scholarly journals How to prevent alcohol and illicit drug use among students in affluent areas: a qualitative study on motivation and attitudes towards prevention

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Pia Kvillemo ◽  
Linda Hiltunen ◽  
Youstina Demetry ◽  
Anna-Karin Carlander ◽  
Tim Hansson ◽  
...  
Keyword(s):  
Substance Use ◽  
Parental Involvement ◽  
Parental Influence ◽  
Peer Group ◽  
Control Measures ◽  
Substance Use Prevention ◽  
Social Milieu ◽  
The Social ◽  
Prevention Interventions ◽  
Selective Prevention

Abstract Background The use of alcohol and illicit drugs during adolescence can lead to serious short- and long-term health related consequences. Despite a global trend of decreased substance use, in particular alcohol, among adolescents, evidence suggests excessive use of substances by young people in socioeconomically affluent areas. To prevent substance use-related harm, we need in-depth knowledge about the reasons for substance use in this group and how they perceive various prevention interventions. The aim of the current study was to explore motives for using or abstaining from using substances among students in affluent areas as well as their attitudes to, and suggestions for, substance use prevention. Methods Twenty high school students (age 15–19 years) in a Swedish affluent municipality were recruited through purposive sampling to take part in semi-structured interviews. Qualitative content analysis of transcribed interviews was performed. Results The most prominent motive for substance use appears to be a desire to feel a part of the social milieu and to have high social status within the peer group. Motives for abstaining included academic ambitions, activities requiring sobriety and parental influence. Students reported universal information-based prevention to be irrelevant and hesitation to use selective prevention interventions due to fear of being reported to authorities. Suggested universal prevention concerned reliable information from credible sources, stricter substance control measures for those providing substances, parental involvement, and social leisure activities without substance use. Suggested selective prevention included guaranteed confidentiality and non-judging encounters when seeking help. Conclusions Future research on substance use prevention targeting students in affluent areas should take into account the social milieu and with advantage pay attention to students’ suggestions on credible prevention information, stricter control measures for substance providers, parental involvement, substance-free leisure, and confidential ways to seek help with a non-judging approach from adults.

scholarly journals The Living the Example Social Media Substance Use Prevention Program: A Pilot Evaluation

2017 ◽  
Vol 4 (2) ◽  
pp. e24 ◽  
Author(s):  
William Evans ◽  
Elizabeth Andrade ◽  
Sandra Goldmeer ◽  
Michelle Smith ◽  
Jeremy Snider ◽  
...  
Keyword(s):  
New York ◽  
Social Media ◽  
Substance Use ◽  
Logistic Regression ◽  
High Schools ◽  
Drug Use ◽  
Substance Use Prevention ◽  
Upstate New York ◽  
Prevention Messages ◽  
The Social

Background Adolescent substance use rates in rural areas of the United States, such as upstate New York, have risen substantially in recent years, calling for new intervention approaches in response to this trend. The Mentor Foundation USA conducts the Living the Example (LTE) campaign to engage youth in prevention using an experiential approach. As part of LTE, youth create their own prevention messages following a training curriculum in techniques for effective messaging and then share them via social media. This paper reports on a pilot evaluation of the LTE program. Objective To conduct a pilot test of LTE in two rural high schools in upstate New York. We hypothesized that positive antidrug brand representations could be promoted using social media strategies to complement the Shattering the Myths (STM) in-person, event-based approach (hypothesis 1, H1), and that youth would respond positively and engage with prevention messages disseminated by their peers. We also hypothesized that exposure to the social media prevention messages would be associated with more positive substance use avoidance attitudes and beliefs, reductions in future use intentions, and decreased substance use at posttest (hypothesis 2, H2). Methods We adapted a previously published curriculum created by the authors that focuses on branding, messaging, and social media for prevention. The curriculum consisted of five, one-hour sessions. It was delivered to participating youth in five sequential weeks after school at the two high schools in late October and early November 2016. We designed a pre- and posttest pilot implementation study to evaluate the effects of LTE on student uptake of the intervention and short-term substance use and related outcomes. Working at two high schools in upstate New York, we conducted a pilot feasibility evaluation of LTE with 9th-grade students (ie, freshmen) at these high schools. We administered a 125-item questionnaire online to capture data on media use; attitudes toward social media; next 30-day personal drug use intentions; personal reasons to use drugs; reasons participants believe their peers would use drugs; self-reported exposure to the LTE program; and receptivity to the LTE program, among those reporting exposure. We constructed multivariable logistic regression models to analyze the relationship between program receptivity and outcomes. First, in a cross-sectional logistic regression model, we regressed self-reported LTE message receipt on drug use intent and actions related to LTE messaging. Then, for analysis of participants with matched pre- and posttest responses, we used multilevel generalized estimating equation (GEE) techniques to model changes in behavior from baseline to follow-up. Results Youth reported increased intentions to use marijuana (odds ratio [OR] 2.134, P=.02) between pre- and posttest. However, youth who reported exposure and receptivity to LTE reported a significant decrease in intentions (OR 0.239, P=.008). We observed a similar pattern for sedatives/sleeping pills—an increase in intentions overall (OR 1.886, P=.07), but a decrease among youth who reported exposure and receptivity to LTE (OR 0.210, P=.02). We saw the same pattern for use of any drug—an increase in reported intentions overall (OR 2.141, P=.02), but a decrease among youth who reported exposure and receptivity to LTE (OR 0.111, P=.004). Conclusions We observed some evidence of significant LTE program effects. Social media may be an effective strategy for peer-to-peer substance use prevention in the future. These findings point both to the potential of LTE and the social media diffusion model and to the need for more research on a larger scale with an expanded youth population in the future.

