%0 Journal Article %J Journal of Emotional and Behavioral Disorders %D 2023 %T Cost effectiveness of school and home interventions for students with disruptive behavior problems %A Kuklinski, Margaret R. %A Small, Jason W. %A Frey, Andy J. %A Bills, Kiersten %A Forness, Steven R. %B Journal of Emotional and Behavioral Disorders %V 31 %P 272-284 %G eng %N 4 %0 Journal Article %J Research on Social Work Practice %D 2023 %T Cost-effectiveness analysis of First Step Next for preschoolers with social-emotional needs %A Frey, Andy J. %A Small, Jason W. %A Zhang, Bixi %A Bates, Samantha %A Kuklinski, Margaret R. %A Walker, Hill M. %A Feil, Edward G. %B Research on Social Work Practice %V Advance online publication. doi:10.1177/10497315231208400 %8 10/1023 %G eng %R 10.1177/10497315231208400 %0 Journal Article %J Prevention Science %D 2023 %T Economic evaluation design within the HEAL Prevention Cooperative %A Dunlap, Laura J. %A Kuklinski, Margaret R. %A Cowell, Alexander %A McCollister, Kathryn E. %A Bowser, Diana M. %A Campbell, Mark %A Fernandes, Claudia-Santi F. %A Kemburu, Pranav %A Livingston, Bethany J. %A Prosser, Lisa A. %A Rao, Vinod %A Smart, Rosanna %A Yilmazer, Tansel %B Prevention Science %V 24(Suppl. 1) %P S50-S60 %G eng %0 Journal Article %J Journal of Public Child Welfare %D 2023 %T Evaluation of a brief foster parent/ case worker training to support relationship building skills and acceptance of LGBTQ+ youth in care %A Salazar, Amy M. %A Barkan, Susan E. %A Rankin, Leah F. %A Woo, Cossette B. %A Rozekova, Ivana %A Fowler, Nathan E. %A Haggerty, Kevin P. %A Shogren, Dae %A Salzer, Amber %B Journal of Public Child Welfare %V 17 %P 213-237 %G eng %N 1 %0 Journal Article %J Journal of Child and Family Studies %D 2023 %T Examining how regular users of marijuana communicate with their children about marijuana use: Lessons learned from Facebook and Instagram recruitment %A Satchell, Karryn %A Epstein, Marina %A Furlong, Madeline %A Skinner, Martie L. %B Journal of Child and Family Studies %V 32 %P 3176-3186 %8 05/2023 %G eng %U https://doi.org/10.1007/s10826-023-02593-1 %& 10 %R 10.1007/s10826-023-02593-1 %0 Journal Article %J Prevention Science %D 2023 %T Methodological strategies for prospective harmonization of studies: Application to 10 distinct outcomes studies of preventive interventions targeting opioid misuse %A Ridenour, Ty %A Cruden, Gracelyn %A Yang, Yang %A Bonar, Erin %A Rodriguez, Anthony %A Saavedra, Lissette %A Hussong, Andrea %A Walton, Maureen %A Deeds, Bethany %A Ford, Jodi %A Knight, Danica %A Haggerty, Kevin P. %A Stormshak, Elizabeth %A Kominsky, Terrence %A Ahrens, Kim %A Woodward, Diane %A Feng, Xin %A Fiellin, Lynn %A Wilens, Timothy %A Klein, David %A Fernandes, Claudia-Santi %B Prevention Science %V 24(Suppl. 1) %P S16-S29 %G eng %0 Journal Article %J Journal of Urban Health %D 2022 %T Associations of cumulative and point-in-time neighborhood poverty and walkability with body mass from age 30 to 39 %A Le, Vi T. %A Rhew, Isaac C. %A Kosterman, Rick %A Lovasi, Gina S. %A Frank, Lawrence D. %B Journal of Urban Health %V 99 %P 1080-1090 %8 2022 %G eng %N 6 %R 10.1007/s11524-022-00688-6 %0 Journal Article %J JAMA Network Open %D 2022 %T Comparison of estimated incentives for preventing postpartum depression in value-based payment models using the net present value of care vs total cost of care %A Counts, Nathaniel Z. %A Kuklinski, Margaret R. %A Wong, Venus %A Feinberg, Mark E. %A Creedon, Timothy B. %B JAMA Network Open %V 5 %P e229401 %G eng %0 Journal Article %J International Journal of Environmental Research and Public Health %D 2022 %T The importance of family and school protective factors in preventing the risk behaviors of youth %A Mihić, Josipa %A Skinner, Martie %A Novak, Miranda %A Ferić, Martina %A Kranželić, Valentina %B International Journal of Environmental Research and Public Health %V 19 %P 1630 %G eng %0 Journal Article %J Nicotine & Tobacco Research %D 2021 %T Adult social environments and the use of combustible and electronic cigarettes: Opportunities for reducing smoking in the 30s %A Kosterman, Rick %A Epstein, Marina %A Bailey, Jennifer A. %A Oesterle, Sabrina %A Furlong, Madeline %A Hawkins, J D %B Nicotine & Tobacco Research %I Oxford University Press %V 23 %P 518-526 %G eng %0 Journal Article %J Journal of Developmental and Life-Course Criminology %D 2021 %T Applying the social development model in middle childhood to promote healthy development: Effects from primary school through the 30s and across generations %A Catalano, Richard F. %A Hawkins, J D %A Kosterman, Rick %A Bailey, Jennifer A. %A Oesterle, Sabrina %A Cambron, Christopher %A Farrington, David P. %B Journal of Developmental and Life-Course Criminology %V 7 %P 66-86 %G eng %0 Journal Article %J Injury Epidemiology %D 2021 %T Barriers to recruitment, retention and intervention delivery in a randomized trial among patients with firearm injuries %A Floyd, Anthony S. %A Lyons, Vivian H. %A Whiteside, Lauren K. %A Haggerty, Kevin P. %A Rivara, Frederick P. %A Rowhani-Rahbar, Ali %B Injury Epidemiology %V 8 %P 37 %G eng %0 Journal Article %J Addiction %D 2021 %T E-cigarette use is associated with subsequent cigarette use among young adult nonsmokers, over and above a range of antecedent risk factors: A propensity score analysis %A Epstein, Marina %A Bailey, Jennifer A. %A Kosterman, Rick %A Rhew, Isaac C. %A Furlong, Madeline %A Oesterle, Sabrina %A McCabe, S E %B Addiction %V 116 %P 1224-1231 %G eng %0 Book Section %B Delinquency and substance use in Europe: Understanding risk and protective factors %D 2021 %T Foreword %A Hawkins, J D %E Farrington, David P. %E Jonkman, Harrie %E Groeger-Roth, Frederick %B Delinquency and substance use in Europe: Understanding risk and protective factors %I Springer Nature %C Cham, Switzerland %P v-ix %G eng %0 Journal Article %J Journal of Trauma and Acute Care Surgery %D 2021 %T Helping individuals with firearm injuries: A cluster randomized trial %A Lyons, Vivian H. %A Floyd, Anthony S. %A Griffin, Elizabeth %A Wang, Jin %A Hajat, Anjum %A Carone, Marco %A Benkeser, David %A Whiteside, Lauren %A Haggerty, Kevin P. %A Rivara, Frederick P. %A Rowhani-Rahbar, Ali %B Journal of Trauma and Acute Care Surgery %V 90 %P 722-730 %G eng %0 Journal Article %J Drug and Alcohol Dependence %D 2021 %T The role of electronic cigarette use for quitting or reducing combustible cigarette use in the 30s: Longitudinal changes and moderated relationships %A Kosterman, Rick %A Epstein, Marina %A Bailey, Jennifer A. %A Furlong, Madeline %A Hawkins, J D %B Drug and Alcohol Dependence %7 July 28 %V 227 %P 108940 %G eng %0 Journal Article %J Children and Youth Services Review %D 2020 %T Assessing caregiver usability of the National Training and Development Curriculum for Foster and Adoptive Parents %A Salazar, Amy M. %A Day, Angelique %A Feltner, Alanna %A Lopez, Jacquelene M. %A Garcia-Rosales, Katherine V. %A Vanderwill, Lori A. %A Boo, Mary %A Ornelas, Laura A. %A Wright, Leslie B. %A Haggerty, Kevin P. %B Children and Youth Services Review %V 114 %P 105031 %G eng %0 Journal Article %J Child Abuse & Neglect %D 2020 %T Benefit-cost analysis of Promoting First Relationships®: Implications of victim benefits assumptions for return on investment %A Kuklinski, Margaret R. %A Oxford, Monica L. %A Spieker, Susan J. %A Lohr, M J %A Fleming, Charles B. %B Child Abuse & Neglect %V 106 %P 104515 %G eng %0 Book %D 2020 %T Cannabis Concentration and Health Risks. A report for the Washington State Prevention Research Subcommittee %A Carlini, Beatriz %A Barbosa-Leiker, Celestina %A Cuttler, Carrie %A Dilley, Julia %A Firth, Caislin %A Haggerty, Kevin %A Kilmer, Jason %A McDonnell, Mike %A Stella, Nephi %A Walker, Denise %A Willits, Dale %A Broschart, Sara %A Ehrlich, Trecia %A Haley, Kristin %A Steele, Christine %A Wilhelm, Liz %G eng %0 Journal Article %J Journal of Adolescent Health %D 2020 %T Does adolescent alcohol harm minimization policy exposure reduce adult alcohol problems? A cross-national comparison %A Epstein, Marina %A Bailey, Jennifer A. %A Furlong, Madeline %A Catalano, Richard F. %A Toumbourou, John W. %B Journal of Adolescent Health %V 66 %P 713-718 %G eng %0 Journal Article %J Addictive Behaviors %D 2020 %T Evaluating the effect of retail marijuana legalization on parent marijuana use frequency and norms in U.S. states with retail marijuana legalization %A Epstein, Marina %A Bailey, Jennifer A. %A Kosterman, Rick %A Furlong, Madeline %A Hill, Karl G. %B Addictive Behaviors %V 111 %P 106564 %G eng %0 Journal Article %J Research on Social Work Practice %D 2020 %T Fidelity assessment of a social work-led intervention among patients with firearm injuries %A Lyons, Vivian H. %A Benson, Lina R. %A Griffin, Elizabeth %A Floyd, Anthony S. %A Kiche, Sharon W. %A Haggerty, Kevin P. %A Whiteside, Lauren %A Conover, Sarah %A Herman, Daniel B. %A Rivara, Frederick P. %A Rowhani-Rahbar, Ali %B Research on Social Work Practice %V 30 %P 678-687 %G eng %0 Journal Article %J Psychology of Addictive Behaviors %D 2020 %T An intergenerational investigation of the associations between parental marijuana use trajectories and child functioning %A Epstein, Marina %A Bailey, Jennifer A. %A Furlong, Madeline %A Steeger, Christine M. %A Hill, Karl G. %B Psychology of Addictive Behaviors %V 48 %P 830-838 %G eng %0 Journal Article %J Substance Use and Misuse %D 2020 %T Neighborhood deprivation moderates shared and unique environmental influences on hazardous drinking: Findings from a cross-sectional co-twin study %A Rhew, Isaac C. %A Fleming, Charles B. %A Tsang, Siny %A Horn, Erin %A Kosterman, Rick %A Duncan, Glen E. %B Substance Use and Misuse %V 55 %P 1625-1632 %G eng %0 Book Section %B The encyclopedia of child and adolescent development %D 2020 %T Prevention of adolescent mental, emotional, and behavioral health disorders: A global perspective %A Fagan, Abigail A. %A Lewis, Amanda N. %A Catalano, Richard F. %E Hupp, Stephen %E Jewell, Jeremy D. %B The encyclopedia of child and adolescent development %I John Wiley and Sons %C Hoboken, NJ %G eng %0 Journal Article %J Sexuality Research and Social Policy %D 2020 %T Supporting LGBTQ+ foster teens: Development of a relationship-focused, self-guided curriculum for foster families %A Salazar, Amy M. %A Haggerty, Kevin P. %A Barkan, Susan E. %A Peterson, Rachel %A Furlong, Madeline E. %A Kim, Eunsaem %A Cole, Janice J. %A Colito, Jessica M. %B Sexuality Research and Social Policy %V 17 %P 239-251 %G eng %0 Journal Article %J Psychology of Addictive Behaviors %D 2020 %T A trait-like propensity to experience internalizing symptoms is associated with problem alcohol involvement across adulthood, but not adolescence %A King, Kevin M. %A Feil, Madison C. %A Halvorson, Max A. %A Kosterman, Rick %A Bailey, Jennifer A. %A Hawkins, J D %B Psychology of Addictive Behaviors %V 34 %P 756–771 %G eng %0 Book %D 2019 %T Communities That Care: Building community engagement and capacity to prevent youth behavior problems %A Fagan, Abigail A. %A Hawkins, J D %A Farrington, David P. %A Catalano, Richard F. %I Oxford University Press %C New York, NY %G eng %0 Journal Article %J Prevention Science %D 2019 %T Comprehensive cost analysis of First Step Next for preschoolers with disruptive behavior disorder: Using real-world intervention data to estimate costs at scale %A Frey, Andy J. %A Kuklinski, Margaret R. %A Bills, Kiersten %A Small, Jason W. %A Forness, Steven R. %A Walker, Hill M. %A Feil, Edward G. %A Seeley, John R. %B Prevention Science %V 20 %P 1219-1232 %G eng %0 Journal Article %J Journal of Behavioral Medicine %D 2019 %T Firearm-related behaviors following firearm injury: Changes in ownership, carrying and storage %A Lyons, Vivian H. %A Rivara, Frederick P. %A Yan, A N-X %A Currier, Cara %A Ballsmith, Erin %A Haggerty, Kevin P. %A Whiteside, Lauren %A Floyd, Anthony S. %A Hajat, Anjum %A Rowhani-Rahbar, Ali %B Journal of Behavioral Medicine %V 42 %P 658-673 %G eng %0 Journal Article %J JAMA Network Open %D 2019 %T The need for long-term follow-ups of delinquency prevention experiments %A Farrington, David P. %A Hawkins, J D %B JAMA Network Open %V 2 %P e190780 %G eng %0 Journal Article %J Prevention Science %D 2019 %T Optimizing assessment of risk and protection for diverse adolescent outcomes: Do risk and protective factors for delinquency and substance use also predict risky sexual behavior? %A Fleming, Christopher M. %A Eisenberg, Nicole %A Catalano, Richard F. %A Kosterman, Rick %A Cambron, Christopher %A Hawkins, J D %A Hobbs, Tim %A Berman, Ilene %A Fleming, Tammi %A Watrous, Jessie %B Prevention Science %V 20 %P 788-799 %G eng %0 Journal Article %J Prevention Science %D 2019 %T Race/ethnicity differences in trends of marijuana, cigarette, and alcohol use among 8th, 10th, and 12th graders in Washington State, 2004-2016 %A Johnson, Renee M. %A Fleming, Charles B. %A Cambron, Christopher %A Dean, Lorraine T. %A Brighthaupt, Sherri-Chanelle %A Guttmannova, Katarina %B Prevention Science %V 20 %P 194-204 %G eng %0 Book Section %B The Oxford handbook of developmental and life-course criminology %D 2019 %T The social development model %A Cambron, Christopher %A Catalano, Richard F. %A Hawkins, J D %E Farrington, David P. %E Kazemian, Lila %E Piquero, Alex R. %B The Oxford handbook of developmental and life-course criminology %I Oxford University Press %C New York, NY %P 224-247 %G eng %0 Journal Article %J American Journal of Preventive Medicine %D 2019 %T The U.S. Preventive Services Task Force's opportunity to pursue a new strategy for behavioral health %A Counts, Nathaniel Z. %A Hawkins, J D %A Fishbein, Diana H. %B American Journal of Preventive Medicine %V 56 %P 315-317 %G eng %0 Journal Article %J American Journal of Public Health %D 2018 %T Adolescent age of sexual initiation and subsequent adult health outcomes %A Epstein, Marina %A Furlong, Madeline %A Kosterman, Rick %A Bailey, Jennifer A. %A King, Kevin M. %A Vasilenko, Sara A. %A Steeger, Christine M. %A Hill, Karl G. %B American Journal of Public Health %V 108 %P 822-828 %G eng %0 Book Section %B Grand challenges for social work and society %D 2018 %T Ensure healthy development for all youth %A Jenson, Jeffrey M. %A Hawkins, J D %E Fong, Rowena %E Lubben, James %E Barth, Richard P. %B Grand challenges for social work and society %I Oxford University Press %C New York, NY %P 18-35 %G eng %0 Journal Article %J Journal of Studies on Alcohol and Drugs %D 2018 %T Washington State retail marijuana legalization: Parent and adolescent preferences for marijuana messages in a sample of low-income families %A Hanson, Koren %A Haggerty, Kevin P. %A Fleming, Charles B. %A Skinner, Martie L. %A Casey-Goldstein, Mary %A Mason, W. A %A Thompson, Ronald W. %A Redmond, Cleve %B Journal of Studies on Alcohol and Drugs %V 79 %P 309-317 %G eng %0 Journal Article %J Assessment %D 2017 %T Alabama Parenting Questionnaire-9: Longitudinal measurement invariance across parents and youth during the transition to high school %A Gross, Thomas J. %A Fleming, Charles B. %A Mason, W A %A Haggerty, Kevin P. %B Assessment %V 24 %P 646-659 %G eng %! Assessment %0 Journal Article %J Prevention Science %D 2017 %T A randomized controlled trial of a long-term professional mentoring program for children at risk: Outcomes across the first 5 years %A Eddy, J M %A Martinez, C R, Jr. %A Grossman, J B %A Cearley, Jennifer J. %A Herrera, Danita %A Wheeler, Alice C. %A Rempel, Jeff S. %A Foney, Dana %A Gau, Jeff M. %A Burraston, Bert O. %A Harachi, Tracy W. %A Haggerty, Kevin P. %A Seeley, John R. %B Prevention Science %V 18 %P 899-910 %G eng %0 Journal Article %J Journal of Drug Issues %D 2017 %T State and national contexts in evaluating cannabis laws: A case study of Washington State %A Cambron, Christopher %A Guttmannova, Katarina %A Fleming, Charles B. %B Journal of Drug Issues %V 47 %P 74-90 %G eng %0 Journal Article %J Aggression and Violent Behavior %D 2017 %T Systematic review of early risk factors for life-course-persistent, adolescence-limited, and late-onset offenders in prospective longitudinal studies %A Jolliffe, Darrick %A Farrington, David P. %A Piquero, Alex R. %A Loeber, Rolf %A Hill, Karl G. %B Aggression and Violent Behavior %V 33 %P 15-23 %G eng %0 Journal Article %J Psychol Addict Behav %D 2016 %T Association of comorbid psychopathology with the duration of cannabis use disorders. %A Farmer, Richard F %A Kosty, Derek B %A Seeley, John R %A Gau, Jeff M %A Duncan, Susan C %A Walker, Denise D %A Lewinsohn, Peter M %X

Risk factors for the development of cannabis use disorders (CUDs) have been well-researched. Comparatively little is known, however, about factors associated with the persistence of CUDs over time. This research explored whether the temporal sequencing of comorbid psychiatric disorders in relation to the onset of the index CUD episode were associated with the length of this episode. Four comprehensive diagnostic assessments were conducted between ages 16 and 30 with a large and regionally representative community sample (n = 816), among which 173 persons were diagnosed with a lifetime CUD. In separate unadjusted analyses, any internalizing disorder and any mood disorder with onset prior to that of the index CUD episode were each significantly and negatively associated with CUD duration. These effects, however, were reduced to trend level in adjusted analyses that controlled for putative confounders. Following the onset of the index CUD episode, the subsequent occurrence of any Axis I disorder, internalizing disorder, externalizing disorder, or other substance use disorder during the index CUD episode was significantly and positively associated with the duration of that episode in both unadjusted and adjusted analyses. These findings collectively suggest that the presence of internalizing-spectrum disorders prior to the onset of the index CUD episode affords some modest protection against protracted episodes, whereas the emergence of broad-spectrum psychopathology within the index CUD episode, most notably noncannabis substance use disorders, is associated with greater disorder persistence. The relevance of these findings for various motivational models of cannabis addiction is discussed.

