Social and Behavioral Sciences Commons^™

Social Vulnerability And The Prevalence Of Opioid Use Disorder Among Older Medicare Beneficiaries In U.S. Counties, Tse-Chuan Yang, Seulki Kim, Stephen A. Matthews, Carla Shoff

Department of Sociology: Faculty Publications

Objectives: Recent research has investigated the factors associated with the prevalence of opioid use disorder (OUD) among older adults (65+), which has rapidly increased in the past decade. However, little is known about the relationship between social vulnerability and the prevalence of OUD, and even less about whether the correlates of the prevalence of OUD vary across the social vulnerability spectrum. This study aims to fill these gaps. Methods: We assemble a county-level data set in the contiguous United States (U.S.) by merging 2021 Medicare claims with the CDC’s social vulnerability index and other covariates. Using the total number of …

Co-Use Among Confidants: An Examination Of Polysubstance Use And Personal Relationships In Southeastern Nebraska, G. Robin Gauthier, Kelly Markowski, Jeffrey A. Smith, Sela R. Harcey, Bergen Johnston

Department of Sociology: Faculty Publications

This study examines the relationship between personal networks and polysubstance use among people who use drugs (PWUD) in a medium sized city in the Midwest. A large body of work has demonstrated that personal relationships have an ambivalent association with substance use. On the one hand, a supportive network is associated with safer drug use practices and dramatically improves the outlook for recovery. However, individuals whose personal networks are composed of co-drug use partners are more likely to engage in risky practices. We argue that this notion of “supportive” social contacts and “risky” social contacts is ultimately incomplete: risky behaviors …

Childhood Trauma And Substance Use: Differences By Race And Sex In Juvenile Justice Prevention Programs In Nebraska, Sophie Holtz

Honors Theses

This study seeks to analyze whether demographic factors such as gender and race have a relationship to the reporting of trauma symptoms in juveniles. This study also examines whether higher substance use has a relationship to higher reports of trauma symptoms. To gather this data, surveys were administered to juveniles involved in juvenile justice prevention programs across the state of Nebraska. Overall, we found that juvenile girls reported significantly higher amounts of trauma symptoms than boys do. There was also a significant difference in how much juvenile girls report using cannabis compared to juvenile boys. Furthermore, there was not a …

Mandatory, Fast, And Fair: Case Outcomes And Procedural Justice In A Family Drug Court, Melanie Fessinger, Katherine Hazen, Jamie Bahm, Jennie Cole-Mossman, Roger Heideman, Eve Brank

Center on Children, Families, and the Law: Faculty Publications

Objectives: Problem-solving courts are traditionally voluntary in nature to promote procedural justice and to advance therapeutic jurisprudence. The Family Treatment Drug Court (FTDC) in Lancaster County, Nebraska, is a mandatory dependency court for families with allegations of child abuse or neglect related to substance use. We conducted a program evaluation examining parents’ case outcomes and perceptions of procedural justice to examine whether a mandatory problem-solving court could replicate the positive outcomes of problem-solving courts. Methods: We employed a quasi-experimental design that compared FTDC parents to traditional dependency court parents (control parents). We examined court records to gather court orders, compliance …

Latent Risk Subtypes Based On Injection And Sexual Behavior Among People Who Inject Drugs In Rural Puerto Rico, Dane Hautala, Roberto Abadie, Courtney Thrash, Juan Carlos Reyes, Kirk Dombrowski

Department of Sociology: Faculty Publications

Background—People who inject drugs (PWID) in Puerto Rico engage in high levels of injection and sexual risk behavior, and they are at high risk for HIV and hepatitis C (HCV) infection, relative to their US counterparts. Less is known, however, about the clustering of risk behavior conducive to HIV and HCV infection among rural Puerto Rican communities.

Objectives—The purpose of this study was to examine concurrent injection and sexual risk subtypes among a rural sample of PWID in Puerto Rico.

Methods—Data were drawn from a respondent-driven sample collected in 2015 of 315 PWID in 4 rural communities approximately 30–40 miles …

Cumulative Contextual Risk At Birth In Relation To Adolescent Substance Use, Conduct Problems, And Risky Sex: General And Specific Predictive Associations In A Finnish Birth Cohort, W. Alex Mason, Stacy-Ann A. January, Mary B. Chmelka, Gilbert R. Parra, Jukka Savolainen, Jouko Miettunen, Marjo-Riitta Järvelin, Anja Taanila, Irma Moilanen

