scholarly journals Adolescent Behavioral Characteristics Mediate Familial Effects on Alcohol Use and Problems in College-Bound Students

2020 ◽  
Vol 14 ◽  
pp. 117822182097092
Author(s):  
April L Brown ◽  
Roberto A España ◽  
Chelsie E Benca-Bachman ◽  
Justine W Welsh ◽  
Rohan HC Palmer
Keyword(s):  
Substance Use ◽  
Family History ◽  
Alcohol Use ◽  
Internalizing Problems ◽  
Age Of Onset ◽  
Self Report ◽  
Behavioral Characteristics ◽  
Illicit Substance ◽  
Illicit Substance Use ◽  
History Of

Background: Studies suggest a broad spectrum of behaviors associated with drinking. Consequently, it is unclear whether patterns of familial risk for psychopathology are directly or indirectly related to patterns of alcohol use and problems in late adolescence or mediated by behavioral characteristics, such as temperament, mood. Objectives: We examined direct and indirect effects of perceived family history of psychopathology on pre-collegiate alcohol use and problems via the Transmissible Liability Index (TLI). Methods: Participants (N = 302; 29.6% male) provided self-report data on age of onset of drinking, past 90-day frequency of alcohol use and problems (AUP), family history of internalizing and alcohol and illicit substance use, and TLI. Results: Approximately 21% of participants reported having at least one relative with a history of regular and/or problematic alcohol use, compared to 12% for illicit substance use, and −55% for internalizing problems. Higher TLI scores were associated with increased family history of substance use, alcohol use, and internalizing problems, as well as earlier age of onset of drinking. Family history of internalizing problems was the most robust indicator of AUP (β = 0.20 [95% CI = 0.04-0.36], P = .01). Path analyses suggested that the individual-level behaviors that comprise TLI mediate the effects of family history on age of initiation and regular alcohol consumption. Conclusions: Family history of internalizing, drinking, and illicit substance use reflect generalized risk for a broad set of behaviors associated with risk for alcohol initiation and use during the transition from high school to college.

scholarly journals Adolescent Behavioral Characteristics Mediate Familial Effects on Alcohol Use and Problems in College-bound Students

2019 ◽  
Author(s):  
April L. Brown ◽  
Roberto A. Espana ◽  
Chelsie Benca-Bachman ◽  
Justine W. Welsh ◽  
Rohan Palmer
Keyword(s):  
Substance Use ◽  
Family History ◽  
Alcohol Use ◽  
Internalizing Problems ◽  
Age Of Onset ◽  
Individual Characteristics ◽  
Self Report ◽  
Illicit Substance ◽  
Illicit Substance Use ◽  
History Of

Background: Alcohol use and problems are complex behaviours influenced by individual characteristics, such as temperament, mood. Studies suggest a broad spectrum of behaviours associated with drinking, which makes it unclear whether patterns of familial risk for drinking are directly or indirectly related to patterns of alcohol use and problems in late adolescence. Objectives: We examined direct and indirect effects of perceived family history of psychopathology on pre-collegiate alcohol use and problems via the Transmissible Liability Index (TLI).Methods: Participants (N=302; 29.6% male) provided self-report data on age of onset of drinking, past 90-day alcohol use and problems, family history of internalizing and alcohol and illicit substance use, and TLI. Results: Approximately 21% of participants reported having at least one relative with a history of regular and/or problematic alcohol use, compared to 12% for illicit substance use, and ~55% for internalizing problems. Higher TLI scores were associated with increased family history of substance use, alcohol use, and internalizing problems, as well as earlier age of onset of drinking. Family history of internalizing problems was the most robust indicator of AUP (β = 0.20 [95% CI = 0.04 - 0.36], p = 0.01). Path analyses suggested that the individual-level behaviours that comprise TLI mediate the effects of family history on age of initiation and regular alcohol consumption. Conclusions: Family history of internalizing, drinking, and illicit substance use reflect generalized risk for a broad set of behaviours associated with risk for alcohol initiation and use during the transition from high school to college.

