Nuclear war as a source of adolescent worry: relationships with age, gender, trait emotionality, and drug use.
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Biomedical subjects
Publications and source records attributed to F Beauvais.
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This study examined rationales for alcohol, marijuana, and other drug use among Indian and non-Indian youth. Differences were found between reservation Indian and rural non-Indian rationales for alcohol, marijuana, and other drug use. A majority of both Indian and non-Indian eighth graders indicate that they use drugs to enhance positive affective states, for excitement, for parties, to be with friends, to relax, and to handle negative affective states including worries and nervousness. Indian youth appear to also use drugs to cope with boredom. Unlike non-Indian youth, Indian youth have no strong rationales for their use of other drugs. Interventions will have to be impactful and pervasive in order to counter the many positive and negative rationales associated with drug use.
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There are three distinct types of inhalant users: young inhalant users, adolescent polydrug users, and inhalant-dependent adults. Young inhalant users have a modal age of 12 to 13. They use inhalants and may also use alcohol and marijuana. They are likely to have more emotional problems than nondrug users or young marijuana users. These problems, particularly when they involve feelings of anger and alienation, increase the chances that they will identify with other youth who have similar feelings. When this happens, young people form peer clusters; they find a best friend or form a small gang that has a high potential for getting involved with drugs. Most of these peer clusters use inhalants only a few times a month, although some may become obsessed with inhalant use to the exclusion of nearly all other activities. The data showing that young inhalant users have more emotional problems than either nondrug users or young marijuana users suggest that treatment should involve therapy as well as drug avoidance approaches. Every youth caught using inhalants, however, should not automatically be sent for therapy. Sometimes a youth caught using a drug is not really drug involved and overreaction can be damaging. In addition, the emotional problems of all young inhalant users are not identical. A higher average level of emotional problems only means that some of the young inhalant users have those problems, not all of them. Older adolescents, including those who used inhalants earlier, are not likely to use inhalants. Since young inhalant users seem to be troubled youth, have shown an early penchant for drug use, and have drug-using associates, it seem unlikely that they quit using drugs. They probably move on to other drugs, leaving inhalants behind. The older adolescents who do use inhalants are adolescent polydrug users, with a modal age of around 15 to 16. They take many different drugs, and some of them use inhalants as well. The adolescents who use inhalants are probably using a wider range of drugs than other adolescents and are probably getting high more often. Furthermore, they are likely to be more deviant and may be involved in more aggression and more crime. Inhalant-dependent adults usually have a long history of alcohol and other drug involvement. At some point, inhalants have become their preferred drug. By that time, they are usually in their midtwenties to early thirties. They have serious problems.(ABSTRACT TRUNCATED AT 400 WORDS)
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There is some basis for the perception that Indian youth are more susceptible to inhalant use than their non-Indian peers. Many Indian youth live in disadvantaged and often stressful environments that set the stage for turning to drugs for relief or to seek excitement. Inhalants are cheap and available even to very young children. While levels of inhalant use are comparatively high, the tendency to overrate this use and to label all Indian youth as inhalant abusers must be avoided. By the time Indian youth reach their senior year, only around 4 percent are using inhalants seriously enough to warrant concern. On the other hand, those 4 percent cannot be ignored and, for them, prevention efforts at earlier ages could avert a great deal of needless suffering. Furthermore, there are a significant number of school dropouts who are likely to be chronically inhalant involved. The age pattern of inhalant use indicates that such use by Indian youth begins when they are very young--the predisposing factors are well in place by the 4th and 5th grades. Prevention efforts may need to start very early if they are to succeed.
The study of the nature and extent of the use of volatile, psychoactive substances has been hampered by a confusing terminology. Widely disparate substances such as glue, gasoline, anesthetic gases, and nitrites have all been discussed under the single rubric of "inhalant abuse." A classification scheme is proposed which differentiates users of substances such as volatile hydrocarbons (gasoline, glue, etc.) from users of the anesthetic gases and of the amyl and butyl nitrites. Since users of these three types of volatile chemicals differ on predisposing factors, level of dysfunction, and consequences of use, the former group should be classed generically as "inhalant" users, while the latter should be diagnosed as users of a specific drug.
