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Saturday, September 7, 2013

ATOD & Advocacy Update - Week Ending September 6, 2013



Despite Intense Media Attention, Study Finds Bath Salts Rarely Used by  College Students at a Large Southeastern University
“Despite extensive media coverage and the products continuing to be sold in local stores, use of synthetic cathinones was extremely rare in a random sample of young adults and was dwarfed by other novel drugs,” according to data from a survey of college students at a large southeastern university. Less than 1% of the students reported ever using synthetic cathinones, also known as bath salts—substantially less than those reporting lifetime use of other novel drugs, such as synthetic cannabinoids (14.3%), Salvia divinorium (7.9%), or purple drank (6.5%). The drugs most commonly used by college students were marijuana and prescription stimulants and painkillers used nonmedically (see figure below). In light of their findings, the authors suggest that “the media attention focusing on synthetic cathinone use as a growing epidemic may be largely misplaced.” Other national surveys of drug use in the past year† have found similarly low rates of bath salt use among high school students, college students, and young adults not in college. SOURCE: Adapted by CESAR from Stogner, J.M. and Miller, B.L., “Investigating the ‘Bath Salt’ Panic: The Rarity of Synthetic Cathinone Use Among Students in the United States,” Drug and Alcohol Review, Early View, May 29, 2013


Four alcohol brands dominate popular music mentions
Patron tequila, Hennessy cognac, Grey Goose vodka, and Jack Daniel's whiskey—accounted for more than half of alcohol brand mentions in the songs that mentioned alcohol use in Billboard's most popular song lists in 2009, 2010 and 2011, according to a new study from researchers at the Boston University School of Public Health and the Center on Alcohol Marketing and Youth (CAMY) at the Johns Hopkins Bloomberg School of Public Health. The study, published online by Substance Use & Misuse and the first to examine the context of specific brand mentions in depth, found that alcohol use was portrayed as overwhelmingly positive, with negative consequences rarely mentioned. Of the 720 songs examined, 167 (23.2%) mentioned alcohol and 46 (6.4%) mentioned specific alcohol brands. The leading four brands accounted for more than half (51.6%) of all alcohol brand mentions. Alcohol mentions were most common in urban songs (rap, hip-hop and R&B – 37.7% of songs mentioned alcohol), followed by country (21.8%) and pop (14.9%). At least 14 long-term studies have found that exposure to alcohol marketing in the mass media increases the likelihood that young people will start drinking or, if already drinking, drink more. Adolescents in the U.S. spend approximately 2.5 hours per day listening to music. "Given the heavy exposure of youth to popular music, these results suggest popular music may serve as a major source of promotion of alcohol use among youth," said study co-author David Jernigan, PhD, director of CAMY. "The findings lay a strong foundation for further research." The researchers used Billboard Magazine annual listings of the most popular songs in 2009, 2010 and 2011 to identify 720 unique songs in four genres: urban, pop, country and rock. Three coders analyzed the lyrics of each song to determine alcohol references, brand references and the context for each. Researchers found alcohol references in 167 songs. References to tequila, cognac, vodka and champagne brands were more prevalent in urban music (R&B, hip-hop and rap), while references to whiskey and beer brands were more common in country or pop music. There were no references to alcohol in the rock music examined. "A small number of alcohol brands and beverages appear to make frequent appearances in popular music," said Michael Siegel, MD, MPH, professor of Community Health Sciences at the Boston University School of Public Health. "If these exposures are found to influence youth drinking behavior, then further public health efforts must be focused on youth exposure to alcohol portrayals in popular music." Alcohol is responsible for at least 4,700 deaths per year among young people under the age of 21 in the U.S. More than 70 percent of high school students have consumed alcohol, and about 22 percent engage in heavy episodic drinking.