%B Psychol Addict Behav %V 30 %P 82-92 %8 2016 Feb %G eng %N 1 %R 10.1037/adb0000151 %0 Journal Article %J Journal of Early Adolescence %D 2016 %T Child and parent report of parenting as predictors of substance use and suspensions from school %A Fleming, Charles B. %A Mason, W A %A Thompson, Ronald W. %A Haggerty, Kevin P. %A Gross, Thomas J. %B Journal of Early Adolescence %V 36 %P 625-645 %G eng %! J Early Adolescence %0 Journal Article %J Prevention Science %D 2016 %T Evaluation of community-level effects of Communities That Care on adolescent drug use and delinquency using a repeated cross-sectional design %A Rhew, Isaac C. %A Hawkins, J D %A Murray, David M. %A Fagan, Abigail A. %A Oesterle, Sabrina %A Abbott, Robert D. %A Catalano, Richard F. %B Prevention Science %V 17 %P 177-187 %G eng %0 Journal Article %J Journal of Adolescent Health %D 2016 %T Examination of the divergence in trends for adolescent marijuana use and marijuana-specific risk factors in Washington State %A Fleming, Charles B. %A Guttmannova, Katarina %A Cambron, Christopher %A Rhew, Isaac C. %A Oesterle, Sabrina %B Journal of Adolescent Health %V 59 %P 269-275 %G eng %0 Journal Article %J Alcoholism: Clinical and Experimental Research %D 2016 %T Impacts of changing marijuana policies on alcohol and other drug use in the United States %A Guttmannova, Katarina %A Lee, Christine %A Kilmer, Jason R. %A Fleming, Charles B. %A Rhew, Isaac C. %A Kosterman, Rick %A Larimer, Mary E. %B Alcoholism: Clinical and Experimental Research %V 40 %P 33-46 %G eng %0 Journal Article %J Child Youth Serv Rev %D 2016 %T Parent training to reduce problem behaviors over the transition to high school: Tests of indirect effects through improved emotion regulation skills %A Mason, W A %A January, Stacy-Ann A %A Fleming, Charles B %A Thompson, Ronald W %A Parra, Gilbert R %A Haggerty, Kevin P %A Snyder, James J %X

Adolescent problem behaviors are costly for individuals and society. Promoting the self-regulatory functioning of youth may help prevent the development of such behaviors. Parent-training and family intervention programs have been shown to improve child and adolescent self-regulation. This study helps fill gaps in knowledge by testing for indirect effects of the Common Sense Parenting(®) (CSP) program on reduced substance use, conduct problems, and school suspensions through previously identified short-term improvements in parents' reports of their children's emotion regulation skills. Over two cohorts, 321 low income families of 8(th) graders were enrolled and randomly assigned to either the standard CSP program, an adapted CSP Plus program, or a minimal-contact control condition. Pretest, posttest, 1-year follow-up, and 2-year follow-up survey assessments were completed by parents and students with 94% retention. Intent-to-treat multivariate path analyses were conducted. Neither intervention had statistically significant total effects on the three targeted adolescent outcomes. CSP, but not CSP Plus, had statistically significant indirect effects on reduced substance use and school suspensions at the 1-year follow-up as well as conduct problems and school suspensions at the 2-year follow-up through increased child emotion regulation skills at posttest. Findings provide some support for emotion regulation as one pathway through which the intervention was associated, indirectly, with reduced substance use, conduct problems, and school suspensions among at-risk students over the high school transition.

%B Child Youth Serv Rev %V 61 %P 176-183 %8 2016 Feb 1 %G ENG %1 http://www.ncbi.nlm.nih.gov/pubmed/26778871?dopt=Abstract %R 10.1016/j.childyouth.2015.12.022 %0 Journal Article %J Subst Abus %D 2016 %T Prevalence of marijuana and other substance use before and after Washington State's change from legal medical marijuana to legal medical and nonmedical marijuana: Cohort comparisons in a sample of adolescents. %A Mason, W A %A Fleming, Charles B %A Ringle, Jay L %A Hanson, Koren %A Gross, Thomas J %A Haggerty, Kevin P %X

BACKGROUND: A growing number of states have new legislation extending prior legalization of medical marijuana by allowing nonmedical marijuana use for adults. The potential influence of this change in legislation on adolescent marijuana and other substance use (e.g., spillover or substitution effects) is uncertain. We capitalize on an ongoing study to explore the prevalence of marijuana and other substance use in 2 cohorts of adolescents who experienced the nonmedical marijuana law change in Washington State at different ages.

METHODS: Participants were 8th graders enrolled in targeted Tacoma, Washington public schools and recruited in 2 consecutive annual cohorts. The analysis sample was 238 students who completed a baseline survey in the 8th grade and a follow-up survey after the 9th grade. Between the 2 assessments, the second cohort experienced the Washington State nonmedical marijuana law change, whereas the first cohort did not. Self-report survey data on lifetime and past-month marijuana, cigarette, and alcohol use were collected.

RESULTS: Multivariate multilevel modeling showed that cohort differences in the likelihood of marijuana use were significantly different from those for cigarette and alcohol use at follow-up (adjusting for baseline substance initiation). Marijuana use was higher for the second cohort than the first cohort, but this difference was not statistically significant. Rates of cigarette and alcohol use were slightly lower in the second cohort than in the first cohort.

CONCLUSIONS: This exploratory study found that marijuana use was more prevalent among teens shortly after the transition from medical marijuana legalization only to medical and nonmedical marijuana legalization, although the difference between cohorts was not statistically significant. The findings also provided some evidence of substitution effects. The analytic technique used here may be useful for examining potential long-term effects of nonmedical marijuana laws on adolescent marijuana use and substitution or spillover effects in future studies.

%B Subst Abus %V 37 %P 330-5 %8 2016 Apr-Jun %G eng %N 2 %1 http://www.ncbi.nlm.nih.gov/pubmed/26252354?dopt=Abstract %R 10.1080/08897077.2015.1071723 %0 Book Section %B Marijuana and mental health %D 2016 %T Prevention of marijuana misuse: School-, family-, and community-based approaches %A Mason, W A %A Fleming, Charles B. %A Haggerty, Kevin P. %E Compton, Michael T. %B Marijuana and mental health %I American Psychiatric Association Publishing %C Arlington, VA %P 199-225 %G eng %0 Book Section %B Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health %D 2016 %T Prevention programs and policies (Chapter 3) %A Catalano, Richard F. %A Castro, F G %A Fagan, Abigail A. %A Greenberg, Mark T. %A Haggerty, Kevin P. %B Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health %I U.S. Department of Health and Human Services %C Washington, DC %G eng %0 Journal Article %J Health Promotion International %D 2016 %T Psychometric properties of the Iranian version of 'Communities That Care Youth Survey' %A Baheiraei, Azam %A Soltani, Farzaneh %A Ebadi, Abba %A Cheraghi, M A %A Foroushani, A R %A Catalano, Richard F. %B Health Promotion International %V 31 %P 59-72 %G eng %0 Journal Article %J Journal of Family Psychology %D 2016 %T Randomized trial of parent training to prevent adolescent problem behaviors during the high school transition %A Mason, W A %A Fleming, Charles B. %A Gross, Thomas J. %A Thompson, Ronald W. %A Parra, Gilbert J. %A Haggerty, Kevin P. %A Snyder, James J. %B Journal of Family Psychology %V 30 %P 944-954 %G eng %0 Book Section %B Family-based prevention programs for children and adolescents: Theory, research, and large-scale dissemination %D 2016 %T Staying Connected with Your Teen® and the promise of self-directed prevention programs %A Haggerty, Kevin P. %A Klima, Tali %A Skinner, Martie L. %A Catalano, Richard F. %A Barkan, Susan E. %E Mark Van Ryzin %E Karol L. Kumpfer %E Gregory M. Fosco %E Mark T. Greenberg %B Family-based prevention programs for children and adolescents: Theory, research, and large-scale dissemination %I Psychology Press %C New York, NY %P 209-228 %G eng %0 Journal Article %J Assessment %D 2015 %T Alabama Parenting Questionnaire-9: Longitudinal measurement invariance across parents and youth during the transition to high school %A Gross, Thomas J %A Fleming, Charles B %A Mason, W A %A Haggerty, Kevin P %X

The Alabama Parenting Questionnaire nine-item short form (APQ-9) is an often used assessment of parenting in research and applied settings. It uses parent and youth ratings for three scales: Positive Parenting, Inconsistent Discipline, and Poor Supervision. The purpose of this study is to examine the longitudinal invariance of the APQ-9 for both parents and youth, and the multigroup invariance between parents and youth during the transition from middle school to high school. Parent and youth longitudinal configural, metric, and scalar invariance for the APQ-9 were supported when tested separately. However, the multigroup invariance tests indicated that scalar invariance was not achieved between parent and youth ratings. Essentially, parent and youth mean scores for Positive Parenting, Inconsistent Discipline, and Poor Supervision can be independently compared across the transition from middle school to high school. However, comparing parent and youth scores across the APQ-9 scales may not be meaningful.

%B Assessment %8 2015 Dec 15 %G ENG %1 http://www.ncbi.nlm.nih.gov/pubmed/26671892?dopt=Abstract %R 10.1177/1073191115620839 %0 Journal Article %J Inj Prev %D 2015 %T Assessing the accuracy of the International Classification of Diseases codes to identify abusive head trauma: a feasibility study. %A Berger, Rachel P %A Parks, Sharyn %A Fromkin, Janet %A Rubin, Pamela %A Pecora, Peter J %K Brain Injuries %K Child Abuse %K Child, Preschool %K Craniocerebral Trauma %K Feasibility Studies %K Female %K Humans %K Infant %K International Classification of Diseases %K Male %K Sensitivity and Specificity %X

OBJECTIVE: To assess the accuracy of an International Classification of Diseases (ICD) code-based operational case definition for abusive head trauma (AHT).

METHODS: Subjects were children <5 years of age evaluated for AHT by a hospital-based Child Protection Team (CPT) at a tertiary care paediatric hospital with a completely electronic medical record (EMR) system. Subjects were designated as non-AHT traumatic brain injury (TBI) or AHT based on whether the CPT determined that the injuries were due to AHT. The sensitivity and specificity of the ICD-based definition were calculated.

RESULTS: There were 223 children evaluated for AHT: 117 AHT and 106 non-AHT TBI. The sensitivity and specificity of the ICD-based operational case definition were 92% (95% CI 85.8 to 96.2) and 96% (95% CI 92.3 to 99.7), respectively. All errors in sensitivity and three of the four specificity errors were due to coder error; one specificity error was a physician error.

CONCLUSIONS: In a paediatric tertiary care hospital with an EMR system, the accuracy of an ICD-based case definition for AHT was high. Additional studies are needed to assess the accuracy of this definition in all types of hospitals in which children with AHT are cared for.

%B Inj Prev %V 21 %P e133-7 %8 2015 Apr %G eng %N e1 %R 10.1136/injuryprev-2013-040924 %0 Journal Article %J J Prim Prev %D 2015 %T Predictors of participation in parenting workshops for improving adolescent behavioral and mental health: Results from the Common Sense Parenting trial. %A Fleming, Charles B %A Mason, W A %A Haggerty, Kevin P %A Thompson, Ronald W %A Fernandez, Kate %A Casey-Goldstein, Mary %A Oats, Robert G %K Adolescent %K Adolescent Behavior %K Adult %K Ethnic Groups %K Family Characteristics %K Female %K Humans %K Logistic Models %K Male %K Mental Health %K Parent-Child Relations %K Parenting %K Parents %K Poverty Areas %K Program Evaluation %K Randomized Controlled Trials as Topic %K Social Class %K Washington %X

Engaging and retaining participants are crucial to achieving adequate implementation of parenting interventions designed to prevent problem behaviors among children and adolescents. This study examined predictors of engagement and retention in a group-based family intervention across two versions of the program: a standard version requiring only parent attendance for six sessions and an adapted version with two additional sessions that required attendance by the son or daughter. Families included a parent and an eighth grader who attended one of five high-poverty schools in an urban Pacific Northwest school district. The adapted version of the intervention had a higher rate of engagement than the standard version, a difference that was statistically significant after adjusting for other variables assessed at enrollment in the study. Higher household income and parent education, younger student age, and poorer affective quality in the parent-child relationship predicted greater likelihood of initial attendance. In the adapted version of the intervention, parents of boys were more likely to engage with the program than those of girls. The variables considered did not strongly predict retention, although retention was higher among parents of boys. Retention did not significantly differ between conditions. Asking for child attendance at workshops may have increased engagement in the intervention, while findings for other predictors of attendance point to the need for added efforts to recruit families who have less socioeconomic resources, as well as families who perceive they have less need for services.

%B J Prim Prev %V 36 %P 105-18 %8 2015 Apr %G eng %N 2 %1 http://www.ncbi.nlm.nih.gov/pubmed/25656381?dopt=Abstract %R 10.1007/s10935-015-0386-3 %0 Journal Article %J J Child Fam Stud %D 2015 %T Reducing risks for problem behaviors during the high school transition: Proximal outcomes in the Common Sense Parenting trial %A Mason, W A %A Fleming, Charles B %A Ringle, Jay L %A Thompson, Ronald W %A Haggerty, Kevin P %A Snyder, James J %X

This study tests Common Sense Parenting (CSP)®, a widely used parent-training program, in its standard form and in a modified form known as CSP Plus, with low-income 8(th) graders and their families during the high school transition. The six-session CSP program proximally targets parenting and child emotion regulation skills. CSP Plus adds two sessions that include youth, and the eight-session program further targets skills for avoiding negative peers and activities in high school. Over two cohorts, 321 families were enrolled and randomly assigned to either CSP, CSP Plus, or minimal-contact control conditions. To date, pretest and posttest assessments have been completed, with 93% retention over about a 6-month interval. Here, analyses of preliminary outcomes from pretest to posttest focus on data collected from parents, who represent the primary proximal intervention targets. Intent-to-treat structural equation modeling analyses were conducted. CSP and CSP Plus had statistically significant effects on increased parent-reported child emotion regulation skills. CSP Plus further showed a statistically significant effect on increased parent perceptions of their adolescent being prepared for high school, but only in a model that excluded the CSP condition. Neither program had a significant proximal effect on parenting practices. Emotion regulation, one indicator of self-control, is a robust protective factor against problem behaviors. Intervention effects on this outcome may translate into reduced problems during high school. Moreover, CSP Plus showed some limited signs of added value for preparing families for the high school transition.

%B J Child Fam Stud %V 24 %P 2568-2578 %8 2015 Sep 1 %G ENG %N 9 %1 http://www.ncbi.nlm.nih.gov/pubmed/26508822?dopt=Abstract %R 10.1007/s10826-014-0059-5 %0 Journal Article %J Subst Use Misuse %D 2015 %T Washington State recreational marijuana legalization: parent and adolescent perceptions, knowledge, and discussions in a sample of low-income families. %A Mason, W A %A Hanson, Koren %A Fleming, Charles B %A Ringle, Jay L %A Haggerty, Kevin P %K Adolescent %K Adult %K Family %K Female %K Health Knowledge, Attitudes, Practice %K Humans %K Knowledge %K Male %K Marijuana Smoking %K Parent-Child Relations %K Parents %K Perception %K Poverty %K Washington %X

BACKGROUND: In November 2012, Washington State and Colorado became the first states in the United States to legalize recreational marijuana use for adults, and Uruguay became the first country to allow the cultivation, distribution, possession, and use of marijuana. One possible consequence of these changes is increased adolescent marijuana use. Parents may mitigate this adverse consequence; however, whether parents and adolescents have accurate knowledge about the laws and are discussing marijuana use in light of the law changes is unknown.

OBJECTIVE: We examine perceptions, knowledge, and parent-child discussions about Washington State's recreational marijuana law in a sample of low-income families.

METHODS: Participants were a subset of families (n = 115) in an ongoing study that originally recruited parents and adolescents from middle schools in Tacoma, Washington. In summer 2013, when students were entering the 11(th) grade, students and their parents were asked questions about the recreational marijuana law.

RESULTS: Participants perceived that their marijuana-related attitudes and behaviors changed little as a result of the law, and displayed uncertainty about what is legal and illegal. Most parents reported discussing the new law with their children but only occasionally, and conversations emphasized household rules, particularly among parent lifetime marijuana users compared to non-users. Conclusions/Importance: Results suggest that there should be a public health campaign focused on families that provides clear information about the recreational marijuana laws.

%B Subst Use Misuse %V 50 %P 541-5 %8 2015 Apr %G eng %N 5 %1 http://www.ncbi.nlm.nih.gov/pubmed/25671633?dopt=Abstract %R 10.3109/10826084.2014.952447 %0 Journal Article %J Clin J Pain %D 2014 %T Cognitive mediators of treatment outcomes in pediatric functional abdominal pain. %A Levy, Rona L %A Langer, Shelby L %A Romano, Joan M %A Labus, Jennifer %A Walker, Lynn S %A Murphy, Tasha B %A Tilburg, Miranda A L van %A Feld, Lauren D %A Christie, Dennis L %A Whitehead, William E %K Abdominal Pain %K Adolescent %K Catastrophization %K Child %K Cognitive Therapy %K Female %K Humans %K Male %K Pain Measurement %K Parents %K Pediatrics %K Treatment Outcome %X

OBJECTIVES: Cognitive-behavioral (CB) interventions improve outcomes for many pediatric health conditions, but little is known about which mechanisms mediate these outcomes. The goal of this study was to identify whether changes in targeted process variables from baseline to 1 week posttreatment mediate improvement in outcomes in a randomized controlled trial of a brief CB intervention for idiopathic childhood abdominal pain.

MATERIALS AND METHODS: Two hundred children with persistent functional abdominal pain and their parents were randomly assigned to 1 of 2 conditions: a 3-session social learning and CB treatment (N=100), or a 3-session educational intervention controlling for time and attention (N=100). Outcomes were assessed at 3-, 6-, and 12-month follow-ups. The intervention focused on altering parental responses to pain and on increasing adaptive cognitions and coping strategies related to pain in both parents and children.

RESULTS: Multiple mediation analyses were applied to examine the extent to which the effects of the social learning and CB treatment condition on child gastrointestinal (GI) symptom severity and pain as reported by children and their parents were mediated by changes in targeted cognitive process variables and parents' solicitous responses to their child's pain symptoms. Reductions in parents' perceived threat regarding their child's pain mediated reductions in both parent-reported and child-reported GI symptom severity and pain. Reductions in children's catastrophic cognitions mediated reductions in child-reported GI symptom severity but no other outcomes. Reductions in parental solicitousness did not mediate outcomes.

DISCUSSION: Results suggest that reductions in reports of children's pain and GI symptoms after a social learning and CB intervention were mediated at least in part by decreasing maladaptive parent and child cognitions.

%B Clin J Pain %V 30 %P 1033-43 %8 2014 Dec %G eng %N 12 %R 10.1097/AJP.0000000000000077 %0 Journal Article %J Prev Sci %D 2014 %T A framework for testing and promoting expanded dissemination of promising preventive interventions that are being implemented in community settings. %A Mason, W A %A Fleming, Charles B %A Thompson, Ronald W %A Haggerty, Kevin P %A Snyder, James J %K Diffusion of Innovation %K Evidence-Based Medicine %K Female %K Health Promotion %K Humans %K Male %K Preventive Health Services %K Program Development %K Registries %K United States %X

Many evidence-based preventive interventions have been developed in recent years, but few are widely used. With the current focus on efficacy trials, widespread dissemination and implementation of evidence-based interventions are often afterthoughts. One potential strategy for reversing this trend is to find a promising program with a strong delivery vehicle in place and improve and test the program's efficacy through rigorous evaluation. If the program is supported by evidence, the dissemination vehicle is already in place and potentially can be expanded. This strategy has been used infrequently and has met with limited success to date, in part, because the field lacks a framework for guiding such research. To address this gap, we outline a framework for moving promising preventive interventions that are currently being implemented in community settings through a process of rigorous testing and, if needed, program modification in order to promote expanded dissemination. The framework is guided by RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) (Glasgow et al., Am J Publ Health 89:1322-1327, 1999), which focuses attention on external as well as internal validity in program tests, and is illustrated with examples. Challenges, such as responding to negative and null results, and opportunities inherent in the framework are discussed.

