E, Corneli A, Curlin F. The Opioid Epidemic and Faith-Based Responses in Southern Appalachia, USA: An Exploration of Factors for Successful Cross-Sector Collaboration. JOURNAL OF RELIGION AND HEALTH 2024:10.1007/s10943-024-02060-1. [PMID: 38825606 DOI: 10.1007/s10943-024-02060-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/07/2024] [Indexed: 06/04/2024]
Abstract
This study aimed to identify factors for successful cross-sector collaboration with faith-based responses to the opioid epidemic in southern Appalachia. In-depth interviews were conducted with representatives from organizations responding to the opioid epidemic (N = 25) and persons who have experienced opioid dependency (N = 11). Stakeholders perceived that collaboration is hindered by stigma, poor communication, and conflicting medical and spiritual approaches to opioid dependency. Collaborations are facilitated by cultivating compassion and trust, sharing information along relational lines, and discerning shared commitments while respecting different approaches. The study concludes with theoretical and practical implications for both religious leaders and potential cross-sector collaborators.
Collapse
Affiliation(s)
- Brett McCarty
- Department of Population Health Sciences, School of Medicine, Duke University, Durham, NC, USA.
- Divinity School, Duke University, 407 Chapel Drive, Duke Box #90968, Durham, NC, 27708-0968, USA.
| | - Emily Hanlen-Rosado
- Department of Population Health Sciences, School of Medicine, Duke University, Durham, NC, USA
| | - Jamilah Taylor
- Department of Population Health Sciences, School of Medicine, Duke University, Durham, NC, USA
| | - Emmy Yang
- School of Medicine, University of North Carolina in Chapel Hill, Chapel Hill, NC, USA
| | - Amy Corneli
- Department of Population Health Sciences, School of Medicine, Duke University, Durham, NC, USA
| | - Farr Curlin
- Divinity School, Duke University, 407 Chapel Drive, Duke Box #90968, Durham, NC, 27708-0968, USA
- Trent Center for Bioethics, Humanities, and History of Medicine, Duke University, Durham, NC, USA
| |
Collapse
|
3
|
Hassan AN, Agabani Z, Ahmed F, Shapiro B, Le Foll B. The Impact of religiosity/spirituality on slowing the progression of substance use: Based on the National Epidemiological Survey of Alcohol and Related Conditions (NESARC-III). Int J Soc Psychiatry 2023; 69:1399-1408. [PMID: 36951385 DOI: 10.1177/00207640231162819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/24/2023]
Abstract
BACKGROUND Religiosity has been suggested to be protective against substance use disorder (SUD) initiation but its impact of the progression of development is not known. AIMS This study investigated the impact of religiosity/spirituality on the development of heavy use and SUD following substance use initiation (alcohol, cannabis, and tobacco) utilizing data from the 2012 to 2013 National Epidemiologic Survey on Alcohol and Related Conditions-III. METHOD Individuals with a known age at onset of substance initiation were included (n = 30,590, n = 11,126, and n = 14,083; for alcohol, cannabis, or tobacco users, respectively). Religiosity was measured by importance of religious/spiritual beliefs and frequency of religious service attendance. The percentage of individuals who progressed to an SUD after substance initiation in each substance was estimated. Discrete-time analysis and survival analysis were used to measure the impact of religiosity on the progression from substance initiation to heavy use and from heavy use to SUD. RESULTS After controlling for various variables, religious services attendance frequency was statistically associated with a slower progression from substance initiation to heavy use for all three substances: tobacco by 8% to 15%, cannabis by 5% to 26%, and alcohol 9% (p ⩽ .01). Religious importance was associated with slower progression to heavy use in cannabis users by 16% to 21% (p ⩽ .02). Religiosity (believes and attendance) was associated with slowed progression from heavy use to SUD development in alcohol users only. CONCLUSIONS The findings illustrate strongest association between attending religious services and lower probabilities of progressing to heavy/daily use after substance use initiation for alcohol, tobacco, and cannabis users. This indicates the potential use of religious services as social support for individuals with risky substance use.
Collapse
Affiliation(s)
- Ahmed N Hassan
- Department of Psychiatry, Department of Medicine, King Abdulaziz University, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
- Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada
- Department of Pharmacology and Toxicology, Faculty of Medicine, University of Toronto, ON, Canada
- Department of Psychiatry, Faculty of Medicine, University of Toronto, ON, Canada
- Institute of Medical Sciences, University of Toronto, ON, Canada
| | - Zena Agabani
- Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada
- Department of Pharmacology and Toxicology, Faculty of Medicine, University of Toronto, ON, Canada
| | - Fardowsa Ahmed
- Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada
| | - Benjamin Shapiro
- Department of Psychiatry and Behavioral Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, Canada
| | - Bernard Le Foll
- Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, ON, Canada
- Department of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada
- Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, ON, Canada
| |
Collapse
|
4
|
Kaufman CC, Pirutinsky S, Rosmarin DH. Spirituality/Religion and Self-Harm Among Patients With Alcohol/Substance Use Versus Other Disorders. J Nerv Ment Dis 2023:00005053-990000000-00087. [PMID: 37015109 DOI: 10.1097/nmd.0000000000001655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/06/2023]
Abstract
ABSTRACT Spirituality/religion (S/R) is clinically relevant to recovery from alcohol use disorders (AUDs)/substance use disorders (SUDs) and also associated with less self-injury; however, the interplay of these factors has not been adequately evaluated. Participants (n = 1443) were culled from a larger study among psychiatric patients. We assessed for S/R using self-report measures, and medical records were reviewed for demographics, clinical diagnoses, psychiatric medications, and self-harm engagement. Self-harm engagement was significantly higher among patients without AUD/SUD. S/R distress was higher among participants with AUD/SUD, but S/R community activity and importance of religion were lower. Interest in discussing S/R in treatment did not significantly differ across patients. Religious affiliation, importance of religion, and belief in God were associated with less self-harm, but effects were not moderated by presence of AUD/SUD. S/R factors are associated with lower self-harm, irrespective of the presence or absence of AUD/SUD. In contrast with clinical lore, S/R may be equally salient to psychiatric patients with AUD/SUD versus other disorders.
Collapse
Affiliation(s)
| | | | - David H Rosmarin
- Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
| |
Collapse
|
5
|
Tomkins MM, Wang C, Weinstein A, Neighbors C, DiBello AM, Carey KB. Religion and Drinking: Differences between Two Campuses. Alcohol 2023; 110:41-49. [PMID: 36898641 DOI: 10.1016/j.alcohol.2023.01.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 01/29/2023] [Accepted: 01/31/2023] [Indexed: 03/12/2023]
Abstract
Levels of religiousness vary by geographic location, but studies of the relationship between religiousness and alcohol are often limited to one region. For our participants (N=1124; 57.5% female), location was significantly associated with both religiousness and alcohol use. Active religiousness was associated with drinking outcomes. The indirect effects of location on drinks per week through active religiousness were significant. At Campus S, subjective religiousness was associated with more drinks per week, whereas active religiousness was associated with fewer drinks per week. Findings indicate active religiousness is especially relevant when exploring drinking, and location is important when exploring religiousness and alcohol use.
Collapse
Affiliation(s)
- Mary M Tomkins
- University of Houston, Department of Psychology, Houston, TX, USA.
| | - Carol Wang
- University of Texas, MD Anderson Cancer Center, Houston, TX, USA
| | - Andrew Weinstein
- University of Houston, Department of Psychology, Houston, TX, USA
| | | | - Angelo M DiBello
- Rutgers University, Center for Alcohol & Substance Use Studies and Graduate School of Applied and Professional Psychology, New Brunswick, NJ, USA
| | - Kate B Carey
- Brown University, Department of Behavioral and Social Sciences & Center for Alcohol and Addiction Studies, Providence, RI, USA
| |
Collapse
|
6
|
Chagas C, Martins LB, Machado FR, Zangari W, Galduróz JCF. Religious and secular spirituality: Methodological implications of definitions for health research. Explore (NY) 2023; 19:6-13. [PMID: 35469748 DOI: 10.1016/j.explore.2022.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 03/21/2022] [Accepted: 04/10/2022] [Indexed: 01/25/2023]
Abstract
The importance of spirituality as a research topic has been increasingly recognized, which has led to several studies on the topic. Areas including psychology, medicine, and nursing have produced studies on spirituality under a plurality of definitions and methods, which reveals the complexity of the theme. However, this has resulted in a range of potential problems, including: (1) the use of overlapping and contradictory terms between studies, or even within the same study, (2) research methodologies that do not fit the definitions (sometimes unreflectively) assumed by the authors, (3) difficulties, or even the impossibility, of comparing the results of studies, (4) controversies in respect of the inclusion/exclusion of secular groups in research on spirituality, and (5) ambiguous measurements, often being exclusively dependent on each participant's individual interpretation of what spirituality means. This article discusses these problems, recommends theoretical and methodological alternatives and presents taxonomy of definitions of spirituality.
Collapse
Affiliation(s)
- Camila Chagas
- Universidade Federal de São Paulo-UNIFESP, Department of Psychobiology, São Paulo, Brazil.
| | | | | | - Welligton Zangari
- Universidade de São Paulo-USP, Department of Social Psychology, São Paulo, Brazil
| | | |
Collapse
|
7
|
The association between child maltreatment and problematic alcohol use in adulthood in a large multi-ethnic cohort: the HELIUS study. Epidemiol Psychiatr Sci 2022; 31:e87. [PMID: 36484150 PMCID: PMC9762143 DOI: 10.1017/s2045796022000695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
AIMS There is evidence that child maltreatment is associated with problematic alcohol use later in life. However, previous epidemiological studies that have examined the link between child maltreatment and adult problematic alcohol use have not considered ethnic differences. Therefore, the purpose of the current study was to investigate the relationship between child maltreatment and adult problematic alcohol use among six ethnic groups in the Netherlands, in a large, urban sample. METHODS This study used baseline data from the Healthy Life in an Urban Setting (HELIUS) study: a large-scale, multi-ethnic prospective cohort study conducted in Amsterdam, the Netherlands. Child maltreatment, current problematic alcohol use and several potential confounders (e.g. parental alcohol use) were assessed in participants (N = 23 356) of Dutch, South-Asian Surinamese, African Surinamese, Ghanaian, Turkish and Moroccan origin. With logistic regression analyses, we examined effect modification by ethnicity on the association between child maltreatment and problematic alcohol use. Furthermore, we explored effect modification by ethnicity for specific types of child maltreatment, namely: physical, sexual and psychological abuse and emotional neglect. RESULTS Effect modification by ethnicity was present. Stronger associations between child maltreatment and problematic alcohol use were found in all ethnic minority groups compared to the Dutch reference group. Particularly strong associations between all four types of child maltreatment and alcohol use problems were found for the Moroccan origin group. CONCLUSIONS This study adds to a growing body of evidence that child maltreatment is associated with problematic alcohol use in adulthood. In addition, our findings indicate that ethnicity impacts this relationship. Although problematic alcohol use was more prevalent in the Dutch origin group, associations with child maltreatment were stronger in ethnic minority groups. Future studies on child maltreatment and alcohol use problems should also examine ethnic disparities and should further unravel how these disparities can be explained.
Collapse
|
8
|
Funk-White M, Moore AA, McEvoy LK, Bondi MW, Bergstrom J, Kaufmann CN. Alcohol use and cognitive performance: a comparison between Greece and the United States. Aging Ment Health 2022; 26:2440-2446. [PMID: 34842012 PMCID: PMC9161584 DOI: 10.1080/13607863.2021.1998355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2021] [Accepted: 10/17/2021] [Indexed: 02/01/2023]
Abstract
OBJECTIVES To examine associations between alcohol use and cognitive performance among older adults in Greece and the United States, and assess potential differences due to differing drinking practices in the two countries. METHODS Data came from Hellenic Longitudinal Investigation of Aging and Diet (HELIAD) and National Alzheimer's Coordinating Center Uniform Dataset (NACC). We examined those aged 65-90 years at baseline who had no cognitive impairment and complete data for cognitive and alcohol use variables (N = 1110 from HELIAD; N = 2455 from NACC). We examined associations between current alcohol use and frequency of such use with cognitive performance on various cognitive tasks stratified by gender. RESULTS In NACC, use of alcohol was associated with better cognitive performance. Men drinkers performed better than non-drinkers on Trail A (standardized mean 0.07 vs. -0.24, p<.001), Trail B (0.06 vs. -0.19, p=.001), and women drinkers performed better on Trail A (0.04 vs. -0.09, p=.016), Trail B (0.04 vs. -0.10, p=.005), verbal fluency (Animals: 0.05 vs. -0.13, p<.001; Vegetables: 0.04 vs. -0.09, p=.027), and MoCA (0.03 vs. -0.08, p=.039). In HELIAD, fewer differences were seen with only women drinkers exhibiting better performance than non-drinkers on the Boston Naming Task (0.11 vs. -0.05, p=.016). In general, more frequent drinkers performed better on cognitive tasks than less frequent drinkers, although this was only statistically significant in the NACC dataset. CONCLUSION While drinking alcohol may be associated with better cognitive performance across both the US and Greece, more research is needed to assess the cultural factors that may modify this association.