scholarly journals Independent risk factors for chronic illicit substance use during pregnancy

2020 ◽  
Vol 16 (5) ◽  
pp. 351-356
Author(s):  
Manuel C. Vallejo, MD, DMD ◽  
Robert E. Shapiro, MD ◽  
Mitchell W. Lippy, BS ◽  
Christa L. Lilly, PhD ◽  
Leo R. Brancazio, MD
Keyword(s):  
Substance Use ◽  
Alcohol Use ◽  
Medical Center ◽  
Academic Medical Center ◽  
Illicit Substance ◽  
Illicit Substance Use ◽  
Academic Medical ◽  
Multiple Variable ◽  
History Of ◽  
Independent Risk Factors

Objective: We aimed to determine the incidence of chronic illicit substance use during pregnancy and to identify associated risk factors.Design: A 2-year time-matched retrospective maternal quality control database (n = 4,470) analysis of parturients with chronic illicit substance use compared to controls.Setting: A tertiary academic medical center located in a rural setting.Results: The rate of chronic illicit substance use was 1.95 percent. Demographic factors associated with chronic illicit substance use in pregnancy-included lower body mass index (BMI; OR: 0.93; 95 percent CI: 0.89-0.96, p 0.0001), higher gravidity (OR: 1.24; 95 percent CI: 1.13-1.36, p 0.0001), higher parity (OR: 1.38; 95 percent CI: 1.22-1.57, p 0.0001), and more live births (OR: 1.30; 95 percent CI: 1.16-1.46, p 0.0001). A history of smoking (OR: 10.51; 95 percent CI: 5.69-19.42, p 0.0001), alcohol use (OR: 48.98; 95 percent CI: 17.33-138.40, p 0.0001), anxiety (OR: 1.88; 95 percent CI: 1.16-3.05, p = 0.01), depression (OR: 2.44; 95 percent CI: 1.55-3.85, p = 0.0001), transfer on admission (OR: 2.12; 95 percent CI: 1.16-3.87, p = 0.01), payor insurance (OR: 2.12, 95 percent CI: 2.10-5.04, p 0.0001), and Apgar scores 7 at 1 minute (OR: 0.50; 95 percent CI: 0.25-1.00, p = 0.049) were significant. Multiple variable logistic regression-revealed BMI, smoking, alcohol use, and Apgar score 7 at 1 minute as significant factors.Conclusions: Awareness of these factors can assist in identifying and treating parturients with chronic illicit substance use.

scholarly journals The role of pubertal timing in the link between family history of alcohol use disorder and late adolescent substance use

2020 ◽  
Vol 210 ◽  
pp. 107955
Author(s):  
Alexander S. Weigard ◽  
Jillian E. Hardee ◽  
Robert A. Zucker ◽  
Mary M. Heitzeg ◽  
Adriene M. Beltz
Keyword(s):  
Substance Use ◽  
Family History ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Pubertal Timing ◽  
Adolescent Substance Use ◽  
Late Adolescent ◽  
Adolescent Substance ◽  
History Of

scholarly journals Validity Of Self-reported Alcohol And Other Drug Use Among Pregnant Women Attending Midwife Obstetric Units In The Cape Metropole, South Africa

2019 ◽  
Author(s):  
Petal Petersen Williams ◽  
Catherine Mathews ◽  
Esme Jordaan ◽  
Yukiko Washio ◽  
Mishka Terplan ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Use ◽  
Pregnant Women ◽  
Predictive Value ◽  
Urine Analysis ◽  
Standard Of Care ◽  
Self Report ◽  
Urine Screening ◽  
Illicit Substance ◽  
Illicit Substance Use