%B Prev Sci %V 15 %P 674-83 %8 2014 Oct %G eng %N 5 %R 10.1007/s11121-013-0409-3 %0 Journal Article %J J Gerontol Soc Work %D 2014 %T The highs and lows of caregiving for chronically ill lesbian, gay, and bisexual elders. %A Muraco, Anna %A Fredriksen-Goldsen, Karen I %X

This study examines informal caregivers' and LGB care recipients' best and worst experiences of care within their relationship. Communal relationship theory guides the research. The work uses qualitative interview data from a sample of 36 care pairs (N = 72), divided between committed partners and friends, to understand the similarities and differences in the care norms employed in varied relationship contexts. Findings from the study show that relationship context influences the experiences that caregivers and care recipients identify as best and worst, but often focus on the relationship and needs met at bests, and conflict and fear of worsening health as worsts.

%B J Gerontol Soc Work %V 57 %P 251-72 %8 2014 %G eng %N 2-4 %R 10.1080/01634372.2013.860652 %0 Journal Article %J Chem Biol %D 2014 %T Metal-induced isomerization yields an intracellular chelator that disrupts bacterial iron homeostasis. %A Falconer, Shannon B %A Wang, Wenliang %A Gehrke, Sebastian S %A Cuneo, Jessica D %A Britten, James F %A Wright, Gerard D %A Brown, Eric D %K Anti-Bacterial Agents %K Bacterial Proteins %K Benzopyrans %K Crystallography, X-Ray %K Dose-Response Relationship, Drug %K Drug Evaluation, Preclinical %K Escherichia coli %K High-Throughput Screening Assays %K Homeostasis %K Indoles %K Iron %K Iron Chelating Agents %K Organometallic Compounds %K Small Molecule Libraries %K Spiro Compounds %K Stereoisomerism %K Structure-Activity Relationship %K Thiadiazoles %K Transcription Factors %K Transition Elements %X

The dwindling supply of antibiotics that remain effective against drug-resistant bacterial pathogens has precipitated efforts to identify new compounds that inhibit bacterial growth using untapped mechanisms of action. Here, we report both (1) a high-throughput screening methodology designed to discover chemical perturbants of the essential, yet unexploited, process of bacterial iron homeostasis, and (2) our findings from a small-molecule screen of more than 30,000 diverse small molecules that led to the identification and characterization of two spiro-indoline-thiadiazoles that disrupt iron homeostasis in bacteria. We show that these compounds are intracellular chelators with the capacity to exist in two isomeric states. Notably, these spiroheterocyles undergo a transition to an open merocyanine chelating form with antibacterial activity that is specifically induced in the presence of its transition-metal target.

%B Chem Biol %V 21 %P 136-45 %8 2014 Jan 16 %G eng %N 1 %R 10.1016/j.chembiol.2013.11.007 %0 Journal Article %J Gerontologist %D 2014 %T Physical and mental health of transgender older adults: an at-risk and underserved population. %A Fredriksen-Goldsen, Karen I %A Cook-Daniels, Loree %A Kim, Hyun-Jun %A Erosheva, Elena A %A Emlet, Charles A %A Hoy-Ellis, Charles P %A Goldsen, Jayn %A Muraco, Anna %K Data Collection %K Health Status %K Humans %K Mental Health %K Middle Aged %K Risk Factors %K Transgender Persons %K Vulnerable Populations %X

PURPOSE: This study is one of the first to examine the physical and mental health of transgender older adults and to identify modifiable factors that account for health risks in this underserved population.

DESIGN AND METHODS: Utilizing data from a cross-sectional survey of lesbian, gay, bisexual, and transgender older adults aged 50 and older (N = 2,560), we assessed direct and indirect effects of gender identity on 4 health outcomes (physical health, disability, depressive symptomatology, and perceived stress) based on a resilience conceptual framework.

RESULTS: Transgender older adults were at significantly higher risk of poor physical health, disability, depressive symptomatology, and perceived stress compared with nontransgender participants. We found significant indirect effects of gender identity on the health outcomes via fear of accessing health services, lack of physical activity, internalized stigma, victimization, and lack of social support; other mediators included obesity for physical health and disability, identity concealment for perceived stress, and community belonging for depressive symptomatology and perceived stress. Further analyses revealed that risk factors (victimization and stigma) explained the highest proportion of the total effect of gender identity on health outcomes.

IMPLICATIONS: The study identifies important modifiable factors (stigma, victimization, health-related behaviors, and social support) associated with health among transgender older adults. Reducing stigma and victimization and including gender identity in nondiscrimination and hate crime statutes are important steps to reduce health risks. Attention to bolstering individual and community-level social support must be considered when developing tailored interventions to address transgender older adults' distinct health and aging needs.

%B Gerontologist %V 54 %P 488-500 %8 2014 Jun %G eng %N 3 %R 10.1093/geront/gnt021 %0 Journal Article %J Int J Offender Ther Comp Criminol %D 2014 %T Prevalence and risk factors for self-reported violence of Osaka and Seattle male youths. %A Bui, Laura %A Farrington, David P %A Ueda, Mitsuaki %A Hill, Karl G %X

Traditionally, Japan has been regarded as a country with low crime. Comparative research has given insights into the extent of similarities and differences in crime between America and Japan. The importance of these studies is the examination of whether Western-established criminological knowledge is applicable to non-Western societies like Japan. Unfortunately, comparative self-report studies involving Japan and investigating youth offending are scarce. The current study investigates risk factors and self-reports of violence from Osaka and Seattle male youths. The findings reveal that Japanese male youths self-report a higher prevalence of violence than Seattle male youths. Risk factors for violence, issues of comparability, and prevalence versus strength of relationships of risk factors are examined. It is concluded that the higher prevalence of violence in Osaka is primarily a function of the higher prevalence of troubled peers and risk taking. The findings call for replication of this type of comparative research.

%B Int J Offender Ther Comp Criminol %V 58 %P 1540-57 %8 2014 Dec %G eng %N 12 %R 10.1177/0306624X13501472 %0 Journal Article %J J Community Psychol %D 2014 %T SAME-SEX PARTNERSHIPS AND THE HEALTH OF OLDER ADULTS. %A Williams, Mark Edward %A Fredriksen-Goldsen, Karen I %X

While extensive research has examined associations between marriage, cohabitation, and the health of heterosexual adults, it remains unclear whether similar patterns of health are associated with same-sex partnerships for lesbian, gay, and bisexual (LGB) older adults. This article examines whether having a same-sex partner is associated with general self-reported health and depressive symptoms for LGB older adults. Based on survey data collected from LGB adults 50 years of age and older, having a same-sex partner was associated with better self-reported health and fewer depressive symptoms when compared with single LGB older adults, controlling for gender, age, education, income, sexuality, and relationship duration. Relationship duration did not significantly impact the association between partnership status and health. In light of recent public debates and changes in policies regarding same-sex partnerships, more socially integrated relationship statuses appear to play a role in better health for LGB older adults.

%B J Community Psychol %V 42 %P 558-570 %8 2014 Jul %G eng %N 5 %R 10.1002/jcop.21637 %0 Journal Article %J Prev Sci %D 2014 %T Sex risk behavior among adolescent and young adult children of opiate addicts: outcomes from the focus on families prevention trial and an examination of childhood and concurrent predictors of sex risk behavior. %A Skinner, Martie L %A Fleming, Charles B %A Haggerty, Kevin P %A Catalano, Richard F %K Adolescent %K Adult %K Child %K Child of Impaired Parents %K Female %K Health Promotion %K Humans %K Male %K Opioid-Related Disorders %K Risk Factors %K Risk-Taking %K Unsafe Sex %X

This study reports on rates and predictors of sex risk behavior among a sample of adolescent and young adult children of parents enrolled in methadone treatment for opiate addiction. Data are from 151 participants (80 males, 71 females) in the Focus on Families (FOF) project, a randomized trial of a family intervention and a study of the development of at-risk children. The study participants are children of parents enrolled in methadone treatment between 1990 and 1993. Participants were interviewed in 2005 when they ranged in age from 15 to 29 years. In the year prior to the follow-up, 79% of the males and 83% of females were sexually active, 26% of males and 10% of females had more than one partner in the prior year, and 34% of males and 24% of females reported having sex outside of a committed relationship. Twenty-four percent of males and 17% of females met criteria for high-risk sexual behavior, reporting casual or multiple partners in the prior year and inconsistent condom use. Participants in the intervention and control conditions did not differ significantly in terms of any measure of sex risk behavior examined. None of the measures of parent behavior and family processes derived from data at baseline of the FOF study predicted whether participants engaged in high-risk sex. Among measures derived from data collected at long-term follow-up, however, having ever met criteria for substance abuse or dependence predicted greater likelihood of high-risk sexual behavior, and being married or being in a romantic relationship was associated with lower likelihood of high-risk sexual behavior. The findings point to the important role of committed relationships in regulating sex risk behavior among this population, as well as heightened levels of sex risk behavior associated with substance abuse or dependence.

%B Prev Sci %V 15 Suppl 1 %P S70-7 %8 2014 Feb %G eng %R 10.1007/s11121-012-0327-9 %0 Journal Article %J Prev Sci %D 2014 %T Variation in the sustained effects of the Communities That Care prevention system on adolescent smoking, delinquency, and violence. %A Oesterle, Sabrina %A Hawkins, J D %A Fagan, Abigail A %A Abbott, Robert D %A Catalano, Richard F %K Adolescent %K Adolescent Behavior %K Adolescent Health Services %K Alcohol Drinking %K Community Health Services %K Female %K Humans %K Juvenile Delinquency %K Male %K Prevalence %K Program Evaluation %K Risk Factors %K Risk Reduction Behavior %K Smoking %K United States %K Violence %X

Communities That Care (CTC) is a universal, science-based community prevention system designed to reduce risk, enhance protection, and prevent adolescent health and behavior problems community wide. CTC has been found to have sustained effects on cigarette use and delinquent and violent behaviors in grade 10 in a panel of 4,407 students followed from fifth grade in a community randomized trial. It is important to test variation in the effects of this prevention system designed to be universal to understand for whom it is most effective and whether it fails to produce change or leads to iatrogenic effects for certain categories of individuals. The present study examined variation in the sustained effects of CTC on tenth-grade cigarette use and delinquent and violent behaviors. Interaction analyses suggest that the effect of CTC did not differ between those who had high levels of community-targeted risk factors at baseline or had already engaged in substance use, delinquency, or violence at baseline versus those who had not. Although CTC reduced the prevalence of both girls' and boys' problem behaviors, the effect on delinquency was marginally (p = 0.08) larger for boys than for girls.

%B Prev Sci %V 15 %P 138-45 %8 2014 Apr %G eng %N 2 %R 10.1007/s11121-013-0365-y %0 Journal Article %J Prev Sci %D 2013 %T Addressing core challenges for the next generation of type 2 translation research and systems: the translation science to population impact (TSci Impact) framework. %A Spoth, Richard %A Rohrbach, Louise A %A Greenberg, Mark %A Leaf, Philip %A Brown, C H %A Fagan, Abigail %A Catalano, Richard F %A Pentz, M A %A Sloboda, Zili %A Hawkins, J D %K Evidence-Based Practice %K Translational Medical Research %X

Evidence-based preventive interventions developed over the past two decades represent great potential for enhancing public health and well-being. Research confirming the limited extent to which these interventions have been broadly and effectively implemented, however, indicates much progress is needed to achieve population-level impact. In part, progress requires Type 2 translation research that investigates the complex processes and systems through which evidence-based interventions are adopted, implemented, and sustained on a large scale, with a strong orientation toward devising empirically-driven strategies for increasing their population impact. In this article, we address two core challenges to the advancement of T2 translation research: (1) building infrastructure and capacity to support systems-oriented scaling up of evidence-based interventions, with well-integrated practice-oriented T2 research, and (2) developing an agenda and improving research methods for advancing T2 translation science. We also summarize a heuristic "Translation Science to Population Impact (TSci Impact) Framework." It articulates key considerations in addressing the core challenges, with three components that represent: (1) four phases of translation functions to be investigated (pre-adoption, adoption, implementation, and sustainability); (2) the multiple contexts in which translation occurs, ranging from community to national levels; and (3) necessary practice and research infrastructure supports. Discussion of the framework addresses the critical roles of practitioner-scientist partnerships and networks, governmental agencies and policies at all levels, plus financing partnerships and structures, all required for both infrastructure development and advances in the science. The article concludes with two sets of recommended action steps that could provide impetus for advancing the next generation of T2 translation science and, in turn, potentially enhance the health and well-being of subsequent generations of youth and families.

%B Prev Sci %V 14 %P 319-51 %8 2013 Aug %G eng %N 4 %R 10.1007/s11121-012-0362-6 %0 Journal Article %J J AIDS Clin Res %D 2013 %T Antiretroviral Therapy (ART) Side Effect Impacted on Quality of Life, and Depressive Symptomatology: A Mixed-Method Study. %A Chen, Wei-Ti %A Shiu, Cheng-Shi %A Yang, Joyce P %A Simoni, Jane M %A Fredriksen-Goldsen, Karen I %A Lee, Tony Szu-Hsien %A Zhao, Hongxin %X

Antiretroviral therapy (ART) is known for its side effects. In this paper, we describe ART side effects as experienced by Chinese HIV+ individuals. This study presents two stages of a research project, combining qualitative in-depth interviews (29 HIV+ participants) with quantitative statistical data analysis (N = 120). All data was collected between July 2005 to March 2008 at Beijing's Ditan Hospital. Consent was obtained from each participant for the qualitative interview and again for the quantitative survey. During in-depth interviews, Chinese HIV+ patients reported experiencing digestive discomfort, skin rashes, numbness, memory loss, nightmares, and dizziness, which not only brought them physical discomfort, but also interrupted different dimensions of their social lives. Furthermore, multiple regression analyses revealed that those who reported more severe side effects also experienced greater depressive mood after controlling for other clinical and psychosocial factors. ART side effects are one of the primary reasons causing HIV+ individuals to delay or stop taking life-saving medication; therefore, clinical interventions are critically needed to assist HIV+ individuals in managing ART side effects. ART side effects reinforced existing negative attitudes toward ART and lead to lower ART adherence. Future research should focus on developing culturally sensitive interventions to enhance HIV+ self-management, to alleviate physical and psychological burden from ART and HIV.

%B J AIDS Clin Res %V 4 %P 218 %8 2013 Jun 29 %G eng %R 10.4172/2155-6113.1000218 %0 Journal Article %J Sleep %D 2013 %T Association between adaptations to ACGME duty hour requirements, length of stay, and costs. %A Rosenbluth, Glenn %A Fiore, Darren M %A Maselli, Judith H %A Vittinghoff, Eric %A Wilson, Stephen D %A Auerbach, Andrew D %K Adolescent %K Child %K Child, Preschool %K Education, Medical, Graduate %K Female %K Hospital Costs %K Hospitals, Pediatric %K Humans %K Infant %K Infant, Newborn %K Internship and Residency %K Length of Stay %K Male %K Patient Readmission %K Pediatrics %K Personnel Staffing and Scheduling %K Retrospective Studies %K Work Schedule Tolerance %X

STUDY OBJECTIVE: To determine whether adaptations to comply with Accreditation Council for Graduate Medical Education (ACGME) duty hour requirements are associated with changes in total cost and length of stay.

DESIGN: Retrospective, interrupted time-series cohort study using concurrent control patients.

SETTING: UCSF Benioff Children's Hospital, San Francisco, CA.

PATIENTS: Inpatients newborn to 18 y on the primary pediatrics medical-surgical unit. Medical patients were studied before and after an intervention, and surgical patients served as a concurrent control group.

INTERVENTION: Pediatrics trainees' work schedules were changed from those that relied on prolonged call shifts to those primarily based on shorter day shifts and night shifts.

RESULTS: We detected significant relative reductions in length of stay but not in total cost. When the analysis was limited to the subset of patients who did not receive intensive care unit care, length of stay decreased by 18% and total cost decreased by 10%. We did not detect similar changes in the control group.

CONCLUSIONS: A trainee staffing model that included shorter shifts as consistent with current ACGME duty hour requirements was associated with reduced length of stay and total costs for patients not in the intensive care unit.

%B Sleep %V 36 %P 245-8 %8 2013 Feb %G eng %N 2 %R 10.5665/sleep.2382 %0 Journal Article %J Cogn Behav Pract %D 2013 %T The Chinese Life-Steps Program: A Cultural Adaptation of a Cognitive-Behavioral Intervention to Enhance HIV Medication Adherence. %A Shiu, Cheng-Shi %A Chen, Wei-Ti %A Simoni, Jane %A Fredriksen-Goldsen, Karen %A Zhang, Fujie %A Zhou, Hongxin %X

China is considered to be the new frontier of the global AIDS pandemic. Although effective treatment for HIV is becoming widely available in China, adherence to treatment remains a challenge. This study aimed to adapt an intervention promoting HIV-medication adherence-favorably evaluated in the West-for Chinese HIV-positive patients. The adaptation process was theory-driven and covered several key issues of cultural adaptation. We considered the importance of interpersonal relationships and family in China and cultural notions of health. Using an evidence-based treatment protocol originally designed for Western HIV-positive patients, we developed an 11-step Chinese Life-Steps program with an additional culture-specific intervention option. We describe in detail how the cultural elements were incorporated into the intervention and put into practice at each stage. Clinical considerations are also outlined and followed by two case examples that are provided to illustrate our application of the intervention. Finally, we discuss practical and research issues and limitations emerging from our field experiments in a HIV clinic in Beijing. The intervention was tailored to address both universal and culturally specific barriers to adherence and is readily applicable to generalized clinical settings. This evidence-based intervention provides a case example of the process of adapting behavioral interventions to culturally diverse communities with limited resources.

%B Cogn Behav Pract %V 20 %P 202-212 %8 2013 May %G eng %N 2 %R 10.1016/j.cbpra.2012.05.005 %0 Journal Article %J Matern Child Health J %D 2013 %T Health disparities among childrearing women with disabilities. %A Kim, Miok %A Kim, Hyun-Jun %A Hong, Seunghye %A Fredriksen-Goldsen, Karen I %K Adolescent %K Adult %K Behavioral Risk Factor Surveillance System %K Child Rearing %K Child, Preschool %K Chronic Disease %K Disabled Persons %K Female %K Health Behavior %K Health Services Accessibility %K Health Status Disparities %K Health Status Indicators %K Health Surveys %K Healthcare Disparities %K Humans %K Middle Aged %K Mothers %K Prevalence %K Quality of Life %K Socioeconomic Factors %K Washington %K Young Adult %X

This study examines leading health indicators for childrearing women with disabilities, including health-related quality of life, chronic health conditions, adverse and preventive health behaviors, health care access, and social and emotional support. The study analyzes aggregated data from the Washington State Behavioral Risk Factor Surveillance System (n = 28,629). The weighted prevalence of key health indicators of childrearing women with disabilities (aged 18-59) are compared with childrearing women without disabilities. A series of adjusted logistic regression analyses are applied, controlling for confounding variables. When compared to childrearing women without disabilities, childrearing women with disabilities are less likely to have a partner or spouse, report lower income and education levels and are older. Childrearing women with disabilities, compared to childrearing women without disabilities, report significantly lower health-related quality of life including poor general health (adjusted odds ratio[AOR] = 6.85; p < .001), frequent mental distress (AOR = 4.02; p < .001), and frequent poor physical health (AOR = 9.34; p < .001); higher prevalence of chronic health conditions, including arthritis, cardiovascular diseases, diabetes, asthma, high blood pressure and cholesterol, and obesity (the range of AORs = 1.59 to 5.65; p < .001); higher prevalence of adverse health behaviors including smoking (AOR = 2.14; p < .001) and lack of exercise (AOR = 1.61; p < .001); more financial barriers to health care (AOR = 2.11; p < .001) and lack of social and emotional support (AOR = 2.05; p < .001) while controlling for age, education, income, and relationship status. Based on population level data, the study reveals that childrearing women with disabilities experience elevated risks of health disparities across many key health indicators, many of which are preventable and modifiable. These findings underscore the importance of identifying contributing factors and developing interventions to improve the health and quality of life of childrearing women with disabilities.

