An analysis of within-subject and population level risk related to substance use and mental health outcomes among adolescents in the PATH study

2021 ◽  
Vol 218 ◽  
pp. 108385
Author(s):  
Xiao Li ◽  
Jacob T. Borodovsky ◽  
Erin M. Kasson ◽  
Andrea Fentem ◽  
Patricia A. Cavazos-Rehg
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Health Outcomes ◽  
Population Level ◽  
Mental Health Outcomes

scholarly journals National or population level interventions addressing the social determinants of mental health – an umbrella review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Neha Shah ◽  
Ian F. Walker ◽  
Yannish Naik ◽  
Selina Rajan ◽  
Kate O’Hagan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Systematic Reviews ◽  
Social Determinants ◽  
Population Level ◽  
Evidence Base ◽  
Mental Health Outcomes ◽  
Umbrella Review ◽  
The Social ◽  
Quality Evidence

Abstract Background Social circumstances in which people live and work impact the population’s mental health. We aimed to synthesise evidence identifying effective interventions and policies that influence the social determinants of mental health at national or scaled population level. We searched five databases (Cochrane Library, Global Health, MEDLINE, EMBASE and PsycINFO) between Jan 1st 2000 and July 23rd 2019 to identify systematic reviews of population-level interventions or policies addressing a recognised social determinant of mental health and collected mental health outcomes. There were no restrictions on country, sub-population or age. A narrative overview of results is provided. Quality assessment was conducted using Assessment of Multiple Systematic Reviews (AMSTAR 2). This study was registered on PROSPERO (CRD42019140198). Results We identified 20 reviews for inclusion. Most reviews were of low or critically low quality. Primary studies were mostly observational and from higher income settings. Higher quality evidence indicates more generous welfare benefits may reduce socioeconomic inequalities in mental health outcomes. Lower quality evidence suggests unemployment insurance, warm housing interventions, neighbourhood renewal, paid parental leave, gender equality policies, community-based parenting programmes, and less restrictive migration policies are associated with improved mental health outcomes. Low quality evidence suggests restriction of access to lethal means and multi-component suicide prevention programmes are associated with reduced suicide risk. Conclusion This umbrella review has identified a small and overall low-quality evidence base for population level interventions addressing the social determinants of mental health. There are significant gaps in the evidence base for key policy areas, which limit ability of national policymakers to understand how to effectively improve population mental health.

scholarly journals A prospective study of the substance use and mental health outcomes of young adult former and current cannabis users

2017 ◽  
Vol 36 (5) ◽  
pp. 618-625 ◽  
Author(s):  
Edmund Silins ◽  
Wendy Swift ◽  
Tim Slade ◽  
Barbara Toson ◽  
Bryan Rodgers ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Young Adult ◽  
Health Outcomes ◽  
Prospective Study ◽  
Mental Health Outcomes ◽  
A Prospective Study

scholarly journals Understanding Neighborhoods’ Impact on Youth Substance Use and Mental Health Outcomes in Paterson, New Jersey: Protocol for a Community-Based Participatory Research Study

10.2196/29427 ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. e29427
Author(s):  
Ijeoma Opara ◽  
Noelle R Leonard ◽  
Daneele Thorpe ◽  
Trace Kershaw
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
New Jersey ◽  
Health Outcomes ◽  
Participatory Research ◽  
Quantitative Methods ◽  
Urban Community ◽  
Community Based Participatory Research ◽  
Mental Health Outcomes ◽  
Community Based

Background Substance use among youth is a major public health concern. Of note, substance use among youth is increasing in prevalence, and the incidence of substance use at earlier ages is rising. Given the long-term consequences of early substance use, it is important to identify factors that increase youth vulnerability to drug use, as they may be important targets for future interventions. Objective This study aims to use innovative methods, such as venue-based sampling, to recruit youth who are disconnected from school and use community-based participatory research to gain a better understanding of the prevalence of substance use and important correlates among youth aged between 13 and 21 years in Paterson, New Jersey, a low-income, urban community. The study will use a convergent, mixed methods design involving multiple data collection components and the analysis of a ministrative data source, designed with the strengths of complex intervention frameworks in mind. The overall aims of the study are to identify the prevalence of substance use among youth who are engaged in school and not engaged in school; to understand important antecedents and correlates of substance use; and to use this information to inform social, environmental, and culturally appropriate interventions to address substance use and its correlates among youths in a lower-resourced urban community. Methods This study will use both qualitative and quantitative methods to address important questions. Specifically, semistructured interviews using focus group and interview methodologies will be used to assess youths’ lived experiences and will account for specific details that quantitative methods may not be able to attain. In addition, quantitative methods will be used to examine direct and multilevel associations between neighborhood factors and youth substance use and mental health outcomes. Results A previous analysis from a substance use initiative in Paterson, New Jersey found that youth who use substances such as marijuana and alcohol are more likely to have higher rates of depression and anxiety. On the basis of the research questions, this study will examine the association between neighborhood characteristics, substance use, and mental health symptoms among youth in Paterson by using quantitative and qualitative methods and will use these findings to inform the adaptation of a community- and evidence-based substance use prevention intervention for these youths. Conclusions The findings of this study will provide an important contribution to understanding the role of socioecological factors in predicting substance use and mental health outcomes among youth in a lower-resourced, urban community. Furthermore, these findings will serve as evidence for the development of a culturally informed, community-based prevention program to address substance use disparities for youth, including those who are truant in Paterson, New Jersey. International Registered Report Identifier (IRRID) PRR1-10.2196/29427

How Does Spiritual Intelligence Relate to Mental Health in a Western Sample?

