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.

This study investigated the prevalence of workplace drug prevention programs with regards to employee drug policies, drug testing, and employee assistance programs in a sample of Oregon manufacturing companies. The objectives of the study included: 1) identifying the contributing factors that supported the decision to implement or not implement a workforce drug policy and or a drug testing program; 2) identifying the different drug testing programs in use; 3) assessing how companies evaluated their drug testing programs; and 4) identifying the drug abuse-related services being provided through company employee assistance programs. A sample of 152 Oregon manufacturing companies with 100 or more employees was obtained from the Directory of Oregon Manufacturers, 1989-1990. A researcher-designed instrument was used to collect the information. Statistical procedures used for data analysis included frequency distribution, cross tabulation, and chi square. Approximately 80 percent of the manufacturing companies surveyed had a written workplace drug policy (83 percent) and a drug testing program (81 percent). In addition, 75 percent of the organizations had an employee assistance program which provided drug abuse-related services. Differences between manufacturers with drug polices and those without policies were not significant when comparisons were made based on company size and industry classification. Statistically significant differences were found between companies utilizing drug tests and those not testing when comparisons were made based on company size and industrial classification. Companies with drug testing programs (n= 123) administered tests to both job applicants (97 percent) and employees (92 percent). Applicants testing positive for drug use were not hired by most companies (93 percent), while "positive" employees were often (76 percent) referred to an employee assistance program. Few organizations (32 percent) attempted to measure the effectiveness of their testing program. Recommendations for further research included examining the drug prevention programs in a sample of all Oregon businesses. In addition, research should assess the perceptions of workers in Oregon with regards to the issue of workplace drug testing. / Graduation date: 1992

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.

The sharing of needles among injection drug users (IDUs) is a common route of Human Immunodeficiency Virus and Hepatitis C Virus transmission. Through the increased utilization of social network analysis, researchers have been able to examine how the interpersonal relationships of IDUs affect injection risk behaviour. This study involves a secondary analysis of data from a cross-sectional study of 156 IDUs from Winnipeg, Manitoba titled “Social Network Analysis of Injection Drug Users”. Multiple logistic regression analysis was used to assess the individual and the social network characteristics associated with needle sharing among the IDUs. Generalized Estimating Equations analysis was used to determine the injecting dyad characteristics which influence needle sharing behaviour between the IDUs and their injection drug using network members. The results revealed five key thematic findings that were significantly associated with needle sharing: (1) types of drug use, (2) socio-demographic status, (3) injecting in semi-public locations, (4) intimacy, and (5) social influence. The findings from this study suggest that comprehensive prevention approaches that target individuals and their network relationships may be necessary for sustainable reductions in needle sharing among IDUs. / February 2006

In 2005, suicide was the third leading cause of death among youth 10-24 years of age in the U.S. —accounting for 4,482 deaths. Youth suicide is an important public health problem in the U.S. and research focusing specifically on gender differences is needed and warranted since recent research shows that rates of suicide attempts have increased specifically among young girls. Analyses of the recently released 2007 YRBS data (n=14,041; girls=7,036; boys=6,992) of high school students in 9-12th grades, show that 6.9% of adolescents attempted suicide (9.3% of girls versus 4.6% of boys) and 14.5% seriously considered a suicide attempt (18.7% of girls versus 10.3% of boys). Girls are 2.89 (95% CI: 2.31-3.61) times more likely than boys to report attempting suicide in the past 12 months. Moreover, girls who reported attempting suicide were significantly more likely to also report other risk factors such as depression (OR= 5.74), weapon carrying (OR= 1.48), experiencing intimate partner violence (OR=1.60), being forced to have sexual intercourse (1.72), huffing glue (OR=2.04), and being a minority (OR 1.65). However, boys who reported attempting suicide were significantly more likely to also report weapon carrying (OR=1.66), being forced to have sexual intercourse (OR=2.60), huffing glue (OR=1.63), participating in sports (OR=1.52), depression (OR=10.96), hard drug use (OR=2.18), and being a minority (OR=1.93). Furthermore, analyses of 1991 – 2007 YRBS data revealed that these gender specific risks have remained fairly constant over time. These findings will help guide prevention and intervention strategies to prevent suicide and suicidal behaviors among both girls and boys.

Place is not a static backdrop for social relationships; rather, it is a dynamic product of the interactions among the people, practices, objects, and representations contained within it. Often, street-involved people who use drugs are excluded from interactions that would otherwise allow them to participate in community dynamics. In Vancouver, British Columbia, peer-based outreach groups redress these barriers by providing low-threshold positions to individuals living with active or past addiction. The overall question of this thesis is: what is the role of place in the health of an individual and of a community? Objectives include: (1) applying existing models of social exclusion to outline barriers preventing Peer Members from engaging in placemaking; (2) mapping the ideological positionality of the Peer Members and the rest of the community with regard to citizenship; and (3) exploring how Peer Members utilize their biosocial role as outreach workers to establish social capital and situate themselves as participants in a healthy community. By providing a platform where various social identities can interact with one another, ties of familiarity are established between these groups, thus enabling the transfer of resources, knowledge, and shared norms of respect. The first half of the discussion focuses on how social and geographic displacement legitimizes the process of social abandonment. Consequently, this relegated the Peer Members and their peers into the role of anti-citizen, rationalized their marginalization, and reinforced the wider community’s stigma toward people who use drugs. The latter half of the discussion illustrates how the Peer Members utilize their biosocial role of outreach and support workers to navigate boundaries and establish social connections to circulate knowledge and information within and among different social fields. This enabled the expression of mutual reciprocity, thereby negotiating the place of people who use drugs and harm reduction among the wider community. Place is therefore a concept that shapes, and is shaped by, the social networks that determine social legitimacy or illegitimacy. Although marginality and oppression cannot be transformed immediately, creating a social environment where Peer Members can be supported and support one another helps mitigate the marginalization that characterizes their lives.