%B Matern Child Health J %V 17 %P 1260-8 %8 2013 Sep %G eng %N 7 %R 10.1007/s10995-012-1118-4 %0 Journal Article %J Am J Public Health %D 2013 %T Health disparities among lesbian, gay, and bisexual older adults: results from a population-based study. %A Fredriksen-Goldsen, Karen I %A Kim, Hyun-Jun %A Barkan, Susan E %A Muraco, Anna %A Hoy-Ellis, Charles P %K Bisexuality %K Chronic Disease %K Confidence Intervals %K Female %K Health Behavior %K Health Services Accessibility %K Health Status Disparities %K Health Surveys %K Homosexuality, Female %K Homosexuality, Male %K Humans %K Logistic Models %K Male %K Mass Screening %K Middle Aged %K Odds Ratio %K Washington %X

OBJECTIVES: We investigated health disparities among lesbian, gay, and bisexual (LGB) adults aged 50 years and older.

METHODS: We analyzed data from the 2003-2010 Washington State Behavioral Risk Factor Surveillance System (n = 96 992) on health outcomes, chronic conditions, access to care, behaviors, and screening by gender and sexual orientation with adjusted logistic regressions.

RESULTS: LGB older adults had higher risk of disability, poor mental health, smoking, and excessive drinking than did heterosexuals. Lesbians and bisexual women had higher risk of cardiovascular disease and obesity, and gay and bisexual men had higher risk of poor physical health and living alone than did heterosexuals. Lesbians reported a higher rate of excessive drinking than did bisexual women; bisexual men reported a higher rate of diabetes and a lower rate of being tested for HIV than did gay men. Conclusions. Tailored interventions are needed to address the health disparities and unique health needs of LGB older adults. Research across the life course is needed to better understand health disparities by sexual orientation and age, and to assess subgroup differences within these communities.

%B Am J Public Health %V 103 %P 1802-9 %8 2013 Oct %G eng %N 10 %R 10.2105/AJPH.2012.301110 %0 Journal Article %J Field methods %D 2013 %T Implementing Self-collection of Biological Specimens With a Diverse Sample. %A Fernandes, April %A Skinner, Martie L %A Woelfel, Tiffany %A Carpenter, Thomas %A Haggerty, Kevin P %X

Collecting saliva is the most noninvasive way to detect changing levels of cortisol (Adam & Kumari, 2009; Soo-Quee Koh & Choon-Huat Koh, 2007), a stress hormone of interest to behavioral and health scientists, where there are benefits from multiple samples taken over a period of days. Various self-collection strategies have been employed, ranging from treated cards to cotton swabs and passive drool methods. The current study investigates the effectiveness of a variety of reminder techniques in encouraging adherence with procedures requiring 4 samples per day on 3 separate days of passive drool collection among African American and European American young adults. The findings suggest that direct texts were associated with the greatest level of adherence, while phone reminders were most effective when controlling for total number of contacts. Results indicate that both traditional and novel reminder methods can positively influence adherence, even with challenging populations.

%B Field methods %V 25 %8 2013 Feb 1 %G eng %N 1 %R 10.1177/1525822X12453526 %0 Journal Article %J Am J Public Health %D 2013 %T Nonresponse to a question on self-identified sexual orientation in a public health survey and its relationship to race and ethnicity. %A Kim, Hyun-Jun %A Fredriksen-Goldsen, Karen I %K Adult %K African Americans %K Asian Americans %K Behavioral Risk Factor Surveillance System %K Continental Population Groups %K Ethnic Groups %K European Continental Ancestry Group %K Female %K Health Surveys %K Hispanic Americans %K Humans %K Male %K Middle Aged %K Self Report %K Sexual Behavior %K Washington %X

We examined whether nonresponse to the survey question on self-identified sexual orientation was associated with race and ethnicity, utilizing Washington State Behavioral Risk Factor Surveillance System data. The results of adjusted multinomial logistic regression indicated that the nonresponse rates of Asian Americans, Hispanics, and African Americans are higher than those of non-Hispanic Whites. Innovative ways of measuring sexual orientation to reduce racially and ethnically driven bias need to be developed and integrated into public health surveys.

%B Am J Public Health %V 103 %P 67-9 %8 2013 Jan %G eng %N 1 %R 10.2105/AJPH.2012.300835 %0 Journal Article %J Gerontologist %D 2013 %T The physical and mental health of lesbian, gay male, and bisexual (LGB) older adults: the role of key health indicators and risk and protective factors. %A Fredriksen-Goldsen, Karen I %A Emlet, Charles A %A Kim, Hyun-Jun %A Muraco, Anna %A Erosheva, Elena A %A Goldsen, Jayn %A Hoy-Ellis, Charles P %K Aged %K Aged, 80 and over %K Bisexuality %K Cross-Sectional Studies %K Depression %K Female %K Health Behavior %K Health Services Accessibility %K Health Status %K Health Status Indicators %K Homosexuality, Female %K Homosexuality, Male %K Humans %K Logistic Models %K Male %K Mental Health %K Middle Aged %K Minority Health %K Quality of Life %K Resilience, Psychological %K Risk Factors %K Social Stigma %K Social Support %K Socioeconomic Factors %X

PURPOSE: Based on resilience theory, this paper investigates the influence of key health indicators and risk and protective factors on health outcomes (including general health, disability, and depression) among lesbian, gay male, and bisexual (LGB) older adults.

DESIGN AND METHODS: A cross-sectional survey was conducted with LGB older adults, aged 50 and older (N = 2,439). Logistic regressions were conducted to examine the contributions of key health indicators (access to health care and health behaviors), risk factors (lifetime victimization, internalized stigma, and sexual identity concealment), and protective factors (social support and social network size) to health outcomes, when controlling for background characteristics.

RESULTS: The findings revealed that lifetime victimization, financial barriers to health care, obesity, and limited physical activity independently and significantly accounted for poor general health, disability, and depression among LGB older adults. Internalized stigma was also a significant predictor of disability and depression. Social support and social network size served as protective factors, decreasing the odds of poor general health, disability, and depression. Some distinct differences by gender and sexual orientation were also observed.

IMPLICATIONS: High levels of poor general health, disability, and depression among LGB older adults are of major concern. These findings highlight the important role of key risk and protective factors, which significantly influences health outcomes among LGB older adults. Tailored interventions must be developed to address the distinct health issues facing this historically disadvantaged population.

%B Gerontologist %V 53 %P 664-75 %8 2013 Aug %G eng %N 4 %R 10.1093/geront/gns123 %0 Journal Article %J Med Care %D 2013 %T Prevalence, risk, and correlates of posttraumatic stress disorder across ethnic and racial minority groups in the United States. %A Alegría, Margarita %A Fortuna, Lisa R %A Lin, Julia Y %A Norris, Fran H %A Gao, Shan %A Takeuchi, David T %A Jackson, James S %A Shrout, Patrick E %A Valentine, Anne %K Adolescent %K Adult %K African Americans %K Aged %K Asian Americans %K Continental Population Groups %K Ethnic Groups %K Female %K Hispanic Americans %K Humans %K Male %K Mental Disorders %K Middle Aged %K Patient Acuity %K Prevalence %K Risk Factors %K Social Support %K Socioeconomic Factors %K Stress Disorders, Post-Traumatic %K United States %K Young Adult %X

OBJECTIVES: We assess whether posttraumatic stress disorder (PTSD) varies in prevalence, diagnostic criteria endorsement, and type and frequency of potentially traumatic events (PTEs) among a nationally representative US sample of 5071 non-Latino whites, 3264 Latinos, 2178 Asians, 4249 African Americans, and 1476 Afro-Caribbeans.

METHODS: PTSD and other psychiatric disorders were evaluated using the World Mental Health-Composite International Diagnostic Interview (WMH-CIDI) in a national household sample that oversampled ethnic/racial minorities (n=16,238) but was weighted to produce results representative of the general population.

RESULTS: Asians have lower prevalence rates of probable lifetime PTSD, whereas African Americans have higher rates as compared with non-Latino whites, even after adjusting for type and number of exposures to traumatic events, and for sociodemographic, clinical, and social support factors. Afro-Caribbeans and Latinos seem to demonstrate similar risk to non-Latino whites, adjusting for these same covariates. Higher rates of probable PTSD exhibited by African Americans and lower rates for Asians, as compared with non-Latino whites, do not appear related to differential symptom endorsement, differences in risk or protective factors, or differences in types and frequencies of PTEs across groups.

CONCLUSIONS: There appears to be marked differences in conditional risk of probable PTSD across ethnic/racial groups. Questions remain about what explains risk of probable PTSD. Several factors that might account for these differences are discussed, as well as the clinical implications of our findings. Uncertainty of the PTSD diagnostic assessment for Latinos and Asians requires further evaluation.

%B Med Care %V 51 %P 1114-23 %8 2013 Dec %G eng %N 12 %R 10.1097/MLR.0000000000000007 %0 Journal Article %J Gerontologist %D 2013 %T Risk and protective factors associated with health-related quality of life among older gay and bisexual men living with HIV disease. %A Emlet, Charles A %A Fredriksen-Goldsen, Karen I %A Kim, Hyun-Jun %K Aged %K Aged, 80 and over %K Aging %K Bisexuality %K Cross-Sectional Studies %K Health Status %K HIV Infections %K Homosexuality, Male %K Humans %K Male %K Mental Health %K Middle Aged %K Prevalence %K Quality of Life %K Risk Factors %K Social Support %K Socioeconomic Factors %K Surveys and Questionnaires %K United States %X

PURPOSE: To identify risk and protective factors associated with mental and physical health-related quality of life, after controlling for key background characteristics, in a population of older gay and bisexual men living with HIV disease. Previous research examining quality of life among persons living with HIV rarely includes older adults.

DESIGN AND METHODS: Survey responses from 226 gay and bisexual men aged 50 and older, and living with HIV disease, which were part of the Caring and Aging with Pride study, were analyzed using multivariate linear regression models.

RESULTS: Findings reveal that comorbidity, limitations in activities, and victimization are significant risk factors for decreased physical and mental health-related quality of life. Stigma and HIV progression did not contribute to the overall outcome variables in multivariate models. Social support and self-efficacy serve as protective factors although social support was only significant with mental health-related quality of life.

IMPLICATIONS: Comorbidity, functional limitations, and lifetime victimization are risks to quality of life among older gay and bisexual men with HIV disease. Self-efficacy and social support represent intrapersonal and interpersonal resources that can be enhanced through interventions to improve health-related quality of life.

%B Gerontologist %V 53 %P 963-72 %8 2013 Dec %G eng %N 6 %R 10.1093/geront/gns191 %0 Journal Article %J J Appl Soc Psychol %D 2013 %T A Self-Determination Model of Childhood Exposure, Perceived Prevalence, Justification, and Perpetration of Intimate Partner Violence. %A Neighbors, Clayton %A Walker, Denise D %A Mbilinyi, Lyungai F %A Zegree, Joan %A Foster, Dawn W %A Roffman, Roger A %X

The present research was designed to evaluate self-determination theory as a framework for integrating factors associated with intimate partner violence (IPV) perpetration. The proposed model suggests that childhood exposure to parental violence may influence global motivational orientations which, in turn result in greater cognitive biases (overestimating the prevalence of IPV and justification of IPV) which, in turn, contribute to an individual's decision to use abusive behavior. Participants included 124 men who had engaged in abusive behavior toward an intimate partner. Results provided reasonable support for the proposed model and stronger support for a revised model suggesting that controlled orientation, rather than autonomy orientation, appears to play a stronger role in the association between childhood exposure to parental violence and cognitive biases associated with abusive behavior.

%B J Appl Soc Psychol %V 43 %P 338-349 %8 2013 Feb 1 %G eng %N 2 %R 10.1111/j.1559-1816.2012.01003.x %0 Journal Article %J J Stud Alcohol Drugs %D 2013 %T Social identity as a moderator of the association between perceived norms and marijuana use. %A Neighbors, Clayton %A Foster, Dawn W %A Walker, Denise D %A Kilmer, Jason R %A Lee, Christine M %K Adult %K Data Collection %K Female %K Humans %K Male %K Marijuana Abuse %K Marijuana Smoking %K Peer Group %K Risk Factors %K Social Identification %K Students %X

OBJECTIVE: This study extends previous examinations of social influences and marijuana use in considering how heavy marijuana users view themselves relative to their peers. We were specifically interested in evaluating whether (a) heavy-using marijuana users would identify more strongly with other users than with typical students, (b) identification with other marijuana users would be more strongly associated with own use, and (c) the association between perceived norms and marijuana use would be moderated by identification with peers.

METHOD: Participants were 107 heavy (five or more times per month) marijuana users who completed an online survey assessing perceived norms for marijuana use, identification with typical students and other marijuana-using students, and marijuana use (frequency of use, joints per week, and hours high).

RESULTS: Participants unexpectedly identified more strongly with typical students rather than with other marijuana-using students. Identification with other marijuana users was, however, associated with more use. In addition, perceived norms were associated with more use but primarily among those who identified more with other users but not with typical students.

CONCLUSIONS: Heavy marijuana users may be reluctant to identify themselves as users and may prefer to think of themselves as typical students. This may provide clinical opportunities to highlight discrepancies. In addition, identification with other users and lack of identification with typical students may be risk factors for heavier use and good indicators of candidacy for norms-based interventions. In sum, the present findings extend our understanding of the influence of social identity among young adult marijuana users and suggest novel directions for intervention strategies.

%B J Stud Alcohol Drugs %V 74 %P 479-83 %8 2013 May %G eng %N 3 %0 Journal Article %J JAMA Pediatr %D 2013 %T Twelve-month follow-up of cognitive behavioral therapy for children with functional abdominal pain. %A Levy, Rona L %A Langer, Shelby L %A Walker, Lynn S %A Romano, Joan M %A Christie, Dennis L %A Youssef, Nader %A DuPen, Melissa M %A Ballard, Sheri A %A Labus, Jennifer %A Welsh, Ericka %A Feld, Lauren D %A Whitehead, William E %K Abdominal Pain %K Adaptation, Psychological %K Adolescent %K Adult %K Child %K Cognitive Therapy %K Female %K Follow-Up Studies %K Gastrointestinal Diseases %K Humans %K Illness Behavior %K Linear Models %K Male %K Middle Aged %K Pain Measurement %K Parent-Child Relations %K Prospective Studies %K Treatment Outcome %X

OBJECTIVE: To determine whether a brief intervention for children with functional abdominal pain and their parents' responses to their child's pain resulted in improved coping 12 months later.

DESIGN: Prospective, randomized, longitudinal study.

SETTING: Families were recruited during a 4-year period in Seattle, Washington, and Morristown, New Jersey.

PARTICIPANTS: Two hundred children with persistent functional abdominal pain and their parents.

INTERVENTIONS: A 3-session social learning and cognitive behavioral therapy intervention or an education and support intervention.

MAIN OUTCOME MEASURES: Child symptoms and pain-coping responses were monitored using standard instruments, as was parental response to child pain behavior. Data were collected at baseline and after treatment (1 week and 3, 6, and 12 months after treatment). This article reports the 12-month data.

RESULTS: Relative to children in the education and support group, children in the social learning and cognitive behavioral therapy group reported greater baseline to 12-month follow-up decreases in gastrointestinal symptom severity (estimated mean difference, -0.36; 95% CI, -0.63 to -0.01) and greater improvements in pain-coping responses (estimated mean difference, 0.61; 95% CI, 0.26 to 1.02). Relative to parents in the education and support group, parents in the social learning and cognitive behavioral therapy group reported greater baseline to 12-month decreases in solicitous responses to their child's symptoms (estimated mean difference, -0.22; 95% CI, -0.42 to -0.03) and greater decreases in maladaptive beliefs regarding their child's pain (estimated mean difference, -0.36; 95% CI, -0.59 to -0.13).

CONCLUSIONS: Results suggest long-term efficacy of a brief intervention to reduce parental solicitousness and increase coping skills. This strategy may be a viable alternative for children with functional abdominal pain.

TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00494260.

%B JAMA Pediatr %V 167 %P 178-84 %8 2013 Feb %G eng %N 2 %R 10.1001/2013.jamapediatrics.282 %0 Journal Article %J Field methods %D 2013 %T Use of Web and Phone Survey Modes to Gather Data From Adults About Their Young Adult Children: An Evaluation Based on a Randomized Design. %A Fleming, Charles B %A Marchesini, Gina %A Elgin, Jenna %A Haggerty, Kevin P %A Woodward, Danielle %A Abbott, Robert D %A Catalano, Richard F %X

Mode effects on responses to survey items may introduce bias to data collected using multiple modes of administration. The present study examines data from 704 surveys conducted as part of a longitudinal study in which parents and their children had been surveyed at multiple prior time points. Parents of 22-year-old study participants were randomly assigned to one of two mixed-mode conditions: (a) Web mode first followed by the offer of an interviewer-administered telephone mode; or (b) telephone mode first followed by the offer of the Web mode. Comparison of responses by assigned condition on 12 measures showed one statistically significant difference. Analyses that modeled differences by completed mode and the interaction between assigned condition and completed mode found significant differences on six measures related to completed mode. None of the differences indicated that more socially desirable responses were given in interviewer-administered surveys.

%B Field methods %V 25 %P 388-404 %8 2013 Nov 1 %G ENG %N 4 %1 http://www.ncbi.nlm.nih.gov/pubmed/24733977?dopt=Abstract %R 10.1177/1525822X12466888 %0 Journal Article %J Am J Public Health %D 2013 %T Using genetically informed, randomized prevention trials to test etiological hypotheses about child and adolescent drug use and psychopathology. %A Brody, Gene H %A Beach, Steven R H %A Hill, Karl G %A Howe, George W %A Prado, Guillermo %A Fullerton, Stephanie M %K Adolescent %K Child %K Gene-Environment Interaction %K Genetics, Behavioral %K Humans %K Molecular Biology %K Psychopathology %K Randomized Controlled Trials as Topic %K Research Design %K Risk Factors %K Substance-Related Disorders %X

In this essay, we describe a new era of public health research in which prevention science principles are combined with genomic science to produce gene × intervention (G × I) research. We note the roles of behavioral and molecular genetics in risk and protective mechanisms for drug use and psychopathology among children and adolescents, and the results of first-generation genetically informed prevention trials are reviewed. We also consider the need for second-generation research that focuses on G × I effects on mediators or intermediate processes. This research can be used to further understanding of etiological processes, to identify individual differences in children's and adolescents' responses to risk, and to increase the precision of prevention programs. We note the caveats about using genetic data to select intervention participants.

%B Am J Public Health %V 103 Suppl 1 %P S19-24 %8 2013 Oct %G eng %R 10.2105/AJPH.2012.301080 %0 Journal Article %J Child Youth Serv Rev %D 2012 %T Characteristics of Incarcerated Fathers and Mothers: Implications for Preventive Interventions Targeting Children and Families. %A Kjellstrand, Jean %A Cearley, Jennifer %A Eddy, J Mark %A Foney, Dana %A Martinez, Charles R %X

The number of children of incarcerated parents in the U.S. has grown dramatically in recent years. These children appear to be at risk for various problems, and a number of family-focused preventive efforts have been attempted. The current study examines differences between incarcerated mothers, incarcerated fathers, and their families on factors that might be important to consider when creating the content and process of preventive intervention programs. Participants were 359 inmates (54% women; 41% minority) who were parents of children between the ages of 3 and 11 years and who parented their children prior to imprisonment. Mothers and fathers were similar on a number of dimensions including age, education-level, number and age of children, and family criminal history, but differences were observed on key variables relevant to outcomes for children and families, including employment history and income, substance use, mental health, trauma experiences and criminal history. Implications for prevention programs are discussed.