Collapse
Affiliation(s)
- Makaya Funk-White
- San Diego State University/University of California San Diego, San Diego, CA, USA
| | - Alison A. Moore
- Division of Geriatrics, Gerontology and Palliative Care, Department of Medicine, University of California San Diego, La Jolla, CA, USA
| | - Linda K McEvoy
- Department of Radiology, University of California San Diego, La Jolla, CA, USA
| | - Mark W. Bondi
- Department of Psychiatry, University of California San Diego, La Jolla, CA, USA
- Veterans Affairs San Diego Healthcare System, San Diego, CA, USA
| | - Jaclyn Bergstrom
- Division of Geriatrics, Gerontology and Palliative Care, Department of Medicine, University of California San Diego, La Jolla, CA, USA
- Department of Radiology, University of California San Diego, La Jolla, CA, USA
| | - Christopher N. Kaufmann
- Division of Epidemiology and Data Science in Gerontology, Department of Aging and Geriatric Research, University of Florida College of Medicine, Gainesville, FL, USA
| |
Collapse
|
9
|
Frings D, Albery IP, Kim A. When ingroup identities “clash”: The influence of beliefs about incompatibilities between being a Christian and a drinker affect motivation to change drinking behaviour. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2022. [DOI: 10.1002/casp.2670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Affiliation(s)
- Daniel Frings
- Centre for Addictive Behaviours Research London South Bank University London UK
| | - Ian P. Albery
- Centre for Addictive Behaviours Research London South Bank University London UK
| | - Anne Kim
- Centre for Addictive Behaviours Research London South Bank University London UK
| |
Collapse
|
10
|
Hoffmann JP. Parent-child Relations, Religiousness, and Adolescent Substance Use Disorders. JOURNAL OF DRUG ISSUES 2022. [DOI: 10.1177/00220426221121608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Research has shown that parent-child relationships and religiousness are negatively associated with substance use among adolescents, but few studies have addressed their relationship with substance use disorders (SUDs). This study explored whether high quality parent-child relations are negatively associated with the risk of an SUD among adolescents, especially when religiousness is high. The data used to assess this inquiry were from 4 years (2016–2019) of the U.S. National Survey on Drug Use and Health (NSDUH). SUDs in the past year were based on a set of questions consistent with criteria enumerated in the DSM-IV. Latent measures of parent-child relations and religiousness were also constructed. The results of an augmented inverse probability weighting (AIPW) model furnished empirical evidence in support of the notion that the lowest risk of an SUD occurred among those reporting high quality parent-child relations and high religiousness, even after adjusting for a substantial number of selection factors.
Collapse
Affiliation(s)
- John P. Hoffmann
- Department of Sociology, Brigham Young University, Provo, UT, USA
| |
Collapse
|
11
|
Abraham R, Leonhardt M, Lien L, Hanssen I, Hauff E, Thapa SB. The relationship between religiosity/spirituality and quality of life among female Eritrean refugees living in Norwegian asylum centres. Int J Soc Psychiatry 2022; 68:881-890. [PMID: 33876654 DOI: 10.1177/00207640211010207] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Women are more vulnerable to mental health problems than men after migration, but little is known about the influence of religiosity/spirituality on their quality of life. The purpose of this study was to explore religiosity/spirituality, in relationships with various domains of quality of life, among female Eritrean refugees staying in Norwegian asylum centres. METHOD A questionnaire assessing sociodemographic characteristics was used together with the World Health OrganizationQuality of Life - Spirituality, Religiosity and Personal Beliefs (WHOQOL-SRPB) questionnaire, which assesses religiosity/spirituality and domains of quality of life. A total of 63 adult female Eritrean refugees who had been granted asylum but were still living in asylum reception centres located in southern and central Norway participated. RESULTS Religiosity/spirituality was independently associated with psychological quality of life (B = 0.367, p < .001), level of independence (B = 0.184, p = .028), social quality of life (B = 0.500, p = .003), environmental quality of life (B = 0.323, p < .001) and overall quality of life (B = 0.213, p < .001), but not with physical quality of life (B = 0.056, p = .679). There were no significant differences between religious affiliations on religiosity/spirituality or quality of life measures. CONCLUSION Consistent with previous research, this study highlights the correlation between religiosity/spirituality and overall quality of life. We recommend a longitudinal follow-up study of similar populations, after they are resettled and integrated into their host countries, to understand the associations between quality of life and religiosity/spirituality over time.
Collapse
Affiliation(s)
- Ruth Abraham
- Department of Psychiatry, Lovisenberg Diaconal Hospital, Oslo, Norway.,Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Norway
| | - Marja Leonhardt
- Faculty of Health Studies, VID - Specialized University, Oslo, Akershus, Norway.,KoRus Øst, Inland Hospital Trust, Norway
| | - Lars Lien
- Norwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Innlandet Hospital Trust, Hamar, Norway.,Department of Health and Social Sciences, Innlandet University Collage, Elverum, Norway
| | - Ingrid Hanssen
- Section of Clinical Nursing Research, Lovisenberg Diaconal University College, Oslo, Norway
| | - Edvard Hauff
- Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Norway
| | - Suraj Bahadur Thapa
- Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, Norway.,Division of Mental Health and Addiction, Oslo University Hospital, Norway
| |
Collapse
|
12
|
Jose R, Matero M, Sherman G, Curtis B, Giorgi S, Schwartz HA, Ungar LH. Using Facebook language to predict and describe excessive alcohol use. Alcohol Clin Exp Res 2022; 46:836-847. [PMID: 35575955 PMCID: PMC9179895 DOI: 10.1111/acer.14807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 02/10/2022] [Accepted: 03/10/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Assessing risk for excessive alcohol use is important for applications ranging from recruitment into research studies to targeted public health messaging. Social media language provides an ecologically embedded source of information for assessing individuals who may be at risk for harmful drinking. METHODS Using data collected on 3664 respondents from the general population, we examine how accurately language used on social media classifies individuals as at-risk for alcohol problems based on Alcohol Use Disorder Identification Test-Consumption score benchmarks. RESULTS We find that social media language is moderately accurate (area under the curve = 0.75) at identifying individuals at risk for alcohol problems (i.e., hazardous drinking/alcohol use disorders) when used with models based on contextual word embeddings. High-risk alcohol use was predicted by individuals' usage of words related to alcohol, partying, informal expressions, swearing, and anger. Low-risk alcohol use was predicted by individuals' usage of social, affiliative, and faith-based words. CONCLUSIONS The use of social media data to study drinking behavior in the general public is promising and could eventually support primary and secondary prevention efforts among Americans whose at-risk drinking may have otherwise gone "under the radar."
Collapse
Affiliation(s)
- Rupa Jose
- Positive Psychology Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Matthew Matero
- Department of Computer Science, Stony Brook University, Stony Brook, New York, USA
| | - Garrick Sherman
- Positive Psychology Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Brenda Curtis
- Technology and Translational Research Unit, National Institute on Drug Abuse, Baltimore, Maryland, USA
| | - Salvatore Giorgi
- Technology and Translational Research Unit, National Institute on Drug Abuse, Baltimore, Maryland, USA.,Department of Computer and Information Science, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | | | - Lyle H Ungar
- Department of Computer and Information Science, University of Pennsylvania, Philadelphia, Pennsylvania, USA.,Department of Psychology, Positive Psychology Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| |
Collapse
|
13
|
Holz M, Mayerl J, Andersen H, Maskow B. How Does Migration Background Affect COVID-19 Vaccination Intentions? A Complex Relationship Between General Attitudes, Religiosity, Acculturation and Fears of Infection. Front Public Health 2022; 10:854146. [PMID: 35462811 PMCID: PMC9019123 DOI: 10.3389/fpubh.2022.854146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 03/11/2022] [Indexed: 11/13/2022] Open
Abstract
Objectives The aim of the study is to investigate the relationship between migration background and COVID-19 vaccine intentions, exploring multiple mediation paths. We argue that the migrational and sociocultural background influences general attitudes toward health and political/public institutions. The effects of these general attitudes on vaccination intentions are mediated by fears of infection. Additionally, we analyze a migrant-only model including acculturation variables (years since migration, foreign and host country media consumption) and region of origin (European vs. Non-European). Design: The data (n = 1027) stem from an online access panel collected between March 15 and March 25, 2021. Quotas for gender and age were set according the online population of Germany. The use of an oversampling framework for first generation migrants resulted in a sample with 50% first generation migrants and 50% native Germans without migration background. Models were calculated using a Structural Equation Modeling approach. Results Migration background both increases and decreases antecedents of vaccination intentions. Being a migrant increases positive antecedents like religiosity, which in turn positively influence general attitudes and thus fears of infection and vaccination intentions. But being a migrant has also a significant direct negative association with vaccination intentions, implying missing mediators. Increasing years since migration increase host country (German) media consumption and decrease consumption of media from the country of origin. Both media variables are positively associated with political trust and health consciousness. Additionally, European compared to Non-European migrants have less political trust, fear of personal infection and lower vaccination intentions on the whole. Conclusions The study found that vaccination intentions can be understood by applying the proposed hypothetical structure. We found complex associations of the migration and sociocultural background and COVID-19 vaccination intentions, where antecedents of vaccination intentions are both increased and decreased by migration background and migration specific factors.
Collapse
Affiliation(s)
- Manuel Holz
- Chemnitz University of Technology, Chemnitz, Germany
| | - Jochen Mayerl
- Chemnitz University of Technology, Chemnitz, Germany
| | | | - Britta Maskow
- Chemnitz University of Technology, Chemnitz, Germany
| |
Collapse
|
14
|
Palzes VA, Kline-Simon AH, Satre DD, Sterling S, Weisner C, Chi FW. Predictors of early and sustained cessation of heavy drinking over 5 years among adult primary care patients. Addiction 2022; 117:82-95. [PMID: 34159681 PMCID: PMC8664973 DOI: 10.1111/add.15612] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 03/11/2021] [Accepted: 06/09/2021] [Indexed: 01/03/2023]
Abstract
AIMS To identify factors asociated with early and sustained cessation of heavy drinking. DESIGN Retrospective cohort study over 5 years. SETTING Kaiser Permanente Northern California, United States. PARTICIPANTS Adults reporting heavy drinking during primary care-based alcohol screening between 1 June 2013 and 31 May 2014. The sample (n = 85 434) was 40.7% female and 33.8% non-white; mean age was 50.3 years (standard deviation = 18.1). MEASUREMENTS Following US guidelines, early and sustained cessation of heavy drinking was defined as reporting lower-risk drinking or abstinence at 1 year and to 5 years after achieving early cessation, respectively. Associations between patient characteristics and service use and cessation outcomes were examined using logistic regression with inverse probability weights addressing attrition. FINDINGS Nearly two-thirds of participants achieved early cessation of heavy drinking. Women [odds ratio (OR) = 1.39, 95% confidence interval (CI) = 1.35, 1.44], middle-age (35-64 years: ORs = 1.16-1.19), non-white race/ethnicity (ORs = 1.03-1.57), medical conditions (OR = 1.05, 95% CI = 1.04, 1.06), psychiatric (OR = 1.10, 95% CI = 1.06, 1.15) and drug use disorders (OR = 1.35, 95% CI = 1.17, 1.56) and addiction treatment (OR = 1.19, 95% CI = 1.09, 1.30) were associated with higher odds of early cessation, while older age (≥ 65 years: OR = 0.91, 95% CI = 0.86, 0.96), smoking (OR = 0.81, 95% CI = 0.77, 0.84), higher index drinking levels (exceeding both daily and weekly limits: OR = 0.30, 95% CI = 0.29, 0.32) and psychiatric treatment (OR = 0.91, 95% CI = 0.84, 0.99) were associated with lower odds. Among those who achieved early cessation (n = 19 200), 60.0% sustained cessation. Associations between patient factors and sustained cessation paralleled those observed in analyses of early cessation. Additionally, routine primary care (OR = 1.57, 95% CI = 1.44, 1.71) and addiction treatment post-1 year (OR = 1.41, 95% CI = 1.19, 1.66) were associated with higher odds of sustained cessation. Lower-risk drinking versus abstinence at 1 year was associated with lower odds of sustained cessation (OR = 0.62, 95% CI = 0.57, 0.66). CONCLUSIONS Nearly two-thirds of a large, diverse sample of patients who reported heavy drinking in a Californian health-care system achieved early and sustained cessation of heavy drinking. Vulnerable subgroups (i.e. non-white patients and those with psychiatric disorders), patients who received routine primary care and those who received addiction treatment were more likely to sustain cessation of heavy drinking than other participants.
