New research published in the journal Pediatrics indicates youth hookah use is increasing and hookah users are likely to be abusing other substances including alcohol, marijuana, and cigarettes. In addition, the research indicates hookah use increases as socioeconomic status increases. Hookah smoking involves using water pipes to smoke tobacco and tobacco-like products. Adverse health outcomes for hookah use includes the delivery of "tar, nicotine, and carbon monoxide in even higher doses than cigarettes". Hookah has also been linked to lung and esophageal cancer, respiratory illness, periodontal diseases, decreased pulmonary and cardiovascular functions, low birth weight, chromosomal aberrations, infertility, and the transfer of infectious diseases.Issues: Smoking
Research consistently shows that personal disapproval toward drug use is protective against use. Furthermore, approval of the drug use of others appears to increase intentions for personal use. What is less understood, however, is how drug use in and of itself, might influence these perceptions of disapproval. A recent analysis by Joseph J. Palamar of the Department of Population Health at New York University’s Langone Medical Center, further explored this issue. The findings suggest that growing support for marijuana legalization is likely to have a detrimental effect on youth drug use behavior. Weakened marijuana laws will further reduce stigma and disapproval for using marijuana, resulting in increased marijuana use which appears to put youth at greater risk for using other, “harder” drugs.Issues: Abuse
Alcohol-impaired driving crashes still account for one-third of all traffic-related deaths in the United States. The annual cost of alcohol-related crashes totals more than $51 billion. Facts such as these continue to drive efforts in communities around the country to reduce impaired driving. Through an agreement funded by the National Highway Traffic Safety Administration (NHTSA), CADCA supports local efforts to adopt and implement evidence-based strategies to reduce impaired driving. Under this project, CADCA focuses on bridging the research and practice divide by disseminating evidence-based impaired driving policies and practices to coalition practitioners.Issues: Drunk/Impaired driving
A long history of research posits a variety of relationships between substance abuse and suicide, including risk factors and indirect causation. While the evidence demonstrates that substance abuse and suicide are related, it is less clear how these behaviors interrelate. Recently, Dr. Richard A. Grucza and his colleagues were interested in examining the relationship between smoking cigarettes and suicide. The researchers investigated whether areas with state-level policy interventions relating to tobacco (increases in cigarette excise taxes and strengthening of smoke-free air laws) have lower suicide rates than areas that do not have these tobacco policy interventions. The study found that, “increases in both smoke-free indoor air policies and cigarette excise taxes were associated with reduced suicide rates…” (8).
Continuing advances in software design allow coalitions to operate more effectively by refining their understanding of the often complex relationships that exist between diverse organizations. Coalitions currently engage in network analysis and Geographic Information Systems (GIS) software across a variety of fields. In a new article published in the American Journal of Community Psychology, researchers examined the statewide work of the Hawai’i Children’s Trust Fund (HCTF) Coalition in preventing child abuse and neglect in the state. Researchers Gina Cardazone, Angela Sy, and Ivan Chik of the University of Hawaii at Manoa and Laura Corlew of the East-West Center used a combination of network analysis and GIS mapping to measure the effectiveness of this coalition and explained how their findings can be applied to other coalitions.
Over the years, the prevention field has emphasized the importance of understanding the environmental and social settings in which violence takes places, including theories relating the number and location of alcohol outlets to violence. The occurrence of interpersonal violence increases in and nearby places with alcohol outlets, specifically bars and liquor stores. These incidences of violence near alcohol outlets transpire for many possible reasons, including they are mainly located in areas with less protection and provide opportunities for social interactions leading to violence. A recent study of violent crimes in Boston, MA provides data indicating that alcohol outlets are predictive of violent crime.
While alcohol impaired driving rates among youth have declined in the United States, drug impaired driving appears to be on the rise. Research indicates illicit or prescribed drugs are associated with an increased rate of motor vehicle crashes, making current excessively high rates of drug impaired driving a significant public health concern. A recent study examining data from the Monitoring the Future project found that just over one out of every four (28%) of high school seniors were a driver or drove with someone under the influence of alcohol or other illicit drugs, with the percentage of seniors driving after smoking marijuana almost three times more than alcohol impaired drivers.Issues: Drunk/Impaired driving
The Sober Truth on Preventing Underage Drinking Act (STOP Act) calls for the Secretary of Health and Human Services (HHS) to submit an annual Report to Congress reviewing the consequences of underage drinking along with Federal and State policies aimed at preventing and reducing the problem behavior. The HHS most recently submitted the 2012 Report to Congress on Underage Drinking Prevention and Reduction, highlighting findings from prevention research, initiatives, and collaborations conducted across the country.Issues: Underage drinking
As with any group formation involving multiple parties, backgrounds and opinions, coalition unification can be a challenging feat. Though members of coalitions join for the shared goal of creating safe and drug-free communities, contrasting personalities and experiences sometimes result in conflict, inhibiting coalition progress. In this instance, members view differences with other members as incompatible for successful collective efforts. A recent study conducted by researchers from the University of Calgary identified four crucial factors for helping organizations facilitate effective community collaboration.
Decades of research strongly support Screening and Brief Intervention (SBI) as an effective means for identifying and reducing unhealthy alcohol use and related consequences among adults. More recent explorations into the use of SBI for children and adolescents indicate similar benefits and in 2010 the American Academy of Pediatrics (AAP) recommended that health care providers of children and adolescents conduct screening for alcohol, tobacco and other drug use during all office visits. A recent study using a national survey of students in the 10th grade found that a significant number of health care providers do not follow these guidelines as recommended. This research highlights the need to engage in local efforts to educate and support practitioners in providing screening and brief intervention for all of their patients.