Abstract Background: This paper examines the validity of self-report of alcohol and other drug use in a South African cohort of pregnant women by comparing simple questioning about alcohol and other drug use (yes/no), a standardized screening tool (Alcohol, Smoking and Substance Involvement Screening Test; ASSIST, and urine analysis. Method: An observational study among women in eleven public prenatal clinics was conducted. Dichotomous verbal screening is a standard of care, and pregnant patients reporting alcohol and substance use in dichotomous verbal screenings were asked to engage in screening using the ASSIST and urinalysis. Results: Significant agreements between dichotomous and ASSIST scores were observed (K = 0.73-0.76). A higher rate of self-reported (36.9%) alcohol use was detected, relative to urine screening (19.6%) with a predictive value of 34.9; while underreporting of illicit substance use was observed (3.6% self-report vs 8.8% urine screening) with an overall predictive value of 50.0. Conclusion: Dichotomous verbal screening was considered valid after comparison with the ASSIST; however, combined use with urine screenings can be recommended especially for identifying illicit substance use in order to accurately detect alcohol and other drug use in pregnancy so that women can be identified and referred for appropriate interventions where needed.

scholarly journals Validation of simple dichotomous self-report on prenatal alcohol and other drug use in women attending midwife obstetric units in the Cape Metropole, South Africa

2020 ◽  
Vol 15 (4) ◽  
pp. 181-186
Author(s):  
Petal Petersen Williams ◽  
Catherine Mathews ◽  
Esmé Jordaan ◽  
Yukiko Washio ◽  
Mishka Terplan ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Use ◽  
Drug Use ◽  
Pregnant Women ◽  
Predictive Value ◽  
Self Report ◽  
Urine Screening ◽  
Illicit Substance ◽  
Illicit Substance Use ◽  
Prenatal Alcohol

Background This paper examines the degree of agreement among simple dichotomous self-report, validated screening results, and biochemical screening results of prenatal alcohol and other drug use among pregnant women. Method Secondary analysis was conducted on a cohort of pregnant women 16 years or older, presenting for prenatal care in the greater Cape Town, South Africa. Dichotomous verbal screening is a standard of care, and pregnant patients reporting alcohol and other drug use in dichotomous verbal screenings were asked to engage in screening using the Alcohol Smoking and Substance Involvement Screening Test (ASSIST) and urinalysis. Results Significant agreements between dichotomous and ASSIST scores were observed (K = 0.73–0.76). A higher rate of self-reported (36.9%) alcohol use was detected, relative to urine screening (19.6%) with a predictive value of 34.9; while underreporting of illicit substance use was observed (3.6% self-report vs. 8.8% urine screening) with an overall predictive value of 50.0. Conclusion Dichotomous verbal screening was considered valid after comparison with the ASSIST; however, combined use with urine screenings can be recommended especially for identifying illicit substance use in order to accurately detect alcohol and other drug use in pregnancy, so that women can be identified and referred for appropriate interventions where needed.

Using ICD-10-CM codes to detect illicit substance use: A comparison with retrospective self-report

2021 ◽  
Vol 221 ◽  
pp. 108537
Author(s):  
Christopher L. Rowe ◽  
Glenn-Milo Santos ◽  
Wiley Kornbluh ◽  
Sumeet Bhardwaj ◽  
Mark Faul ◽  
...  
Keyword(s):  
Substance Use ◽  
Self Report ◽  
Illicit Substance ◽  
Illicit Substance Use ◽  
Icd 10

Illicit substance use among Tunisian college students: prevalence and risk factors

2017 ◽  
Vol 30 (6) ◽  
Author(s):  
Zedini Chekib ◽  
Nawel Zammit ◽  
Limam Manel ◽  
Mellouli Menel ◽  
Meriam Elghardallou ◽  
...  
Keyword(s):  
College Students ◽  
Substance Use ◽  
Alcohol Use ◽  
Risk Behaviors ◽  
Strong Association ◽  
Academic Failure ◽  
Influential Factors ◽  
Cross Sectional ◽  
Illicit Substance ◽  
Illicit Substance Use