Collapse
Affiliation(s)
- Vanessa A Palzes
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
| | | | - Derek D Satre
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
- Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, USA
| | - Stacy Sterling
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
| | - Constance Weisner
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
- Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, CA, USA
| | - Felicia W Chi
- Division of Research, Kaiser Permanente Northern California, Oakland, CA, USA
| |
Collapse
|
15
|
Stonbraker S, Mendoza-Grey S, Martins MC, Flórez KR, Abraído-Lanza AF. The copita question: Exploring alcohol consumption among Latina women. J Ethn Subst Abuse 2022; 22:755-765. [PMID: 34974823 PMCID: PMC9247118 DOI: 10.1080/15332640.2021.2019161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
We explored whether Dominican women underreport alcohol consumption according to questionnaire wording and examined factors associated with their alcohol use through structured interviews in Spanish. We measured consumption with the word "alcohol" and with the common colloquialisms "copita/trago/vinito." We used logistic regressions to examine associations between alcohol consumption, demographics, and alcohol-related norms. Of 419 female participants, 411 completed alcohol-related questions. Most (n=343, 83.5%) were current drinkers and 88 (21%) reported having never consumed alcohol but also that they occasionally drink a "copita/trago/vinito." This indicates alcohol use is potentially underreported among Dominican women. Alcohol-related research should incorporate culturally sensitive language to improve accuracy.
Collapse
Affiliation(s)
- Samantha Stonbraker
- University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado
| | - Sonia Mendoza-Grey
- Mailman School of Public Health, Columbia University, New York, New York
| | | | - Karen R Flórez
- School of Public Health and Health Policy, City University of New York, New York, New York
| | | |
Collapse
|
16
|
Busby DR, Hope MO, Lee DB, Heinze JE, Zimmerman MA. Racial Discrimination and Trajectories of Problematic Alcohol Use Among African American Emerging Adults: The Role of Organizational Religious Involvement. HEALTH EDUCATION & BEHAVIOR 2021; 49:242-255. [PMID: 34965768 DOI: 10.1177/10901981211051650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Racial discrimination jeopardizes a wide range of health behaviors for African Americans. Numerous studies demonstrate significant negative associations between racial discrimination and problematic alcohol use among African Americans. Culturally specific contexts (e.g., organized religious involvement) often function protectively against racial discrimination's adverse effects for many African Americans. Yet organized religious involvement may affect the degree to which racial discrimination increases problematic alcohol use resulting in various alcohol use trajectories. These links remain understudied in emerging adulthood marked by when individuals transition from adolescence to early adult roles and responsibilities. We use data from 496 African American emerging adults from the Flint Adolescent Study (FAS) to (a) identify multiple and distinct alcohol use trajectories and (b) examine organizational religious involvement's protective role. Three trajectory classes were identified: the high/stable, (20.76% of sample; n = 103); moderate/stable, (39.52% of sample; n = 196); and low/rising, (39.72% of the sample; n = 197). After controlling for sex, educational attainment, and general stress, the interaction between racial discrimination and organized religious involvement did not influence the likelihood of classifying into the moderate/stable class or the low/rising class, compared with the high/stable class. These results suggest organized religious involvement counteracts, but does not buffer racial discrimination's effects on problematic alcohol use. Findings emphasize the critical need for culturally sensitive prevention efforts incorporating organized religious involvement for African American emerging adults exposed to racial discrimination. These prevention efforts may lessen the role of racial discrimination on health disparities related to alcohol use.
Collapse
Affiliation(s)
- Danielle R Busby
- Baylor College of Medicine/Texas Children's Hospital, Houston, TX, USA.,University of Michigan, Ann Arbor, MI, USA
| | - Meredith O Hope
- University of Michigan, Ann Arbor, MI, USA.,The College of Wooster, Wooster, OH, USA
| | - Daniel B Lee
- Children's Minnesota Research Institute, Saint Paul, MN, USA
| | | | | |
Collapse
|
17
|
Manove EE, Poon CYS, Rhodes JE, Lowe SR. Changes in Psychosocial Resources as Predictors of Posttraumatic Growth: A Longitudinal Study of Low-Income, Female Hurricane Katrina Survivors. TRAUMATOLOGY 2021; 27:346-353. [PMID: 35356133 PMCID: PMC8962964 DOI: 10.1037/trm0000318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
This study examined how well the Posttraumatic Growth Inventory (PTGI; Tedeschi & Calhoun, 1996) corresponds with self-reported pre- to posttrauma changes in related constructs, including sense of purpose in life, religiosity, and social support. Participants were 328 low-income mothers (85.2% non-Hispanic Black) who survived Hurricane Katrina and completed surveys approximately 1 year predisaster (Time 1), 4 years postdisaster (Time 2), and 12 years postdisaster (Time 3). PTG was assessed at Time 2 and Time 3, and related constructs were assessed at all waves. Pre- to postdisaster changes in the following related constructs were significantly associated with the corresponding PTGI subscales: purpose in life with Relating to Others, Personal Strength, and New Possibilities; religiosity with Spiritual Change; and perceived social support with Relating to Others. The results demonstrate a link between a number of self-reported pre- to posttrauma psychological changes measured over time and the PTGI. Replication of these results using measures more closely aligned to the PTGI subscales, among more representative samples and in the aftermath of other traumatic events, is warranted.
Collapse
Affiliation(s)
- Emily E. Manove
- Department of Psychology, University of Massachusetts Boston
| | | | - Jean E. Rhodes
- Department of Psychology, University of Massachusetts Boston
| | - Sarah R. Lowe
- Department of Social and Behavioral Sciences, Yale School of Public Health
| |
Collapse
|
18
|
Skourlis N, Massara P, Patsis I, Peppa E, Katsouyanni K, Trichopoulou A. Long-Term Trends (1994-2011) and Predictors of Total Alcohol and Alcoholic Beverages Consumption: The EPIC Greece Cohort. Nutrients 2021; 13:3077. [PMID: 34578956 PMCID: PMC8469614 DOI: 10.3390/nu13093077] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 08/21/2021] [Accepted: 08/25/2021] [Indexed: 01/21/2023] Open
Abstract
The aim of this study was to evaluate the longitudinal changes in alcohol consumption (total alcohol and types of alcoholic beverages) of the Greek EPIC cohort participants (28,572) during a 17-year period (1994-2011), with alcohol information being recorded repeatedly over time. Descriptive statistics were used to show crude trends in drinking behavior. Mixed-effects models were used to study the consumption of total alcohol, wine, beer and spirits/other alcoholic beverages in relation to birth cohort, socio-demographic, lifestyle and health factors. We observed a decreasing trend of alcohol intake as age increased, consistent for total alcohol consumption and the three types of beverages. Older birth cohorts had lower initial total alcohol consumption (8 vs. 10 g/day) and steeper decline in wine, spirits/other alcoholic beverages and total alcohol consumption compared to younger cohorts. Higher education and smoking at baseline had a positive association with longitudinal total alcohol consumption, up to +30% (vs. low education) and more than +25% (vs. non-smoking) respectively, whereas female gender, obesity, history of heart attack, diabetes, peptic ulcer and high blood pressure at baseline had a negative association of -85%, -25%, -16%, -37%, -22% and -24% respectively. Alcohol consumption changed over age with different trends among the studied subgroups and types of alcohol, suggesting targeted monitoring of alcohol consumption.
Collapse
Affiliation(s)
- Nikolaos Skourlis
- Hellenic Health Foundation, Kaisareias 13 & Alexandroupoleos, 11527 Athens, Greece; (P.M.); (I.P.); (E.P.); (K.K.); (A.T.)
| | - Paraskevi Massara
- Hellenic Health Foundation, Kaisareias 13 & Alexandroupoleos, 11527 Athens, Greece; (P.M.); (I.P.); (E.P.); (K.K.); (A.T.)
| | - Ioannis Patsis
- Hellenic Health Foundation, Kaisareias 13 & Alexandroupoleos, 11527 Athens, Greece; (P.M.); (I.P.); (E.P.); (K.K.); (A.T.)
| | - Eleni Peppa
- Hellenic Health Foundation, Kaisareias 13 & Alexandroupoleos, 11527 Athens, Greece; (P.M.); (I.P.); (E.P.); (K.K.); (A.T.)
| | - Klea Katsouyanni
- Hellenic Health Foundation, Kaisareias 13 & Alexandroupoleos, 11527 Athens, Greece; (P.M.); (I.P.); (E.P.); (K.K.); (A.T.)
- Department of Hygiene Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75, 11527 Athens, Greece
| | - Antonia Trichopoulou
- Hellenic Health Foundation, Kaisareias 13 & Alexandroupoleos, 11527 Athens, Greece; (P.M.); (I.P.); (E.P.); (K.K.); (A.T.)
| |
Collapse
|
19
|
Bragard E, Giorgi S, Juneau P, Curtis BL. Loneliness and Daily Alcohol Consumption During the COVID-19 Pandemic. Alcohol Alcohol 2021; 57:198-202. [PMID: 34414405 PMCID: PMC8499726 DOI: 10.1093/alcalc/agab056] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 07/19/2021] [Accepted: 07/20/2021] [Indexed: 02/07/2023] Open
Abstract
Aims This pilot study aimed to identify associations of loneliness and daily alcohol consumption among US adults during the Coronavirus Disease-2019 pandemic. Method Participants completed daily assessments for 30 days. Results Results suggest people who feel lonelier on average drink more alcohol, however, people who feel lonelier than usual drink less. Conclusion Findings highlight the need to disaggregate within- and between-person components of alcohol use.
Collapse
Affiliation(s)
- Elise Bragard
- Department of Psychology, Fordham University, Bronx, NY 10458, USA.,National Institutes of Health, National Institute on Drug Abuse, Bethesda, MD 20892, USA
| | - Salvatore Giorgi
- National Institutes of Health, National Institute on Drug Abuse, Bethesda, MD 20892, USA.,Computer and Information Science Department, University of Pennsylvania, Philadelphia, PA 19104, USA
| | - Paul Juneau
- Division of Data Services, NIH Library, Office of Research Services, National Institutes of Health, Bethesda, MD 20892, USA.,Contractor, Zimmerman Associates, Inc, Fairfax, VA 22030, USA
| | - Brenda L Curtis
- National Institutes of Health, National Institute on Drug Abuse, Bethesda, MD 20892, USA
| |
Collapse
|
20
|
Zhang C, Brook JS, Leukefeld CG, Brook DW. Developmental Trajectories of Religious Service Attendance: Predictors of Nicotine Dependence and Alcohol Dependence/Abuse in Early Midlife. JOURNAL OF RELIGION AND HEALTH 2021; 60:1766-1779. [PMID: 30879207 PMCID: PMC6746614 DOI: 10.1007/s10943-019-00787-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This longitudinal study assesses the associations between developmental trajectories of religious service attendance from mean age 14 to mean age 43 and nicotine dependence and alcohol dependence/abuse at mean age 43 (N = 548). Six trajectories of religious service attendance were identified. As compared with belonging to weekly stable trajectory group, a higher probability of belonging to the weekly/none decreasing, occasional stable, and non-attendance trajectory group was significantly associated with a higher likelihood of nicotine dependence. In addition, as compared with belonging to weekly stable trajectory group, a higher probability of belonging to the weekly/none decreasing, weekly/occasional decreasing, occasional stable, and non-attendance trajectory group was significantly associated with a higher likelihood of alcohol dependence/abuse. These findings are consistent with the hypothesis that religious service attendance protects against nicotine dependence and alcohol dependence/abuse in early midlife.
Collapse
Affiliation(s)
- Chenshu Zhang
- Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
| | - Judith S Brook
- Department of Psychiatry, New York University School of Medicine, 215 Lexington Avenue, 15th Floor, New York, NY, 10016, USA.
| | - Carl G Leukefeld
- Department of Behavioral Sciences, University of Kentucky, Lexington, KY, USA
| | - David W Brook
- Department of Psychiatry, New York University School of Medicine, 215 Lexington Avenue, 15th Floor, New York, NY, 10016, USA
| |
Collapse
|
21
|
Rhee TG, Marottoli RA, Monin JK. Diversity of social networks versus quality of social support: Which is more protective for health-related quality of life among older adults? Prev Med 2021; 145:106440. [PMID: 33516759 PMCID: PMC8378099 DOI: 10.1016/j.ypmed.2021.106440] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Revised: 01/17/2021] [Accepted: 01/24/2021] [Indexed: 10/22/2022]
Abstract
Both social networks and social support are important in addressing bio-psycho-social events in older adults. Their associations with health-related quality of life (HRQOL), however, are not well understood. This study aims to examine the associations of diversity of social networks and perceived quality of social support with HRQOL in older adults. We used data from 2012 to 2013 National Epidemiological Survey on Alcohol and Related Conditions Wave III (NESARC-III), and included respondents aged 65 or older (n = 5799 unweighted). We used the Social Network Index (SNI) to measure diversity of social connections and the Interpersonal Support Evaluation List (ISEL-12) to measure perceived quality of social support. We also constructed HRQOL (mental component summary (MCS) and physical component summary (PCS)) and quality-adjusted life years (QALYs). We characterized socio-demographic, behavioral, and clinical factors, and HRQOL and QALYs by type of social support. We also used multivariable-adjusted regression analyses to assess the associations of diversity of social networks and perceived quality of social support with HRQOL and QALYs, respectively. Older adults with greater diversity of social networks, regardless of perceived quality of social support, had higher mean scores in HRQOL domains, although effect sizes were small. In multivariable-adjusted analyses, diversity of social networks was positively associated with HRQOL-MCS (coefficient = 0.59; 95% confidence intervals [CI], 0.08-1.09), HRQOL-PCS (coefficient = 1.00; 95% CI, 0.38-1.61), and QALYs (coefficient = 0.01; 95% CI, 0.00-0.02). Perceived quality of social support was not associated with HRQOL. The diversity of social networks, more than perceived quality of social support, may be protective for HRQOL in older adults.
