Parent-Adolescent Communication as a Protective Factor Against Adolescent Alcohol and Tobacco Use: Reported Narratives From Youth From Latinx Farmworker Families

2020 ◽  
pp. 074355842090608 ◽  
Author(s):  
Yumary Ruiz ◽  
Zoe E. Taylor ◽  
Rebecca Cavin
Keyword(s):  
Tobacco Use ◽  
Protective Factor ◽  
The United States ◽  
Underage Drinking ◽  
Migrant Education ◽  
Migrant Farmworker ◽  
Adolescent Alcohol ◽  
Migrant Education Program ◽  
Older Youth ◽  
Youth Interviews

Due to high stressors and inequities, youth from Latinx migrant farmworker (LMFW) families may experience an elevated risk of early drinking and smoking. Parent-adolescent communication can protect against early initiation, but few researchers have explored this parenting practice in LMFW families. This qualitative study used youth-reported narratives to examine messages LMFW parents convey when discussing drinking and smoking, if these messages varied by age, youths’ feelings toward these discussions, and if these discussions promoted resilience against drinking and smoking among youth. Twenty-four LMFW youth (67% boys, Mage = 13.88, 79% born in the United States) were recruited from a summer Migrant Education Program in Indiana. Using thematic analysis, five themes were identified from youth interviews: (1) mostly older youth used substances, but nearly all youth stated that parent’s expressed disapproval toward underage drinking and smoking; (2) parent-adolescent discussions left youth feeling positive and confident; (3) parents used consejos to communicate about alcohol and tobacco; (4) parents were lenient toward drinking and smoking in older male teens; and (5) some parents did not offer reasons for why youth should avoid drinking and smoking or rules pertaining to these substances. Our findings have implications for research and interventions aimed at fostering parent-adolescent communication in LMFW families about alcohol and tobacco use.

scholarly journals Trends over time in enrollment in non-group health insurance plans by tobacco use in the United States

2017 ◽  
Vol 7 ◽  
pp. 46-49 ◽  
Author(s):  
Michael F. Pesko ◽  
Johanna Catherine Maclean ◽  
Cameron M. Kaplan ◽  
Steven C. Hill
Keyword(s):  
United States ◽  
Health Insurance ◽  
Tobacco Use ◽  
The United States ◽  
Group Health ◽  
Trends Over Time ◽  
Group Health Insurance ◽  
Over Time

Youth Tobacco Use in the United-States - Problem, Progress, Goals, and Potential Solutions

1993 ◽  
Vol 22 (4) ◽  
pp. 568-575 ◽  
Author(s):  
T.J. Glynn ◽  
P. Greenwald ◽  
S.M. Mills ◽  
M.W. Manley
Keyword(s):  
United States ◽  
Tobacco Use ◽  
The United States

Epidemiological Associations of Asthma and Tobacco Use, Substance Use, and Substance Misuse among Adults in the United States

2022 ◽  
pp. 1-17
Author(s):  
Abdullah M. M. Alanazi ◽  
Mohammed M. Alqahtani ◽  
Maher M. Alquaimi ◽  
Tareq F. Alotaibi ◽  
Saleh S. Algarni ◽  
...  
Keyword(s):  
United States ◽  
Substance Use ◽  
Tobacco Use ◽  
Substance Misuse ◽  
The United States

Longitudinal Consequences of Adolescent Alcohol Use Under Different Policy Contexts in Australia and the United States

2021 ◽  
Vol 82 (3) ◽  
pp. 377-386
Author(s):  
Jennifer A. Bailey ◽  
Marina Epstein ◽  
Richard F. Catalano ◽  
Barbara J. McMorris ◽  
Jessica A. Heerde ◽  
...  
Keyword(s):  
United States ◽  
Alcohol Use ◽  
The United States ◽  
Adolescent Alcohol Use ◽  
Adolescent Alcohol

scholarly journals Pilot Cohorts for Development of Concurrent Mobile Treatment for Alcohol and Tobacco Use Disorders