This research aims to determine teacher perceptions on alcohol- and drug use among students, as well as how they implement the municipality framework against alcohol and drugs. The research was carried out in a midsized town in the centre of Sweden. It is characterized by an inductive approach and was performed through a qualitative method. Results were analyzed from a hermeneutic approach, and theories used are system theory, salutogenic approach and Mead’s symbolic interaction theory. One outcome from this research was the fact that teachers generally implement their work out of the municipality framework, even though teachers express their lack of knowledge about the content of the framework. Furthermore the research revealed that many teachers thought the relationship towards the students had a big impact on how they could manage to help them, that it was important that students felt that the teachers were trustworthy. The conclusion of this research is that there is a great variety regarding the commitment and knowledge among teachers when it comes to student usage of alcohol and drugs, even though teachers were given a common framework.

The goal of the present study was to examine the relationships between college students with prior therapy and psychotropic drug experience and total number of therapy sessions. This study also investigated specific types of medications students were taking and total number of therapy sessions attended. The first hypothesis under investigation was that students who have received therapy prior to beginning treatment would remain in therapy significantly longer than participants who have received no prior therapy. It was also hypothesized that students who were prescribed psychotropic medications prior to beginning therapy will remain in therapy significantly longer than students who were taking no psychotropic medications. Lastly, it was hypothesized that students who reported taking anti-anxiety or anti-depressant medications would stay in therapy longer than students taking other types of psychotropic medications will. Participants (n = 279) were collected from a pre-existing database and included students who received therapeutic services from a Southern university whose population comprised 18,485 students. The first two hypotheses were evaluated using a 2 (Prior Therapy: Yes vs. No) x 2 (Prior Medication: Yes vs. No) Analysis of Variance (ANOVA). The third hypothesis was analyzed using a 2 (Antidepressant Medication: Yes vs. No) x 2 (Anxiolytic Medication: Yes vs. No) x 2 (Other Psychotropic Medications: Yes vs. No) ANOVA. Results supported hypothesis 1: students who have previously attended therapy will stay in therapy significantly longer than students with no prior therapy experience F (1, 275) = 6.65, p = .01). However, findings did not support either hypotheses 2 or 3: students who were taking psychotropic medications prior to entering therapy did not stay in therapy significantly longer than students who were not taking psychotropic medications prior to therapy, regardless of type of medication. Results of the present study are important, as they provide a basis for future research examining prior college student therapy and psychotropic medication experience and duration of treatment at campus counseling centers. Additionally, results suggest that students with prior exposure to therapy stay in therapy longer than students with no prior exposure to therapy. One explanation for this finding is that students with prior therapy experience are likely more familiar, and more comfortable, with the therapy process than those with no prior experience. In turn, they stay in treatment longer. Universities and campus counseling centers may consider providing students with information about mental health and therapy, as this finding and research suggests that students with personal experience or prior knowledge of mental illness or therapy have more favorable attitudes about therapy than those with no prior knowledge or experience. It is also feasible that students who continue therapy while attending college have more severe mental health problems or disorders and require further treatment. This finding is significant for universities and campus counseling centers, also, as many counseling centers use a brief model of therapy, which may not prove beneficial for students with more severe problems. However, definitive information is not available, as the current data set lacks important information, such as the previous duration of treatment, student diagnoses, time of semester that the students entered therapy, and improvement in symptoms following current therapy. Thus, results should be interpreted with caution. Other limitations and suggestions for further research are also discussed.

Using data from the Drug Use Forecasting (DUF) and the Arrestee Drug Abuse Monitoring (ADAM) programs collected by the National Institute of Justice the question whether the drug estimates of DUF, using a non-probability sample, and the drug use estimates of ADAM, using a probability sample, yield substantially different results will be explored. The following main questions will be addressed using equivalence analysis: Are there substantial differences in the DUF and ADAM samples with regard to the drug use information obtained from arrestees at nine sites across the United States? The analysis suggests that the drug use information contained in DUF and ADAM is not substantially different for marijuana, cocaine, and opiates for all sites analyzed together. Additionally, there are no substantial differences for seven of the nine sites. The implications of these findings are discussed.

Substance use among high school students has become an increased concern for administrators, parents, and community members. Previous research has demonstrated relationships between adolescent substance use and numerous negative outcomes. This study investigated the relationship between athletic participation and substance use using self-report data from a sample of 139 high school students. Specifically, the current study examined the relationship between frequency and setting of participation in athletic activities (e.g., football, baseball, soccer) and multiple types of substance use (e.g., alcohol, tobacco, marijuana, other illicit drugs) in adolescents. The results of this study indicate that nonathletes reported significantly more marijuana use than athletes when gender, ethnicity, SES, and grade were controlled for in the analyses. Additionally, there was a significant relationship between students‟ grade and substance use. Specifically, 12 th grade students reported significantly higher rates of alcohol use than 10th grade students. Implications for school psychologists and directions for future research are presented.