Research suggests evidence of an association between sociodemographic determinants and illicit drug use. However, these data do not take into consideration the effect an economic obstacle, such as a recession, could have on an individual's urge to cope with this stressful period with illicit drugs. Furthermore, there is no research to suggest how clinicians and/or treatment institutions can forecast whether the use of monetary resources will be sustainable due to private and/or governmental fund reductions during an economic recession. Based on theories of social learning and social disorganization within an ecological framework, this study employed a quantitative trend analysis to explore the impact the 2007-2009 economic recession had on illicit drug use throughout the United States. A sample of respondents from the Substance Abuse and Mental Health Data Archive from 2006 to 2010 surveys was used to run the statistical analysis. Based on the analyses, age and gender (covariates) and all variables (social disorganization and Gross Domestic Product) were found to be significant predictors of illicit drug use. Although methamphetamine was not significant for prevalence over time, total drug use, cocaine, and heroin were prevalent over time based on predictors. These findings suggest local, state, and federal policies regarding the prosecution and imprisonment of nonviolent and minor drug offenders should be reprioritized towards the rehabilitation of addicts while enforcing firmer laws upon the most disruptive and severe aspects of the drug trade in order to promote a genuine positive change towards social organization.

According to the CDC, young people, aged 15-24 years, share the greatest risk of new sexually transmitted diseases (STD) and the negative impact of alcohol and drug use. The purpose of this quantitative study, based on the theory of social-psychological problem-behavior, was to analyze the 2013 YRBSS secondary data and document if a relationship existed between race/ethnicity and youth sexual behavior, alcohol consumption, and drug use for the 13,583 survey participants. A Kolmogorov-Smirnov test and Chi-Square were conducted to answer the research questions. Results indicated that American Indian/Alaskan Natives were most likely to report first sexual activity before 11 years old (7.5%), while Asians were most likely to report never having sex (76.6%). Race/ethnicity also impacted all other variables, such as drugs, with a mixture of results. Hispanic/Latinos were most likely to report higher alcohol consumption (15.12%) compared to Multiple Hispanic (5.12%), while, Multiple Non-Hispanic were more likely to report use of drugs before sexual activity (9.7%) compared to Hispanic Latinos (7.99%). Social change implication of the study called for developed and effective sustainable interventions to help youth with behavior, and it required full integration of race/ethnicity as prerequisites in alleviation strategy. Dissemination plans involved use of public health campaigns, school workshops, and churches to fight the negative impact on youth.

Thesis (MPH.) -- University of Limpopo, 2012 / Tuberculosis (TB) is the cause of 1, 8 million deaths annually, 99% of the deaths occurs in the developing countries and among the poorest people of these countries. Studies between high and low income countries demonstrate that rates of TB are significantly higher in poorer populations. World Health Organization introduced DOTS as global strategy for providing TB services which was expected to be delivered primarily by government run public health services (Malmborg, Mann, Thomson, & Squire, 2006). AIM Investigate factors that influence compliance and non-compliance to treatment among patients on tuberculosis drug treatment. STUDY SITE This study was conducted in Shiluvane local area in Greater Tzaneen Municipality under Mopani District in Limpopo Province, South Africa. One district hospital, one health centre and five clinics were selected for this study: Dr CN Phatudi hospital, Shiluvane Health Centre, Moime, Lenyenye, Mogoboya, Maake and Lephepane Clinics. (v) STUDY DESIGN This is a quantitative and qualitative study as mixed methods were used to get a comprehensive research report. SAMPLING The sample size used 150 of a given population using Morgan and Krejcie table (1994). The case register was used to select respondents. The respondents were selected according to particular interval; each second name on the list was selected. Questionnaire and structured interview was selected for data collection. Questionnaires were distributed among clients who are able to read and write for them to complete, the researcher and the assistant helped to fill questionnaires for those who cannot read or write. The study was conducted at identified hospital, health center and clinics. RESULTS Education Level, the findings of this study displays that only 3,7% of participants hold tertiary qualifications, and 50% secondary education and 37,3% of primary education. Occupation, 76.4% of participants are unemployed. Income, 52,6% of participants earn between R1000-R2999 and 17,5% does not have income. (vi) CONCLUSION In conclusion based on the results and objectives of this study compliance with drug treatment among patients with tuberculosis in Shiluvane local Area, Mopani District, Limpopo province is 90.9%.