%B Child Youth Serv Rev %V 34 %P 2409-2415 %8 2012 Dec %G eng %N 12 %R 10.1016/j.childyouth.2012.08.008 %0 Journal Article %J J Drug Issues %D 2012 %T Educational Paths and Substance Use from Adolescence into Early Adulthood. %A Fleming, Charles B %A White, Helene R %A Haggerty, Kevin P %A Abbott, Robert D %A Catalano, Richard F %X

This study examined how substance use trajectories from ages 15 to 23 in a community sample (N=921) were related to educational pathways. Rates of heavy drinking converged across different paths, but starting college at a 2-year college before transferring to a 4-year college was related to later increase in drinking after high school. Higher future educational attainment was negatively associated with high school marijuana use, but marijuana use increased after high school for individuals who went to 4-year colleges compared to those who did not. Noncollege youth had the highest rates of daily cigarette smoking throughout adolescence and early adulthood, while college dropouts had higher rates of smoking than college students who did not drop out. The findings support the need for universal prevention for early adult heavy drinking, addressing increases in drinking and marijuana use in 4-year colleges, and targeting marijuana use and cigarette smoking interventions at noncollege youth and college dropouts.

%B J Drug Issues %V 42 %8 2012 Apr 1 %G eng %N 2 %R 10.1177/0022042612446590 %0 Journal Article %J J Child Fam Stud %D 2012 %T Family intervention to prevent depression and substance use among adolescents of depressed parents %A Mason, W A %A Haggerty, Kevin P %A Fleming, Andrew P %A Casey-Goldstein, Mary %X

Parental depression places offspring at elevated risk for multiple, co-occurring problems. The purpose of this study was to develop and preliminarily evaluate Project Hope, a family intervention for the prevention of both depression and substance use among adolescent-aged children (M = 13.9 years) of depressed parents. The program was created by blending two empirically supported interventions: one for depression and another for substance use. Thirty families were randomly assigned to either Project Hope (n = 16) or a wait-list control condition (n = 14). Pretests, posttests (n = 29), and 5-month follow-ups (n = 28) were conducted separately with parents and youth via phone interviews. Questions asked about the family depression experience, family interactions, family management, coping, adolescent substance use beliefs and refusal skills, adolescent depression, and adolescent substance use. Project Hope was fully developed, manualized, and implemented with a small sample of targeted families. Engagement in the program was relatively high. Preliminary outcome analyses were conducted using 2 (Group) ×3 (Time) analyses of covariance. Results provided some evidence for significant improvements among intervention compared to control participants in indicators of the family depression experience, family management, and coping, and a statistically significant decrease from pretest to posttest in alcohol quantity for intervention compared to control youth. Next steps for this program of research are discussed.

%B J Child Fam Stud %V 21 %P 891-905 %8 2012 Dec 1 %G eng %N 6 %R 10.1007/s10826-011-9549-x %0 Journal Article %J Nurs Inq %D 2012 %T Finding middle ground: negotiating university and tribal community interests in community-based participatory research. %A Mohammed, Selina A %A Walters, Karina L %A LaMarr, June %A Evans-Campbell, Teresa %A Fryberg, Sheryl %K Clinical Protocols %K Community Health Services %K Community-Based Participatory Research %K Cooperative Behavior %K Focus Groups %K Humans %K Indians, North American %K Negotiating %K Northwestern United States %K Qualitative Research %K United States %K Universities %X

Community-based participatory research (CBPR) has been hailed as an alternative approach to one-sided research endeavors that have traditionally been conducted on communities as opposed to with them. Although CBPR engenders numerous relationship strengths, through its emphasis on co-sharing, mutual benefit, and community capacity building, it is often challenging as well. In this article, we describe some of the challenges of implementing CBPR in a research project designed to prevent cardiovascular disease among an indigenous community in the Pacific Northwest of the United States and how we addressed them. Specifically, we highlight the process of collaboratively constructing a Research Protocol/Data Sharing Agreement and qualitative interview guide that addressed the concerns of both university and tribal community constituents. Establishing these two items was a process of negotiation that required: (i) balancing of individual, occupational, research, and community interests; (ii) definition of terminology (e.g., ownership of data); and (iii) extensive consideration of how to best protect research participants. Finding middle ground in CBPR requires research partners to examine and articulate their own assumptions and expectations, and nurture a relationship based on compromise to effectively meet the needs of each group.

%B Nurs Inq %V 19 %P 116-27 %8 2012 Jun %G eng %N 2 %R 10.1111/j.1440-1800.2011.00557.x %0 Journal Article %J Depress Anxiety %D 2012 %T Impact of childhood trauma on the outcomes of a perinatal depression trial. %A Grote, Nancy K %A Spieker, Susan J %A Lohr, Mary Jane %A Geibel, Sharon L %A Swartz, Holly A %A Frank, Ellen %A Houck, Patricia R %A Katon, Wayne %K Adult %K Adult Survivors of Child Abuse %K Depressive Disorder %K Female %K Humans %K Poverty %K Pregnancy %K Pregnancy Complications %K Psychotherapy, Brief %K Risk Factors %K Treatment Outcome %X

BACKGROUND: Childhood abuse and neglect have been linked with increased risks of adverse mental health outcomes in adulthood and may moderate or predict response to depression treatment. In a small randomized controlled trial treating depression in a diverse sample of nontreatment-seeking, pregnant, low-income women, we hypothesized that childhood trauma exposure would moderate changes in symptoms and functioning over time for women assigned to usual care (UC), but not to brief interpersonal psychotherapy (IPT-B) followed by maintenance IPT. Second, we predicted that trauma exposure would be negatively associated with treatment response over time and at the two follow-up time points for women within UC, but not for those within IPT-B who were expected to show remission in depression severity and other outcomes, regardless of trauma exposure.

METHODS: Fifty-three pregnant low-income women were randomly assigned to IPT-B (n = 25) or UC (n = 28). Inclusion criteria included ≥ 18 years, >12 on the Edinburgh Postnatal Depression Scale, 10-32 weeks gestation, English speaking, and access to a phone. Participants were evaluated for childhood trauma, depressive symptoms/diagnoses, anxiety symptoms, social functioning, and interpersonal problems.

RESULTS: Regression and mixed effects repeated measures analyses revealed that trauma exposure did not moderate changes in symptoms and functioning over time for women in UC versus IPT-B. Analyses of covariance showed that within the IPT-B group, women with more versus less trauma exposure had greater depression severity and poorer outcomes at 3-month postbaseline. At 6-month postpartum, they had outcomes indicating remission in depression and functioning, but also had more residual depressive symptoms than those with less trauma exposure.

CONCLUSIONS: Childhood trauma did not predict poorer outcomes in the IPT-B group at 6-month postpartum, as it did at 3-month postbaseline, suggesting that IPT including maintenance sessions is a reasonable approach to treating depression in this population. Since women with more trauma exposure had more residual depressive symptoms at 6-month postpartum, they might require longer maintenance treatment to prevent depressive relapse.

%B Depress Anxiety %V 29 %P 563-73 %8 2012 Jul %G eng %N 7 %R 10.1002/da.21929 %0 Journal Article %J J Nutr Educ Behav %D 2012 %T Measuring perceived barriers to healthful eating in obese, treatment-seeking adults. %A Welsh, Ericka M %A Jeffery, Robert W %A Levy, Rona L %A Langer, Shelby L %A Flood, Andrew P %A Jaeb, Melanie A %A Laqua, Patricia S %K Body Mass Index %K Diet, Reducing %K Energy Intake %K Factor Analysis, Statistical %K Female %K Health Behavior %K Health Knowledge, Attitudes, Practice %K Humans %K Linear Models %K Male %K Middle Aged %K Obesity %K Perception %K Self Concept %K Self Efficacy %K Surveys and Questionnaires %K Time Factors %K Weight Loss %X

OBJECTIVE: To characterize perceived barriers to healthful eating in a sample of obese, treatment-seeking adults and to examine whether changes in barriers are associated with energy intake and body weight.

DESIGN: Observational study based on findings from a randomized, controlled behavioral weight-loss trial.

PARTICIPANTS: Participants were 113 women and 100 men, mean age 48.8 years, 67% white, and mean body mass index at baseline 34.9 kg/m(2).

VARIABLES MEASURED: Perceived diet barriers were assessed using a 39-item questionnaire. Energy intake was assessed with the Block Food Frequency Questionnaire. Body weight (kg) and height (cm) were measured.

ANALYSIS: Factor-based scales constructed from exploratory factor analysis. Linear regression models regressed 12-month energy intake and body weight on baseline to 12-month factor-based score changes (α = .05).

RESULTS: Exploratory factor analysis yielded 3 factors: lack of knowledge, lack of control, and lack of time. Reported declines in lack of knowledge and lack of control from baseline to 12 months were associated with significantly greater energy restriction over 12 months, whereas reported declines in lack of control and lack of time were associated with significantly greater weight loss.

CONCLUSIONS AND IMPLICATIONS: Results suggest that declines in perceived barriers to healthful eating during treatment are associated with greater energy restriction and weight loss.

%B J Nutr Educ Behav %V 44 %P 507-12 %8 2012 Nov-Dec %G eng %N 6 %R 10.1016/j.jneb.2010.06.005 %0 Journal Article %J Struct Equ Modeling %D 2012 %T Not quite normal: Consequences of violating the assumption of normality in regression mixture models. %A Van Horn, M l %A Smith, Jessalyn %A Fagan, Abigail A %A Jaki, Thomas %A Feaster, Daniel J %A Masyn, Katherine %A Hawkins, J D %A Howe, George %X

Regression mixture models are a new approach for finding differential effects which have only recently begun to be used in applied research. This approach comes at the cost of the assumption that error terms are normally distributed within classes. The current study uses Monte Carlo simulations to explore the effects of relatively minor violations of this assumption, the use of an ordered polytomous outcome is then examined as an alternative which makes somewhat weaker assumptions, and finally both approaches are demonstrated with an applied example looking at differences in the effects of family management on the highly skewed outcome of drug use. Results show that violating the assumption of normal errors results in systematic bias in both latent class enumeration and parameter estimates. Additional classes which reflect violations of distributional assumptions are found. Under some conditions it is possible to come to conclusions that are consistent with the effects in the population, but when errors are skewed in both classes the results typically no longer reflect even the pattern of effects in the population. The polytomous regression model performs better under all scenarios examined and comes to reasonable results with the highly skewed outcome in the applied example. We recommend that careful evaluation of model sensitivity to distributional assumptions be the norm when conducting regression mixture models.

%B Struct Equ Modeling %V 19 %P 227-249 %8 2012 %G eng %N 2 %R 10.1080/10705511.2012.659622 %0 Journal Article %J Intern Med J %D 2012 %T Obesity does not affect sodium picosulphate bowel preparation. %A Fok, K C %A Turner, I B %A Teoh, W C %A Levy, R L %K Adolescent %K Adult %K Aged %K Body Mass Index %K Cathartics %K Citrates %K Colonoscopy %K Humans %K Male %K Middle Aged %K Obesity %K Organometallic Compounds %K Picolines %K Young Adult %X

BACKGROUND: A previous study utilising oral polyethylene-glycol by Borg et al. concluded that obesity is an independent predictor of inadequate bowel preparation at colonoscopy.

AIM: To compare bowel preparation quality between obese and non-obese individuals as assessed by Boston bowel preparation scale (BBPS) after using sodium picosulphate.

METHODS: Prospective recruitment of patients at a day surgical unit in a New South Wales academic hospital. Bowel preparation was with Picoprep in all patients. Body Mass Index and epidemiological details were collected. Bowel preparation efficacy was assessed using the Boston Bowel Preparation Score.

RESULTS: One hundred and four patients were enrolled prospectively. Five (4.8%) were excluded owing to poor mental capacity. Sixty-three (64%) were non-obese, and 36 (36%) were obese. Fifty-seven (90%) non-obese and 32 (89%) obese patients had good bowel preparation. There was no statistical difference for sodium picosulphate bowel preparation between obese and non-obese individuals (P > 0.99) using Fisher's exact probability tests. The BBPS score in the left colon predicted the overall BBPS score in all patients (P < 0.001). Three of 99 patients (3%) did not tolerate sodium picosulphate, with nausea being the most common side-effect.

LIMITATIONS: Non-randomised study

CONCLUSIONS: There was no difference in bowel preparation quality between obese and non-obese patients using a low-volume bowel preparation (sodium picosulphate) and without dose modification of the bowel preparation. Sodium picosulphate was a welltolerated and an effective bowel preparation for obese individuals. With an increasing incidence of obesity and expanding colonoscopic indications within Australia and other Western countries from government-sponsored programs, it is paramount that procedural quality not be compromised in the obese patient.

%B Intern Med J %V 42 %P 1324-9 %8 2012 Dec %G eng %N 12 %R 10.1111/j.1445-5994.2012.02865.x %0 Journal Article %J J Prim Prev %D 2012 %T Project həli?dx(w)/Healthy Hearts Across Generations: development and evaluation design of a tribally based cardiovascular disease prevention intervention for American Indian families. %A Walters, Karina L %A LaMarr, June %A Levy, Rona L %A Pearson, Cynthia %A Maresca, Teresa %A Mohammed, Selina A %A Simoni, Jane M %A Evans-Campbell, Teresa %A Fredriksen-Goldsen, Karen %A Fryberg, Sheryl %A Jobe, Jared B %K Adolescent %K Adult %K Body Mass Index %K Cardiovascular Diseases %K Community-Based Participatory Research %K Community-Institutional Relations %K Cultural Competency %K Family Relations %K Humans %K Indians, North American %K Inuits %K Life Style %K Male %K Motivational Interviewing %K Northwestern United States %K Parents %K Risk Factors %K Young Adult %X

American Indian and Alaska Native (AIAN) populations are disproportionately at risk for cardiovascular disease (CVD), diabetes, and obesity, compared with the general US population. This article describes the həli?dx(w)/Healthy Hearts Across Generations project, an AIAN-run, tribally based randomized controlled trial (January 2010-June 2012) designed to evaluate a culturally appropriate CVD risk prevention program for AI parents residing in the Pacific Northwest of the United States. At-risk AIAN adults (n = 135) were randomly assigned to either a CVD prevention intervention arm or a comparison arm focusing on increasing family cohesiveness, communication, and connectedness. Both year-long conditions included 1 month of motivational interviewing counseling followed by personal coach contacts and family life-skills classes. Blood chemistry, blood pressure, body mass index, food intake, and physical activity were measured at baseline and at 4- and 12-month follow-up times.

%B J Prim Prev %V 33 %P 197-207 %8 2012 Aug %G eng %N 4 %R 10.1007/s10935-012-0274-z %0 Journal Article %J Child Maltreat %D 2012 %T Response to the Barth commentary (2012). %A Spieker, Susan J %A Oxford, Monica L %A Kelly, Jean F %A Nelson, Elizabeth M %A Fleming, Charles B %K Adult %K Caregivers %K Child Abuse %K Crying %K Female %K Humans %K Infant Behavior %K Infant Care %K Infant, Newborn %K Male %K Parenting %K Pitch Perception %K Saliva %K Salivary alpha-Amylases %B Child Maltreat %V 17 %P 291-4 %8 2012 Nov %G eng %N 4 %R 10.1177/1077559512467396 %0 Journal Article %J J Adolesc Health %D 2012 %T Romantic relationship characteristics and alcohol use: longitudinal associations with dual method contraception use. %A Bailey, Jennifer A %A Fleming, Charles B %A Catalano, Richard F %A Haggerty, Kevin P %A Manhart, Lisa E %K Adult %K Age Factors %K Alcohol Drinking %K Contraception %K Contraception Behavior %K Female %K Humans %K Interpersonal Relations %K Linear Models %K Male %K Multivariate Analysis %K Sexual Behavior %K Sexually Transmitted Diseases %K Time Factors %K Young Adult %X

PURPOSE: Dual method contraception use, or the use of one type of contraceptive intended to prevent pregnancy combined with another type intended to reduce the risk of sexually transmitted infection, may be the most effective method to prevent both unintended pregnancy and sexually transmitted infection. This study tested the association between relationship length, relationship type (married, cohabiting, dating but not cohabiting), global alcohol use, and situational alcohol use and the probability of dual method contraception use from 20 to 23 years of age.

METHODS: Hierarchical linear modeling analyses were conducted using longitudinal data from 754 sexually active male and female young adults aged 20-23 years. Dependent variables included both any dual method contraception use and consistent dual method contraception use.

RESULTS: Between 15% and 20% of respondents reported consistent dual method contraception use at each time point. Longer relationship length and more committed relationship type were associated with a lower probability of both any and consistent dual method contraception use. Situational alcohol use (drinking before sex), but not global alcohol use, also was related to a lower probability of both any and consistent dual method contraception use. Increasing age was associated with a lower probability of any dual method contraception use, but was not related to consistent dual method use.

CONCLUSIONS: Efforts to promote dual method contraception among young adults should include messages discouraging drinking before sex and supporting dual method use even in the context of committed relationships.

%B J Adolesc Health %V 50 %P 450-5 %8 2012 May %G eng %N 5 %R 10.1016/j.jadohealth.2011.09.008 %0 Journal Article %J Int J STD AIDS %D 2012 %T Social support mediates the relationship between HIV stigma and depression/quality of life among people living with HIV in Beijing, China. %A Rao, D %A Chen, W T %A Pearson, C R %A Simoni, J M %A Fredriksen-Goldsen, K %A Nelson, K %A Zhao, H %A Zhang, F %K Adolescent %K Adult %K China %K Cohort Studies %K Depression %K Female %K HIV Infections %K Humans %K Male %K Middle Aged %K Quality of Life %K Social Stigma %K Social Support %X

Stigma towards people living with HIV is pervasive in China and related to poor service utilization, psychosocial distress and diminished quality of life (QOL). In an effort to identify mechanisms to reduce HIV stigma and its negative consequences, we examined whether social support mediates the relation between enacted stigma and both depressive symptoms and QOL among 120 HIV outpatients in Beijing, China. Generally, perceived social support was associated with less stigma, less depressive symptomatology and better QOL. Using multivariable regression models, we found that social support was a full mediator of the impact of stigma on both depressive symptomatology and QOL. The findings suggest social support may be an important target of interventions to reduce the impact of stigma on poor psychosocial health outcomes.

%B Int J STD AIDS %V 23 %P 481-4 %8 2012 Jul %G eng %N 7 %R 10.1258/ijsa.2009.009428 %0 Journal Article %J Child Welfare %D 2012 %T Strengthening families and communities to prevent child abuse and neglect: lessons from the Los Angeles Prevention Initiative Demonstration Project. %A McCroskey, Jacquelyn %A Pecora, Peter J %A Franke, Todd %A Christie, Christina A %A Lorthridge, Jaymie %K Child %K Child Abuse %K Child Health Services %K Child Welfare %K Community Networks %K Family %K Humans %K Los Angeles %K Preventive Health Services %K Program Evaluation %X

The Prevention Initiative Demonstration Project, funded by the Los Angeles County Department of Children and Family Services (DCFS), is a community-specific strategy delivered through eight regional networks designed to address the full spectrum of community-based prevention. This article summarizes a strong and meaningful pattern of improvements found in the second year evaluation for three groups of families--those living in high-risk communities but not involved with DCFS, those being investigated by DCFS for possible child maltreatment, and those with open DCFS cases.

%B Child Welfare %V 91 %P 39-60 %8 2012 %G eng %N 2 %0 Journal Article %J Am J Community Psychol %D 2012 %T Sustaining the utilization and high quality implementation of tested and effective prevention programs using the Communities That Care prevention system. %A Fagan, Abigail A %A Hanson, Koren %A Briney, John S %A Hawkins, J D %K Community Networks %K Health Care Surveys %K Humans %K Interviews as Topic %K Models, Organizational %K Preventive Medicine %K Quality of Health Care %K United States %X

This paper describes the extent to which communities implementing the Communities That Care (CTC) prevention system adopt, replicate with fidelity, and sustain programs shown to be effective in reducing adolescent drug use, delinquency, and other problem behaviors. Data were collected from directors of community-based agencies and coalitions, school principals, service providers, and teachers, all of whom participated in a randomized, controlled evaluation of CTC in 24 communities. The results indicated significantly increased use and sustainability of tested, effective prevention programs in the 12 CTC intervention communities compared to the 12 control communities, during the active phase of the research project when training, technical assistance, and funding were provided to intervention sites, and 2 years following provision of such resources. At both time points, intervention communities also delivered prevention services to a significantly greater number of children and parents. The quality of implementation was high in both conditions, with only one significant difference: CTC sites were significantly more likely than control sites to monitor the quality of implementation during the sustainability phase of the project.

