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1
Holubowycz, Oksana T. "An Australian study of alcohol dependence in women : the significance of sex role identity, life event stress, social support, and other factors". Title page, contents and summary only, 1988. http://web4.library.adelaide.edu.au/theses/09PH/09phh7585.pdf.
Testo completo
2
Xu, Qunyan. "An examination of the relationships between lifestyle factors and mental health among Australian midlife and older women". Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/43715/1/Qunyan_Xu_Thesis.pdf.
Testo completoAbstract (sommario):
Background It is well known that lifestyle factors including overweight/obesity, physical inactivity, smoking and alcohol use are largely related with morbidity and mortality of chronic diseases including diabetes and cardiovascular diseases. The effect of lifestyle factors on people’s mental health who have a chronic disease is less defined in the research. The World Health Organisation has defined health as “a state of complete physical, mental and social well-being”. It is important, therefore to develop an understanding of the relationships between lifestyle and mental health as this may have implications for maximising the efficacy of health promotion in people with chronic diseases. Objectives The overall aim of the research was to examine the relationships between lifestyle factors and mental health among Australian midlife and older women. Methodology The current research measured four lifestyle factors including weight status, physical activity, smoking and alcohol use. Three interconnecting studies were undertaken to develop a comprehensive understanding of the relationships between lifestyle factors and mental health. Study 1 investigated the longitudinal effect of lifestyle factors on mental health by using midlife and older women randomly selected from the community. Study 2 adopted a cross-sectional design, and compared the effect of lifestyle factors on mental health between midlife and older women with and without diabetes. Study 3 examined the mediating effect of self-efficacy in the relationships between lifestyle factors and mental health among midlife and older women with diabetes. A questionnaire survey was chosen as the means to gather information, and multiple linear regression analysis was conducted as the primary statistical approach. Results The research showed that the four lifestyle factors including weight status, physical activity, smoking and alcohol use did impact on mental health among Australian midlife and older women. First, women with a higher BMI had lower levels of mental health than women with normal weight, but as women age, the mental health of women who were overweight and obese becomes better than that of women with normal weight. Second, women who were physically active had higher levels of mental health than those who were not. Third, smoking adversely impacted on women’s mental health. Finally, those who were past-drinkers had less anxiety symptoms than women who were non-drinkers as they age. Women with diabetes appeared to have lower levels of mental health compared to women without. However, the disparities of mental health between two groups were confounded by low levels of physical activity and co-morbidities. This finding underlines the effect of physical activity on women’s mental health, and highlights the potential of reducing the gap of mental health by promoting physical activity. In addition, self-efficacy was shown to be the mediator of the relationships between BMI, physical activity and depression, suggesting that enhancing people’s self-efficacy may be useful for mental health improvement. Conclusions In conclusion, Australian midlife and older women who live with a healthier lifestyle have higher levels of mental health. It is suggested that strategies aiming to improve people’s mental health may be more effective if they focus on enhancing people’s self-efficacy levels. This study has implications to both health education and policy development. It indicates that health professionals may need to consider clients’ mental health as an integrated part of lifestyle changing process. Furthermore, given that lifestyle factors impact on both physical and mental health, lifestyle modification should continue to be the focus of policy development.
3
Proudfoot, Heather Public Health & Community Medicine Faculty of Medicine UNSW. "DSM-IV alcohol use disorders in Australia: validity, prevalence and treatment seeking". Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/26323.
Testo completoAbstract (sommario):
Alcohol use disorders are common and make a significant contribution to the burden of disease throughout the world. This is especially true among the younger age groups. Although these disorders are common, evidence suggests that those affected do not seek help for their disorders. In order to understand this, reviews of the treatment literature and the epidemiological data on prevalence and correlates of alcohol use disorders and treatment seeking are presented. These reviews confirm that effective treatments exist and that screening in primary care can be efficacious. The reviews also highlight deficits such as the need for more epidemiological evidence on the validity of DSM definitions of alcohol use disorders and for more Australian data on the prevalence and correlates of the disorders and related treatment seeking. This thesis sets out to address these deficits applying sophisticated statistical techniques to data from a large nationally representative Australian sample. A confirmatory factor analysis of the eleven criteria that specify alcohol dependence and abuse examined the validity of DSM-IV definitions of alcohol use disorders and the best solution was found to be a single factor, not two as currently defined. These findings question the bi-axial nature of alcohol use disorders that has underpinned their definition since the publication of DSM-III-R in 1987. Data from this national sample also confirm that, in line with research from other western countries, Australians have high levels of alcohol use disorders, especially amongst males and younger people. Also no association was found between alcohol dependence and treatment seeking, and young people were least likely to seek treatment. However, a relatively large proportion of young people who drink had been in contact with their GPs in the past year; demonstrating that there is ample opportunity for screening and referral for treatment for alcohol use disorders in this vulnerable group. This research has found that although alcohol disorders are not necessarily associated with disability, there are those who can benefit from treatment. It suggests that outcomes for such individuals may be improved by better specification of disorders as well as improved access to best treatments.