2021 ◽  
Vol 15 ◽  
pp. 117822182110305
Author(s):  
Alyssa M Medenblik ◽  
Patrick S Calhoun ◽  
Stephen A Maisto ◽  
Daniel R Kivlahan ◽  
Scott D Moore ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Behavioral Therapy ◽  
Contingency Management ◽  
Heavy Drinking ◽  
The United States ◽  
Telephone Counseling ◽  
Low Risk ◽  
Cognitive Behavioral ◽  
Total N ◽  
Polysubstance Use

Alcohol and tobacco are the 2 most frequently used drugs in the United States and represent the highest co-occurrence of polysubstance use. The objective of this study was to refine an intervention combining mobile contingency management with cognitive-behavioral telephone counseling for concurrent treatment of alcohol and tobacco use disorders. Two cohorts (n = 13 total, n = 5 women) of participants were enrolled, with 10/13 completing treatment and 7/13 completing the 6-month follow-up. At enrollment, participants were drinking a mean of 28.9 drinks per week (SD = 14.1), with a mean of 14.7 heavy drinking days in the past month (SD = 9.9), and a mean of 18.1 cigarettes per day (SD = 11.7). Treatment included a mobile application that participants used to record carbon monoxide and breath alcohol content readings to bioverify abstinence. Participants received up to 4 sessions of phone cognitive-behavioral therapy and monetary reinforcement contingent on abstinence. In cohort 1, 4/6 participants reported abstinent or low-risk drinking post-monitoring. Six weeks post quit-date, 2/6 participants were CO-bioverified abstinent from tobacco use, with 2/6 in dual remission. These results were maintained at 6-months. In cohort 2, 6/7 reported abstinent or low-risk drinking post-monitoring, 5 weeks post quit-date. At the post-monitoring visit, 5/7 were CO-bioverified abstinent from smoking, with 5/7 in dual remission. At 6-months, 3/7 reporting abstinent or low-risk drinking, 1/7 had bioverified abstinence from smoking, with 1/7 in dual remission. Observations suggest that it is possible to develop a concurrent mobile treatment for alcohol and tobacco use disorders.

A family-focused randomized controlled trial to prevent adolescent alcohol and tobacco use: The moderating roles of positive parenting and adolescent gender

2005 ◽  
Vol 36 (4) ◽  
pp. 347-355 ◽  
Author(s):  
Deborah J. Jones ◽  
Ardis L. Olson ◽  
Rex Forehand ◽  
Cecelia A. Gaffney ◽  
Michael S. Zens ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Tobacco Use ◽  
Controlled Trial ◽  
Positive Parenting ◽  
Adolescent Alcohol ◽  
Randomized Controlled

scholarly journals Rural tobacco use across the United States: How rural and urban areas differ, broken down by census regions and divisions

2016 ◽  
Vol 39 ◽  
pp. 153-159 ◽  
Author(s):  
Megan E. Roberts ◽  
Nathan J. Doogan ◽  
Allison N. Kurti ◽  
Ryan Redner ◽  
Diann E. Gaalema ◽  
...  
Keyword(s):  
United States ◽  
Tobacco Use ◽  
Urban Areas ◽  
The United States ◽  
Rural And Urban Areas ◽  
Rural And Urban

Abstract 15: Assessing Clinical Quality Indicators for Diabetes Care by Patient Home Zip Code

2015 ◽  
Vol 8 (suppl_2) ◽  
Author(s):  
Gregory Roth ◽  
Rose Gabert ◽  
Blake Thomson ◽  
Emmanuela Gakidou
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Tobacco Use ◽  
Rural Areas ◽  
The United States ◽  
Neighborhood Environment ◽  
Diabetic Patients ◽  
Hennepin County ◽  
Hba1c Target ◽  
Zip Code

