Familial Predictors of Alcohol and Drug Use-Related Problems Among Middle-Aged and Older Adults

This study evaluated whether recent family member alcohol and substance use problems (ASP) and density of family ASP (i.e., number of members with ASP) predict alcohol-related problems and drug use-related problems among middle-aged and older adults. Data were drawn from participants (age 42–93 years, n = 2168) in the longitudinal Midlife in the United States Study (MIDUS). Poisson regression models revealed that adults’ alcohol- and drug use-related problems were predicted by similar problems among family members. In particular, parent and partner ASP, but not child ASP, predicted alcohol-related problems in the middle-aged and combined samples, while only partner ASP predicted participants’ drug use-related problems. In addition, density of family ASP predicted alcohol-related problems, but not drug use-related problems. There were no gender interactions. Study findings highlight that understanding how adult children, spouses, and aging parents impact each other’s substance use should be a priority of future aging and family research.

The moderation of the genetic risk for alcohol and drug use disorders in a Swedish national sample by the genetic aptitude for educational attainment

Background Does the genetic aptitude for educational attainment (GAEA) moderate the genetic risk for alcohol use disorder (AUD) and drug use disorder (DUD)? Methods In the native Swedish population, born 1960–1980 and followed through 2017 (n = 1 862 435), the family genetic risk score (FGRS) for AUD and DUD and GAEA were calculated from, respectively, the educational attainment and risk for AUD and DUD, of 1st through 5th degree relatives from Swedish national registers. Analyses utilized Aalen's linear hazards models. Results Risk for AUD was robustly predicted by the main effects of FGRSAUD [b = 6.32 (95% CI 6.21–6.43), z = 64.9, p < 0.001) and GAEA [b = −2.90 (2.83–2.97), z = 44.1, p < 0.001] and their interaction [b = −1.93 (1.83–2.03), z = 32.9, p < 0.001]. Results were similar for the prediction of DUD by the main effects of FGRSDUD [b = 4.65 (CI 4.56–4.74), z = 59.4, p < 0.001] and GAEA [−2.08 (2.03–2.13), z = 46.4, p < 0.001] and their interaction [b = −1.58 (1.50–1.66)), z = 30.2, p < 0.001]. The magnitude of the interactions between GAEA and FGRSAUD and FGRSDUD in the prediction of, respectively, AUD and DUD was attenuated only slightly by the addition of educational attainment to the model. Conclusions and relevance The genetic propensity to high educational attainment robustly moderates the genetic risk for both AUD and DUD such that the impact of the genetic liability to AUD and DUD on the risk of illness is substantially attenuated in those with high v. low GAEA. This effect is not appreciably mediated by the actual level of educational attainment. These naturalistic findings could form the basis of prevention efforts in high-risk youth.

Alcohol and drug use as factors for high-school learners’ absenteeism in the Western Cape

Background: School absenteeism has been studied in detail in relation to health risk behaviours using cross sectional studies.Aim: The aim of this longitudinal study was to examine the association amongst alcohol, drug use and high-school learners’ absenteeism.Setting: This study was set in the Western Cape.Methods: Data were collected at three separate time points from 2950, 2675 and 2230 grade 8 learners aged 13–18 years old on school absenteeism, alcohol and drug use and sociodemographic characteristics. Associations between school absenteeism, alcohol and cannabis and sociodemographic factors use were examined using descriptive and chi-square analyses. Binary logistic regression was performed using generalised linear mixed model analyses.Results: Results revealed that 9.3% of the learners were absent for 2 weeks in the 15 weeks of the school year. Alcohol consumption (X2 = 34.1, p 0.001; odds ratio [OR]: 1.64 (1.38–1.94), p 0.001) and smoking cannabis (X2 = 49.9, p 0.001; OR: 2.01 (1.65–2.45), p 0.001) were associated with school absenteeism at bivariate and multivariate analyses. Furthermore, alcohol (OR: 1.42 (1.06–1.89), p 0.05) and cannabis (OR: 1.57 (1.11–2.22), p 0.05) use remained robust in predicting learners school absenteeism after adjusting for age, sex and socioeconomic status.Conclusion: These findings suggest that alcohol consumption and smoking cannabis are contemporary factors associated with school absenteeism. Therefore, interventions to ensure learners’ consistent attendance to school should integrate prevention of alcohol and cannabis use.

Updates in Health Care of Adolescents: A Simple Review Article

The purpose of this study was to identify what topics adolescents would like to have discussed or addressed when visiting family physicians and to assess the extent to which such discussion is taking place. The main health issues in adolescents are; injuries as intentional injuries are the leading cause of death and disability among adolescents. Violence, mental health, alcohol and drug use, tobacco use, HIV/AIDS, other infectious diseases and early pregnancy and childbirth. There seems to be a need for more comprehensive health education in schools and for health professionals, particularly general practitioners, to opportunistically address these problems in their adolescent patients. Also parents should take their teens to their GP for treatment for these problems, hoped their doctor would be comfortable with such treatment, and wanted their doctor to discuss these problems with their teens.

Seminars in Addiction Psychiatry

This extensively revised new edition provides a practical guide to understanding, assessing and managing physical, psychological and social complications related to drug and alcohol use. It presents a clear review of the aetiology, epidemiology, prevention and treatment of the problematic use of and dependence on alcohol, illicit and prescribed drugs. In doing so it strikes a balance between theory, recent research and practical clinical guidance. New chapters focus on novel psychiatric substances, smoking cessation interventions, mutual aid groups and family interventions. Written by leading specialists in the field and closely following the MRCPsych curriculum, this book is an ideal resource for trainees preparing for their RCPsych membership examinations, but is also relevant to psychiatrists at all career levels. It will also appeal to other healthcare professionals, all of whom should be able to screen for alcohol and drug use disorders, deliver brief interventions, and signpost those with more severe disorders to specialist care.