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W R True

Publications and source records attributed to W R True.

39 records · Page 3Linked to original sources

Psychosociocultural perspectives on chronic cannabis use: the Costa Rican follow-up.

The social standing of marijuana use in Costa Rica becomes important as one examines the results of this study. Before 1968, marijuana use itself defined Costa Rican consumers of the drug as lower class. Its coming to fashionability among Costa Rican upper-middle-class youths during the late 1960's and early 1970's temporarily blurred marijuana's class identification. Nevertheless, the lower-class users' dress, speech and style of use kept them distinct from these youths. In 1986, working-class users participating in the present intensive study still occupied the lowest positions in the Costa Rican social strata. Their marijuana use does not appear to be a major factor in blocking upward mobility. The social stations in which users were raised were more powerful in determining their present fates than taking up or not taking up marijuana use. Users speak the language differently, employing a mix of lexical changes and wordplay to keep the decent Costa Ricans out of their clandestine business. Smokers of marijuana also dress differently from other Costa Ricans and tend to live in disreputable barrios, according to the stereotype. The Costa Rican image of a marijuana smoker is one of a streetwise, corrupt and uncomfortably distinctive character who is not to be trusted. The main problem in assessing the relationship between marijuana use and the human condition of marijuana users is the pervasive influence of the general social disapproval of marijuana smoking in Costa Rican society.(ABSTRACT TRUNCATED AT 250 WORDS)

Costa Rica↗

Contribution of emotionally traumatic events and inheritance to the report of current physical health problems in 4042 Vietnam era veteran twin pairs.

OBJECTIVE: To determine the contributions of psychological trauma (exposure to combat during the Vietnam War), genetic factors, childhood experiences shared by twin siblings, and unmeasured experiences not shared by twin siblings to the reporting of current physical health problems a mean of 19 years after military service. METHODS: In 1987, a national sample of 2224 monozygotic and 1818 dizygotic male veteran members of the Vietnam Era Twin Registry participated in a survey of health. Genetic modeling was performed on cross-sectional physical health and combat exposure data derived from Registry twins. RESULTS: Combat experiences explained a small proportion (0.7-8.4%) of the variance in the report of hypertension, respiratory conditions, persistent skin conditions, gastrointestinal disorders, joint disorders, and hearing problems. Childhood experiences shared by siblings are not clearly related to any health problem studied. By contrast, genetic factors explain 31 to 54% and noncombat experiences not shared by siblings explain 45 to 66% of the variance in current physical health status. CONCLUSIONS: Greater than 90% of the variance in reported current physical health problems in Vietnam era veterans is attributable to inherited factors and unmeasured environmental experiences not shared by twin siblings. The traumatic experience of combat makes only a small contribution to the report of current physical health problems. These results do not preclude the possibility that combat influenced the prevalence of illness shortly after military service or that combat may influence the development of illness in the future.

Adult↗

The Vietnam Era Twin Registry: a resource for medical research.

The Vietnam Era Twin Registry consists of 4,774 male-male twin pairs born between 1939 and 1957 with both brothers having served in the United States military during the Vietnam War. The registry was originally developed to provide the best control group for Vietnam-exposed servicemen to study the long-term health consequences of service in Vietnam. Recognizing the potential value of the registry for other areas of medical research, the Department of Veterans Affairs in 1988 opened the registry for use by both VA and non-VA investigators. The existence of centralized VA data bases for deaths and VA hospitalizations will strengthen future followup of the twins. This article describes the characteristics of the registry population and the process for accessing the registry.

Adult↗