4
Preston, Lynn Kathleen. "Women constructing identities around alcohol use : the narratives of older and younger women". Thesis, University of East Anglia, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.323211.
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5
Cortez, Veronica L. "Examining Alcohol Related Consequences in Undergraduate Sorority Women". Thesis, University of North Texas, 2020. https://digital.library.unt.edu/ark:/67531/metadc1752357/.
Testo completoAbstract (sommario):
Members of Greek Life organizations consume more alcohol and participate in risky drinking behaviors at higher rate than their non-Greek counterparts due to deep rooted social norms within this population. Undergraduate sorority women at college and universities are often overlooked in research regarding trends in alcohol use in Greek Life organizations. However, women between the ages of 18 and 24 are more vulnerable to the consequences of heavy alcohol use compared to men, including liver disease, sexual assault, poor academic outcomes and post-collegiate alcohol use disorders (AUDs). Although higher education institutions are tasked with educating their students about safe alcohol use and protecting students from harm, these interventions are often inadequate in decreasing alcohol related consequences. Among students, sorority women consistently consume higher amounts of alcohol and exhibit higher rates of risky drinking behavior. This thesis aims to examine the unique alcohol-related consequences and risk factors sorority women face. Implications are discussed to guide college administrators, counselors and other supports that are likely to encounter issues associated with alcohol use within this population.
6
Smith, Jennifer. "Sexual Minority Women and Lifetime Risk of Alcohol Use Disorder". Wright State University Professional Psychology Program / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1565393840558153.
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7
Lam, Tina. "Alcohol and other drug use at school leavers’ celebrations in Western Australia". Thesis, Curtin University, 2011. http://hdl.handle.net/20.500.11937/53046.
Testo completoAbstract (sommario):
‘Leavers’ is a celebratory event for students who have recently completed their secondary education. This study examined patterns of alcohol and other drug use at Leavers, and explored influences on, and the impacts of use. Over 900 surveys were administered using a pre- and post-celebration design.
8
Banwell, Catherine L. "Pleasure and poison : the meanings and practices of alcohol use in women's everyday lives /". Connect to thesis, 1997. http://eprints.unimelb.edu.au/archive/00000648.
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Gupta, Himanshu. "Social Media Alcohol Marketing and Its Impact on Young People’s Alcohol Use: A Comparison between India and Australia". Thesis, Curtin University, 2018. http://hdl.handle.net/20.500.11937/75665.
Testo completoAbstract (sommario):
A cross-national comparison of 1) marketing strategies used by leading Indian and Australian alcohol brands on their official social media (SM) pages and 2) the association between exposure to SM alcohol marketing and alcohol use among young Indians and Australians, was conducted. Results suggest that alcohol companies tailor strategies to specific national contexts to engage users with these strategies. Significant associations were identified between alcohol-related content posted on SM and young people’s alcohol use.
10
Howlett, Katia Delrahim. "Web-based intervention for alcohol use in women of childbearing potential". Diss., [La Jolla] : [San Diego] : University of California, San Diego ; San Diego State University, 2010. http://wwwlib.umi.com/cr/ucsd/fullcit?p3397324.
Testo completoAbstract (sommario):
Thesis (Ph. D.)--University of California, San Diego and San Diego State University, 2010.Title from first page of PDF file (viewed April 7, 2010). Available via ProQuest Digital Dissertations. Vita. Includes bibliographical references (p. 144-160).
11
Kelly, Jane Frances. "Social representations of alcohol use among women who drank while pregnant". Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13692.