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Anonymous surveys on drug use were administered to 7th-12th grade students in Indian reservation schools. A large number of tribes were surveyed from 1975 through 1983. There is reason to believe the results are reasonably representative of Indian youth living on reservations. Lifetime prevalence for most drugs is higher than that for non-Indian youth throughout this period, and rates for alcohol, marijuana, and inhalants, the most frequently tried drugs, were particularly high. Since 1981 there has been a slight drop in lifetime prevalence for most drugs. Current use figures show the same trends, with increasing current use through 1981 and a drop since that time. Analysis of patterns of drug use, classifying youth according to number, type, and depth of involvement with drugs, shows a similar trend, with radical increases until 1981 and then a drop in all but one of the more serious drug use types. Despite this drop, 53% of Indian youth would still be classified as "at risk" in their drug involvement, compared with 35% of non-Indian youth. Reasons probably relate to severely detrimental conditions on reservations; unemployment, prejudice, poverty, and lack of optimism about the future.
American Indian tribes are seen as an anachronism by many non-Indian people. Most would acknowledge that Indians provided a colorful chapter in American history, but apart from contemporary Indian arts and crafts little serious thought is given to their way of life. In fact, however, Indian culture has survived a period of strong attack and today it is vital and growing. The historical conflicts between Indian and White ways of life are still not totally resolved, and there are major differences in thinking as to whether tribes should be assimilated into the larger culture or allowed to pursue an alternate cultural path. In its ambivalence toward Indian people the federal government has fostered a state of dependency which has made problem resolution extremely difficult. Federal policy has vacillated between paternalistic and repressive, which has led to much inertia within both Indian communities and those groups intended to help them. Currently there is a strong activist climate on Indian reservations and the result is a vigorous move toward self-determination. Not only are Indian people asking for self-government, but they are attempting to revitalize their traditional culture and maintain a unique alternative to the beliefs, values, and customs of the larger society. Within this historical/cultural context, drug and alcohol abuse exist as major problems for Indian people. Extant data point to alcoholism as perhaps the number one health problem for many tribes. The consequences of drug abuse are not as well documented, but recent survey data from Indian school students point to an extremely serious situation. Drug use rates are above national norms and appear to be rapidly increasing. Interventions in Indian communities must be congruent with the current movement toward self-determination. Externally imposed solutions, at a minimum, will not work and probably will only add to the sense of failure experienced by Indian people. The dynamics of drug and alcohol use are rooted in the health of the community. Where there is cynicism, despair, and a withering of the basic human spirit, substance abuse will prevail. Alternately, if the spirit of the community can be bolstered and hope developed through communal action and mutual support, solutions to abuse problems will be forthcoming. When the community has clearly decided its position on the use of chemicals it will be in a position to construct programs and request external assistance. Substance abuse intervention is a local problem and can be resolved best through local initiative.(ABSTRACT TRUNCATED AT 400 WORDS)
A method is presented to chart how a group acquires exposure to a drug. The resulting drug acquisition curve has a number of different parameters that describe the group's drug involvement. Key parameters include: (1) the age of exposure when the group begins to use the drug in greater numbers, probably because of exposure to drug-using peers; (2) the acquisition rate, the percent of the group who are newly exposed each year, a rate that is surprisingly constant over as much as 5 years; and (3) the asymptote, establishing the total percent of the group who will eventually try the drug. Acquisition curves for sequential age cohorts show changing trends in these parameters and can also be used to predict future drug epidemiology. A 4-year prediction based on this method proved to be very accurate for two of three drugs. For the third drug, a large increase in use was predicted, but the increase was even greater than expected.
The biological activity of Avène water from two different springs ('Sainte Odile' and 'Val d'Orb') was studied in vitro on rat peritoneal mast cell activation. A dilution-dependent inhibition of both histamine and prostaglandin D2 antigen-induced release was observed when cells were preincubated with both Avène spring waters. They also inhibited histamine release triggered by substance P. The ability of Avène water to inhibit mast cell activation in vitro may be related with its antiallergic and anti-inflammatory properties and its use in hydrotherapy.
A theory of cultural identification is presented indicating that identification with different cultures is orthogonal. Instead of cultures being placed at opposite ends of a continuum, cultural identification dimensions are independent of each other, and increasing identification with one culture does not require decreasing identification with another. Studies of Native-American and Mexican-American youth show that: (1) identification with Anglo (White American) culture is related to having Anglo friends and to family acceptance of an Anglo marriage, (2) identification with either the minority or the majority culture is a source of personal and social strength, and (3) this greater strength, however, does not translate automatically into less drug use, because drug use is related to how much the culture that the person identifies with approves or disapproves of drugs.