2017 ◽  
Vol 60 (3) ◽  
pp. 400-417 ◽  
Author(s):  
Derek A. Giannone ◽  
Daniel Kaplin
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Health Outcomes ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Spiritual Intelligence ◽  
Self Report ◽  
Mental Health Outcomes ◽  
Future Research ◽  
Cast Doubt

This study investigates a recently developed model of spiritual intelligence in relation to the common mental health concerns of depression, anxiety, and substance use. Three-hundred and fifty-three undergraduate psychology students responded to the Spiritual Intelligence Self-Report Inventory, the Center for Epidemiologic Studies Depression Scale–Revised, the Generalized Anxiety Disorder-7, and the Drug, Alcohol, and Nicotine scale. We hypothesized spiritual intelligence would be negatively associated with the study’s mental health outcomes. A secondary aim was to examine the contributions of spiritual intelligence model components to mental health. Overall spiritual intelligence was not associated with anxiety, depression, or substance use. Examination of the relationships between spiritual intelligence components and mental health suggested this model lacks cohesiveness in relation to mental health. While the capacity to critically examine existential issues was associated with increased depression and anxiety, the ability to draw meaning and purpose from experience was associated with improvements in all mental health outcomes. These findings cast doubt on the construct of spiritual intelligence and suggest that existential thinking and the production of meaning may be closely related to mental health. Future research should explore differences in spiritual intelligence components and their associations with mental health among varying religious affiliations.

scholarly journals Comparing substance use and mental health outcomes among sexual minority and heterosexual women in probability and non-probability samples

2018 ◽  
Vol 185 ◽  
pp. 285-292 ◽  
Author(s):  
Laurie A. Drabble ◽  
Karen F. Trocki ◽  
Rachael A. Korcha ◽  
Jamie L. Klinger ◽  
Cindy B. Veldhuis ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Health Outcomes ◽  
Sexual Minority ◽  
Mental Health Outcomes ◽  
Heterosexual Women

Social Connectedness, Self-Efficacy, and Mental Health Outcomes Among Homeless Youth

2016 ◽  
Vol 50 (7) ◽  
pp. 989-1014 ◽  
Author(s):  
Stephanie Begun ◽  
Kimberly A. Bender ◽  
Samantha M. Brown ◽  
Anamika Barman-Adhikari ◽  
Kristin Ferguson
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Health Outcomes ◽  
Protective Factors ◽  
Substance Use Disorder ◽  
Self Efficacy ◽  
Social Connectedness ◽  
Homeless Youth ◽  
Service Providers ◽  
Mental Health Outcomes

Homeless youth frequently meet diagnosis criteria for depressive and/or substance use disorder(s). Although prior research has established that both social connectedness and self-efficacy buffer vulnerable youth’s adverse health outcomes, few studies have compared the potential of these protective factors on homeless youth’s mental well-being. The current study analyzes comparative effects of social connectedness and self-efficacy on meeting criteria for major depressive disorder, substance use disorder, and the co-occurrence of both disorders among a sample of 601 service-seeking homeless youth in Austin, Denver, and Los Angeles. Hierarchical logistic regressions indicate that while both social connectedness and self-efficacy constructs are valuable protective factors, social connectedness may offer greater utility, particularly in buffering against more complex mental health outcomes, such as the co-occurrence of depressive and substance use disorders. Accordingly, resource-strapped homeless youth service providers and researchers may benefit from tailoring mental health intervention strategies to further emphasize social connectedness in future efforts.

scholarly journals Delineating patterns of sexualized substance use and its association with sexual and mental health outcomes among young gay, bisexual and other men who have sex with men in Singapore: a latent class analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rayner Kay Jin Tan ◽  
Caitlin Alsandria O’Hara ◽  
Wee Ling Koh ◽  
Daniel Le ◽  
Avin Tan ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Health Outcomes ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Suicide Ideation ◽  
Mental Health Outcomes ◽  
Class Analysis ◽  
Depression Severity ◽  
Sex With Men

Abstract Background Young gay, bisexual, and other men who have sex with men (YMSM) are vulnerable to the risks associated with sexualized substance use. This is a novel study in Singapore that aims to classify patterns of sexualized substance use among YMSM, and investigate its association with sexual and mental health outcomes. Methods In this cross-sectional study among 570 YMSM aged 18 to 25 years old, latent class analysis (LCA) conducted to identify classes with similar patterns of sexualized substance use, across which measures of inconsistent condom use, recent STI diagnoses, past suicide ideation and depression severity were compared. Results LCA revealed three classes of YMSM based on types of substances ever used in sexualized contexts, which we labelled as ‘substance-naive’, ‘substance-novice’, and ‘chemsex’. Substance-naive participants (n = 404) had only ever used alcohol, while substance-novice participants (n = 143) were primarily amyl nitrite users with a small proportion who reported using chemsex-related drugs. Chemsex participants (n = 23) comprised individuals who had mostly used such drugs. Those in the chemsex group were more likely to report recent unprotected anal sex with casual partners (aPR = 3.28, 95%CI [1.85, 5.79]), depression severity (aβ = 3.69, 95%CI [0.87, 6.51]) and a history of suicide ideation (aPR = 1.64, 95%CI [1.33, 2.03]). Conclusions Findings of this study highlight how the use of varying substances in sexualized contexts may be classified and characterized by different sexual and mental health outcomes. Health promotion efforts should be differentiated accordingly to address the risks associated with sexualized substance use among YMSM.

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