Testo completoAbstract (sommario):
Despite the fact that some of the highest rates of fetal alcohol spectrum disorders (FASDs) in the world have been reported in the Western Cape of South Africa, little research looks at the experiences of pregnant women who consume alcohol and what influences their alcohol use. Gaining insight into the social, psychological and contextual processes that contribute to risky drinking during pregnancy will help in guiding interventions that aim to prevent prenatal alcohol use, thereby preventing the occurrence of FASDs. Using both social representation theory and a discourse analytic approach, fourteen narrative episodic interviews were conducted in a Western Cape community with women who consumed alcohol during their pregnancy, and two focus group discussions with 13 members of the pregnant women’s community. Data collection aimed to elicit how these women and community members constructed and made sense of alcohol use. The interview and focus group data was analysed using thematic decomposition analysis. Alcohol use was represented by many participants as a social activity which was heavily influenced by their peers. Implicit in this representation was the notion that heavy drinking was a norm within this study community and offered one of the only ways in which to socialise. However, some participants also represented alcohol use as an individualised activity by constructing a clear boundary between drinking socially with friends and drinking to become inebriated. Although drinking during pregnancy was represented as a stigmatised activity, it was also understood by the pregnant women and community members as a way of dealing and coping with difficult domestic problems, such as infidelity. Furthermore, it was also represented as contributing to problems in the participants’ lives as well as unwanted changes in their behaviour. For some interview participants the problems they faced, reservations they held about their pregnancy and becoming a mother, and the social nature of drinking in their community may have inhibited their ability to stop drinking during their pregnancy. For other participants access to some form of social support, a level of responsibility-taking and a desire to protect the fetus from harm as well as care for and look after their children seemed to contribute to their ability to give up drinking while pregnant. Future interventions should take the social context of alcohol use into account, and rather than ignoring it – as most interventions do – use it to not only shift the social norms that surround heavy alcohol use, but also to support pregnant women to stop drinking. Prevention and intervention initiatives should also take a non-judgemental and supportive approach that focuses on capitalising on the moment of pregnancy and on teaching psychosocial skills that enable pregnant women to manage their problems effectively.
12
Stein, Amanda L. "Alcohol Use and Health Outcomes Among Women Victims of Intimate Partner Violence". University of Cincinnati / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1276530524.
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Hitch, Anthony E. "Abuse, Emotion Dysregulation, and Problematic Alcohol Use in African American Young Women". University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1563525545282689.
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14
Ford, Katharine. "Understanding of the use of alcohol in pregnancy amongst women in Scotland". Thesis, University of Liverpool, 2013. http://livrepository.liverpool.ac.uk/13621/.
Testo completoAbstract (sommario):
This thesis examines the use of alcohol in pregnancy amongst women in Scotland, post the introduction of a recommendation for abstinence in 2007 from alcohol during pregnancy. There is an ongoing debate over this recommendation, with some researchers highlighting abstinence as the safest choice but others indicating that such advice may generate excess fear and stress to mothers and can also be a way of stigmatising and controlling women. I argue that an increase in women’s alcohol consumption has also initiated a marked increase in attention towards the role of alcohol in women’s lives and the risks of drinking alcohol during pregnancy. This growing emphasis of the concern towards women drinking during pregnancy has come from the extension of the medicalisation of motherhood and the perception that the maternal-foetal relationship is strained. Biographical narrative interviews with 22 women in Edinburgh and Inverness are used to explore women's alcohol consumption during pregnancy in Scotland. Primarily with the aim to further the understanding of the social and cultural context of women’s alcohol consumption during pregnancy by examining women’s attitudes towards drinking during pregnancy and their awareness of the risks of consuming alcohol during pregnancy. It is my contention that there are many complex themes involved in women’s choices around drinking during pregnancy and that the change to abstinence has further led to the messages women receive being inconsistent, which leaves women in a state of confusion. I maintain that it is important that we recognise that women have different attitudes towards alcohol. Women cannot associate themselves with generalised statements about harm and risk. I explore how women respond to health interventions and their attitudes towards existing public health campaigns and health interventions. Consequently, I contend that women in this study reveal mixed attitudes towards these interventions as they often feel they gloss over the individuality of these decisions and their complexity within women’s lives by using a ‘one size fits all’ approach. Women therefore challenged the notion of harm and the evidence base behind the guidance, leading to a lack of confidence in the medical profession and an increasing reliance on lay health beliefs. It also draws upon the often overlooked importance of pleasure in women’s choices around alcohol consumption. The study highlights the importance of women’s experience, and the necessity of talking to women to further understand what influences their decision making around alcohol consumption during pregnancy. I argue that an attempt to trigger concern in pregnant women is inappropriate because of the lack of evidence into the risks caused by even moderate alcohol consumption.