Performing Masculinity and the Crisis of Transclass Man in August Wilson’s Drama

2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Khatija Bibi Khan ◽  
Owen Seda
Keyword(s):  
Social Identity ◽  
Social Values ◽  
Social Construct ◽  
Cultural Experience ◽  
Great Cost ◽  
Social Milieu ◽  
Male Characters ◽  
The Social ◽  
North End

Feminist critics have identified the social constructedness of masculinity and have explored how male characters often find themselves caught up in a ceaseless quest to propagate and live up to an acceptable image of manliness. These critics have also explored how the effort to live up to the dictates of this social construct has often come at great cost to male protagonists. In this paper, we argue that August Wilson’s Ma Rainey’s Black Bottom and Joe Turner’s Come and Gone present the reader with a coterie of male characters who face the dual crisis of living up to a performed masculinity and the pitfalls that come with it, and what Mazrui has referred to as the phenomenon of “transclass man.” Mazrui uses the term transclass man to refer to characters whose socio-economic and socio-cultural experience displays a fluid degree of transitionality. We argue that the phenomenon of transclass man works together with the challenges of performed masculinity to create characters who, in an effort to adjust to and fit in with a new and patriarchal urban social milieu in America’s newly industrialised north, end up destroying themselves or failing to realise other possibilities that may be available to them. Using these two plays as illustrative examples, we further argue that staged masculinity and the crisis of transclass man in August Wilson’s plays create male protagonists who break ranks with the social values of a collectively shared destiny to pursue an individualistic personal trajectory, which only exacerbates their loss of social identity and a true sense of who they are.

Coronavirus: Towards controlling of the pandemic - Indian scenario

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 462-468
Author(s):  
Latika kothari ◽  
Sanskruti Wadatkar ◽  
Roshni Taori ◽  
Pavan Bajaj ◽  
Diksha Agrawal
Keyword(s):  
Control Measures ◽  
The Novel ◽  
Medical Treatments ◽  
Health Crisis ◽  
The Public ◽  
Infection Control Measures ◽  
The Social ◽  
Asking Questions ◽  
The Government ◽  
Novel Coronavirus

Coronavirus disease 2019 (COVID-19) is a communicable infection caused by the novel coronavirus resulting in severe acute respiratory syndrome coronavirus 2 (SARS-CoV). It was recognized to be a health crisis for the general population of international concern on 30th January 2020 and conceded as a pandemic on 11th March 2020. India is taking various measures to fight this invisible enemy by adopting different strategies and policies. To stop the COVID-19 from spreading, the Home Affairs Ministry and the health ministry, of India, has issued the nCoV 19 guidelines on travel. Screening for COVID-19 by asking questions about any symptoms, recent travel history, and exposure. India has been trying to get testing kits available. The government of India has enforced various laws like the social distancing, Janata curfew, strict lockdowns, screening door to door to control the spread of novel coronavirus. In this pandemic, innovative medical treatments are being explored, and a proper vaccine is being hunted to deal with the situation. Infection control measures are necessary to prevent the virus from further spreading and to help control the current situation. Thus, this review illustrates and explains the criteria provided by the government of India to the awareness of the public to prevent the spread of COVID-19.

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