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This study explores how drinking status, religiosity, and religious affiliation are associated with beliefs about alcohol usage among African American women 55 years of age and older. The relation between religion and attitudes and behaviours related to alcohol suggest that the church could be sued as a vehicle for the dissemination of educational information about alcohol use and possible treatment options.
Alcohol is a killerâ€"1 of every 13 deaths in the United States is alcohol-related. In addition, 5 percent of the population consumes 50 percent of the alcohol. The authors take a close look at the problem in a "classy little study," as The Washington Post called this book. The Library Journal states, "...[T]his is one book that addresses solutions....And it's enjoyably readable....This is an excellent review for anyone in the alcoholism prevention business, and good background reading for the interested layperson." The Washington Post agrees: the book "...likely will wind up on the bookshelves of counselors, politicians, judges, medical professionals, and law enforcement officials throughout the country."
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
Alcohol use by young people is extremely dangerous - both to themselves and society at large. Underage alcohol use is associated with traffic fatalities, violence, unsafe sex, suicide, educational failure, and other problem behaviors that diminish the prospects of future success, as well as health risks â€" and the earlier teens start drinking, the greater the danger. Despite these serious concerns, the media continues to make drinking look attractive to youth, and it remains possible and even easy for teenagers to get access to alcohol. Why is this dangerous behavior so pervasive? What can be done to prevent it? What will work and who is responsible for making sure it happens? Reducing Underage Drinking addresses these questions and proposes a new way to combat underage alcohol use. It explores the ways in which may different individuals and groups contribute to the problem and how they can be enlisted to prevent it. Reducing Underage Drinking will serve as both a game plan and a call to arms for anyone with an investment in youth health and safety.
Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.
Help children overcome the increasing dangers they face because of their parents’ addictions Impact of Substance Abuse on Children and Families addresses the growing concern over children at risk of developing physical and mental health problems because of their parents’ addictions to alcohol and other drugs (AOD), including a chapter on the troubling increase of methamphetamine abuse by parents. The book’s contributors examine current research findings from the United States, Australia, Ireland, and Israel to provide much-needed insight into the effects of addiction on family dynamics, parental attachment styles, and family characteristics. The book also looks at the impact of addiction on school-aged children and on mothers in residential treatment with their children, survey assessment instruments and treatment outcomes, and the value of Student Assistance Services for older children. Almost 25 percent of children in the United States live in a household where a parent or other adult is a heavy or binge drinker. More than 10 percent live in family where illicit drugs are used. Children of alcoholics are nearly 10 times more likely to develop an alcohol use disorder as other children, and often develop behavior problems such as depression, anxiety, attention deficit hyperactivity disorder, conduct disorder, and oppositional defiant disorder. Children of illicit drug abusers are more likely than other children to demonstrate immature, impulsive, or irresponsible behavior, to have lower IQ scores, and poorer school attendance. Impact of Substance Abuse on Children and Families focuses on these critical and often ignored aspects of addiction, providing the latest evidence-based qualitative and quantitative research findings, as well as a summary of available literature. Impact of Substance Abuse on Children and Families examines: the impact on children at various developmental stages the role of the family as a treatment resource alcohol problems and marriage parental attachment styles of drug-using fathers family cohesion and adaptability self-in-relations theory family-centered service models the Strengths and Difficulties Questionnaire (SDQ) adolescent substance abuse treatment online treatment options Impact of Substance Abuse on Children and Families is an essential resource for both academics and practitioners working in social work, addictions counseling, sociology, psychology, public health, and family and children’s studies.