%B Am J Community Psychol %V 49 %P 365-77 %8 2012 Jun %G eng %N 3-4 %R 10.1007/s10464-011-9463-9 %0 Journal Article %J Lancet %D 2012 %T Worldwide application of prevention science in adolescent health. %A Catalano, Richard F %A Fagan, Abigail A %A Gavin, Loretta E %A Greenberg, Mark T %A Irwin, Charles E %A Ross, David A %A Shek, Daniel T L %K Adolescent Medicine %K Child %K Global Health %K Government Programs %K Health Behavior %K Health Status %K Humans %K Public Health %K Young Adult %X

The burden of morbidity and mortality from non-communicable disease has risen worldwide and is accelerating in low-income and middle-income countries, whereas the burden from infectious diseases has declined. Since this transition, the prevention of non-communicable disease as well as communicable disease causes of adolescent mortality has risen in importance. Problem behaviours that increase the short-term or long-term likelihood of morbidity and mortality, including alcohol, tobacco, and other drug misuse, mental health problems, unsafe sex, risky and unsafe driving, and violence are largely preventable. In the past 30 years new discoveries have led to prevention science being established as a discipline designed to mitigate these problem behaviours. Longitudinal studies have provided an understanding of risk and protective factors across the life course for many of these problem behaviours. Risks cluster across development to produce early accumulation of risk in childhood and more pervasive risk in adolescence. This understanding has led to the construction of developmentally appropriate prevention policies and programmes that have shown short-term and long-term reductions in these adolescent problem behaviours. We describe the principles of prevention science, provide examples of efficacious preventive interventions, describe challenges and potential solutions to take efficacious prevention policies and programmes to scale, and conclude with recommendations to reduce the burden of adolescent mortality and morbidity worldwide through preventive intervention.

%B Lancet %V 379 %P 1653-64 %8 2012 Apr 28 %G eng %N 9826 %R 10.1016/S0140-6736(12)60238-4 %0 Journal Article %J Psychol Addict Behav %D 2011 %T Changes in self-control problems and attention problems during middle school predict alcohol, tobacco, and marijuana use during high school. %A King, Kevin M %A Fleming, Charles B %A Monahan, Kathryn C %A Catalano, Richard F %K Adolescent %K Adolescent Behavior %K Alcohol Drinking %K Attention %K Child %K Disruptive, Impulse Control, and Conduct Disorders %K Female %K Humans %K Internal-External Control %K Longitudinal Studies %K Male %K Models, Psychological %K Self Concept %K Smoking %X

Although deficits in impulse control have been linked to adolescent use of alcohol and illicit drugs, less attention has been given to variability in change in impulse control across adolescence and whether this variability may be a signal of risk for early substance use. The goals of the current study were to examine growth in two aspects of impulse control, self-control problems and attention problems, across middle adolescence, and to test the prospective effects of level and change in these variables on levels and change over time in substance use. Data are from a community sample of 955 adolescents interviewed (along with their parents and teachers) annually from 6th to 11th grade. Results indicated that greater self-control problems and attentional problems in the 6th grade and increases in these problems over time were associated with higher levels of substance use at 11th grade. Our results suggest that modeling change over time enhances the understanding of how impulse control influences the development of substance use.

%B Psychol Addict Behav %V 25 %P 69-79 %8 2011 Mar %G eng %N 1 %R 10.1037/a0021958 %0 Journal Article %J Prev Sci %D 2011 %T Effects of Communities That Care on the adoption and implementation fidelity of evidence-based prevention programs in communities: Results from a randomized controlled trial. %A Fagan, Abigail A %A Arthur, Michael W %A Hanson, Koren %A Briney, John S %A Hawkins, J D %K Community Health Services %K Diffusion of Innovation %K Evidence-Based Practice %K Internet %K Preventive Health Services %X

This paper describes findings from the Community Youth Development Study (CYDS), a randomized controlled trial of the Communities That Care (CTC) prevention system, on the adoption and implementation fidelity of science-based prevention programming in 24 communities. Data were collected using the Community Resource Documentation (CRD), which entailed a multi-tiered sampling process and phone and web-based surveys with directors of community-based agencies and coalitions, school principals, service providers, and teachers. Four years after the initiation of the CTC prevention system, the results indicated increased use of tested, effective prevention programs in the 12 CTC intervention communities compared to the 12 control communities, and significant differences favoring the intervention communities in the numbers of children and families participating in these programs. Few significant differences were found regarding implementation quality; respondents from both intervention and control communities reported high rates of implementation fidelity across the services provided.

%B Prev Sci %V 12 %P 223-34 %8 2011 Sep %G eng %N 3 %R 10.1007/s11121-011-0226-5 %0 Journal Article %J Alcohol Res Health %D 2011 %T Engaging communities to prevent underage drinking. %A Fagan, Abigail A %A Hawkins, J D %A Catalano, Richard F %K Adolescent %K Adolescent Behavior %K Age Factors %K Alcohol Drinking %K Health Promotion %K Humans %K Residence Characteristics %K Risk Factors %X

Community-based efforts offer broad potential for achieving population-level reductions in alcohol misuse among youth and young adults. A common feature of successful community strategies is reliance on local coalitions to select and fully implement preventive interventions that have been shown to be effective in changing factors that influence risk of youth engaging in alcohol use, including both proximal influences and structural and/or environmental factors related to alcohol use. Inclusion of a universal, school-based prevention curriculum in the larger community-based effort is associated with the reduction of alcohol use by youth younger than 18 years of age and can help reach large numbers of youth with effective alcohol misuse prevention.

%B Alcohol Res Health %V 34 %P 167-74 %8 2011 %G eng %N 2 %R SPS-AR&H-35 %0 Journal Article %J Rev Relig Res %D 2011 %T Ethnic and gender variation in religious involvement: Patterns of expression in young adulthood %A Jones, Janine M %A St Peter, Josie R %A Fernandes, Sherira J %A Herrenkohl, Todd I %A Kosterman, Rick %A Hawkins, J D %X

This study used latent class analysis to empirically derive profiles of religious involvement among a sample of 808 young adults and describe ethnic and gender differences within such religious involvement patterns. Items on the Duke Religion Index were included as part of a larger longitudinal survey of emotional, physical, and behavioral health. The scale measured the organizational, nonorganizational, and intrinsic dimensions of religiosity (Koenig et al. 2001) in a sample of young adults at two waves of the study-age 27 and age 30. At age 27, five religious profiles were distinguishable in the sample while at age 30 six profiles emerged. Ethnic differences were found for each of the religious profiles where religious involvement manifested in different ways. Religious profiles between ages 27 and 30 changed over time and were affected by gender and ethnicity.

%B Rev Relig Res %V 53 %P 207-225 %8 2011 Nov %G eng %N 2 %R 10.1007/s13644-011-0006-5 %0 Journal Article %J Youth Violence Juv Justice %D 2011 %T How do families matter? Age and gender differences in family influences on delinquency and drug use %A Fagan, Abigail A %A Van Horn, M l %A Antaramian, Susan %A Hawkins, J D %X

Parenting practices, age, and gender all influence adolescent delinquency and drug use, but few studies have examined how these factors interact to affect offending. Using data from 18,512 students in Grades 6, 8, 10 and 12, this study found that across grades, parents treated girls and boys differently, but neither sex received preferential treatment for all practices assessed, and younger children reported more positive parenting than older students. Family factors were significantly related to delinquency and drug use for both sexes and for all grades. However, particular parenting practices showed gender and age differences in the degree to which they were related to outcomes, which indicates complexities in parent/child interactions that must be taken into account when investigating the causes of adolescent offending and when planning strategies to prevent the development of problem behaviors.

%B Youth Violence Juv Justice %V 9 %P 150-170 %8 2011 Apr %G eng %N 2 %R 10.1177/1541204010377748 %0 Journal Article %J Vaccine %D 2011 %T HPV vaccination among a community sample of young adult women. %A Manhart, Lisa E %A Burgess-Hull, Albert J %A Fleming, Charles B %A Bailey, Jennifer A %A Haggerty, Kevin P %A Catalano, Richard F %K Adolescent %K Demography %K Educational Status %K Female %K Health Knowledge, Attitudes, Practice %K Humans %K Interviews as Topic %K Longitudinal Studies %K Male %K Papillomavirus Infections %K Papillomavirus Vaccines %K Patient Acceptance of Health Care %K Smoking %K United States %K Vaccination %K Washington %K Young Adult %X

OBJECTIVES: Despite the high efficacy of the human papillomavirus (HPV) vaccine, uptake has been slow and little data on psychosocial barriers to vaccination exist.

METHODS: A community sample of 428 women enrolled in a longitudinal study of social development in the Seattle WA metropolitan area were interviewed about HPV vaccine status, attitudes, and barriers to HPV vaccination in spring 2008 or 2009 at ∼age 22.

RESULTS: Nineteen percent of women had initiated vaccination, 10% had completed the series, and ∼40% of unvaccinated women intended to get vaccinated. Peer approval was associated with vaccine initiation (adjusted prevalence ratio (APR) 2.1; 95% confidence interval 1.4-3.2) and intention to vaccinate (APR 1.4; 1.1-1.9). Belief the vaccine is <75% effective was associated with less initiation (APR 0.6; 0.4-0.9) or intention to vaccinate (APR 0.5; 0.4-0.7). Vaccine initiation was also less likely among cigarette smokers and illegal drug users, whereas intention to vaccinate was more common among women currently attending school or with >5 lifetime sex partners, but less common among women perceiving low susceptibility to HPV (APR 0.6; 0.5-0.9).

CONCLUSIONS: HPV vaccination uptake was low in this community sample of young adult women. Increasing awareness of susceptibility to HPV and the high efficacy of the vaccine, along with peer interventions to increase acceptability, may be most effective.

%B Vaccine %V 29 %P 5238-44 %8 2011 Jul 18 %G eng %N 32 %R 10.1016/j.vaccine.2011.05.024 %0 Journal Article %J Drug Alcohol Depend %D 2011 %T An initial trial of a computerized behavioral intervention for cannabis use disorder. %A Budney, Alan J %A Fearer, Stephanie %A Walker, Denise D %A Stanger, Catherine %A Thostenson, Jeff %A Grabinski, Michael %A Bickel, Warren K %K Adult %K Cognitive Therapy %K Computer-Assisted Instruction %K Female %K Humans %K Male %K Marijuana Abuse %K Motivation %K Young Adult %X

The most potent outcomes for cannabis use disorders have been observed with a combination of three evidence-based interventions, motivational enhancement therapy (MET), cognitive-behavioral therapy (CBT), and abstinence-based contingency-management (CM). Access to this intervention remains limited because of cost and service availability issues. This report describes the initial stages of a project designed to develop and test a computer-assisted version of MET/CBT/CM that could address many of the current barriers to its dissemination. A nonrandomized, 12-week comparison study assigned 38 adults seeking treatment for a cannabis use disorder to either therapist-delivered (n=22) or computer-delivered (n=16) MET/CBT/CM. Attendance, retention, and cannabis use outcomes did not differ significantly between groups, and there were no indications of superior outcomes favoring therapist delivery. Participants provided positive ratings of the computer-delivered sessions. These preliminary findings suggest that computer-assisted delivery of MET/CBT/CM is acceptable to outpatients and does not adversely impact compliance or outcomes achieved during treatment with MET/CBT/CM for cannabis use disorders. Assessment of post-treatment outcomes and replication in randomized trials are needed to determine reliability and longer term effects. As observed in a growing number of studies, computerized therapies have the potential to increase access to, reduce costs, and enhance fidelity of providing evidence-based treatments without sacrificing and possibly enhancing effectiveness.

%B Drug Alcohol Depend %V 115 %P 74-9 %8 2011 May 1 %G eng %N 1-2 %R 10.1016/j.drugalcdep.2010.10.014 %0 Journal Article %J Soc Sci Med %D 2011 %T A life course perspective on migration and mental health among Asian immigrants: the role of human agency. %A Gong, Fang %A Xu, Jun %A Fujishiro, Kaori %A Takeuchi, David T %K Acculturation %K Adolescent %K Adult %K Age Factors %K Aged %K Aged, 80 and over %K Asian Americans %K Emigrants and Immigrants %K Female %K Humans %K Life Change Events %K Male %K Mental Health %K Middle Aged %K Motivation %K Stress, Psychological %K United States %K Young Adult %X

The relationship between human agency and health is an important yet under-researched topic. This study uses a life course perspective to examine how human agency (measured by voluntariness, migratory reasons, and planning) and timing (measured by age at immigration) affect mental health outcomes among Asian immigrants in the United States. Data from the National Latino and Asian American Study showed that Asian immigrants (n=1491) with multiple strong reasons to migrate were less likely to suffer from mental health problems (i.e., psychological distress and psychiatric disorders in the past 12 months) than those without clear goals. Moreover, Asian immigrants with adequate migratory planning had lower levels of distress and lower rates of 12-month psychiatric disorders than those with poorly planned migration. Compared with migrants of the youngest age category (six or younger), those who migrated during preteen and adolescent years without clear goals had higher levels of psychological distress, and those who migrated during adulthood (25 years or older) were less likely to suffer from recent depressive disorders (with the exception of those migrating for life-improving goals). Furthermore, we found that well-planned migration lowered acculturative stress, and multiple strong reasons for migration buffered the negative effect of acculturative stress upon mental health. Findings from this study advance research on immigrant health from the life course perspective by highlighting the effects of exercising human agency during the pre-migration stage upon post-migration mental health.

%B Soc Sci Med %V 73 %P 1618-26 %8 2011 Dec %G eng %N 11 %R 10.1016/j.socscimed.2011.09.014 %0 Journal Article %J Child Youth Serv Rev %D 2011 %T Long-term implications of welfare reform for the development of adolescents and young adults %A Chase-Lansdale, P L %A Cherlin, Andrew J %A Guttmannova, Katarina %A Fomby, Paula %A Ribar, David C %A Coley, Rebekah Levine %X

We draw upon the 3-wave longitudinal dataset called Welfare Children and Families: A Three-City Study to examine the long-term implications for adolescents and young adults (N=783) of mothers' welfare receipt and labor force participation from 1999 to 2005. In general, changes in mothers' work and welfare patterns were not associated with deterioration or improvement in youth development (ages 16 to 20 years at wave 3). The few significant associations suggested that youth whose mothers increased employment (net of welfare participation) were more likely to show declines in serious behavior problems and delinquency compared to youth whose mothers were unemployed or employed part-time during the study period. Welfare roll exits (controlling for employment experiences) were unrelated to adolescent and young adult outcomes. Mothers' employment transitions were linked to improvements in household income and mothers' self esteem in addition to reductions in financial strain and their own illegal activities. However, these associations did not explain the relation between maternal employment and youths' improved behavior. These results do not support the predictions of either the supporters or the opponents of welfare reform, an outcome we discuss.

%B Child Youth Serv Rev %V 33 %P 678-688 %8 2011 May %G eng %N 5 %0 Journal Article %J Psychol Addict Behav %D 2011 %T Motives for cannabis use in high-risk adolescent users. %A Fox, Courtney L %A Towe, Sheri L %A Stephens, Robert S %A Walker, Denise D %A Roffman, Roger A %K Adaptation, Psychological %K Adolescent %K Female %K Humans %K Male %K Marijuana Abuse %K Marijuana Smoking %K Motivation %K Risk Factors %X

The present investigation examined the relationships between motives for cannabis use and negative consequences associated with cannabis use following a brief intervention. The sample consisted of 205 adolescent cannabis users (66.3% male), who were recruited in high schools and randomly assigned to a brief two-session motivational enhancement therapy (MET) or an educational feedback control (EFC). Results supported the hypothesis that using cannabis to cope with negative affect would predict the number of problems and dependence symptoms related to cannabis use, after controlling for age, gender, years and frequency of cannabis use, and internalizing and externalizing behavior problems. Significant interactions between internalizing behavior problems and the coping motive showed that using to cope was associated with a higher number of cannabis dependence symptoms among adolescents reporting lower levels internalizing behavior problems. Findings support the potential utility of conducting further research to explore the coping motive as an important indicator of problematic cannabis use.

%B Psychol Addict Behav %V 25 %P 492-500 %8 2011 Sep %G eng %N 3 %R 10.1037/a0024331 %0 Journal Article %J Addict Behav %D 2011 %T Is nonmedical prescription opiate use a unique form of illicit drug use? %A Catalano, Richard F %A White, Helene R %A Fleming, Charles B %A Haggerty, Kevin P %K Adolescent %K Analgesics, Opioid %K Drug Prescriptions %K Female %K Humans %K Longitudinal Studies %K Male %K Northwestern United States %K Risk Factors %K Self Medication %K Substance-Related Disorders %K Young Adult %X

Nonmedical prescription opiate (NMPO) use is of great concern because of its high addiction potential, cognitive impairment effects, and other adverse consequences (e.g., hormonal and immune system effects, hyperalgesia and overdose). Due to the combination of drugs used by those who are NMPO users, it is difficult to isolate the negative effects of NMPO use from the effects of other legal and illicit drugs. Based on a stage model of substance use, this study tested whether NMPO use represents a unique form of illicit drug use among emerging adults and whether there are unique consequences of early NMPO use. We used longitudinal data from 912 emerging adults from the Raising Healthy Children study who were interviewed at least annually from the first or second grade through age 21. The findings indicated that almost all NMPO users have also used marijuana and a large majority has also used other drugs, such as cocaine and ecstasy. In addition, more frequent users of NMPOs are also more frequent users of other drugs. Except for violent behavior, NMPO use explained little unique variance in negative outcomes of use (e.g., drug use disorder, mood disorder, nonproductive behavior, poor health, and property crime) beyond that explained by other illicit drug use. Future studies examining the predictors or consequences of NMPO use and nonmedical use of other prescription drugs need to consider use within the context of other drug use.

%B Addict Behav %V 36 %P 79-86 %8 2011 Jan-Feb %G eng %N 1-2 %R 10.1016/j.addbeh.2010.08.028 %0 Journal Article %J J Addict Dis %D 2011 %T Opiate-addicted parents in methadone treatment: long-term recovery, health, and family relationships. %A Skinner, Martie L %A Haggerty, Kevin P %A Fleming, Charles B %A Catalano, Richard F %A Gainey, Randy R %K Family Relations %K Female %K Follow-Up Studies %K Health Status %K Humans %K Male %K Mental Disorders %K Methadone %K Middle Aged %K Opiate Substitution Treatment %K Opioid-Related Disorders %K Parenting %K Psychotherapy, Group %K Risk Factors %X

Few studies follow the lives of opiate-addicted parents. The authors examined a 12-year follow-up of 144 parents in methadone treatment and their 3- to 14-year-old children. Parent mortality was high. Among survivors, drug use and treatment, incarceration, residential and family disruptions, and health problems were common. Moderate and long-term recovery were associated with consistent methadone treatment, further education, employment, and fewer relationship disruptions. Earlier depression, deviant friends, and poor coping skills predicted continued drug problems. Thus, interventions should include treatment for depression and build skills for avoiding and refusing drugs, coping with stress, and maintaining recovery-supportive friendships.

%B J Addict Dis %V 30 %P 17-26 %8 2011 Jan %G eng %N 1 %R 10.1080/10550887.2010.531670 %0 Journal Article %J J Affect Disord %D 2011 %T Predicting future depression in adolescents using the Short Mood and Feelings Questionnaire: a two-nation study. %A McKenzie, Dean P %A Toumbourou, John W %A Forbes, Andrew B %A Mackinnon, Andrew J %A McMorris, Barbara J %A Catalano, Richard F %A Patton, George C %K Adolescent %K Affect %K Australia %K Child %K Depression %K Depressive Disorder %K Emotions %K Humans %K Predictive Value of Tests %K Psychology, Adolescent %K Self Concept %K Surveys and Questionnaires %K United States %X

BACKGROUND: Adolescence is a key life period for the development of depression. Predicting the development of depression in adolescence through detecting specific early symptoms may aid in the development of timely screening and intervention programmes.