Abstract Background Illicit substance use among college students represents one of the most complicated social problems. Studying its predictors could help deal with this problem more efficiently. Aims To determine the prevalence of life time illicit substance use and its predictors among Tunisian college students. Methods A cross-sectional study was conducted in five colleges in the region of Sousse, Tunisia in the 2012–2013 school year. A sample of 556 college students responded to an anonymous self-administrated questionnaire. Collected data concerned socio-demographic characteristics and substances use. Results The mean age of students was 21.8 ± 2.2 years. Females represented 51.8% of participants. Among respondents: 31 (5.6%) had used illicit substance at least once. Cannabis was the main substance used by 26 (4.7%) students. The average age of the illicit substance use initiation was 19 (±2.5) years while it was almost 17 (±3) years for both tobacco and alcohol use initiations. Proportions of male students and academic failure were significantly more important among illicit substance users than among non users. While the most influential factors on illicit substance use were: alcohol use, tobacco use and low socioeconomic level. Conclusion This study highlights the strong association between the other risk behaviors and illicit drug use. Future interventions should focus on the whole risk behaviors simultaneously at late adolescence with regard to the environmental context.

scholarly journals Self-report of illicit substance use versus urine toxicology results from at-risk pregnant women

2010 ◽  
Vol 16 (5) ◽  
pp. 372-380 ◽  
Author(s):  
Kimberly A. Yonkers ◽  
Heather B. Howell ◽  
Nathan Gotman ◽  
Bruce J. Rounsaville
Keyword(s):  
At Risk ◽  
Substance Use ◽  
Pregnant Women ◽  
Self Report ◽  
Illicit Substance ◽  
Illicit Substance Use ◽  
Urine Toxicology

scholarly journals Externalizing Risk Pathways for Adolescent Substance Use and Its Developmental Onset: A Canadian Birth Cohort Study: Trajectoires de comportements extériorisés et le risque pour l’initiation et l’usage de substances des adolescents : Une étude de cohorte de naissance canadienne

2021 ◽  
pp. 070674372098242
Author(s):  
Sylvia Maria Leonarda Cox ◽  
Natalie Castellanos-Ryan ◽  
Sophie Parent ◽  
Chawki Benkelfat ◽  
Frank Vitaro ◽  
...  
Keyword(s):  
Substance Use ◽  
Family History ◽  
Alcohol Use ◽  
Birth Cohort ◽  
Sensation Seeking ◽  
Externalizing Behaviors ◽  
Adolescent Substance Use ◽  
Adolescent Substance ◽  
Substance Use Problems ◽  
History Of

Objective: Only a minority of drug and alcohol users develops a substance use disorder. Previous studies suggest that this differential vulnerability commonly reflects a developmental trajectory characterized by diverse externalizing behaviors. In this study, we examined the relation between child and adolescent externalizing behaviors and adolescent substance use in a prospectively followed Canadian birth cohort, accounting for the temporal sequence of a wide variety of contributing factors. Methods: Two hundred and forty-two adolescents followed since birth (date range: 1996 to 2012) were assessed on externalizing behavior (age 17 months to 16 years), alcohol and cannabis use at age 16, age of alcohol use onset, family history of substance use problems, family functioning (age 11 to 15), sensation seeking (age 16), prenatal substance exposure, socioeconomic status (age 1 to 9), and sex. Results: Age of alcohol use onset was predicted by a family history of substance use problems, externalizing traits from ages 6 to 10 and 11 to 16, sensation seeking at age 16, prenatal alcohol and tobacco exposure and family functioning at ages 11 to 15. High frequencies of alcohol and cannabis use at age 16 were both predicted by externalizing traits from ages 11 to 16, a family history of substance use problems and sensation seeking after controlling for other individual, environmental and familial variables. The association between familial substance use problems and substance use during adolescence was partially mediated by externalizing traits from age 11 to 16. Conclusions: The present findings provide prospective evidence for a developmental risk pathway for adolescent substance use, potentially identifying those who could benefit from early interventions.

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