Collapse
Affiliation(s)
- Taeho Greg Rhee
- Department of Public Health Sciences, School of Medicine, University of Connecticut, Farmington, CT, USA; Department of Psychiatry, Yale School of Medicine, Yale University, New Haven, CT, USA.
| | - Richard A Marottoli
- Section of Geriatrics, Department of Internal Medicine, Yale School of Medicine, Yale University, New Haven, CT, USA; Geriatrics and Extended Care, VA Connecticut Healthcare System, West Haven, CT, USA
| | - Joan K Monin
- Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT, USA
| |
Collapse
|
22
|
McKetta S, Morrison CN, Keyes KM. Trends in US Alcohol Consumption Frequency During the First Wave of the SARS-CoV-2 Pandemic. Alcohol Clin Exp Res 2021; 45:773-783. [PMID: 33587290 PMCID: PMC8014717 DOI: 10.1111/acer.14575] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Accepted: 02/09/2021] [Indexed: 12/31/2022]
Abstract
Background The SARS‐CoV‐2 pandemic created disruptions and stressors which may have influenced alcohol consumption frequency trends. Varying COVID‐19 health burden and alcohol policies may have contributed to different consumption trends between states. The aim of this study is to assess trends in alcohol consumption and moderation by state of residence. Methods We examined trends in adult drinking days, during the first wave of the pandemic (March 10 to June 8) using longitudinal data from the Understanding America Study (N = 6,172 unique participants; N = 28,059 observations). Because state mandates were responsive to disease burden, we modeled the interaction of time by COVID‐19 burden, defined as whether the state had the median (or higher) daily incidence of COVID‐19 cases on the survey date, and state random effects. We controlled for individual sociodemographics, perceived personal/familial COVID‐19 burden, mental health symptomology, and risk avoidance. Results Drinking days increased throughout the duration (incidence risk ratio [IRR] for drinking per increase in one calendar day = 1.003, 95% CI 1.001, 1.004); trends were heterogeneous by disease burden, with individuals living in states with lower COVID‐19 burden increasing (IRR = 1.005, 95% CI 1.003, 1.007) faster than those living in states with higher COVID‐19 burden (IRR = 1.000, 95% CI 0.998, 1.002). Trends were heterogeneous between states, but there was no evidence of systematic geographic clustering of state trends. Conclusions Drinking days increased during the first months of the COVID‐19 pandemic, particularly among residents of states with lower disease burden.
Collapse
Affiliation(s)
- Sarah McKetta
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Christopher N Morrison
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.,Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Vic., Australia
| | - Katherine M Keyes
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
| |
Collapse
|
23
|
Sartor CE, Black AC. Profiles of Psychosocial Risk and Protective Factors and their Associations with Alcohol Use and Regular Smoking in Black Adults. J Racial Ethn Health Disparities 2021; 8:60-68. [PMID: 32440916 PMCID: PMC7679281 DOI: 10.1007/s40615-020-00754-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 03/30/2020] [Accepted: 04/03/2020] [Indexed: 11/30/2022]
Abstract
INTRODUCTION This study aimed to identify the clustering of substance use-related psychosocial risk and protective factors (subgroups) and the differential associations of those subgroups with current alcohol use and regular smoking among Black adults. METHODS Data were drawn from 4462 participants (29% Afro Caribbean, 71% African American; median age = 38; 63% female) in a nationally representative study of social, economic, and structural conditions and health in Black Americans. Latent classes, i.e., subgroups, were derived via latent profile analysis with 10 indicators representing social support and religious involvement (support); demands from family and religious community (demands); and socioeconomic and neighborhood factors and racial discrimination (adversity). Frequency of alcohol use and prevalence of regular smoking were compared across classes using regression analyses. RESULTS Four classes emerged: (1) high support, low demands and adversity; (2) high support and demands, low-moderate adversity; (3) low support and demands, low-moderate adversity; and (4) low support, high demands and adversity. Relative to Class 1, frequency of alcohol use and regular smoking prevalence were significantly higher only in Class 4. CONCLUSIONS Results indicate substantive variations in the clustering of substance use-related psychosocial risk and protective factors in Black adults. Furthermore, they suggest that neither the presence of high demands nor the absence of support alone differentiates likelihood of engaging in frequent alcohol use or regular smoking, but adverse experiences such as racial discrimination may be especially impactful.
Collapse
Affiliation(s)
- Carolyn E Sartor
- Department of Psychiatry, Yale University School of Medicine, 389 Whitney Avenue, New Haven, CT, 06511, USA.
| | - Anne C Black
- Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA
| |
Collapse
|
24
|
Kim C. Religion, Religious Heterogeneity, and Intimate Partner Violence Among Korean Immigrant Women. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:NP2228-2247NP. [PMID: 29460673 DOI: 10.1177/0886260518757224] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
This study examined the role of religious affiliations and frequency of religious service attendance-such as church, Bible studies, and temples-as well as religious heterogeneity between couples on intimate partner violence (IPV) among Korean immigrant women in the United States. Through a case-control design, this study compared 64 Korean immigrant IPV victims with 63 Korean immigrant non-IPV victims. This study's findings reveal that for Korean immigrant women, a high frequency of religious service attendance was associated with higher IPV victimization, while their partners' high religious service attendance was associated with lower IPV victimization. When women's partners were religious compared with when they were not religious, they were less likely to perpetrate IPV even when the partners' alcohol consumption frequency increased. Also, when there was a gap between couples regarding frequency of religious attendance, IPV victimization increased. This discussion concludes by suggesting some policy implications based on these findings.
Collapse
Affiliation(s)
- Chunrye Kim
- Saint Joseph's University, Philadelphia, PA, USA
| |
Collapse
|
25
|
Bar-Or RL, Kor A, Jaljuli I, Lev-Ran S. The Epidemiology of Substance Use Disorders among the Adult Jewish Population in Israel. Eur Addict Res 2021; 27:362-370. [PMID: 33730716 DOI: 10.1159/000513776] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Accepted: 12/11/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Substance use disorders (SUDs) are a leading cause of morbidity and mortality worldwide, having a profound and global impact on health, well-being, safety, and productivity. Although traditionally the prevalence of SUDs in Israel has been estimated to be lower than those in high-income countries, estimates and characteristics of individuals with SUDs in the past decade are lacking. In this work, we explored the prevalence of SUDs among the adult Jewish population in Israel, per different classes of substances across sex, age group, and other sociodemographic factors. METHODS Data from an online representative sample of 4,025 respondents were collected, including the alcohol, smoking, and substance involvement screening test (ASSIST) metric and sociodemographic data. RESULTS We found that the most common SUDs were alcohol (10.5% [9.5-11.4]), cannabis (9.0% [8.2-9.9]), and sedative (3.6% [3.0-4.2]) use disorders. Alcohol-cannabis (3.2% [2.7-3.7]) and alcohol-sedative (1.04% [0.7-1.35]) were the most prevalent co-occurring SUDs. Among those with cannabis use disorder, the prevalence of alcohol use disorder was found to be 35.3% [30.4-40.2]. The estimated risk for alcohol use disorder was found to be inversely proportional to age, cannabis use disorder increased, peaked, and decreased with age, and that of sedative use disorder increased with age, particularly among women. While older individuals (in the 51-60 years of age group) were at lower risk (OR = 0.5 [0.3, 0.8]) compared to those <20 years of age for alcohol use disorder, they were at increased risk for sedative use disorder (OR = 3.1 [1.2, 9.7]). CONCLUSIONS These findings represent substantially higher rates of SUDs in Israel than those previously reported and should affect resources allocated to addiction prevention and treatment. Further research on the role of gender, age, culture, and ethnicity in the propensity to develop SUDs is necessary for the development of more focused preventive and intervention measures. Focusing on non-Jewish populations in Israel and broadening the scope to include behavioral addictions should be addressed in future studies.
Collapse
Affiliation(s)
- Ruth Lev Bar-Or
- Israel Center on Addiction (ICA), Netanya, Israel, .,Hadassah School of Public Health and Community Medicine, Hebrew University, Jerusalem, Israel,
| | - Ariel Kor
- Israel Center on Addiction (ICA), Netanya, Israel.,Interdisciplinary Center (IDC), Herzliya, Israel.,Yale School of Medicine, Yale University, New Haven, Connecticut, USA
| | - Iman Jaljuli
- Department of Statistics and Operations Research, Tel-Aviv University, Tel-Aviv, Israel
| | - Shaul Lev-Ran
- Israel Center on Addiction (ICA), Netanya, Israel.,Lev-Hasharon Medical Center, Netanya, Israel.,Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| |
Collapse
|
26
|
Rhee TG, Mohamed S, Rosenheck RA. Stages of major depressive disorder and behavioral multi-morbidities: Findings from nationally representative epidemiologic study. J Affect Disord 2021; 278:443-452. [PMID: 33010569 DOI: 10.1016/j.jad.2020.09.081] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 08/25/2020] [Accepted: 09/17/2020] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To present a three stage-model of major depressive disorder (MDD) and evaluate differences in behavioral histories/experiences and multi-morbidities between stages. METHODS We used data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III, a nationally representative cross-sectional survey of US adults (n = 36,309). Based on DSM-5 diagnostic criteria, we identified and compared three groups of adults with MDD histories: 1) new onset MDD (n = 509; 5.6%); 2) chronic MDD (n = 3,871; 46.1%); and 3) recovered from MDD (n = 3,673; 48.3%). Multivariable analyses tested independent group differences in behavioral histories/experiences and diagnostic multi-morbidities between 1) recovered MDD vs. new onset MDD; 2) chronic MDD vs. new onset MDD; and 3) recovered MDD vs. chronic MDD. RESULTS Adults who have recovered from MDD as compared to those with chronic MDD were 2.5 times more likely to have recovered from two or more psychiatric disorders in addition to MDD (95% confidence intervals [CI]=1.76-3.61) and from alcohol use disorder (adjusted odds ratio [AOR]=1.28; 95% CI=1.08-1.52). They were also less likely than those with chronic MDD to have borderline personality disorder (p<0.001), pain (p<0.001), or medical co-morbidity (p = 0.003). Adults with new onset MDD were younger than other groups, and more likely than those who have recovered to have borderline personality disorder and concurrent psychiatric or substance use disorders (p<0.05 for all). CONCLUSION Behavioral histories/experiences and multi-morbidities differ significantly across stages of MDD. These concurrent problems may impede recovery and foster chronicity and should therefore be an integral focus of treatment.
Collapse
Affiliation(s)
- Taeho Greg Rhee
- Department of Public Health Sciences, School of Medicine, University of Connecticut, Farmington, CT, United States of America; Department of Psychiatry, School of Medicine, Yale University, New Haven, CT, United States of America; Mental Illness Research, Education and Clinical Center of New England, US Department of Veterans Affairs Connecticut Healthcare System, West Haven, CT, United States of America.
| | - Somaia Mohamed
- Department of Psychiatry, School of Medicine, Yale University, New Haven, CT, United States of America; Mental Illness Research, Education and Clinical Center of New England, US Department of Veterans Affairs Connecticut Healthcare System, West Haven, CT, United States of America
| | - Robert A Rosenheck
- Department of Psychiatry, School of Medicine, Yale University, New Haven, CT, United States of America; Mental Illness Research, Education and Clinical Center of New England, US Department of Veterans Affairs Connecticut Healthcare System, West Haven, CT, United States of America
| |
Collapse
|
27
|
Mitchell UA, Nguyen AW, McBryde-Redzovic A, Brown LL. "What Doesn't Kill You, Makes You Stronger": Psychosocial Resources and the Mental Health of Black Older Adults. ANNUAL REVIEW OF GERONTOLOGY & GERIATRICS 2021; 41:269-302. [PMID: 36311274 PMCID: PMC9614571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
A robust body of research has shown that Black Americans are less likely than Whites to have psychiatric disorders despite the social and economic disadvantage and systemic racism that they face. This mental health paradox has been demonstrated across all ages of the life course, including older adulthood. One of the prevailing explanations for the lower prevalence of psychiatric disorders among Blacks pertains to the influence of psychosocial resources on mental health. Psychosocial resources can directly or indirectly support mental health through physiological and psychological pathways. They can also mitigate the adverse effects of social stressors of discrimination and other stressors on psychological distress and mental illness. Black older adults may particularly benefit from psychosocial resources because they have had a lifetime of experiencing and overcoming adversity. Although this cycle of stress adaptation can wear away at the physical body, it may facilitate mental health resilience. In this chapter, we review research on the relationship between psychosocial resources and mental health. The chapter begins with a brief review of the Black-White mental health paradox and the mechanisms through which psychosocial resources operate to influence mental health. We then review research on intrapersonal, interpersonal, and community-level psychosocial resources that are particularly salient for Black Americans. Throughout the chapter we highlight research specifically focused on Black older adults and discuss the cultural relevance of each resource to their mental health and psychological functioning.