Objective: Quality of care for diabetes varies widely in the United States but is usually compared at the level of health facilities. As part of the HealthRise project, we analyzed ambulatory clinic data at the level of each patient’s residential zip code to determine whether achievement of risk factor targets is also a function of home neighborhood. Methods: Minnesota Community Measurement (MNCM) collects comprehensive patient-level clinical data from all non-federal ambulatory clinics in their state. Using MNCM data from the year 2013, we assessed risk factor targets for diabetes, defined as the percentage of adult diabetics seen at least twice in 12 months who achieved all of four risk factor targets (HbA1c < 8%, LDL<100 mg/dL, systolic blood pressure <140 mmHg and diastolic blood pressure <90 mmHg, and documented to be free of tobacco use). We aggregated the data to the zip code in which the patient resided for Hennepin, Ramsey, and Rice Counties, representing Minneapolis-St. Paul and a nearby rural county. Results: Success in meeting the HbA1c target was similar between counties, with 74.1% of patients in Hennepin, 74.4% in Ramsey, and 76.2% in Rice meeting the target. However, this varied widely at the zip code level. Across zip codes, the HbA1c target was achieved by 58.8% to 90.0% of patients and the LDL target by 46.7% to 83.6% of patients. Blood pressure and tobacco use targets were met by more patients (74.4% to 95.3% for blood pressure and 70.2% to 94.6% for tobacco). The lowest-performing zip codes were consistent across all four targets. Populations with the lowest achievement levels were found in the neighborhoods of North Minneapolis and Camden in Hennepin County, Downtown St. Paul, Southwest Downtown St. Paul, and South East Downton St. Paul in Ramsay County, and outlying rural areas in Rice County. Conclusion: Small-area geographies based on residential zip code appear to stratify the achievement of risk factor targets for diabetic patients in Hennepin, Ramsey and Rice Counties. Patients living in socioeconomically disadvantaged areas are less likely to achieve these clinical targets. Policies to improve cardiovascular risk factor control within clinics should also consider expanding their data collection to include the role of patients’ neighborhood environment.

scholarly journals A Lean Quality Improvement Initiative to Enhance Tobacco Use Treatment in a Cancer Hospital

2020 ◽  
Vol 17 (6) ◽  
pp. 2165 ◽  
Author(s):  
Colleen Meyer ◽  
Sara Mitra ◽  
Ellen Ruebush ◽  
Laurel Sisler ◽  
Kyle Wang ◽  
...  
Keyword(s):  
North Carolina ◽  
Quality Improvement ◽  
Tobacco Use ◽  
Treatment Effectiveness ◽  
Cancer Recurrence ◽  
Improve Patient Care ◽  
The United States ◽  
Quality Improvement Initiative ◽  
The North ◽  
Cancer Hospital

Sustained tobacco use after cancer diagnosis decreases treatment effectiveness while increasing treatment side effects, primary cancer recurrence, and the occurrence of secondary cancers. Delivering tobacco use treatment to fewer patients due to inefficient workflow represents missed opportunities to deliver life-saving care. In 2017, the National Cancer Institute initiated the Cancer Cessation Initiative (C3I) to push new tobacco cessation resources into cancer centers across the United States. This grant allowed the University of North Carolina Tobacco Treatment Program (UNC TTP) to dramatically expand tobacco use treatment (TUT) services to patients at the North Carolina Cancer Hospital (NCCH). With this push, the team saw an opportunity to utilize Lean Six Sigma, a set of quality improvement (QI) tools, to streamline their processes and uncover the root causes of program inefficiencies. A 12-month QI project using the Lean A3 problem-solving tool was implemented to examine the team’s workflow. The study team mapped out the processes and, as a result, developed multiple “experiments” to test within the NCCH to address workflow efficiency and clinical reach. Outcome measures from the baseline to follow-up included: (1) the number of new patient referrals per month, and (2) the number of counseling sessions delivered per month. From the baseline to final state, the team’s referrals increased from a mean of 10 to 24 per month, and counseling sessions increased from a mean of 74 to 84 per month. This project provided a deeper understanding of how workflow inefficiencies can be eliminated in the clinical setting, how technology can be harnessed to increase reach, and finally, that soliciting and using feedback from NCCH leadership can remove barriers and improve patient care.

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