General strain theory has received a fair amount of empirical support and theoretical elaboration over the past several years. Since the introduction of general strain theory, Agnew and others have attempted to increase the comprehensiveness of the processes involved in strain theory. Until recently, the general strain theory literature has ignored what Agnew and associates (Agnew, Brezina, Wright, & Cullen, 2002) argue may be one of the most important conditioning effects of the strain-crime relationship, namely the dispositions or personality traits of the individual experiencing strain. Recently, Agnew and associates (2002) published results from a study examining the conditioning effects of personality traits (i.e., negative emotionality and low constraint) on the strain-delinquency relationship. Their findings indicated that certain personality traits significantly condition the effect of strain on delinquency. Research has suggested that more severe personality and behavioral traits, such as psychopathy, also influence criminality. The present study examined moderating effects of both personality dispositions and psychopathic behavioral features among a sample of 137 youths referred to juvenile diversion by the court system. The results suggest that personality dispositions and psychopathic behavioral features do not significantly moderate the strain-delinquency relationship. In addition, this study conducted ad hoc analyses examining whether or not delinquency significantly increases the likelihood that subsequent strain and delinquency will result (i.e., a state dependence explanation (see Nagin & Farrington, 1992; Nagin & Paternoster, 1991)). Moderating effects of personality and psychopathy were also included in this model. Further, the role of strain as a mediator for the personality and psychopathy link to delinquency was tested. The findings suggest that delinquency exacerbated subsequent strain and delinquency levels among these youths. Personality and psychopathic features did not moderate the strain-delinquency relationship. Strain did not significantly moderate the personality-delinquency relationship. Limitations and implications for future research and policy are discussed.

The present study examined cross-sectional and longitudinal developmental characteristics of the association between mental health and substance use. N=1182 adolescents aged between 11 and 20 years were recruited from schools in Australia. Participants completed the Youth Self Report (YSR) (Achenbach, 1991a) and reported on their use of alcohol, tobacco, and marijuana, their social ability, their motivation for using substances, their ability to regulate emotion, and the influences of their parents and peers on their substance use. N=561 of time one participants were retained for testing one year later to assess the potential to predict substance use at time two from mental health at time one. Results indicated a clear and consistent cross-sectional association between externalising scores on the YSR and use of the three substances, regardless of gender. The relation between internalising scores and substance use was non-significant. When the relation between externalising scores and substance use was assessed for mediation, only the influence of parents and peers was found to be significant. A cross-sectional structural model developed to account for this association was demonstrated to be invariant across the three substances of interest, and across gender, but not age category. There was no evidence that social skills, emotion regulation, or substance use motives, had roles in mediating the relationship between mental health and substance use. A model was developed to assess the potential to predict substance use at time two from externalising scores at time one. Results showed that externalising scores predicted increases in alcohol use via parent and peer attitudes. Thus, externalising disposition, in the context of a facilitative social environment, was predictive of an increase in alcohol use over time. Structural models developed to account for the predictive relation between externalising scores and use of cigarettes and marijuana proved unstable and could not be tested. Substance use at time one was not predictive of externalising scores at time two. The results of the present research are discussed in relation to their potential to inform the developmental substance use literature, and efforts directed against the development of substance use problems. Limitations of the present research are noted.