Collapse
Affiliation(s)
| | - Ann W Nguyen
- Case Western Reserve University, Jack, Joseph, and Morton Mandel School of Applied Social Sciences
| | | | - Lauren L Brown
- San Diego State University, College of Health and Human Services, School of Public Health
| |
Collapse
|
28
|
Pawlikowski J, Białowolski P, Węziak-Białowolska D, VanderWeele TJ. Religious service attendance, health behaviors and well-being-an outcome-wide longitudinal analysis. Eur J Public Health 2020; 29:1177-1183. [PMID: 31038170 DOI: 10.1093/eurpub/ckz075] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Previous studies of relationship between religiosity, health behaviors and well-being have showed mainly positive relationships, however, are very often limited to results of associative nature and subject to unmeasured confounding. This study focused on evaluating evidence for a positive association between religious service attendance (RSA), health behaviors and well-being in a longitudinal setting and robustness of these associations to unmeasured confounding. METHODS Three waves (2009, 2011 and 2015) of the biennial longitudinal Polish household panel study with response from 6400 respondents were analyzed. Evidence for a positive and robust association between RSA and outcome variables was evaluated using outcome-wide regression analysis with control of all variables temporally prior to the exposure and sensitivity measures (E-values) to give information on the extent to which an unmeasured confounder would need to be associated with both the exposure and the outcomes. RESULTS RSA is associated with reduced risk of unhealthy behaviors (smoking, alcohol use) and higher emotional well-being. These relationships are robust to substantial unmeasured confounding and difficult to explain by reference to other, unknown, variables. Evidence for a positive relationship between RSA and other well-being variables (social, physical) was less clear. CONCLUSIONS Religiosity may play an important role in public health, particularly in prevention of non-communicable diseases. The strong and robust associations between RSA and some health behaviors (i.e. tobacco use, alcohol abuse) and emotional well-being should arguably be taken into account in health education, health promotion programs, health prevention policy and psychotherapeutic approaches, particularly in more religious populations.
Collapse
Affiliation(s)
- Jakub Pawlikowski
- Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.,Independent Laboratory of Sociology of Medicine, Chair of Humanities, Medical University of Lublin, Lublin, Poland
| | - Piotr Białowolski
- Human Flourishing Program, The Institute for Quantitative Social Science, Faculty of Arts and Sciences, Harvard University, Cambridge, MA, USA.,Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.,WSB University, Dąbrowa Górnicza, Poland
| | - Dorota Węziak-Białowolska
- Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA
| | - Tyler J VanderWeele
- Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.,Human Flourishing Program, The Institute for Quantitative Social Science, Faculty of Arts and Sciences, Harvard University, Cambridge, MA, USA
| |
Collapse
|
29
|
Speed D, Barry C, Cragun R. With a little help from my (Canadian) friends: Health differences between minimal and maximal religiosity/spirituality are partially mediated by social support. Soc Sci Med 2020; 265:113387. [PMID: 33007657 DOI: 10.1016/j.socscimed.2020.113387] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 08/20/2020] [Accepted: 09/19/2020] [Indexed: 02/07/2023]
Abstract
RATIONALE Higher levels of religion and spirituality (R/S) are associated with better health in both Canadian and American samples. One mechanism that can account forthis relationship is social support, which is positively associated with higher R/S and is positively associated with overall wellness. Although social support has been found to mediate the relationship between R/S and health in American samples, parallel research on Canadian samples is lacking. OBJECTIVE While having cultural similarities, Canada and the United States have noteworthy differences with respect to religion, politics, and demographics. Consequently, it is problematic to assume that social support accounts for the R/Shealth relationship for Canadians. The goal of the current study was to explore whether social support mediated the relationship between R/S and health outcomes. METHOD Using individuals ≥20 years of age from the 2012 Canadian Community Health Survey - Mental Health component (N ≥ 9043), we isolated people who had either the lowest or highest possible score on a composite measure of R/S. We then compared 'minimal R/S' respondents to 'maximal R/S' respondents on 11 health outcomes and investigated if these health disparities attenuated when accounting for differences in social support. RESULTS Maximal R/S was associated with better health for nine of the tested outcomes, but seven of these relationships were attenuated when social support was added to the model. The two remaining outcomes, drug abuse/dependence and alcohol abuse/dependence, were not significantly impacted by the inclusion of social support. CONCLUSION Social support plays a mediating role in many R/S-health relationships for Canadians. Although R/S appears to have a statistical relationship with many health outcomes, several of these lack practical significance.
Collapse
Affiliation(s)
- David Speed
- Department of Psychology, PO Box 5050, University of New Brunswick, Saint John, New Brunswick, E2L 4L5, Canada.
| | - Caitlin Barry
- University of New Brunswick, Saint John, New Brunswick, Canada; Queen's University, Kingston, Ontario, Canada
| | | |
Collapse
|
30
|
Sasaki JY, Kim HS. The ego dampening influence of religion: evidence from behavioral genetics and psychology. Curr Opin Psychol 2020; 40:24-28. [PMID: 32892031 DOI: 10.1016/j.copsyc.2020.08.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 08/04/2020] [Accepted: 08/06/2020] [Indexed: 10/23/2022]
Abstract
Religion is a product of evolutionary and biological processes. Thus, understanding why some people are religious and how it impacts their everyday lives requires an integrated perspective. This review presents a theoretical framework incorporating recent findings on religious influences on the behavioral expression of genetic and psychological predispositions. We propose that religion may facilitate ego dampening, or weakening of the impact of one's internal drive, for the service of sociality. Evidence from gene-environment interaction and behavioral studies suggests that religious beliefs and practices may dampen more prepotent, self-focused motives that can be at odds with cooperation and social cohesion. The review underscores the importance of taking an interdisciplinary perspective to understand complex and fundamental questions about religion.
Collapse
Affiliation(s)
- Joni Y Sasaki
- Department of Psychology, University of Hawai'i at Mānoa, 2530 Dole Street, Sakamaki C400, Honolulu, HI 96822-2294, USA.
| | - Heejung S Kim
- Department of Psychological and Brain Sciences, University of California, Santa Barbara, Santa Barbara, CA 93101, USA
| |
Collapse
|
31
|
Predictors of Alcohol Use in Safety-Net Primary Care: Classism, Religiosity, and Race. JOURNAL OF ADDICTION 2020; 2020:5916318. [PMID: 32612865 PMCID: PMC7317315 DOI: 10.1155/2020/5916318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/22/2019] [Revised: 04/07/2020] [Accepted: 05/27/2020] [Indexed: 11/18/2022]
Abstract
Class-based discrimination may impact problematic drinking in low-income populations, which may be buffered by personal religiosity. However, little is known how race may impact this association. The purpose of this study was to examine racial differences in the effect of class-based discrimination on problematic drinking as moderated by comfort with God and determine if there were conditional direct effects of class-based discrimination on problematic drinking by race. In this cross-sectional study, participants (N = 189) were patients of an urban, safety-net primary care clinic who completed questionnaires assessing experiences of class-based discrimination, attitudes toward God, and alcohol use. Data were collected from 2015 to 2016 and analyzed using the Hayes PROCESS macro. There was a significant main effect for class-based discrimination predicting problematic drinking. Two-way interaction analyses identified a significant comfort with God by race interaction with greater comfort with God associated with less problematic drinking among white but not black respondents. Conditional direct effects showed that experiences of class-based discrimination were associated with problematic drinking at low and moderate but not high levels of comfort with God in black participants, whereas none were observed for white participants. This study provides insight on how personal religiosity, class-based discrimination, and race may intertwine to shape problematic alcohol use in primarily low-income, urban patients. Clinicians' awareness of risk and protective factors, as well as how race tempers the effects of such factors, is vital in providing better care for this population.
Collapse
|
32
|
McIntosh RC, Ironson G, Krause N. Do religious and spiritual identity confer risk for hypertension via psychosocial and lifestyle factors? J Health Psychol 2020; 25:1082-1097. [PMID: 29292660 DOI: 10.1177/1359105317748733] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The total and indirect effect of hostility on systolic and diastolic blood pressure was compared as a function of religious and spirituality identity in a nationally representative sample of 2971 adults aged 46.44 years. Structural equation modeling uncovered an indirect path from hostility to diastolic blood pressure via unhealthy behaviors and hostility to unhealthy behaviors via social isolation. Compared to a non-religious/non-spiritual reference group, the effect for unhealthy behaviors on diastolic blood pressure was greater for those endorsing some form of religious identity. However, the direction of the effect for hostility on social isolation and social isolation on unhealthy behaviors was reversed in those endorsing spiritual and religious identity.
Collapse
|
33
|
Lee DB, Hope MO, Heinze JE, Cunningham M, Caldwell CH, Zimmerman MA. Psychological pathway from racial discrimination to the physical consequences of alcohol consumption: Religious coping as a protective factor. J Ethn Subst Abuse 2020; 19:453-475. [PMID: 30589400 PMCID: PMC6597340 DOI: 10.1080/15332640.2018.1540956] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
While racial discrimination (RD) is associated with increased alcohol-related problems among African Americans (AAs), researchers have not examined how RD contributes to the physical consequences of alcohol consumption over time. In addition, the protective role of religious coping has been discussed but not formally tested in pathways connecting RD to the physical consequences of alcohol consumption. To address this gap, we estimated latent growth mediation models in a sample of 465 AA emerging adults. We found that RD increased physical consequences of alcohol consumption over time through psychological distress. After identifying two profiles of religious coping (i.e., low and high religious coping), RD indirectly influenced the physical consequences of alcohol consumption through psychological distress among AAs in the low religious coping group. Our results signal the importance of developing alcohol-misuse prevention programs that address the psychological consequences of RD. Integrating culturally tailored coping strategies (e.g., religious coping) may bolster the efficacy of these prevention programs.
Collapse
Affiliation(s)
- Daniel B. Lee
- Center for Human Growth and Development, University of
Michigan, Ann Arbor, Michigan
| | - Meredith O. Hope
- Department of Health Behavior and Health Education, School
of Public Health, University of Michigan, Ann Arbor, Michigan
| | - Justin E. Heinze
- Department of Health Behavior and Health Education, School
of Public Health, University of Michigan, Ann Arbor, Michigan
| | - Mary Cunningham
- Department of Health Behavior and Health Education, School
of Public Health, University of Michigan, Ann Arbor, Michigan
| | - Cleopatra H. Caldwell
- Department of Health Behavior and Health Education, School
of Public Health, University of Michigan, Ann Arbor, Michigan
| | - Marc A. Zimmerman
- Department of Health Behavior and Health Education, School
of Public Health, University of Michigan, Ann Arbor, Michigan
| |
Collapse
|
34
|
Moser L, Oman RF, Lensch T, Clements-Nolle K. Prospective Associations Among Youth Assets and Alcohol, Tobacco, and Other Drug Use in a Hispanic Youth Population. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2020. [DOI: 10.1177/0739986320915171] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
This study’s purpose was to determine whether specific youth assets (conceptualized as influencing health behavior at the individual, family, or community level) were prospectively associated with reduced alcohol, tobacco, and other drug use (ATD) in a sample of Hispanic youth. A longitudinal community-based study was conducted with five waves of data collected annually over 4 years. Participants were Hispanic youth (14.1 years old; 53% female) and their parents ( N = 306 youth/parent pairs). Generalized linear mixed models were used to determine the prospective influence of 17 youth assets on ATD over five waves of data. Results indicated that Hispanic youth with three of seven individual-level assets (e.g., educational aspirations), any of four family-level assets (e.g., family communication), or with one of six community-level assets (e.g., positive peer role models) were significantly less likely to engage in ATD. The results suggest that assets protect Hispanic youth from ATD and that family-level assets may be particularly important.