Teen Girls Drinking Alcohol at Higher Risk of Breast Cancer
Drinking alcohol during teens and early adulthood increases risk of breast cancer in women, a new study reported. Researchers from Washington University School of Medicine in St. Louis said that they have found a link between alcohol consumption in early age and breast cancer later in life. Previous research had usually assessed alcohol consumption in women mid or post-childbearing years. The current study shows that teen girls who drink excess amounts of alcohol might be at a greater risk of breast cancer. About 25 percent of youth aged between 12 and 20 years reported drinking alcohol and about 16 percent said that they binge drink, according to the National Survey on Drug Use and Health ( 2011). Continue here.


Animal House college becomes temperance leader
How many calories are there in a bottle of beer? That’s one of the talking points that counsellors at US universities have begun to use to discourage students from high-risk drinking, following a new approach begun on the campus most closely associated with alcohol abuse. And it appears to be working. The campaign began at Dartmouth College, the Ivy League institution that inspired the 1978 frat house comedy National Lampoon’s Animal House. It forgoes the futile tradition of education sessions at orientations for new students, in favor of a more individualized, practical response to students found to have a problem. Rest of this story is here.

To prevent school violence, teachers learn how to spot mental illness
In classrooms across the country, teachers are going back to school to learn how to spot symptoms of mental illness among their students. It's all part of an effort to prevent incidents such as this week's shooting at an elementary school in Georgia, which could have ended in disaster were it not for the quick thinking of school bookkeeper Antoinette Tuff. Suspect 20-year-old Michael Brandon Hill told Tuff he was mentally unstable and had nothing to live for, but she calmed him down, and convinced him to surrender.   Mental illness also played a role in the December shooting deaths at Sandy Hook Elementary in Newton, Conn., and the massacre at Columbine High School in Colorado 14 years ago. Please click here to continue reading.

More Than One-Third of Designated Drivers in a Southeastern U.S. College Town Had Been Drinking
More than one-third of designated drivers leaving bars in a southeastern U.S. college town had been drinking, according to a recently released study of 1,071 bar patrons. Of the 165 self-identified designated drivers, 35% had a breath alcohol concentration (BrAC) at or above .02%, including 18% who had a BrAC that “significantly inhibited driving ability and psychomotor function” (≥ .05% or greater). According to the authors, “these findings identify the need for consensus across researcher, layperson, and communication campaigns that a [designated driver] must be someone who has abstained from drinking entirely. This is especially important considering that alcohol-related driver impairment, such as divided attention, is further exacerbated by the unsafe actions of drunken passengers (e.g., roughhousing with the driver)” Adapted by CESAR from Barry, A.E., Chaney, B.H., and Stellefson, M.L., “Breath Alcohol Concentrations of Designated Drivers,” Journal of Studies on Alcohol and Drugs, 74(4):509-513, 2013.

Psychedelic Drugs No Risk to Mental Health, Possibly Beneficial
Using classic psychedelic drugs does not raise the risk for mental health problems; on the contrary, it may offer some protection, new research suggests. Click here to read top line report.

Primary care patient characteristics associated with completion of 6-month buprenorphine treatment
Opioid addiction is prevalent in the United States. Detoxification followed by behavioral counseling (abstinence-only approach) leads to relapse to opioids in most patients. An alternative approach is substitution therapy with the partial opioid receptor agonist buprenorphine, which is used for opioid maintenance in the primary care setting. This study investigated the patient characteristics associated with completion of 6-month buprenorphine/naloxone treatment in an ambulatory primary care office. Click here to read more.

Rate of Prescription Drug Abuse Among Young Adults Holds Steady at 5 Percent
A national survey released Wednesday finds 5.3 percent of young adults used prescription drugs for nonmedical purposes in the past month, similar to rates in the previous two years. The survey found rates of teen drinking, including binge drinking, in the past month were lower last year compared with 2002 and 2009. Prescription drug abuse rates among adults ages 18 to 25 was significantly lower last year than in 2009, when 6.4 percent of young adults used prescription drugs for nonmedical purposes, according to the 2012 National Survey on Drug Use and Health (NSDUH), conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA). The report was released in conjunction with the 24th annual National Recovery Month. SAMHSA found 11.2 percent of Americans drove under the influence of alcohol at least once last year, compared with 11.1 percent in 2011 and 14.2 percent in 2002. Approximately 9 percent of the population—23.9 million Americans—12 years and older used illicit drugs in the previous month. Marijuana is the most commonly used illicit drug, the survey found, with 7.3 percent of Americans saying they are current users. The number of people ages 12 and older who said they used heroin in the past year increased from 373,000 in 2007, to 669,000 in 2012. “These findings show that while we have made progress in preventing some aspects of substance abuse we must redouble our efforts to reduce and eliminate all forms of it throughout our nation,” SAMHSA Administrator Pamela S. Hyde said in a news release. “These statistics represent real people, families and communities dealing with the devastating consequences of abuse and addiction. We must strive to prevent further abuse and provide the hope of treatment and recovery to all people needing help.”