Psychotropic drugs are mind affecting compounds. They range in type from illegal narcotic analgesics such as heroin, to prescribed major tranquillisers used for treatment of psychotic states, to prescribed minor tranquillisers such as the benzodiazepines, Valium and Mogadon, to the freely available, over the counter drugs, Aspirin and Panadol. Overseas and Australian data show the minor tranquilliser group, benzodiazepines, first introduced on the pharmaceutical scene in the early 1960s, to be the most commonly prescribed psychotropic drugs. Their popularity with medical practitioners as prescription drugs for conditions of anxiety, stress, insomnia and some forms of epilepsy, arises from the advertised inference by drug companies that they are free from any side effects in the patient such as dependence, tolerance and on termination of treatment, absence of withdrawal syndrome. Benzodiazepines were first introduced as a substitute for the well known dependence producing barbiturate based sedatives. Overseas and Australian data show women are prescribed psychotropic drugs, particularly benzodiazepines, twice as often as men and in many instances for conditions unrelated to those for which the drugs are recommended. Australian data comes from two sources, official statistics such as the Pharmaceutical Benefits Scheme and from surveys of drug use. Both sources of data are incomplete, inaccurate and in many cases misleading. The true picture of prescribed psychotropic drug use in Australia therefore lacks resolution and in all probability underestimates prevalence and patterns of use in the community. There is no data on the prevalence and patterns of use of prescribed psychotropic drugs in the Australian Capital Territory. It was therefore deemed appropriate to conduct a survey to determine their prevalence and patterns of use. The survey was confined to women for several reasons: Women are a target group in the Commonwealth and State Government 'Drug Offensive'; evidence from studies overseas and in Australia shows that women are prescribed psychotropic drugs, particularly benzodiazepines, twice as often as men; Australian data suggests that this trend is uniform and therefore the Australian Capital Territory should be no different. Data shows that doctors, particularly General Practitioners, are the main source of prescribed psychotropic drugs. The main psychotropic drugs prescribed by general practitioners are benzodiazepines. It was therefore deemed appropriate to conduct a survey of general practitioner's attitudes, knowledge and beliefs about the appropriate use of benzodiazepines as these factors carry weight in a doctor's prescribing habits. The survey of women was conducted using a standardised, structured, telephone survey on a random sample of 120 women in the Australian Capital Territory. The results of the survey show that 40% of the sample had used prescribed psychotropics at some stage in their lives. Most users were older women, married, well educated and working full time. Level of knowledge about the drug was low, compliance with respect to use was high. Most prescribed psychotropic drugs were obtained from a doctor. There appears to be little drug sharing or concurrent drug use. Half of the prescribed psychotropics were benzodiazepines the other half were mostly anti-depressants. Use of over the counter psychotropics was very high. The survey of general practitioners was conducted using a standardised, structured mailed questionnaire distributed to a random sample of 25 general practitioners in the Australian Capital Territory. The results show the majority of doctors prescribe the drugs for common indications (anxiety, stress, insomnia and some forms of epilepsy) in excess of one week. For specific anxiety states however, most prescribe the drugs along with some form of counselling. The majority of doctors (77%) think counselling is not as effective as drug treatment. All doctors surveyed think patients should be advised of the drugs effects on driving and machinery operation; the drugs should not be shared with others; that the drugs should not be terminated abruptly; the drugs should not be used concurrently with alcohol. The majority (92%) believe benzodiazepines are over prescribed and most doctors (77%) believe the drugs produce dependence in patients. The majority (58%) believe women of child bearing age are at risk using benzodiazepines while 50% think pregnant women are at risk. The majority of doctors did not believe that people older than 60 years of age are at risk but most believe children are at risk. The findings of both surveys have implications for health educators and others with a concern for drug education in the community. Recommendations arising from this study have been made. They are presented at the conclusion of this thesis.

Much-needed research on Thai adolescents (age 15-19), the fastest growing group of AIDS victims in Thailand, this study differentiates risk behavior among classes, unlike most AIDS research in Thai society, and focuses on how gender and economic factors among adolescents influence their risk-behavior patterns leading to the contraction of HIV/AIDS. Using ethnographic methods focusing on class and gender, I identified several risk-taking behaviors. Each class in Thai society tends to be at-risk from a different level of sexual relationships and drug use. The lower class seems to be the most at risk because of having many sexual partners, having unprotected sex, and sharing needles while, those in the middle class use only personal screening for their sexual partners and also sharing needles. Although the higher class is less at risk compared with other classes, a few do visit prostitutes and consume drugs. Class is also correlated to the level of knowledge and education about AIDS. Although each received the same health education provided through the same source and same health text, adolescents in each class catch the message differently. My research data showed that adolescents of the higher class showed a more complete knowledge about AIDS. There are also many patterns of HIV/AIDS risk-taking behaviors that correlate to cultural gender differences. Although all classes appear to adhere to the ideal norm of virginity being the best sexual-practice, in reality, this only applies to members of the upper class. The middle and, especially, the lower classes do not apply this norm to themselves at all: They practice premarital sex, even though they may verbalize the ideal norm. Other studies have focused on gender relations according to this ideal Thai norm; however, this ideology does not match the reality. In conclusion, with the lack of research in this area, Thai adolescents are being placed at greater risk. Thus, I make recommendations for further research and prevention methods. For example, health education should be more up-to-date and explain to adolescents the connection between sexual relationships and AIDS rather than focusing primarily on the reproductive process. Further, parents, schools, and teenagers themselves can visit with health professionals at the hospitals and anonymous clinics to learn more about STDs, especially, HIV/AIDS. If put into practice, these recommendations will positively reduce the spread of AIDS in Thailand. / Graduation date: 1999

This dissertation sought to identify correlates of perceived self-efficacy to disclose drug use to one’s HIV primary care provider (DISDR) among a sample of HIV-positive injection drug users (IDUs). Additionally the relationship between identified correlates and DISDR was evaluated to determine whether it persists longitudinally. Potential correlates consisted of individual characteristics (socio-demographic), health care service utilization, sex/drug use behaviors, and psychosocial characteristics. It was postulated that selected variables from these domains would be associated with DISDR. This study presents baseline and longitudinal data that suggest a positive association between self-efficacy to disclose injection drug use to one’s HIV primary care provider and the following variables: patient-provider relationship, attendance of a drug treatment program during the previous six months, “taking control of one’s healthcare,” and social support. However, current receipt of HIV medications and being recruited from the city of Miami were negatively associated with reporting a high DISDR. These findings will potentially inform interventions that can improve HIV treatment among drug users and inform policymakers and stakeholders regarding the importance of providing comprehensive HIV care in conjunction with substance abuse treatment options to achieve optimal health outcomes. A recommendation for further study is enclosed.