Collapse
|
35
|
May PA, Hasken JM, Stegall JM, Mastro HA, Kalberg WO, Buckley D, Brooks M, Hedrick DM, Ortega MA, Elliott AJ, Tabachnick BG, Abdul-Rahman O, Adam MP, Robinson LK, Manning MA, Jewett T, Hoyme HE. Fetal Alcohol Spectrum Disorders in a Southeastern County of the United States: Child Characteristics and Maternal Risk Traits. Alcohol Clin Exp Res 2020; 44:939-959. [PMID: 32293734 DOI: 10.1111/acer.14313] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 01/13/2020] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To detail the characteristic traits of children with fetal alcohol spectrum disorders (FASDs) and maternal risk factors in a southeastern U.S. County. METHODS Independent samples were drawn from 2 different cohorts of first-grade students. All consented children (49.8%) were measured for height, weight, and head circumference, and those ≤ 25th centile entered the study along with a random sample drawn from all enrolled students. Study children were examined for physical growth, dysmorphology, and neurobehavior, and their mothers were interviewed. RESULTS Total dysmorphology scores discriminated well the physical traits of children across the FASD continuum: fetal alcohol syndrome (FAS) = 15.8, partial FAS (PFAS) = 10.8, alcohol-related neurobehavioral disorder (ARND) = 5.2, and typically developing controls = 4.4. Additionally, a neurobehavioral battery distinguished children with each FASD diagnosis from controls. Behavioral problems qualified more children for FASD diagnoses than cognitive traits. Significant proximal maternal risk variables were as follows: reports of prepregnancy drinking, drinking in any trimester, and comorbid use of other drugs in lifetime and during pregnancy, especially alcohol and marijuana (14.9% among mothers of children with FASD vs. 0.4% for controls). Distal maternal risks included reports of other health problems (e.g., depression), living unmarried with a partner during pregnancy, and a lower level of spirituality. Controlling for other drug use during pregnancy, having a child diagnosed with a FASD was 17.5 times greater for women who reported usual consumption of 3 drinks per drinking day prior to pregnancy than for nondrinking mothers (p < 0.001, 95% CI = 5.1 to 59.9). There was no significant difference in the prevalence of FASD by race, Hispanic ethnicity, or socioeconomic status. The prevalence of FASD was not lower than 17.3 per 1,000, and weighted estimated prevalence was 49.0 per 1,000 or 4.9%. CONCLUSION This site had the second lowest rate in the CoFASP study, yet children with FASD are prevalent.
Collapse
Affiliation(s)
- Philip A May
- Department of Nutrition, Nutrition Research Institute, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina.,Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - Julie M Hasken
- Department of Nutrition, Nutrition Research Institute, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina
| | - Julie M Stegall
- Department of Nutrition, Nutrition Research Institute, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina
| | - Heather A Mastro
- Department of Nutrition, Nutrition Research Institute, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina
| | - Wendy O Kalberg
- Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - David Buckley
- Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - Marita Brooks
- Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - Dixie M Hedrick
- Department of Nutrition, Nutrition Research Institute, University of North Carolina, Chapel Hill, Chapel Hill, North Carolina
| | - Marian A Ortega
- Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - Amy J Elliott
- Avera Research, Sioux Falls, South Dakota.,Department of Pediatrics, Sanford School of Medicine, University of South Dakota, Sioux Falls, South Dakota
| | | | | | | | - Luther K Robinson
- Department of Pediatrics, State University of New York at Buffalo, Buffalo, New York
| | - Melanie A Manning
- Departments of Pathology and Pediatrics, Stanford University, Stanford, California
| | - Tamison Jewett
- Department of Pediatrics, Wake Forest University, Winston-Salem, North Carolina
| | - H Eugene Hoyme
- Department of Pediatrics, Sanford School of Medicine, University of South Dakota, Sioux Falls, South Dakota.,Department of Pediatrics, University of Arizona College of Medicine, Tucson, Arizona.,Sanford Research, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota
| |
Collapse
|
36
|
May PA, Hasken JM, Bozeman R, Jones JV, Burns MK, Goodover J, Kalberg WO, Buckley D, Brooks M, Ortega MA, Elliott AJ, Hedrick DM, Tabachnick BG, Abdul-Rahman O, Adam MP, Jewett T, Robinson LK, Manning MA, Hoyme HE. Fetal Alcohol Spectrum Disorders in a Rocky Mountain Region City: Child Characteristics, Maternal Risk Traits, and Prevalence. Alcohol Clin Exp Res 2020; 44:900-918. [PMID: 32293732 DOI: 10.1111/acer.14315] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 12/03/2019] [Accepted: 12/17/2019] [Indexed: 12/15/2022]
Abstract
OBJECTIVE To document prevalence and traits of children with fetal alcohol spectrum disorders (FASD) and maternal risk factors in a Rocky Mountain city. METHODS Variations on active case ascertainment methods were used in 2 first-grade cohorts in all city schools. The consent rate was 59.2%. Children were assessed for physical growth, dysmorphology, and neurobehavior and their mothers interviewed. RESULTS Thirty-eight children were diagnosed with FASD and compared with 278 typically developing controls. Total dysmorphology scores summarized well the key physical indicators of FASD and defined specific diagnostic groups. On average, children with FASD performed significantly poorer than controls on intellectual, adaptive, learning, attention, and behavioral tasks. More mothers of children with FASD reported drinking prior to pregnancy and in the first and second trimesters, and had partners with drinking problems than mothers of controls; however, reports of comorbid alcohol use and 6 other drugs were similar for mothers of children with FASD and mothers of controls. Mothers of children with FASD were significantly younger at pregnancy, had lower average weight before pregnancy and less education, initiated prenatal clinic visits later, and reported more health problems (e.g., stomach ulcers and accidents). Children with FASD had significantly lower birth weight and more problems at birth, and were less likely to be living with biological mother and father. Controlling for other drug and tobacco use, a FASD diagnosis is 6.7 times (OR = 6.720, 95% CI = 1.6 to 28.0) more likely among children of women reporting prepregnancy drinking of 3 drinks per drinking day (DDD) and 7.6 times (OR = 7.590, 95% CI = 2.0 to 31.5) more likely at 5 DDD. Prevalence of FAS was 2.9-5.8 per 1,000 children, and total FASD was 34.9 to 82.5 per 1,000 children or 3.5 to 8.3% at this site. CONCLUSION This site had the second highest prevalence of FASD of the 4 Collaboration on FASD Prevalence sites and clearly identifiable child and maternal risk traits.
Collapse
Affiliation(s)
- Philip A May
- Department of Nutrition, Nutrition Research Institute, University of North Carolina, Chapel Hill, North Carolina.,Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - Julie M Hasken
- Department of Nutrition, Nutrition Research Institute, University of North Carolina, Chapel Hill, North Carolina
| | | | | | - Mary Kay Burns
- City/County Health Department or City Schools, Montana, Montana
| | | | - Wendy O Kalberg
- Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - David Buckley
- Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - Marita Brooks
- Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - Marian A Ortega
- Center on Alcoholism, Substance Abuse and Addictions (CASAA), The University of New Mexico, Albuquerque, New Mexico
| | - Amy J Elliott
- Avera Research, Sioux Falls, South Dakota.,Department of Pediatrics, Sanford School of Medicine, University of South Dakota, Sioux Falls, South Dakota
| | - Dixie M Hedrick
- Department of Nutrition, Nutrition Research Institute, University of North Carolina, Chapel Hill, North Carolina
| | | | | | | | - Tamison Jewett
- Department of Pediatrics, Wake Forest University, Winston-Salem, North Carolina
| | - Luther K Robinson
- Department of Pediatrics, State University of New York at Buffalo, Buffalo, New York
| | - Melanie A Manning
- Departments of Pathology and Pediatrics, Stanford University, Stanford, California
| | - H Eugene Hoyme
- Department of Pediatrics, Sanford School of Medicine, University of South Dakota, Sioux Falls, South Dakota.,Department of Pediatrics, University of Arizona College of Medicine, Tucson, Arizona.,Sanford Research, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota
| |
Collapse
|
37
|
Probst C, Vu TM, Epstein JM, Nielsen AE, Buckley C, Brennan A, Rehm J, Purshouse RC. The Normative Underpinnings of Population-Level Alcohol Use: An Individual-Level Simulation Model. HEALTH EDUCATION & BEHAVIOR 2020; 47:224-234. [PMID: 32090651 PMCID: PMC7069782 DOI: 10.1177/1090198119880545] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background. By defining what is "normal," appropriate, expected, and unacceptable, social norms shape human behavior. However, the individual-level mechanisms through which social norms impact population-level trends in health-relevant behaviors are not well understood. Aims. To test the ability of social norms mechanisms to predict changes in population-level drinking patterns. Method. An individual-level model was developed to simulate dynamic normative mechanisms and behavioral rules underlying drinking behavior over time. The model encompassed descriptive and injunctive drinking norms and their impact on frequency and quantity of alcohol use. A microsynthesis initialized in 1979 was used as a demographically representative synthetic U.S. population. Three experiments were performed in order to test the modelled normative mechanisms. Results. Overall, the experiments showed limited influence of normative interventions on population-level alcohol use. An increase in the desire to drink led to the most meaningful changes in the population's drinking behavior. The findings of the experiments underline the importance of autonomy, that is, the degree to which an individual is susceptible to normative influence. Conclusion. The model was able to predict theoretically plausible changes in drinking patterns at the population level through the impact of social mechanisms. Future applications of the model could be used to plan norms interventions pertaining to alcohol use as well as other health behaviors.
Collapse
Affiliation(s)
- Charlotte Probst
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
- Heidelberg Institute of Global Health, Faculty of Medicine, University of Heidelberg, Heidelberg, Germany
| | | | - Joshua M Epstein
- New York University, New York, NY, USA
- Santa Fe Institute, Santa Fe, New Mexico, USA
| | | | | | | | - Jürgen Rehm
- Centre for Addiction and Mental Health, Toronto, Ontario, Canada
- University of Toronto, Toronto, Ontario, Canada
- Technische Universität Dresden, Dresden, Germany
- Sechenov First Moscow State Medical University, Moscow, Russia
| | | |
Collapse
|
38
|
Pandey G, Seay MJ, Meyers JL, Chorlian DB, Pandey AK, Kamarajan C, Ehrenberg M, Pitti D, Kinreich S, Subbie-Saenz de Viteri S, Acion L, Anokhin A, Bauer L, Chan G, Edenberg H, Hesselbrock V, Kuperman S, McCutcheon VV, Bucholz KK, Schuckit M, Porjesz B. Density and Dichotomous Family History Measures of Alcohol Use Disorder as Predictors of Behavioral and Neural Phenotypes: A Comparative Study Across Gender and Race/Ethnicity. Alcohol Clin Exp Res 2020; 44:697-710. [PMID: 31957047 PMCID: PMC8357185 DOI: 10.1111/acer.14280] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Accepted: 12/22/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Family history (FH) is an important risk factor for the development of alcohol use disorder (AUD). A variety of dichotomous and density measures of FH have been used to predict alcohol outcomes; yet, a systematic comparison of these FH measures is lacking. We compared 4 density and 4 commonly used dichotomous FH measures and examined variations by gender and race/ethnicity in their associations with age of onset of regular drinking, parietal P3 amplitude to visual target, and likelihood of developing AUD. METHODS Data from the Collaborative Study on the Genetics of Alcoholism (COGA) were utilized to compute the density and dichotomous measures. Only subjects and their family members with DSM-5 AUD diagnostic information obtained through direct interviews using the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA) were included in the study. Area under receiver operating characteristic curves were used to compare the diagnostic accuracy of FH measures at classifying DSM-5 AUD diagnosis. Logistic and linear regression models were used to examine associations of FH measures with alcohol outcomes. RESULTS Density measures had greater diagnostic accuracy at classifying AUD diagnosis, whereas dichotomous measures presented diagnostic accuracy closer to random chance. Both dichotomous and density measures were significantly associated with likelihood of AUD, early onset of regular drinking, and low parietal P3 amplitude, but density measures presented consistently more robust associations. Further, variations in these associations were observed such that among males (vs. females) and Whites (vs. Blacks), associations of alcohol outcomes with density (vs. dichotomous) measures were greater in magnitude. CONCLUSIONS Density (vs. dichotomous) measures seem to present more robust associations with alcohol outcomes. However, associations of dichotomous and density FH measures with different alcohol outcomes (behavioral vs. neural) varied across gender and race/ethnicity. These findings have great applicability for alcohol research examining FH of AUD.