METHODS: We administered the Short Mood and Feelings Questionnaire (SMFQ) to 5769 American and Australian students aged 10 to 15 years, at two time points, separated by 12 months. We attempted to predict high levels of depression symptoms at 12 months from symptoms at baseline, using statistical approaches based upon the quality, as well as the quantity, of depression symptoms present. These approaches included classification and regression trees (CART) and logistic regression.

RESULTS: A classification tree employing four SMFQ items, such as feelings of self-hatred and of being unloved, performed almost as well as all 13 SMFQ items at predicting subsequent depression symptomatology.

LIMITATIONS: Depression was measured using a self-report instrument, rather than a criterion standard diagnostic interview.

CONCLUSION: Further validation on other populations of adolescents is required: however the results suggest that several symptoms of depression, especially feelings of self-hatred, and being unloved, are associated with increased levels of self-reported depression at 12 months post baseline. Although screening for depression can be problematic, symptoms such as the ones above should be considered for inclusion in screening tests for adolescents.

%B J Affect Disord %V 134 %P 151-9 %8 2011 Nov %G eng %N 1-3 %R 10.1016/j.jad.2011.05.022 %0 Journal Article %J AIDS Behav %D 2011 %T A preliminary randomized controlled trial of a nurse-delivered medication adherence intervention among HIV-positive outpatients initiating antiretroviral therapy in Beijing, China. %A Simoni, Jane M %A Chen, Wei-Ti %A Huh, David %A Fredriksen-Goldsen, Karen I %A Pearson, Cynthia %A Zhao, Hongxin %A Shiu, Cheng-Shi %A Wang, Xin %A Zhang, Fujie %K Adult %K Anti-HIV Agents %K CD4 Lymphocyte Count %K China %K Counseling %K Cross-Sectional Studies %K Drug Monitoring %K Electronics, Medical %K Female %K HIV Infections %K HIV-1 %K Humans %K Male %K Medication Adherence %K Middle Aged %K Nurses %K Outpatients %K RNA, Viral %K Treatment Outcome %K Viral Load %K Young Adult %X

We evaluated a nurse-delivered adherence intervention in a preliminary randomized controlled trial among 70 HIV-positive outpatients initiating antiretroviral therapy (ART) in Beijing, China. In both arms, participants received a 30-min educational session, a pillbox, and a referral to a peer support group. In the enhanced arm, participants could choose an electronic reminder device, three sessions of counseling either alone or with a treatment adherence partner, or both reminder and counseling. Survey assessments and blood draws occurred at baseline, post-intervention (13 weeks), and follow-up (25 weeks). Primary outcomes were 7-day and 30-day adherence assessed by self-report and electronic drug monitoring (EDM), and secondary outcomes were HIV-1 RNA viral load and CD4 count. The intervention was feasible and well received. It led to some improvement in self-reported and EDM-assessed adherence but not the biological outcomes. Providing counseling and facilitating the use of electronic reminders to patients initiating ART merits further investigation as a culturally viable means of promoting adherence in China.

%B AIDS Behav %V 15 %P 919-29 %8 2011 Jul %G eng %N 5 %R 10.1007/s10461-010-9828-3 %0 Journal Article %J J Community Psychol %D 2011 %T Prevention service system transformation using Communities That Care %A Brown, Eric C %A Hawkins, J D %A Arthur, Michael W %A Briney, John S %A Fagan, Abigail A %X

This study examines prevention system transformation as part of a community-randomized controlled trial of Communities That Care (CTC). Using data from surveys of community leaders, we examine differences between CTC and control communities 4.5 years after CTC implementation. Significantly higher levels of adopting a science-based approach to prevention observed in CTC communities compared to controls in 2004 were maintained in 2007. Leaders in CTC communities expressed a willingness to contribute significantly more funds to prevention than did leaders in control communities in 2007. Significant differences in levels of community collaboration observed in 2004 were not maintained in 2007. Leaders in CTC communities with high poverty rates and large minority student populations reported higher levels of community norms against drug use and greater use of the social development strategy, respectively, than did leaders in control communities with similar characteristics.

%B J Community Psychol %V 39 %P 183-201 %8 2011 Mar 1 %G eng %N 2 %R 10.1002/jcop.20426 %0 Journal Article %J Obesity (Silver Spring) %D 2011 %T Sex-specific HDL cholesterol changes with weight loss and their association with anthropometric variables: the LIFE study. %A Yatsuya, Hiroshi %A Jeffery, Robert W %A Erickson, Darin J %A Welsh, Ericka M %A Flood, Andrew P %A Jaeb, Melanie A %A Laqua, Patricia S %A Mitchell, Nathan R %A Langer, Shelby L %A Levy, Rona L %K Anthropometry %K Blood Glucose %K Cholesterol, HDL %K Female %K Humans %K Insulin %K Male %K Middle Aged %K Obesity %K Sex Factors %K Subcutaneous Fat %K Triglycerides %K Waist-Hip Ratio %K Weight Loss %X

Decrease in the level of high-density lipoprotein cholesterol (HDLC) has been observed in women who start dieting, but not in men. Patterns of HDLC change during intentional weight loss through 30-months of follow-up, and their association with changes in anthropometric measurements were examined in obese women (N = 112) and men (N = 100). Missing HDLC values at 6-, 12-, 18-, and 30-month follow-up (N = 16, 34, 55, and 50, respectively) due to dropout were imputed by multiple imputation. Mean ages and BMIs of subjects at baseline were 47.2 years and 34.8 kg/m(2) for women, and 50.4 years and 35.0 kg/m(2) for men. On average, participants lost weight steadily for 12 months, followed by slow regain. During the first 6 months, HDLC decreased significantly in women (-4.1 mg/dl, P = 0.0007), but not in men. Significant HDLC increases were observed in both men and women from 6- to 12-month follow-up. HDLC changes in women were positively associated with changes in hip circumference from baseline to 12-month independent of changes in triglycerides (TG), glucose, and insulin. Rapid decrease of predominantly subcutaneous fat in the femoral and gluteal area might be associated with HDLC decrease in women during initial weight loss.

%B Obesity (Silver Spring) %V 19 %P 429-35 %8 2011 Feb %G eng %N 2 %R 10.1038/oby.2010.216 %0 Journal Article %J AIDS Patient Care STDS %D 2011 %T "You must take the medications for you and for me": family caregivers promoting HIV medication adherence in China. %A Fredriksen-Goldsen, Karen I %A Shiu, Cheng-Shi %A Starks, Helene %A Chen, Wei-Ti %A Simoni, Jane %A Kim, Hyun-Jun %A Pearson, Cynthia %A Zhao, Hongxin %A Zhang, Fujie %K Adult %K Anti-HIV Agents %K Caregivers %K China %K Family %K Female %K Health Knowledge, Attitudes, Practice %K HIV Infections %K Humans %K Incidence %K Interviews as Topic %K Male %K Medication Adherence %K Middle Aged %K Motivation %X

China is experiencing a rapid increase in the incidence of HIV infections, which it is addressing proactively with broad implementation of antiretroviral therapy (ART). Within a cultural context extolling familial responsibility, family caregiving may be an important component to promote medication adherence for persons living with HIV in China. Based on 20 qualitative interviews with persons living with HIV and their family caregivers and a cross-sectional survey with 113 adults receiving HIV care at Beijing's Ditan outpatient clinic, this mixed-methods study examines family caregivers' role in promoting adherence to ART. Building upon a conceptual model of adherence, this article explores the role of family members in supporting four key components enhancing adherence (i.e., access, knowledge, motivation, and proximal cue to action). Patients with family caregiving support report superior ART adherence. Also, gender (being female) and less time since ART initiation are significantly related to superior adherence. Since Chinese cultural values emphasize family care, future work on adherence promotion in China will want to consider the systematic incorporation of family members.

%B AIDS Patient Care STDS %V 25 %P 735-41 %8 2011 Dec %G eng %N 12 %R 10.1089/apc.2010.0261 %0 Journal Article %J Am J Gastroenterol %D 2010 %T Cognitive-behavioral therapy for children with functional abdominal pain and their parents decreases pain and other symptoms. %A Levy, Rona L %A Langer, Shelby L %A Walker, Lynn S %A Romano, Joan M %A Christie, Dennis L %A Youssef, Nader %A DuPen, Melissa M %A Feld, Andrew D %A Ballard, Sheri A %A Welsh, Ericka M %A Jeffery, Robert W %A Young, Melissa %A Coffey, Melissa J %A Whitehead, William E %K Abdominal Pain %K Adaptation, Psychological %K Adolescent %K Child %K Cognitive Therapy %K Disability Evaluation %K Female %K Humans %K Linear Models %K Male %K Pain Measurement %K Parent-Child Relations %K Parents %K Prospective Studies %K Treatment Outcome %X

OBJECTIVES: Unexplained abdominal pain in children has been shown to be related to parental responses to symptoms. This randomized controlled trial tested the efficacy of an intervention designed to improve outcomes in idiopathic childhood abdominal pain by altering parental responses to pain and children's ways of coping and thinking about their symptoms.

METHODS: Two hundred children with persistent functional abdominal pain and their parents were randomly assigned to one of two conditions-a three-session intervention of cognitive-behavioral treatment targeting parents' responses to their children's pain complaints and children's coping responses, or a three-session educational intervention that controlled for time and attention. Parents and children were assessed at pretreatment, and 1 week, 3 months, and 6 months post-treatment. Outcome measures were child and parent reports of child pain levels, function, and adjustment. Process measures included parental protective responses to children's symptom reports and child coping methods.

RESULTS: Children in the cognitive-behavioral condition showed greater baseline to follow-up decreases in pain and gastrointestinal symptom severity (as reported by parents) than children in the comparison condition (time x treatment interaction, P<0.01). Also, parents in the cognitive-behavioral condition reported greater decreases in solicitous responses to their child's symptoms compared with parents in the comparison condition (time x treatment interaction, P<0.0001).

CONCLUSIONS: An intervention aimed at reducing protective parental responses and increasing child coping skills is effective in reducing children's pain and symptom levels compared with an educational control condition.

%B Am J Gastroenterol %V 105 %P 946-56 %8 2010 Apr %G eng %N 4 %R 10.1038/ajg.2010.106 %0 Journal Article %J Obstet Gynecol %D 2010 %T Depressive disorders during pregnancy: prevalence and risk factors in a large urban sample. %A Melville, Jennifer L %A Gavin, Amelia %A Guo, Yuqing %A Fan, Ming-Yu %A Katon, Wayne J %K Adolescent %K Adult %K Depressive Disorder %K Female %K Humans %K Middle Aged %K Panic Disorder %K Pregnancy %K Pregnancy Complications %K Prevalence %K Risk Factors %K Spouse Abuse %K Stress, Psychological %K Suicide %K Urban Population %K Young Adult %X

OBJECTIVE: To estimate the prevalence of major and minor depression, panic disorder, and suicidal ideation during pregnancy while also identifying factors independently associated with antenatal depressive disorders.

METHODS: In this prospective study, participants were 1,888 women receiving ongoing prenatal care at a university obstetric clinic from January 2004 through January 2009. Prevalence of psychiatric disorders was measured using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria based on the Patient Health Questionnaire. Multiple logistic regression identified factors associated with probable major depressive disorder and any depressive disorder.

RESULTS: Antenatal depressive disorders were present in 9.9% with 5.1% (97) meeting criteria for probable major depression and 4.8% (90) meeting criteria for probable minor depression. Panic disorder was present in 3.2% (61), and current suicidal ideation was reported by 2.6% (49). Among patients with probable major depression, 29.5% (28) reported current suicidal ideation. Psychosocial stress (odds ratio [OR], 1.29; 95% confidence interval [CI], 1.21-1.36), domestic violence (OR 3.45; 95% CI 1.46-8.12), chronic medical conditions (OR 3.05; 95% CI 1.63-5.69), and race (Asian: OR 5.81; 95% CI 2.55-13.23; or African American: OR 2.98; 95% CI 1.24-7.18) each significantly increased the odds of probable antepartum major depressive disorder, whereas older age (OR 0.92; 95% CI 0.88-0.97) decreased the odds. Factors associated with odds of any depression were similar overall except that Hispanic ethnicity (OR 2.50; 95% CI 1.09-5.72) also independently increased the odds of any depression.

CONCLUSION: Antenatal major and minor depressive disorders are common and significantly associated with clinically relevant and identifiable risk factors. By understanding the high point prevalence and associated factors, clinicians can potentially improve the diagnosis and treatment rates of serious depressive disorders in pregnant women.

LEVEL OF EVIDENCE: II.

%B Obstet Gynecol %V 116 %P 1064-70 %8 2010 Nov %G eng %N 5 %R 10.1097/AOG.0b013e3181f60b0a %0 Journal Article %J Am J Public Health %D 2010 %T Discrimination and mental health-related service use in a national study of Asian Americans. %A Spencer, Michael S %A Chen, Juan %A Gee, Gilbert C %A Fabian, Cathryn G %A Takeuchi, David T %K Adult %K Asia %K Asian Americans %K Communication Barriers %K Female %K Health Care Surveys %K Humans %K Male %K Mental Health Services %K Middle Aged %K Patient Acceptance of Health Care %K Perception %K Prejudice %K United States %X

OBJECTIVES: We examined the association between perceived discrimination and use of mental health services among a national sample of Asian Americans.

METHODS: Our data came from the National Latino and Asian American Study, the first national survey of Asian Americans. Our sample included 600 Chinese, 508 Filipinos, 520 Vietnamese, and 467 other Asians (n=2095). We used logistic regression to examine the association between discrimination and formal and informal service use and the interactive effect of discrimination and English language proficiency.

RESULTS: Perceived discrimination was associated with more use of informal services, but not with less use of formal services. Additionally, higher levels of perceived discrimination combined with lower English proficiency were associated with more use of informal services.

CONCLUSIONS: The effect of perceived discrimination and language proficiency on service use indicates a need for more bilingual services and more collaborations between formal service systems and community resources.

%B Am J Public Health %V 100 %P 2410-7 %8 2010 Dec %G eng %N 12 %R 10.2105/AJPH.2009.176321 %0 Journal Article %J Am J Public Health %D 2010 %T Disparities in health-related quality of life: a comparison of lesbians and bisexual women. %A Fredriksen-Goldsen, Karen I %A Kim, Hyun-Jun %A Barkan, Susan E %A Balsam, Kimberly F %A Mincer, Shawn L %K Adolescent %K Adult %K Bisexuality %K Exercise %K Female %K Health Status Disparities %K Homosexuality, Female %K Humans %K Logistic Models %K Mental Health %K Middle Aged %K Obesity %K Poverty %K Quality of Life %K Risk Factors %K Stress, Psychological %K Urban Population %K Washington %K Young Adult %X

OBJECTIVES: We investigated the association of health-related quality of life (HRQOL) with sexual orientation among lesbians and bisexual women and compared the predictors of HRQOL between the 2 groups.

METHODS: We used multivariate logistic regression to analyze Washington State Behavioral Risk Factor Surveillance System population-based data (2003 to 2007) in a sample of 1496 lesbians and bisexual women and examined determinants of HRQOL among lesbians and bisexual women.

RESULTS: For lesbians and bisexual women, frequent mental distress and poor general health were associated with poverty and lack of exercise; poor general health was associated with obesity and mental distress. Bisexual women showed a higher likelihood of frequent mental distress and poor general health than did lesbians. The odds of mental distress were higher for bisexual women living in urban areas as compared with nonurban areas. Lesbians had an elevated risk of poor general health and mental distress during midlife.

CONCLUSIONS: Despite the standard practice of collapsing sexual minority women into a single group, lesbian and bisexual women in this study emerge as distinct groups that merit specific attention. Bisexual women are at elevated risk for poor HRQOL.

%B Am J Public Health %V 100 %P 2255-61 %8 2010 Nov %G eng %N 11 %R 10.2105/AJPH.2009.177329 %0 Journal Article %J J Youth Adolesc %D 2010 %T Identifying trajectories of adolescents' depressive phenomena: an examination of early risk factors. %A Mazza, James J %A Fleming, Charles B %A Abbott, Robert D %A Haggerty, Kevin P %A Catalano, Richard F %K Adolescent %K Antisocial Personality Disorder %K Attention Deficit Disorder with Hyperactivity %K Depression %K Female %K Humans %K Male %K Parents %K Risk Factors %K Sex Factors %K Socioeconomic Factors %K Stress, Psychological %K Surveys and Questionnaires %X

Few studies have examined risk factors of childhood and early adolescent depressive symptomatology trajectories. This study examined self-report depressive symptomatology across a 6-year time period from 2nd to 8th grade to identify latent groups of individuals with similar patterns of depressive phenomena in a sample of 951 children (440 girls, 511 boys). Analyses, using semiparametric group modeling (SGM), identified 5 trajectory groups for girls and boys: low depressed stables, low depressed risers, mildly depressed stables, moderately depressed changers, and moderately depressed risers. Individual risk factors, with the exception of shy/withdrawn behavior, were significantly different across trajectory group membership for boys and girls, as was low-income status for boys. Boys in the low depressed and mildly depressed stable trajectory groups had significantly higher levels of antisocial behavior, attention problems, and lower social competency compared to girls in similar groups. These results suggest that universal prevention programs implemented in early elementary school that target selected risk factors may be helpful in reducing future adolescent mental health problems, specifically depressive symptomatology.

%B J Youth Adolesc %V 39 %P 579-93 %8 2010 Jun %G eng %N 6 %R 10.1007/s10964-009-9406-z %0 Journal Article %J Am J Gastroenterol %D 2010 %T Inability of the Rome III criteria to distinguish functional constipation from constipation-subtype irritable bowel syndrome. %A Wong, Reuben K %A Palsson, Olafur S %A Turner, Marsha J %A Levy, Rona L %A Feld, Andrew D %A von Korff, Michael %A Whitehead, William E %K Adult %K Aged %K Constipation %K Diagnosis, Differential %K Female %K Humans %K Irritable Bowel Syndrome %K Male %K Middle Aged %K Patient Selection %K Prospective Studies %K Quality of Life %K Statistics, Nonparametric %K Surveys and Questionnaires %X

OBJECTIVES: The Rome III classification system treats functional constipation (FC) and irritable bowel syndrome with constipation (IBS-C) as distinct disorders, but this distinction appears artificial, and the same drugs are used to treat both. This study's hypothesis is that FC and IBS-C defined by Rome III are not distinct entities.

METHODS: In all, 1,100 adults with a primary care visit for constipation and 1,700 age- and gender-matched controls from a health maintenance organization completed surveys 12 months apart; 66.2% returned the first questionnaire. Rome III criteria identified 231 with FC and 201 with IBS-C. The second survey was completed by 195 of the FC and 141 of the IBS-C cohorts. Both surveys assessed the severity of constipation and IBS, quality of life (QOL), and psychological distress.

RESULTS: (i) Overlap: if the Rome III requirement that patients meeting criteria for IBS cannot be diagnosed with FC is suspended, 89.5% of IBS-C cases meet criteria for FC and 43.8% of FC patients fulfill criteria for IBS-C. (ii) No qualitative differences between FC and IBS-C: 44.8% of FC patients report abdominal pain, and paradoxically IBS-C patients have more constipation symptoms than FC. (iii) Switching between diagnoses: by 12 months, 1/3 of FC transition to IBS-C and 1/3 of IBS-C change to FC.

CONCLUSIONS: Patients identified by Rome III criteria for FC and IBS-C are not distinct groups. Revisions to the Rome III criteria, possibly including incorporation of physiological tests of transit and pelvic floor function, are needed.

