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PubMed · 3537524

Community-based substance abuse prevention: a multicultural perspective.

M A Orlandi
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Abstract

Communities represent complex organizational entities which frequently are comprised of varying racial, ethnic, and sociocultural subgroups. This diversity, which is often underestimated and at times overlooked, presents a formidable challenge to substance abuse prevention efforts. The different lifestyles exhibited by various subgroups within a community represent a range of target behaviors that must be addressed if community health promotion initiatives are to be effective. This paper describes the barriers to achieving the goals of community-based substance abuse prevention that can arise from failing to recognize socioculturally-defined subgroups. An intervention planning model, which addresses the barriers from the perspective of a communication-behavior change (CBC) theoretical framework, is presented.

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CommunicationCommunity Health ServicesEthnicityHumansModels, TheoreticalSubstance-Related DisordersUnited StatesJournal ArticleReview

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BibTeXRIS

M A Orlandi. 1986. Community-based substance abuse prevention: a multicultural perspective.. https://doi.org/10.1111/j.1746-1561.1986.tb05780.x

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Information-sharing among couples considering multifetal pregnancy reduction.

OBJECTIVE: To determine the information-sharing strategies of couples considering fetal reduction, and the impact of these strategies on the chances of encountering hostility in their social networks. DESIGN: Cross-sectional design of semistructured qualitative interviews, coded with respect to sharing strategies and level of personally directed hostility encountered. SETTING: Multiple Pregnancy Management Program, Comprehensive Genetics, New York, New York. PATIENT(S) AND INTERVENTION(S): Fifty women and their partners who were making a first visit to our maternal-fetal management facility, in order to consider the possibility of multifetal reduction as a pregnancy-management strategy. MAIN OUTCOME MEASURE(S): Development of information-sharing strategies, and the chances of encountering personally directed hostility regarding multifetal reduction associated with more and less selective strategies. RESULT(S): Four information-sharing strategies emerged from the analysis. Two of these strategies were relatively open (extended network, and both parents). Two other strategies were relatively selective (qualified family and friends, and defended relationship). The selective strategies were significantly less likely to encounter to encounter personally directed hostility (odds ratio, 3.88; 95% confidence intervals, 0.87-17.30). CONCLUSION(S): Selective sharing of information for couples considering multifetal prgnancy reduction is a potentially useful strategy for moderating potentially stressful relationships in their social networks. Clinics should find a way of integrating the discussion of selective sharing into their clinic's cultural repertoire of patient-support services.

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