Department of Child, Youth, and Family Studies: Faculty Publications

Background—Research indicates that risk factors cluster in the most vulnerable youth, increasing their susceptibility for adverse developmental outcomes. However, most studies of cumulative risk are cross-sectional or short-term longitudinal, and have been based on data from the United States or the United Kingdom. Using data from the Northern Finland Birth Cohort 1986 Study (NFBC1986), we examined cumulative contextual risk (CCR) at birth as a predictor of adolescent substance use and co-occurring conduct problems and risky sex to determine the degree to which CCR predicts specific outcomes over-and-above its effect on general problem behavior, while testing for moderation of associations …

Child And Parent Report Of Parenting As Predictors Of Substance Use And Suspensions From School, Charles B. Fleming, W. Alex Mason, Ronald W. Thompson, Kevin P. Haggerty, Thomas Jai. Gross

Department of Child, Youth, and Family Studies: Faculty Publications

This study examined how child and parent reports of parenting were related to early adolescent substance use and school suspensions. Data were from two time points six months apart on 321 families with an eighth grade student attending one of five schools in the Pacific Northwest. Child- and parent-report measures of family management practices were moderately correlated (r = .29). Child report, but not parent report, of more positive family management practices uniquely predicted a lower likelihood of adolescent substance use. Also, discrepancies between child and parent report of parenting predicted substance use, with child positive report of family …

Parent Training To Reduce Problem Behaviors Over The Transition To High School: Tests Of Indirect Effects Through Improved Emotion Regulation Skills, W. Alex Mason, Stacy-Ann A. January, Charles B. Fleming, Ronald W. Thompson, Gilbert R. Parra, Kevin P. Haggerty, James J. Snyder

Department of Child, Youth, and Family Studies: Faculty Publications

Adolescent problem behaviors are costly for individuals and society. Promoting the self-regulatory functioning of youth may help prevent the development of such behaviors. Parent-training and family intervention programs have been shown to improve child and adolescent self-regulation. This study helps fill gaps in knowledge by testing for indirect effects of the Common Sense Parenting® (CSP) program on reduced substance use, conduct problems, and school suspensions through previously identified short-term improvements in parents’ reports of their children’s emotion regulation skills. Over two cohorts, 321 low income families of 8^th graders were enrolled and randomly assigned to either the standard CSP …

Child Abuse, Street Victimization, And Substance Use Among Homeless Young Adults, Kimberly A. Tyler, Lisa A. Melander

Department of Sociology: Faculty Publications

Although previous research documents high rates of child abuse, street victimization, and substance use among homeless youth, few studies have investigated these three constructs simultaneously, and thus little is known about how various forms of victimization are uniquely associated with substance use among this population. The purpose of this article is to examine the relationship among child sexual and physical abuse, street victimization, and partner violence with substance use among 172 homeless young adults. Path analysis results revealed that males and those who reported parental drug problems were significantly more likely to have higher rates of substance use. Those who …

Characteristics Of Mothers Caring For Children During Episodes Of Homelessness, Melissa L. Welch-Lazoritz, Les B. Whitbeck, Brian E. Armenta

Department of Sociology: Faculty Publications

This study provides a description of the physical, psychological, and substance use problems of adult homeless women who are and are not caring for children. We also examined differences in the characteristics of these two groups of women. Interviews were conducted with 148 homeless women from three mid-sized U.S. cities, 24.3% of whom were caring for at least one child. Our results showed that women caring for children were more likely to be sheltered and have health insurance. Homeless women caring for children and solitary homeless women were generally similar in terms of substance abuse problems. However, rates of Borderline …

Patterns Of Substance Use Initiation Among Indigenous Adolescents, Les B. Whitbeck, Brian E. Armenta

Department of Sociology: Faculty Publications

Background—The data for this study come from an eight-wave panel study of Indigenous (Canadian First Nations and American Indian) adolescents from three U.S. reservations and four Canadian reserves.

Objectives—Our objective was to investigate variations in patterns of substance use initiation from early adolescence through early adulthood using data collected annually for 8 years.

Method—At baseline the sample included 675 Indigenous adolescents (M age = 11.10, SD = .83; 50.3% girls). First, we calculated cumulative rates of substance use initiation by age. We then examined whether the cumulative initiation rates were moderated by gender using logistic regression …

“You Can’T Hustle All Your Life”: An Exploratory Investigation Of The Exit Process Among Street-Level Prostituted Women, Rochelle L. Dalla

Department of Child, Youth, and Family Studies: Faculty Publications

Between 1998 and 1999, 43 street-level prostituted women were interviewed regarding their developmental experiences, including prostitution entry, maintenance, and exit attempts. Three years later, 18 of the original 43 participants were located and interviewed. This exploratory follow-up investigation focused on the women’s life experiences between the two points of contact, with emphasis on sex-industry exit attempts. Five women had maintained their exit efforts and had not returned to prostitution, nine had returned to both prostitution and drug use, and one had returned to prostitution only. Three additional women had violated parole and been reincarcerated. Themes evident among those who were …