Collapse
Affiliation(s)
- Gayathri Pandey
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - Michael J Seay
- Department of Psychology, (MJS), University of California, Los Angeles, California
| | - Jacquelyn L Meyers
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - David B Chorlian
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - Ashwini K Pandey
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - Chella Kamarajan
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - Morton Ehrenberg
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - Daniel Pitti
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - Sivan Kinreich
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - Stacey Subbie-Saenz de Viteri
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| | - Laura Acion
- Iowa Consortium for Substance Abuse Research and Evaluation, (LA), University of Iowa, Iowa City, Iowa
| | - Andrey Anokhin
- Department of Psychiatry, (AA, VVM, KKB), Washington University School of Medicine in St. Louis, St. Louis, Missouri
| | - Lance Bauer
- Department of Psychiatry, (LB, GC, VH), University of Connecticut School of Medicine, Farmington, Connecticut
| | - Grace Chan
- Department of Psychiatry, (LB, GC, VH), University of Connecticut School of Medicine, Farmington, Connecticut
| | - Howard Edenberg
- Department of Biochemistry and Molecular Biology, (HE), Indiana University School of Medicine, Indianapolis, Indiana
| | - Victor Hesselbrock
- Department of Psychiatry, (LB, GC, VH), University of Connecticut School of Medicine, Farmington, Connecticut
| | - Samuel Kuperman
- Department of Psychiatry, (S Kuperman), University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Vivia V McCutcheon
- Department of Psychiatry, (AA, VVM, KKB), Washington University School of Medicine in St. Louis, St. Louis, Missouri
| | - Kathleen K Bucholz
- Department of Psychiatry, (AA, VVM, KKB), Washington University School of Medicine in St. Louis, St. Louis, Missouri
| | - Marc Schuckit
- Department of Psychiatry, (MS), University of California San Diego, La Jolla, California
| | - Bernice Porjesz
- From the, Department of Psychiatry and Behavioral Sciences, (GP, JLM, DBC, AKP, CK, ME, DP, S Kinreich, SS-SV, BP), Downstate Medical Center, State University of New York, Brooklyn, New York
| |
Collapse
|
39
|
Lin HC, Hu YH, Barry AE, Russell A. Assessing the Associations between Religiosity and Alcohol Use Stages in a Representative U.S. Sample. Subst Use Misuse 2020; 55:1618-1624. [PMID: 32362219 DOI: 10.1080/10826084.2020.1756331] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Background: Problematic alcohol drinking has been a public health concern in the United States. Studies showed that religiosity serves as a protective factor, delaying the onset of alcohol use, and reducing the frequency of drinking. Few studies, however, have examined these associations with large, nationally representative samples, and even fewer have assessed the impact of religiosity on drinking behavior transitions/changes. Objectives: This study examined a national adult sample to investigate the associations between religiosity and alcohol use stages including initiation, reinitiation, and persistence of alcohol use. Methods: Data from the National Epidemiologic Survey of Alcohol and Related Conditions Waves 1-2 were used. Wave 1 sample included 6113 nondrinkers, 6189 prior drinkers, and 21,950 current drinkers who were at risk for initiation, reinitiation, and persistent use of alcohol, respectively. Religiosity constructs included importance of religious and frequency of practice. Three logistic regressions examined the aforementioned associations. Results: Compared to those not attending religious services, the most frequent attenders exhibited lower odds of initiating alcohol use, reinitiation after prior use, and persistent drinking (ORs = 0.23, 0.51, 0.55, respectively; ps < .01). Those identifying religious beliefs as very important exhibited lower odds of initiation and reinitiation of alcohol use (both ORs = 0.63, ps < .05). Conclusions: Religiosity plays an important role in preventing/delaying alcohol use initiation, reinitiation, and persistence. Incorporating religiosity aspects (e.g. meditation) into alcohol prevention and control programs may serve to increase protective effects. Future studies should seek to delineate what religiosity factors can be leveraged and embedded into secular prevention programs delivered to youth and adolescents.
Collapse
Affiliation(s)
- Hsien-Chang Lin
- Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, USA
| | - Yi-Han Hu
- Department of Applied Health Science, School of Public Health, Indiana University, Bloomington, Indiana, USA
| | - Adam E Barry
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| | - Alex Russell
- Department of Health & Kinesiology, Texas A&M University, College Station, Texas, USA
| |
Collapse
|
40
|
van Amsterdam JG, Benschop A, van Binnendijk S, Snijder MB, Lok A, Schene AH, Derks EM, van den Brink W. A Comparison of Excessive Drinking, Binge Drinking and Alcohol Dependence in Ethnic Minority Groups in the Netherlands: The HELIUS Study. Eur Addict Res 2020; 26:66-76. [PMID: 31812961 PMCID: PMC7114898 DOI: 10.1159/000504881] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Accepted: 11/18/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND The Dutch multi-ethnic Healthy Life in an Urban Setting study recently showed that alcohol consumption was lower in ethnic minority groups than those of Dutch origin, but that binge drinking in drinkers of Turkish and Moroccan origin was relatively high. The aim of the current study is to examine factors that may contribute to the differences in drinking patterns and how they relate to the relationship between drinking patterns and alcohol dependence (AD) across ethnic groups. METHODS The rate of last year alcohol use, alcohol use patterns and AD was assessed in 4,635 Dutch, 4,317 Moroccan, 4,036 Turkish, 2,459 Ghanaian, 4,426 African Surinamese and 3,357 South-Asian Surinamese participants (both men and women) born in Amsterdam, the Netherlands. RESULTS Compared to the Dutch, the prevalence of (regular) drinking is substantially lower in all ethnic minority groups and regular drinkers among most ethnic minority groups have a lower adjusted risk to develop binge drinking and AD than the Dutch. For the prevalence of regular drinking, the ethnic differences are bigger than for the prevalence of current drinking. However, regular drinkers of Moroccan origin have a risk similar to the Dutch to develop binge drinking and AD; a finding that could not be explained by group differences in age, sex, religiosity, perceived discrimination, depression or guilt feelings about drinking. DISCUSSION The prevalence data show that current drinking is lower and that regular drinking is much lower in ethnic minorities and - with the exception of those of Moroccan origin - ethnic minority regular drinkers also have a significant lower risk to develop binge drinking or AD than regular drinkers of Dutch origin. This implies that the magnitude of problematic alcohol use is substantially smaller in ethnic minorities than in the ethnic Dutch population of Amsterdam. Unfortunately, no explanation was found for the special risk situation of regular drinkers of Moroccan origin.
Collapse
Affiliation(s)
- Jan G.C. van Amsterdam
- Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands,*Dr. Jan G.C. van Amsterdam, Department of Psychiatry, Academic Medical Center, University of Amsterdam, Meibergdreef 5, NL–1105 AZ Amsterdam (The Netherlands), E-Mail: ;
| | - Annemieke Benschop
- Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Simone van Binnendijk
- Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Marieke B. Snijder
- Department of Public Health, Amsterdam Public Health Research Institute, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Anja Lok
- Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands,Department of Public Health, Amsterdam Public Health Research Institute, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Aart H. Schene
- Department of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands,Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, The Netherlands
| | - Eske M. Derks
- Translational Neurogenomics Group, QIMR Berghofer, Brisbane, Queensland, Australia
| | - Wim van den Brink
- Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| |
Collapse
|
41
|
Solomon CA, Laditka SB, Forthofer M, Racine EF. Black-white disparities in alcohol consumption trends among women in the United States, 1990-2015. J Ethn Subst Abuse 2019; 20:625-646. [PMID: 31709927 DOI: 10.1080/15332640.2019.1685049] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Alcohol consumption has more adverse consequences among African American women than among white women. Yet little is known about trends in alcohol consumption among African American women. Using the National Survey on Drug Use and Health, we examined trends in alcohol consumption among African American (n = 4,079) and white (n = 17,512) women, 1990-2015. We calculated population prevalence and used the Cochrane-Armitage test to examine trends, controlling for sociodemographic factors. In adjusted analyses, binge consumption increased for African American and white women; not consuming alcohol decreased among African Americans (all p < 0.05). Results highlight the need for culturally sensitive prevention and intervention strategies.
Collapse
Affiliation(s)
| | - Sarah B Laditka
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina
| | - Melinda Forthofer
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina
| | - Elizabeth F Racine
- Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina
| |
Collapse
|
42
|
Meyers JL, Salvatore JE, Aliev F, Johnson EC, McCutcheon VV, Su J, Kuo SIC, Lai D, Wetherill L, Wang JC, Chan G, Hesselbrock V, Foroud T, Bucholz KK, Edenberg HJ, Dick DM, Porjesz B, Agrawal A. Psychosocial moderation of polygenic risk for cannabis involvement: the role of trauma exposure and frequency of religious service attendance. Transl Psychiatry 2019; 9:269. [PMID: 31636251 PMCID: PMC6803671 DOI: 10.1038/s41398-019-0598-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2018] [Revised: 04/12/2019] [Accepted: 04/29/2019] [Indexed: 12/12/2022] Open
Abstract
Cannabis use and disorders (CUD) are influenced by multiple genetic variants of small effect and by the psychosocial environment. However, this information has not been effectively incorporated into studies of gene-environment interaction (GxE). Polygenic risk scores (PRS) that aggregate the effects of genetic variants can aid in identifying the links between genetic risk and psychosocial factors. Using data from the Pasman et al. GWAS of cannabis use (meta-analysis of data from the International Cannabis Consortium and UK Biobank), we constructed PRS in the Collaborative Study on the Genetics of Alcoholism (COGA) participants of European (N: 7591) and African (N: 3359) ancestry. The primary analyses included only individuals of European ancestry, reflecting the ancestral composition of the discovery GWAS from which the PRS was derived. Secondary analyses included the African ancestry sample. Associations of PRS with cannabis use and DSM-5 CUD symptom count (CUDsx) and interactions with trauma exposure and frequency of religious service attendance were examined. Models were adjusted for sex, birth cohort, genotype array, and ancestry. Robustness models were adjusted for cross-term interactions. Higher PRS were associated with a greater likelihood of cannabis use and with CUDsx among participants of European ancestry (p < 0.05 and p < 0.1 thresholds, respectively). PRS only influenced cannabis use among those exposed to trauma (R2: 0.011 among the trauma exposed vs. R2: 0.002 in unexposed). PRS less consistently influenced cannabis use among those who attend religious services less frequently; PRS × religious service attendance effects were attenuated when cross-term interactions with ancestry and sex were included in the model. Polygenic liability to cannabis use was related to cannabis use and, less robustly, progression to symptoms of CUD. This study provides the first evidence of PRS × trauma for cannabis use and demonstrates that ignoring important aspects of the psychosocial environment may mask genetic influences on polygenic traits.
Collapse
Affiliation(s)
- Jacquelyn L Meyers
- Henri Begleiter Neurodynamics Laboratory, Department of Psychiatry, State University of New York Downstate Medical Center, Brooklyn, NY, 11203, USA.
| | | | - Fazil Aliev
- Virginia Commonwealth University, Richmond, VA, 232212, USA
| | - Emma C Johnson
- Washington University School of Medicine, St. Louis, MO, 63110, USA
| | | | - Jinni Su
- Virginia Commonwealth University, Richmond, VA, 232212, USA
| | | | - Dongbing Lai
- Indiana University School of Medicine, Indianapolis, IN, 46202, USA
| | - Leah Wetherill
- Indiana University School of Medicine, Indianapolis, IN, 46202, USA
| | - Jen C Wang
- Mount Sinai School of Medicine, New York, NY, 10029, USA
| | - Grace Chan
- University of Connecticut School of Medicine, Connecticut, CT, 06030-2103, USA
| | - Victor Hesselbrock
- University of Connecticut School of Medicine, Connecticut, CT, 06030-2103, USA
| | - Tatiana Foroud
- Indiana University School of Medicine, Indianapolis, IN, 46202, USA
| | | | | | | | - Bernice Porjesz
- Henri Begleiter Neurodynamics Laboratory, Department of Psychiatry, State University of New York Downstate Medical Center, Brooklyn, NY, 11203, USA
| | - Arpana Agrawal
- Washington University School of Medicine, St. Louis, MO, 63110, USA
| |
Collapse
|
43
|
Tomkins MM, Neighbors C, Steers MLN. Contrasting the effects of harmonious and obsessive passion for religion on stress and drinking: Give me that old time religion … and a beer. Alcohol 2019; 77:41-48. [PMID: 30268705 PMCID: PMC6437028 DOI: 10.1016/j.alcohol.2018.09.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Revised: 09/17/2018] [Accepted: 09/17/2018] [Indexed: 01/07/2023]
Abstract
Research has established two types of passion (i.e., harmonious and obsessive) for several activities, behaviors, and relationships (Vallerand & Houlfourt, 2003). Harmonious passion is characterized by an autonomous orientation toward an activity, while obsessive passion is characterized by a more controlled orientation toward an activity. Similar but not congruent conceptualizations of approaches to religion have been explored. Moreover, the preponderance of research suggests that religiousness is associated with decreased problematic alcohol use. However, little research has been done into contrasting approaches to religious devotion. We explored harmonious and obsessive passion for religious beliefs and practices and their association with alcohol use and alcohol-related problems. Perceived stress and satisfaction with life were examined as mediators. Participants included 707 undergraduate students (54.8% female) from a large southwestern university who were recruited as a part of a larger alcohol-related intervention trial. Data were collected at three time points: baseline, 3-month follow-up, and 6-month follow-up, and were analyzed prospectively, with passion and mental health at time 1 and time 2 predicting alcohol outcomes at time 2 and time 3. The indirect effects of both obsessive passion and harmonious passion on alcohol problems through perceived stress were significant, and in opposite directions. Additionally, moderation analyses showed that both obsessive and harmonious passion for religion moderated the associations between perceived stress and drinking and between perceived stress and alcohol problems.
