Substance use treatment clinician attitudes to care for chronic disease health risk behaviours and associations of attitudes with care provision

2020 ◽  
Vol 39 (3) ◽  
pp. 232-237
Author(s):  
Danika Tremain ◽  
Megan Freund ◽  
Jenny Bowman ◽  
Luke Wolfenden ◽  
Paula Wye ◽  
...  

2016 ◽  
Vol 36 (3) ◽  
pp. 369-377 ◽  
Author(s):  
Danika Tremain ◽  
Megan Freund ◽  
Luke Wolfenden ◽  
Paula Wye ◽  
Jenny Bowman ◽  
...  


2020 ◽  
Vol 130 ◽  
pp. 105870
Author(s):  
Danika Tremain ◽  
Megan Freund ◽  
Luke Wolfenden ◽  
Jenny Bowman ◽  
Adrian Dunlop ◽  
...  


2015 ◽  
Vol 49 (8) ◽  
pp. 731-741 ◽  
Author(s):  
Kate M Bartlem ◽  
Jennifer A Bowman ◽  
Jacqueline M Bailey ◽  
Megan Freund ◽  
Paula M Wye ◽  
...  


2015 ◽  
Vol 18 (15) ◽  
pp. 2794-2803 ◽  
Author(s):  
Nicole Larson ◽  
Melissa N Laska ◽  
Mary Story ◽  
Dianne Neumark-Sztainer

AbstractObjectiveNational data for the USA show increases in sports and energy drink consumption over the past decade with the largest increases among young adults aged 20–34 years. The present study aimed to identify sociodemographic factors and health-risk behaviours associated with sports and energy drink consumption among young adults.DesignCross-sectional analysis of survey data from the third wave of a cohort study (Project EAT-III: Eating and Activity in Teens and Young Adults). Regression models stratified on gender and adjusted for sociodemographic characteristics were used to examine associations of sports and energy drink consumption with eating behaviours, physical activity, media use, weight-control behaviours, sleep patterns and substance use.SettingParticipants completed baseline surveys in 1998–1999 as students at public secondary schools in Minneapolis/St. Paul, Minnesota, USA and the EAT-III surveys online or by mail in 2008–2009.SubjectsThe sample consisted of 2287 participants (55 % female, mean age 25·3 years).ResultsResults showed 31·0 % of young adults consumed sports drinks and 18·8 % consumed energy drinks at least weekly. Among men and women, sports drink consumption was associated with higher sugar-sweetened soda and fruit juice intake, video game use and use of muscle-enhancing substances like creatine (P≤0·01). Energy drink consumption was associated with lower breakfast frequency and higher sugar-sweetened soda intake, video game use, use of unhealthy weight-control behaviours, trouble sleeping and substance use among men and women (P<0·05).ConclusionsHealth professionals should consider the clustering of sports and energy drink consumption with other unhealthy behaviours in the design of programmes and services for young adults.





2020 ◽  
Vol 37 (6) ◽  
pp. 759-765
Author(s):  
Taslina Eisner-Fellay ◽  
Christina Akre ◽  
Diane Auderset ◽  
Yara Barrense-Dias ◽  
Joan-Carles Suris

Abstract Background Adolescence and early adulthood are periods of experimentation during which health detrimental behaviours might be acquired. Objective This study’s purpose is to evaluate physicians’ likelihood of addressing health risk behaviours with youths depending on the youths’ wishes, risk behaviours and personal characteristics. Methods Data were drawn from the third wave (2017–18) of the GenerationFRee longitudinal study carried out on a sample of 1970 youths aged 17–26 in Switzerland. Analysed risk behaviours were: eating disorders, substance use, emotional wellbeing, problematic Internet use and gambling. Bivariate and multivariate analyses were performed, results are presented as adjusted odds ratios (aORs). Results Physicians discussed most risk behaviours with less than half of the youths. The odds of addressing risk behaviours were seldom raised when the risk behaviour was present, or when the youth wished to discuss it. Emotional wellbeing was addressed with half as many males as females (aOR 0.47), and drugs were found to be addressed more frequently with youths reporting a low family socio-economic status (aOR 6.18). When a risk behaviour is addressed it is mostly alongside an extended screening. Conclusions This study confirmed the low levels of health risk behaviours screening, regardless of the youths’ wish to discuss the topic with their physician. Despite the low levels, physicians do tend to screen systematically, especially when discussing substance use. There is a need to improve physicians training in risk behaviour screening and counselling in order to increase this practice.



2007 ◽  
Vol 52 (10) ◽  
pp. 666-674 ◽  
Author(s):  
Tracie O Afifi ◽  
Brian J Cox ◽  
Laurence Y Katz

Objective: To examine associations between health risk behaviours and suicidal ideation and attempts in Canadian adolescents aged 12 to 13 years. Young adolescents think about and attempt suicide. However, most existing research on suicide has been conducted on individuals aged 15 years and older. Method: The present study examined a nationally representative Canadian sample of adolescents aged 12 to 13 years ( n = 2090). Health risk behaviours included disruptive (shoplifting, physical fighting, damaging property, fighting with a weapon, carrying a knife, and gambling), sexual (petting below the waist and sexual intercourse), and substance use behaviours (smoking cigarettes, consuming alcohol, marijuana or hash, and glue or solvents). Unadjusted and adjusted (for all significant health risk behaviour and psychiatric symptoms) models were tested. Results: All health risk behaviours were common among male and female adolescents. In unadjusted models, almost all health risk behaviours were associated with suicidal ideation and attempts among adolescent boys. In adjusted models, only damaging property, sexual intercourse, and smoking cigarettes remained statistically associated with suicidal ideation, while smoking cigarettes and using marijuana or hash remained statistically associated with suicide attempts among adolescent boys. All health risk behaviours were statistically associated with suicidal ideation and attempts among female adolescents in unadjusted models. In adjusted models, only carrying a knife remained statistically associated with suicidal ideation, while shoplifting and gambling remained statistically associated with suicide attempts among adolescent girls. Conclusions: Health risk behaviours among young adolescents are associated with suicidal ideation and attempts among young adolescents. Recognizing health risk behaviours among young adolescents may be one means of understanding who among them is at increased risk of suicidality.



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