scholarly journals The Confluence of Housing Instability and Psychosocial, Mental, and Physical Health in Sexual Minority Young Adults: The P18 Cohort Study

2020 ◽  
Vol 31 (4) ◽  
pp. 1693-1711
Author(s):  
Caleb LoSchiavo ◽  
Kristen D. Krause ◽  
Stuart N. Singer ◽  
Perry N. Halkitis
2018 ◽  
Vol 55 ◽  
pp. 207-214 ◽  
Author(s):  
Annie Ristuccia ◽  
Caleb LoSchiavo ◽  
Perry N. Halkitis ◽  
Farzana Kapadia

Author(s):  
Justin Hummer ◽  
Rachana Seelam ◽  
Eric Pedersen ◽  
Joan Tucker ◽  
Elizabeth D'Amico

Objective. Prior studies documenting more frequent and problematic use among young adults who have acquired medical marijuana (MM) cards have broadly compared those who use medically to those who use recreationally. Gaining a better picture of how health symptoms and problematic use vary both within those who have a MM card for specific condition domains and between those who do not have a MM card, can provide key information for medical practitioners and states interested in adopting or updating MM policies. Method. The current study categorizes young adults authorized to use MM into four mutually exclusive groups based on endorsements of qualifying conditions: (1) Physical Health only; (2) Mental Health only; (3) Sleep only; and (4) Multiple Conditions. Analysis of covariance examined differences across marijuana use, problems, mental and physical health, and sleep for MM condition categories, and for those that only use marijuana recreationally. Results. MM card holders, particularly those with physical health or multiple health conditions, reported heavier, more frequent, and more problematic and risky marijuana use compared to those using recreationally. Despite this pattern, those in different MM condition categories were generally not found to be more symptomatic in domains of functioning relevant to their respective conditions, compared to different category groups or to those using recreationally. Conclusions. Findings emphasize the importance of providers conducting a careful assessment of reasons for needing a card, along with use, to reduce potential harms while adding credibility to a medical movement with genuine promise of relief for many medical conditions.


2020 ◽  
Author(s):  
Daniel Griffiths ◽  
Luke Sheehan ◽  
Caryn Van Vreden ◽  
Dennis Petrie ◽  
Genevieve Grant ◽  
...  

Objective: To determine if losing work during the COVID-19 pandemic is associated with mental and physical health. To determine if social interactions and financial resources moderate the relationship between work loss and health. Design: Baseline data from a prospective longitudinal cohort study. Setting: Australia, 27th March to 12th June 2020. Participants: Australians aged 18+ years, employed in a paid job prior to the COVID-19 pandemic who responded to an online or telephone survey. Main Outcome Measures: Kessler-6 score > 18 indicating high psychological distress. Short Form 12 (SF-12) mental health or physical health component score <= 45 indicating poor mental or physical health. Results: 2,603 respondents including groups who had lost their job (N=541), were not working but remained employed (N=613), were working less (N=789) and whose work was unaffected (N=789). Three groups experiencing work loss had greater odds of high psychological distress (AOR=2.22-3.66), poor mental (AOR=1.78-2.27) and physical health (AOR=2.10-2.12) than the unaffected work group. Poor mental health was more common than poor physical health. The odds of high psychological distress (AOR=5.43-8.36), poor mental (AOR=1.92-4.53) and physical health (AOR=1.93-3.90) were increased in those reporting fewer social interactions or less financial resources. Conclusion: Losing work during the COVID-19 pandemic is associated with mental and physical health problems, and this relationship is moderated by social interactions and financial resources. Responses that increase financial security and enhance social connections may partially alleviate the health impacts of work loss.


BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e024391
Author(s):  
Ilaria Pozzato ◽  
Ashley Craig ◽  
Bamini Gopinath ◽  
Yvonne Tran ◽  
Michael Dinh ◽  
...  

IntroductionPsychological distress is a prevalent condition often overlooked following a motor vehicle crash (MVC), particularly when injuries are not severe. The aim of this study is to examine whether biomarkers of autonomic regulation alone or in combination with other factors assessed shortly after MVC could predict risk of elevated psychological distress and poor functional recovery in the long term, and clarify links between mental and physical health consequences of traffic injury.Methods and analysisThis is a controlled longitudinal cohort study, with follow-up occurring at 3, 6 and 12 months. Participants include up to 120 mild to moderately injured MVC survivors who consecutively present to the emergency departments of two hospitals in Sydney and who agree to participate, and a group of up to 120 non-MVC controls, recruited with matched demographic characteristics, for comparison. WHO International Classification of Functioning is used as the framework for study assessment. The primary outcomes are the development of psychological distress (depressive mood and anxiety, post-traumatic stress symptoms, driving phobia, adjustment disorder) and biomarkers of autonomic regulation. Secondary outcomes include indicators of physical health (presence of pain/fatigue, physical functioning) and functional recovery (quality of life, return to function, participation) as well as measures of emotional and cognitive functioning. For each outcome, risk will be described by the frequency of occurrence over the 12 months, and pathways determined via latent class mixture growth modelling. Regression models will be used to identify best predictors/biomarkers and to study associations between mental and physical health.Ethics and disseminationEthical approvals were obtained from the Sydney Local Health District and the research sites Ethics Committees. Study findings will be disseminated to health professionals, related policy makers and the community through peer-reviewed journals, conference presentations and health forums.Trial registration numberACTRN12616001445460.


2020 ◽  
Vol 5 (3) ◽  
pp. e140-e149 ◽  
Author(s):  
Mika Kivimäki ◽  
G David Batty ◽  
Jaana Pentti ◽  
Martin J Shipley ◽  
Pyry N Sipilä ◽  
...  

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