Collapse
Affiliation(s)
- Mary M Tomkins
- Department of Psychology, University of Texas, Houston, TX, United States.
| | - Clayton Neighbors
- Department of Psychology, University of Texas, Houston, TX, United States
| | - Mai-Ly N Steers
- Department of Psychology, University of Texas, Houston, TX, United States
| |
Collapse
|
44
|
Haeny AM, Sartor CE, Arshanapally S, Ahuja M, Werner KB, Bucholz KK. The association between racial and socioeconomic discrimination and two stages of alcohol use in blacks. Drug Alcohol Depend 2019; 199:129-135. [PMID: 31048089 PMCID: PMC6684260 DOI: 10.1016/j.drugalcdep.2019.02.026] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 02/13/2019] [Accepted: 02/16/2019] [Indexed: 12/18/2022]
Abstract
BACKGROUND This study aimed to characterize the associations of racial and socioeconomic discrimination with timing of alcohol initiation and progression from initiation to problem drinking in Black youth. METHODS Data were drawn from a high-risk family study of alcohol use disorder. Mothers and their offspring (N = 806; Mage = 17.87, SDage = 3.91; 50% female) were assessed via telephone interview. Cox proportional hazards regression analyses were used to examine associations between discrimination and timing of first drink and progression from first drink to problem drinking in two separate models. Predictor variables were considered in a step-wise fashion, starting with offspring racial and socioeconomic discrimination, then adding (2) maternal racial and/or socioeconomic discrimination experiences; (3) religious service attendance and social support as potential moderators; and (4) psychiatric and psychosocial risk factors and other substance use. RESULTS Offspring racial discrimination (HR: 2.01, CI: 1.17-3.46 ≤ age 13) and maternal experiences of discrimination (HR: 0.79, CI: 0.67-0.93) were associated with timing of initiation in the unadjusted model only; offspring socioeconomic discrimination predicted timing of initiation among female offspring, even after adjusting for all covariates (HR: 1.49, CI: 1.14-1.93). Socioeconomic discrimination predicted a quicker transition from first use to problem drinking exclusively in the unadjusted model (HR: 1.70, CI: 1.12-2.58 ≤ age 18). No moderating effects of religious service attendance or social support were observed for either alcohol outcome. CONCLUSIONS Findings suggest socioeconomic discrimination is a robust risk factor for initiating alcohol use in young Black female youth and should be considered in the development of targeted prevention programs.
Collapse
Affiliation(s)
- Angela M. Haeny
- Department of Psychiatry, Yale School of Medicine, 389 Whitney Avenue New Haven, CT 06511, United States
| | - Carolyn E. Sartor
- Department of Psychiatry, Yale School of Medicine, 389 Whitney Avenue New Haven, CT 06511, United States,Alcoholism Research Center, Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO 63110, United States
| | - Suraj Arshanapally
- Yale School of Public Health, 60 College St, New Haven, CT 06510, United States
| | - Manik Ahuja
- Brown School of Social Work, Washington University, 1 Brookings Dr., St. Louis, MO 63130, United States
| | - Kimberly B. Werner
- Missouri Institute of Mental Health, University of Missouri-St. Louis, 4633 World Pkwy Cir, St. Louis, MO 63134, United States
| | - Kathleen K. Bucholz
- Alcoholism Research Center, Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO 63110, United States
| |
Collapse
|
45
|
Clements AD, Cyphers NA. Prenatal substance use: Religious women report lower use rates, but do they use less? J Prev Interv Community 2019; 48:47-63. [DOI: 10.1080/10852352.2019.1617522] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Andrea D. Clements
- Department of Psychology, East Tennessee State University, Johnson City, TN, USA
| | - Natalie A. Cyphers
- Department of Nursing and Health, 2755 Station Avenue, DeSales University, Center Valley PA, USA
| |
Collapse
|
46
|
Alcohol use disorder and health-related quality of life in Korean night-shift workers: A cross-sectional study using the KNHANES 2007-2015 data. PLoS One 2019; 14:e0214593. [PMID: 30933996 PMCID: PMC6443159 DOI: 10.1371/journal.pone.0214593] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Accepted: 03/17/2019] [Indexed: 11/19/2022] Open
Abstract
This study aimed to evaluate the prevalence of night-shift work, and the association of night-shift work with alcohol use disorders(AUDs), as well as with health-related quality of life(HRQL), in Korean adult workers. A total of 26,895 adult workers aged 20–59 years were included in the analysis. AUDs were assessed using the Alcohol Use Disorders Identification Test(AUDIT), and HRQL was measured by the EuroQol-5D questionnaire with five main dimensions. We found an interaction effect between gender and working status on AUDs (p = 0.0065), suggesting that women are more fragile than men in terms of the effects of night work but not regarding HRQL (p = 0.1729). Female night workers had higher risk of AUDs than female day workers (odds ratio(OR): 2.23, 95% confidence interval (CI): 1.48–3.38) but this effect was not noted in male night workers (OR: 0.97, 95% CI: 0.69–1.37). Lower HRQL was found in depression dimension for night workers compared to day workers (OR: 1.37, 95% CI: 1.00–1.89), whereas day-night regular shift workers were protected from depression. Risk of AUDs and lower HRQL were identified in female night workers but not in male night workers. This association suggests that women are more fragile than men in terms of the effects of night work.
Collapse
|
47
|
Jacob L, Haro JM, Koyanagi A. The association of religiosity with suicidal ideation and suicide attempts in the United Kingdom. Acta Psychiatr Scand 2019; 139:164-173. [PMID: 30328099 DOI: 10.1111/acps.12972] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/28/2018] [Indexed: 12/12/2022]
Abstract
OBJECTIVE The goal was to analyze the association of religiosity with suicidal ideation and suicide attempts in a UK nationally representative sample. METHODS This study used cross-sectional data from 7403 people who participated in the 2007 Adult Psychiatric Morbidity Survey (APMS). Religion was assessed with the question 'Do you have a specific religion?' with 'yes' and 'no' answer options. Lifetime and past 12-month suicidal ideation and suicide attempts were assessed. The association between religiosity and suicidality was studied in multivariable logistic regression models adjusted for sociodemographic, behavioural, and psychopathological factors. RESULTS Compared to those without a religion, the prevalence of past 12-month suicidal ideation (3.2% vs. 5.4%), past 12-month suicide attempts (0.4% vs. 0.9%), lifetime suicidal ideation (11.2% vs. 16.4%), and lifetime suicide attempts (3.6% vs. 6.0%) was lower among those with a religion. In the fully adjusted model, having a religion was significantly associated with lower odds for all types of suicidality except past 12-month suicide attempts: suicidal ideation (past 12-month: OR = 0.71, 95% CI = 0.51-0.99; lifetime: OR = 0.83, 95% CI = 0.69-0.99) and suicide attempts (past 12-month: OR = 0.71, 95% CI = 0.35-1.45; lifetime: OR = 0.69, 95% CI = 0.53-0.90). CONCLUSION There is a negative association between religiosity and suicidality in the UK. Future studies should focus on the underlying mechanisms.
Collapse
Affiliation(s)
- L Jacob
- Faculty of Medicine, University of Paris 5, Paris, France
| | - J M Haro
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain.,Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
| | - A Koyanagi
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, Spain.,Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain
| |
Collapse
|
48
|
Ramos R, Cherpitel CJ, Alvarez J, Beltran O, Woolard R, Villalobos S, Bernstein J, Bernstein E. Preparing Mexican-Origin Community Health Advocates (Promotores) to Conduct SBIRT for Problem Drinking in the Emergency Room. PEDAGOGY IN HEALTH PROMOTION 2018; 4:247-253. [PMID: 30923744 PMCID: PMC6432642 DOI: 10.1177/2373379918756425] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Community Health Advocates (CHAs), known as Promotores in Spanish-speaking communities, are an important resource for the mobilization, empowerment, and the delivery of health education messages in Hispanic/Latino communities. This article focuses on understanding cultural, didactic, and logistical aspects of preparing CHAs to become competent to perform a brief intervention and referral to treatment (SBIRT) in the emergency room (ER). The CHAs training emphasizes making connections with Mexican-origin young adults aged 18-30, and capitalizing on a teachable moment to effect change in alcohol consumption and negative outcomes associated with alcohol use. We outline a CHA recruitment, content/methods training, and the analysis of advantages and challenges presented by the delivery of an intervention by CHAs.
Collapse
Affiliation(s)
- Rebeca Ramos
- Executive Director, Alliance of Border Collaboratives
| | - Cheryl J Cherpitel
- Senior Scientist, Public Health Institute, Alcohol Research Group, Emeryville, CA
| | - Jose Alvarez
- Lead Community Health Advocate Alliance of Border Collaboratives, El Paso Texas
| | - Oscar Beltran
- Research Associate, Alliance of Border Collaboratives, El Paso Texas
| | - Robert Woolard
- Professor, Emergency Medicine. Texas Tech University Health Sciences Center
| | - Susana Villalobos
- Project Coordinator, Emergency Medicine. Texas Tech University Health Sciences Center
| | - Judith Bernstein
- Professor, Community Health Sciences, University School of Medicine, Boston, MA
| | - Edward Bernstein
- Professor, Emergency Medicine. Boston, University School of Medicine, Boston, MA
| |
Collapse
|
49
|
Health-Related Lifestyle Behavior and Religiosity among First-Generation Immigrants of Polish Origin in Germany. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15112545. [PMID: 30428597 PMCID: PMC6266255 DOI: 10.3390/ijerph15112545] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 11/06/2018] [Accepted: 11/09/2018] [Indexed: 01/02/2023]
Abstract
Background: Health-related lifestyle behaviors such as smoking, alcohol consumption, physical inactivity and obesity are major cardiovascular risk factors. Previous studies have mostly demonstrated a favorable association between religiosity and these cardiovascular risk factors; however, no studies have investigated this relationship in Polish immigrants. The aim of this cross-sectional study was to examine the association between health-related lifestyle behaviors and religiosity in Polish immigrants in Germany. Methods: The smoking patterns, frequency of alcohol consumption, physical activity, and presence of overweight/obesity were assessed in 257 first-generation immigrants of Polish origin living in Germany. Religiosity was measured with the Centrality of Religiosity Scale (CRS, Huber, 2003) consisting of 15 items that categorized the respondents into intrinsically, extrinsically, and not/marginally religious. Results: After adjusting for various sociodemographic, migration, and health-related characteristics, intrinsic religiosity was significantly associated with a lower risk of being a smoker (odds ratios (OR) = 0.34, confidence intervals (CI) = 0.15–0.76) and was also associated with a lower risk of alcohol consumption (OR = 0.33, CI = 0.15–0.71), but a higher risk of being overweight/obese (OR = 2.53, CI = 1.15–5.56) in comparison with extrinsic/marginal religiosity. No significant relationship was found between religiosity and physical activity. Conclusions: In Polish immigrants, intrinsic religiosity acts as a protective factor against some cardiovascular risk factors (smoking and alcohol consumption).
Collapse
|
50
|
Savage JE, Long EC, Kuo SIC, Cooke ME, Su J, Barr PB, Salvatore JE. Alcohol Misuse Across the Lifespan: Insights from Developmental Studies in Behavior Genetics. ACTA ACUST UNITED AC 2018; 4:186-193. [PMID: 29430518 DOI: 10.1177/2372732217720222] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Alcohol misuse, one of today's greatest public health challenges, is a developmentally dynamic, complex behavior at the intersection of genetic and environmental influences. This review examines such influences from a behavior genetics perspective and discusses implications for public policy. Alcohol misuse is moderately heritable with genetic influences accounting for around 50% of its variance, but to date few specific genes have been identified. However, numerous environmental and social factors moderate genetic risk, including parents, peers, romantic partners, family dynamics, employment, laws, and cultural influences. These moderating factors change in salience across development, and, accordingly, no one-size-fits-all approach is suitable for reducing alcohol misuse at a large scale. We provide examples of some effective prevention and intervention programs and discuss a framework for using the behavior genetics evidence to inform future public policy efforts.
Collapse
Affiliation(s)
- Jeanne E Savage
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA
| | - Elizabeth C Long
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA
| | - Sally I-Chun Kuo
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| | - Megan E Cooke
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA
| | - Jinni Su
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| | - Peter B Barr
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| | - Jessica E Salvatore
- Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA.,Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| |
Collapse
|