%B Am J Gastroenterol %V 105 %P 2228-34 %8 2010 Oct %G eng %N 10 %R 10.1038/ajg.2010.200 %0 Journal Article %J Asian Am J Psychol %D 2010 %T Lifetime Suicidal Ideation and Suicide Attempts in Asian Americans. %A Cheng, Janice Ka Yan %A Fancher, Tonya L %A Ratanasen, Milin %A Conner, Kenneth R %A Duberstein, Paul R %A Sue, Stanley %A Takeuchi, David %X

Few studies have examined the role of culturally relevant factors in suicidal behavior among Asian Americans. Using the National Latino and Asian American Study (NLAAS) (Alegria et al., 2004; Heeringa et al., 2004), the current study examined the role of culturally related variables (family conflict, perceived discrimination, and ethnic identity) on suicidal ideation and suicide attempts in a nationally representative sample of 2,095 Asian Americans. Important covariates were sociodemographic characteristics (gender, age, marital status, years of education, household poverty, and nativity status), depressive and anxiety disorders, and number of chronic conditions. Gender related correlates were also explored. The lifetime prevalence of suicidal ideation and attempts was 8.8% and 2.5%, respectively. Female gender, family conflict, perceived discrimination, and the presence of lifetime depressive or anxiety disorders were positively correlated with suicidal ideation and attempts. A high level of identification with one's ethnic group was associated with lower rates of suicide attempts. Among Asian men, but not women, the presence of chronic medical conditions was associated with suicidal ideation. Findings highlight the contributions to suicide risk of cultural factors and gender differences in Asian Americans.

%B Asian Am J Psychol %V 1 %P 18-30 %8 2010 Mar %G eng %N 1 %R 10.1037/a0018799 %0 Journal Article %J Prev Med %D 2010 %T Maintenance-tailored therapy vs. standard behavior therapy for 30-month maintenance of weight loss. %A Levy, Rona L %A Jeffery, Robert W %A Langer, Shelby L %A Graham, Dan J %A Welsh, Ericka M %A Flood, Andrew P %A Jaeb, Melanie A %A Laqua, Patricia S %A Finch, Emily A %A Hotop, Annie M %A Yatsuya, Hiroshi %K Adult %K Behavior Therapy %K Humans %K Male %K Middle Aged %K Obesity %K Weight Gain %K Weight Loss %X

OBJECTIVE: To assess differences in weight regain one year after an 18-month obesity treatment with standard behavior therapy (SBT) or maintenance-tailored therapy for obesity (MTT).

METHOD: 213 obese adult volunteers were treated for 18 months using SBT with fixed behavioral prescriptions or MTT that employed varied behavioral prescriptions with treatment breaks. Follow-up analysis focused on weight maintenance after a year of no contact. The trial was conducted at the University of Minnesota between 2005 and 2009.

RESULTS: Mean (SD) weight change between 18 and 30 months for participants in the SBT group was +4.1 kg (4.4) compared to +2.8 kg (4.5) in the MTT group. This is a 31% reduction in weight regain in MTT relative to SBT (p=0.078). This trend toward better maintenance in MTT versus SBT was due primarily to superior differential maintenance in MTT participants in the highest tertile of total weight loss at 18 months, i.e. MTT participants in this tertile regained 4 kg less than SBT participants between 18 and 30 months.

CONCLUSIONS: The MTT approach with varied content and timing produced more desirable patterns of weight loss maintenance than the traditional SBT approach, especially among individuals who had achieved greater initial weight loss.

%B Prev Med %V 51 %P 457-9 %8 2010 Dec %G eng %N 6 %R 10.1016/j.ypmed.2010.09.010 %0 Journal Article %J Am J Obstet Gynecol %D 2010 %T Psychosocial stress during pregnancy. %A Woods, Sarah M %A Melville, Jennifer L %A Guo, Yuqing %A Fan, Ming-Yu %A Gavin, Amelia %K Adult %K Alcohol Drinking %K Cross-Sectional Studies %K Female %K Health Behavior %K Humans %K Logistic Models %K Pregnancy %K Pregnancy Outcome %K Risk Factors %K Stress, Psychological %K Substance-Related Disorders %X

OBJECTIVE: We sought to identify factors associated with high antenatal psychosocial stress and describe the course of psychosocial stress during pregnancy.

STUDY DESIGN: We performed a cross-sectional analysis of data from an ongoing registry. Study participants were 1522 women receiving prenatal care at a university obstetric clinic from January 2004 through March 2008. Multiple logistic regression identified factors associated with high stress as measured by the Prenatal Psychosocial Profile stress scale.

RESULTS: The majority of participants reported antenatal psychosocial stress (78% low-moderate, 6% high). Depression (odds ratios [OR], 9.6; 95% confidence interval [CI], 5.5-17.0), panic disorder (OR, 6.8; 95% CI, 2.9-16.2), drug use (OR, 3.8; 95% CI, 1.2-12.5), domestic violence (OR, 3.3; 95% CI, 1.4-8.3), and having > or =2 medical comorbidities (OR, 3.1; 95% CI, 1.8-5.5) were significantly associated with high psychosocial stress. For women who screened twice during pregnancy, mean stress scores declined during pregnancy (14.8 +/- 3.9 vs 14.2 +/- 3.8; P < .001).

CONCLUSION: Antenatal psychosocial stress is common, and high levels are associated with maternal factors known to contribute to poor pregnancy outcomes.

%B Am J Obstet Gynecol %V 202 %P 61.e1-7 %8 2010 Jan %G eng %N 1 %R 10.1016/j.ajog.2009.07.041 %0 Journal Article %J J Public Health Manag Pract %D 2010 %T A qualitative analysis of immunization programs with sustained high coverage, 2000-2005. %A Kennedy, Allison %A Groom, Holly %A Evans, Victoria %A Fasano, Nancy %K Child, Preschool %K Data Collection %K Humans %K Immunization Programs %K Infant %K Local Government %K Public Health %K Qualitative Research %K State Government %K United States %K Vaccination %K Vaccines %X

Despite record-high immunization coverage nationally, there is considerable variation across state and local immunization programs, which are responsible for the implementation of vaccine recommendations in their jurisdictions. The objectives of this study were to describe activities of state and local immunization programs that sustained high coverage levels across several years and to identify common themes and practical examples for sustaining childhood vaccination coverage rates that could be applied elsewhere. We conducted 95 semi-structured key informant interviews with internal staff members and external partners at the 10 immunization programs with the highest sustained childhood immunization coverage from 2000 to 2005, as measured by the National Immunization Survey. Interview transcripts were analyzed qualitatively using a general inductive approach. Common themes across the 10 programs included maintaining a strong program infrastructure, using available data to drive planning and decision making, a commitment to building and sustaining relationships, and a focus on education and communication. Given the challenges of an increasingly complex immunization system, the lessons learned from these programs may help inform others who are working to improve childhood immunization delivery and coverage in their own programs.

%B J Public Health Manag Pract %V 16 %P E9-17 %8 2010 Jan-Feb %G eng %N 1 %R 10.1097/PHH.0b013e3181c7e053 %0 Journal Article %J Proc Natl Acad Sci U S A %D 2010 %T Reconceptualizing the classification of PNAS articles. %A Airoldi, Edoardo M %A Erosheva, Elena A %A Fienberg, Stephen E %A Joutard, Cyrille %A Love, Tanzy %A Shringarpure, Suyash %K Classification %K Methods %K National Academy of Sciences (U.S.) %K Periodicals as Topic %K Publications %K Statistics as Topic %K United States %X

PNAS article classification is rooted in long-standing disciplinary divisions that do not necessarily reflect the structure of modern scientific research. We reevaluate that structure using latent pattern models from statistical machine learning, also known as mixed-membership models, that identify semantic structure in co-occurrence of words in the abstracts and references. Our findings suggest that the latent dimensionality of patterns underlying PNAS research articles in the Biological Sciences is only slightly larger than the number of categories currently in use, but it differs substantially in the content of the categories. Further, the number of articles that are listed under multiple categories is only a small fraction of what it should be. These findings together with the sensitivity analyses suggest ways to reconceptualize the organization of papers published in PNAS.

%B Proc Natl Acad Sci U S A %V 107 %P 20899-904 %8 2010 Dec 7 %G eng %N 49 %R 10.1073/pnas.1013452107 %0 Journal Article %J J Youth Adolesc %D 2010 %T Relationships between level and change in family, school, and peer factors during two periods of adolescence and problem behavior at age 19. %A Fleming, Charles B %A Catalano, Richard F %A Haggerty, Kevin P %A Abbott, Robert D %K Adolescent %K Adolescent Behavior %K Antisocial Personality Disorder %K Child %K Child Behavior Disorders %K Conflict (Psychology) %K Crime %K Family %K Female %K Humans %K Interpersonal Relations %K Male %K Parent-Child Relations %K Peer Group %K Risk Factors %K Schools %K Substance-Related Disorders %K Young Adult %X

While prior research has examined family, school, and peer factors as potential predictors of problem behavior, less attention has been given to studying when these factors are most predictive of problems and if and when changes in these factors signal risk. Using annual data on a community sample of 1,040 individuals (47% female; 81% White), this study models growth in risk and protective factors during two developmental periods (Grades 5-8 and Grades 9-12) in order to predict substance misuse and crime at age 19. For protective factors of positive relationships with family and positive bonds to school, both the levels of these factors at Grade 5 and change between Grade 5 and Grade 8 predicted substance misuse and crime in early adulthood. Higher likelihoods of both forms of problem behavior also were predicted by increases in the risk factor of exposure to negative peers between 5th and 8th grade. In the late adolescent period, levels at 9th grade of all risk and protective factors examined predicted both substance misuse and crime. Also, increases in exposure to negative peers in late adolescence predicted greater likelihoods of both forms of problem behavior, while greater risk of substance misuse was predicted by decreases in school bonding and academic achievement, and greater risk of crime was predicted by worsening relationships with family. The results add to prior research by indicating that in addition to the level, change in risk and protective factors during these two stages of development can be signals of risk and are promising targets for intervention.

%B J Youth Adolesc %V 39 %P 670-82 %8 2010 Jun %G eng %N 6 %R 10.1007/s10964-010-9526-5 %0 Journal Article %J Public Health Rep %D 2010 %T Risk factors for HIV disease progression in a rural southwest American Indian population. %A Iralu, Jonathan %A Duran, Bonnie %A Pearson, Cynthia R %A Jiang, Yizhou %A Foley, Kevin %A Harrison, Melvin %K Alcoholism %K CD4 Lymphocyte Count %K Disease Progression %K Female %K HIV Infections %K Humans %K Indians, North American %K Male %K Medication Adherence %K Medicine, Traditional %K Prisoners %K Risk Factors %K Rural Population %K Southwestern United States %K Viral Load %X

OBJECTIVES: Risk factors for human immunodeficiency virus (HIV) disease progression among American Indians (AIs) have been poorly characterized. We assessed the impact of socioeconomic factors and use of traditional healing on HIV disease progression in a rural AI community.

METHODS: From January 2004 through December 2006, we interviewed 36 HIV-positive AIs regarding their socioeconomic status, incarceration, and use of traditional healing. We also collected chart-abstracted adherence and substance-abuse data. Through bivariate analysis, we compared these factors with the CD4-cell counts and log HIV-1 viral loads (VLs). Using a simple regression model, we assessed interactions between the significant associations and the outcome.

RESULTS: Participant characteristics included being male (58.3%), being transgender (13.9%), having ever been incarcerated (63.9%), having a household income of < $1,000/month (41.7%), being unemployed (61.1%), being diagnosed with alcohol abuse (50.0%), and using traditional medicine (27.8%) in the last 12 months. Higher VLs were associated with recent incarceration (p < 0.05), household income of < $1,000/month (p < 0.05), and provider-assessed alcohol abuse (p < 0.05). We found an interaction between incarceration and alcohol abuse, and alcohol abuse was the factor more strongly associated with higher VLs. A lower CD4 count was associated with recent incarceration (p < 0.05) and use of traditional medicine (p < 0.05).

CONCLUSIONS: Alcohol abuse is an important contributor to HIV disease progression, and participants with lower CD4 counts were more likely to use traditional medicine. HIV care among this rural AI population should focus on addressing alcohol abuse and other socioeconomic risk factors and promote collaboration between Western medical and Navajo traditional practitioners.

%B Public Health Rep %V 125 Suppl 4 %P 43-50 %8 2010 Jul-Aug %G eng %0 Journal Article %J J Stud Alcohol Drugs %D 2010 %T Romantic relationship status changes and substance use among 18- to 20-year-olds. %A Fleming, Charles B %A White, Helene R %A Oesterle, Sabrina %A Haggerty, Kevin P %A Catalano, Richard F %K Adolescent %K Adolescent Behavior %K Age Factors %K Depression %K Female %K Humans %K Interpersonal Relations %K Longitudinal Studies %K Male %K Marriage %K Sexual Partners %K Single Person %K Substance-Related Disorders %K Young Adult %X

OBJECTIVE: Changes in romantic relationship status are common in emerging adulthood and may be linked to changes in substance use. This study tested the hypothesis that entry into relationships or transitioning to a more committed status leads to decreases in substance use and that dissolution of relationships or transitioning to a less committed status results in increases in substance use.

METHOD: Data were from a community sample of 939 individuals. Substance use (heavy drinking, marijuana use, and cigarette smoking) and relationship status (single, in a romantic relationship but not cohabiting, cohabiting, or married) were assessed at the beginning and end of three 6-month intervals between the ages of 18 and 20 years. Models were estimated to assess the association between transitions in relationship status and substance use, adjusting for prior levels of use.

RESULTS: There were increases in heavy drinking, marijuana use, and cigarette smoking associated with dissolution of a romantic relationship, as well as increases in marijuana use and cigarette smoking associated with switching partners within a 6-month interval. Mediation analyses found some support for increases in both depressive symptoms and exposure to substance-using peers partially accounting for these associations. Decreases in substance use were not found for individuals entering into a new relationship or transitioning to a more committed relationship status. In fact, cigarette smoking increased among those who went from being single to being in a romantic relationship compared with those whose relationship status did not change.

CONCLUSIONS: Emerging adults who experience dissolution of romantic relationships or quickly move from one relationship to another experience increased substance use. Both depressive symptoms and changes in peer environments may partially account for these changes in use.

%B J Stud Alcohol Drugs %V 71 %P 847-56 %8 2010 Nov %G eng %N 6 %0 Journal Article %J J Health Soc Behav %D 2010 %T Romantic relationships and substance use in early adulthood: an examination of the influences of relationship type, partner substance use, and relationship quality. %A Fleming, Charles B %A White, Helene R %A Catalano, Richard F %K Adolescent %K Courtship %K Data Collection %K Female %K Humans %K Longitudinal Studies %K Male %K Substance-Related Disorders %K Young Adult %X

This study used longitudinal data from 909 young adults to examine associations between substance use and the status and quality of romantic relationships. Heavy alcohol use, marijuana use, and cigarette smoking, as well as relationship status, relationship quality, partner substance use, and other salient life circumstances were assessed at four time points in the two years after high school. Marriage, cohabiting relationships, and noncohabiting dating relationships were associated with reductions in heavy drinking and marijuana use relative to non-dating, after adjusting for adolescent substance use; marriage compared to not dating was associated with reductions in cigarette smoking. For those in romantic relationships, partner substance use moderated the associations between relationship quality and substance use for heavy drinking and for marijuana use, supporting the hypothesis derived from the Social Development Model that the protective effect of stronger social bonds depends on the use patterns of the partner to whom an individual is bonded.

%B J Health Soc Behav %V 51 %P 153-67 %8 2010 Jun %G eng %N 2 %0 Journal Article %J Prev Sci %D 2010 %T Testing the universality of the effects of the communities that care prevention system for preventing adolescent drug use and delinquency. %A Oesterle, Sabrina %A Hawkins, J D %A Fagan, Abigail A %A Abbott, Robert D %A Catalano, Richard F %K Adolescent %K Female %K Humans %K Juvenile Delinquency %K Male %K Preventive Health Services %K Substance-Related Disorders %X

Universal community-oriented interventions are an important component in the prevention of youth health and behavior problems. Testing the universality of the effects of an intervention that was designed to be universal is important because it provides information about how the program operates and for whom and under what conditions it is most effective. The present study examined whether the previously established significant effects of the universal, community-based Communities That Care (CTC) prevention program on the prevalence of substance use and the variety of delinquent behaviors held equally for boys and girls and in risk-related subgroups defined by early substance use, early delinquency, and high levels of community-targeted risk at baseline. Interaction analyses of data from a panel of 4,407 students followed from Grade 5 to Grade 8 in the first randomized trial of CTC in 12 matched community pairs suggests that CTC reduced students' substance use and delinquency equally across risk-related subgroups and gender, with two exceptions: The effect of CTC on reducing substance use in 8th grade was stronger for boys than girls and the impact of CTC on reducing 8th-grade delinquency was stronger for students who were nondelinquent at baseline.

%B Prev Sci %V 11 %P 411-23 %8 2010 Dec %G eng %N 4 %R 10.1007/s11121-010-0178-1 %0 Journal Article %J J Epidemiol Community Health %D 2010 %T Who, and what, causes health inequities? Reflections on emerging debates from an exploratory Latin American/North American workshop. %A Krieger, Nancy %A Alegría, Margarita %A Almeida-Filho, Naomar %A Barbosa da Silva, Jarbas %A Barreto, Maurício L %A Beckfield, Jason %A Berkman, Lisa %A Birn, Anne-Emanuelle %A Duncan, Bruce B %A Franco, Saul %A Garcia, Dolores Acevedo %A Gruskin, Sofia %A James, Sherman A %A Laurell, Asa Christina %A Schmidt, Maria Inês %A Walters, Karina L %K Health Priorities %K Healthcare Disparities %K Humans %K Latin America %K North America %K Politics %K Poverty %K Public Health %K Social Conditions %K Social Justice %K Warfare %B J Epidemiol Community Health %V 64 %P 747-9 %8 2010 Sep %G eng %N 9 %R 10.1136/jech.2009.106906 %0 Journal Article %J BMC Complement Altern Med %D 2008 %T Complementary and alternative medicine use and cost in functional bowel disorders: a six month prospective study in a large HMO. %A van Tilburg, Miranda A L %A Palsson, Olafur S %A Levy, Rona L %A Feld, Andrew D %A Turner, Marsha J %A Drossman, Douglas A %A Whitehead, William E %K Abdominal Pain %K Adult %K Complementary Therapies %K Constipation %K Cost-Benefit Analysis %K Delivery of Health Care, Integrated %K Diarrhea %K Female %K Ginger %K Health Maintenance Organizations %K Humans %K Irritable Bowel Syndrome %K Male %K Massage %K Middle Aged %K Patient Satisfaction %K Phytotherapy %K Professional-Patient Relations %K Prospective Studies %K Surveys and Questionnaires %K United States %K Yoga %X

BACKGROUND: Functional Bowel Disorders (FBD) are chronic disorders that are difficult to treat and manage. Many patients and doctors are dissatisfied with the level of improvement in symptoms that can be achieved with standard medical care which may lead them to seek alternatives for care. There are currently no data on the types of Complementary and Alternative Medicine (CAM) used for FBDs other than Irritable Bowel Syndrome (IBS), or on the economic costs of CAM treatments. The aim of this study is to determine prevalence, types and costs of CAM in IBS, functional diarrhea, functional constipation, and functional abdominal pain.

METHODS: 1012 Patients with FBD were recruited through a health care maintenance organization and followed for 6 months. Questionnaires were used to ascertain: Utilization and expenditures on CAM, symptom severity (IBS-SS), quality of life (IBS-QoL), psychological distress (BSI) and perceived treatment effectiveness. Costs for conventional medical care were extracted from administrative claims.

RESULTS: CAM was used by 35% of patients, at a median yearly cost of $200. The most common CAM types were ginger, massage therapy and yoga. CAM use was associated with female gender, higher education, and anxiety. Satisfaction with physician care and perceived effectiveness of prescription medication were not associated with CAM use. Physician referral to a CAM provider was uncommon but the majority of patients receiving this recommendation followed their physician's advice.

CONCLUSION: CAM is used by one-third of FBD patients. CAM use does not seem to be driven by dissatisfaction with conventional care. Physicians should discuss CAM use and effectiveness with their patients and refer patients if appropriate.

%B BMC Complement Altern Med %V 8 %P 46 %8 2008 %G eng %R 10.1186/1472-6882-8-46