Are You Drinking Too Much? The Myth Of Moderation
Not long ago wine, or any form of alcohol, was considered a preventative beverage. Before we had sanitary drinking water, wine was the safest bet in town. Good mothers ensured their children enjoyed a morning cup of mead or wine (no strawberry milk in this fiefdom) for calories as well as for prevention of infection. In the 1930’s my father contracted tuberculosis and he was prescribed a common Irish cure: a Guinness a day. Even the sage Benjamin Franklin believed that wine was a phenomenal preservative. Continue reading here.


Push to lower legal limit of intoxication to 0.05 stirs debate
Federal agency says lowering legal limit of intoxication needed to battle 'national epidemic' of impaired driving; critics say proposed level no more negligent than distracted driving. Rest of this article is here.

CVS Revokes Dispensing Privileges for Doctors Who Prescribe Too Many Painkillers
CVS has announced it has revoked dispensing privileges for more than 36 physicians and other healthcare providers who wrote large numbers of prescriptions for painkillers, NBC News reports. The company described its program to evaluate prescription data in The New England Journal of Medicine. The analysis included prescriptions for hydrocodone, oxycodone, alprazolam, methadone and carisoprodol from March 2010 through January 2012. Almost one million providers are included in the company’s prescriber database. Prescribing rates were compared with other providers in the same specialty and region. The company took into account patients’ ages and the number who paid for the drugs with cash. The analysis revealed one prescriber wrote more than 44,000 doses of high-risk drugs, compared with 662 prescriptions for similar providers, the article notes. The company asked 42 providers for more information about the high number of painkiller prescriptions they wrote. Six gave reasons the company considered legitimate, such as being the medical director of a hospice. In addition to the 36 providers whose prescribing privileges were initially revoked, several more have been suspended as the company continues its investigation. “This isn’t a definitive solution to the problem,” said CVS Chief Medical Officer Troyen Brennan. “We wanted to share what it was that we did and have other people in healthcare, including other pharmacies, look at what we did and discuss what some more comprehensive solutions might be.” In September 2012, the Drug Enforcement Administration revoked the licenses to dispense controlled substances for two CVS pharmacies in Florida, after accusing them of dispensing excessive amounts of oxycodone.


Rate of Emergency Department Visits for Alcohol-Related Diagnoses
From 2001–2002 to 2009–2010, the rate of emergency department visits for alcohol-related diagnoses for males increased 38%, from 68 to 94 visits per 10,000 population. Over the same period, the visit rate for females also increased 38%, from 26 to 36 visits per 10,000 population. Throughout the period, the visit rate for males was higher than the visit rate for females. Read more here.

Friends' Online Photos May Sway Teens' Behavior
When it comes to photos of risky behavior posted on friends' social networking sites, it seems that what teenagers see, teenagers do, new research shows. A study conducted by researchers at the University of Southern California found that when teens see pictures of their friends drinking alcohol or smoking on sites like Facebook and Myspace, they are more likely to drink or smoke themselves. Click here to continue reading.

Study: Children's use of e-cigarettes increasing
Children — like adults — are increasingly trying electronic cigarettes, according to the first large national study to gauge use by middle and high school students. About 2 percent of the students said they'd used an e-cigarette in the previous month, according to a survey done last year. That was up from 1 percent in 2011. Continue reading this story here.


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