Relapse is a common occurrence in the treatment of adolescent substance abuse. It is estimated that one out of three adolescents will relapse after treatment termination. Although much attention has been given to family factors which influence an adolescent's use and abuse of drugs, this same vigorous attention has not been given to determining if family factors play a role in an adolescent resuming drug use after treatment termination. It has been theorized that the same family factors which increase the risk of an adolescent to use and abuse drugs also can help in gaining an understanding of why relapse occurs. Three prominent theories used to explain family factors associated with drug use/abuse and relapse are genetic and social learning theories, and family dysfunction. The purpose of this study was to investigate if familial factors, as proposed from the theories presented, were predictive of relapse. The sample in this study consisted of 31 adolescents who entered drug treatment between 1986 and 1988. Follow-up data of the adolescent's pattern of drug use since treatment discharge were collected through telephone interviews with the parent or guardian of the adolescent one and a half to nineteen months after treatment. The family information used in this study was collected through self-report questionnaires given to the adolescent at time of treatment. Specific family variables used in this study were: parental and sibling substance abuse history, number of parents in residence, past experience of physical and/or sexual abuse, and history of running away from home. Regression analyses were used to assess if these family variables were associated with relapse. Results of the data analyses found partial support for genetic and social learning theories of relapse, as well as relapse from a family dysfunction perspective. Findings indicated that adolescents who lived with only one parent or neither parent in comparison to those who lived with both parents, those who had experienced physical and/or sexual abuse, and those who perceived their father as not having a history of substance abuse were more at risk to relapse. Findings further indicated a cross-gender effect in that male adolescents who reported mother as having a substance abuse history were more likely to relapse. This same finding was not found for females in this study. The results indicate that given specific family dynamics, a sub-population of adolescents may be targeted on entrance to treatment to be at greater risk to relapse. / Graduation date: 1991

The transmission and prevalence of Hepatitis C Virus (HCV) among those who use injection drugs is a major public health issue. Injection drug use has been identified as the main cause of transmission for HCV in Canada. Street youth are at risk for acquiring HCV due to injection drug use that is often a consequence of living in a street environment. Presently, research on prevalence trends, characteristics, and associated behaviors for injection drug use and HCV in street youth, is limited. <p>The purposes of this study were to determine prevalence of injection drug use and HCV in Saskatoon street youth, to identify demographic or other factors that may contribute to street youth using injection drugs, and to identify risk factors and other characteristics of street youth associated with HCV. This study utilized data from Phase III of the Enhanced STD Surveillance in Canadian Street Youth Study by Health Canada for those participants recruited from Saskatoon, Canada. Between February and July 2001, 186 Saskatoon street youth participants between the ages 14 and 24 years completed nurse-administered questionnaires and of these, 156 provided blood specimens. Analyses were conducted to compare population characteristics between street youth who have used injection drugs and those who had not. Similarly, population characteristics were analyzed among those street youth who were antibody-HCV positive and those that were antibody HCV negative.<p>In this study 32.3% of 186 participants had used injection drugs. Significant associations with injection drug use were found for older age (p = 0.01), having sexual partners that use injection drugs (p = 0.01), history of incarceration (p = 0.01), and history of living on the street (p = 0.02). Significant interactions were found for sex trade work by gender (p < 0.01) and by age (p = 0.03), and for living on the street by age (p = 0.02). A HCV prevalence rate of 9.3% of 156 participants was determined for Saskatoon street youth. Use of Ritalin by injection (p = 0.04) and history of living on the street (p = 0.05) were found to be significant risk factors associated with HCV. The interaction of living on the street by gender was also significantly associated with HCV (p = 0.05). <p>The relationship identified between HCV and injection drug use in Saskatoon street youth was a history of living on the street. This link between could serve as a valuable marker for use of injection drugs and developing HCV infection in street youth. Nurses are encouraged to seek out street youth social networks to provide health care and messages of health promotion and disease prevention. Strategies that are culturally, socially, and developmentally appropriate are needed to keep these youth off the streets in the first place.