Community-Based Approaches to Prevention: Reducing High-Risk Drinking and Alcohol-Related Damage Among Youth and Young Adults

2014 ◽  
pp. 122-152
Author(s):  
Norman Giesbrecht ◽  
Linda Bosma
2020 ◽  
Author(s):  
Sharyn Burns ◽  
Melissa Evans ◽  
Jonine Jancey ◽  
Linda Portsmouth ◽  
Bruce Maycock

Abstract Background: Along with physical benefits, community-based sport provides opportunities to enhance connectedness, an important protective factor of social and emotional health. However, young Australians participating in sport have been found to drink alcohol at higher levels than their non-sporting peers, and many clubs serve unhealthy food and beverages. This study explored the association between the dependent variable, level of alcohol consumption (AUDIT-C) and connectedness to club and other health behaviours among young people aged 18-30 years who play club sport in Western Australia.Methods: An online cross sectional survey measured levels of alcohol consumption (AUDIT-C), alcohol-related harm, connectedness (including volunteering and team cohesion), mental wellbeing, healthy food options and club sponsorship among young adults aged 18-30 years involved in sports clubs in Western Australia (n = 242). Relationships and association between the dependent variable (AUDIT-C) and independent variables were assessed.Results: Positive correlations were found between high-risk drinking and club connectedness; team cohesion and club connectedness; mental wellbeing and team cohesion and team cohesion and drinking with team mates and experienced alcohol-related harms. Volunteering was negatively correlated with drinking with team mates and team cohesion. AUDIT-C score was moderately significantly positively correlated with club connectedness (rs = .18, p <.05) and team cohesion (rs = .22, p <.01) Male sportspeople were more likely to drink alcohol at high-risk levels than females (p <.001), and respondents belonging to a club that received alcohol-related sponsorship were more likely to drink at high-risk levels (p = .019). Females were significantly more likely to want healthy food and beverage options provided at their clubs (p = 0.011).Conclusions: Findings from this study may inform policy and practice to enhancing healthy behaviours among young adults participating in community sports clubs in Australia and other countries.


2006 ◽  
Vol 26 (3-4) ◽  
pp. 43-47
Author(s):  
Julie A. Baldwin ◽  
Rhonda M. Johnson ◽  
Heidi A. Wayment ◽  
Edward J. Callahan

Author(s):  
Angela D Liese ◽  
Beth A Reboussin ◽  
Anna R Kahkoska ◽  
Edward A Frongillo ◽  
Faisal S Malik ◽  
...  

Abstract Background Racial/ethnic health inequities have been well-documented among youth and young adults with type 1 diabetes (T1D), yet little is known about how socioeconomic position (SEP) intersects with the risk marker of race/ethnicity to predict inequities in longitudinal glycemic control. Purpose To identify patterns of SEP, race/ethnicity, and clinical characteristics that differentiate hemoglobin A1c (HbA1c) trajectories among youth and young adults after T1D diagnosis. Methods The SEARCH for Diabetes in Youth cohort includes youth with diabetes diagnosed from 2002 to 2006 and 2008 who were followed through 2015. We analyzed data from 1,313 youth and young adults with T1D with ≥3 HbA1c measures. Classification tree analysis identified patterns of baseline demographic, SEP, and clinical characteristic that best predicted HbA1c trajectories over an average of 8.3 years using group-based trajectory modeling. Results Two HbA1c trajectories were identified: Trajectory 1 (77%) with lower baseline HbA1c and mild increases (from mean 7.4% to 8.4%) and Trajectory 2 (23%) with higher baseline HbA1c and major increases (from 8.5% to 11.2%). Race/ethnicity intersected with different SEP characteristics among non-Hispanic white (NHW) than in non-whites. Public health insurance predicted high-risk Trajectory 2 membership in non-whites, whereas parental education, household structure, diagnosis age and glucose checking frequency predicted membership for NHW youth and young adults. Two characteristics, race/ethnicity and parental education alone identified 80% of the Trajectory 2 members. Conclusions Race/ethnicity intersects with multiple SEP and clinical characteristics among youth and young adults with T1D, which is associated with particularly high risk of poor long-term glycemic control.


2017 ◽  
Vol 43 (2) ◽  
pp. 383-390 ◽  
Author(s):  
Anne Saw ◽  
Crystal N. Steltenpohl ◽  
Kimberly Bankston-Lee ◽  
Elisa K. Tong

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