15
Falla, Karen M. "Alcohol Use, Violence, and Psychological Abuse in Intimate Relationships". Thesis, University of North Texas, 1998. https://digital.library.unt.edu/ark:/67531/metadc279331/.
Testo completoAbstract (sommario):
Women in distressed relationships who had sustained severe psychological abuse and either no, moderate, or severe violence from their partner were included (N = 93). Men's and women's alcohol use did not differ with level of violence. Different patterns were found in the moderate violence group regarding women's beliefs about their partner's substance problem, men's psychological abuse, and the relationship of men's and women's quantity of alcohol use and times intoxicated. Uncertainty resulting from moderate violence may strengthen the emotional impact of psychological abuse. Even when psychological abuse is exacerbated by violence, women may use active coping techniques rather than drinking to cope with abusive relationships. The findings suggest that an inordinate focus on alcohol abuse may be ineffective in combating the problem of domestic violence.
16
Degenhardt, Louisa Psychology Faculty of Science UNSW. "Comorbidity between substance use and mental health in Australia: Relationships of alcohol, tobacco and cannabis use with other substance use and mental disorders". Awarded by:University of New South Wales. School of Psychology, 2001. http://handle.unsw.edu.au/1959.4/18247.
Testo completoAbstract (sommario):
Research into the comorbidity (or co-occurrence) of mental disorders is a relatively recent phenomenon. Much of this research has been conducted in clinical samples, which are prone to a range of biases that mean that the patterns observed are not representative of the general population. Although population-level research has previously been carried out, this thesis provides the first examination of comorbidity in the Australian population. This thesis examined the comorbidity of substance use and mental disorders among Australian adults. The major empirical work involved an examination of the patterns of homotypic comorbidity (other substance use disorders) and heterotypic comorbidity (mood disorders, anxiety disorders, and psychosis) of alcohol, tobacco and cannabis in the 1997 Australian National Survey of Mental Health and Well-Being (NSMHWB). These drugs were chosen as they are the most commonly used psychoactive substances in the Australian population. The NSMHWB involved a structured diagnostic interview of mental disorders with a representative sample of Australian adults. Three questions were addressed using this data: (1) What patterns of comorbidity exist between tobacco, alcohol and cannabis use, and other substance use and mental disorders?; (2) Are these patterns of comorbidity explained by common factors?; and (3) Does comorbidity affect the likelihood that mental health treatment has been sought? Similar patterns of homotypic comorbidity were observed for all three substances, and they were not explained by the other factors examined (gender, age, education, relationship status, employment and neuroticism). Cannabis dependence was the most strongly associated with other substance use disorders. Heterotypic comorbidity differed between alcohol, tobacco and cannabis use. Tobacco use predicted increased rates of all three groups of mental disorders (mood, anxiety and psychotic disorders). In the case of alcohol, only alcohol dependence was related to increased rates of all groups of mental disorders; alcohol use and abuse were not associated with heterotypic comorbidity. Any level of cannabis involvement was related to a similarly increased risk of mood and anxiety disorders. Cannabis use was linearly related to the risk of screening positively for psychosis. Common factors did not change the patterns of heterotypic comorbidity of tobacco and alcohol use. However, alcohol, tobacco and other drug use appeared to explain the higher rates of mood and anxiety disorders among cannabis users. Treatment seeking was much more likely among alcohol, tobacco and cannabis users when they had comorbid mental disorders. It was moderately increased when they had comorbid substance use disorders. The second piece of empirical work provided a more detailed examination of comorbid substance use problems among persons with psychosis. This topic was selected due to the limited epidemiological research on this issue, and the relatively large burden of disability that psychosis places upon the individual and the community. NSMHWB data were used to examine the prevalence of comorbid substance use disorders among persons who were likely to have met criteria for psychosis (as assessed by a screener used in the NSMHWB). Multiple regression analyses were used to test possible explanations for the higher rates of substance use disorders observed among persons reporting higher numbers of psychotic symptoms. The odds of alcohol dependence and regular tobacco use increased 1.5 times, and the odds of cannabis dependence increased twice, with each additional psychotic symptom reported, after adjusting for other substance use disorders, other mental disorders and demographic characteristics. Given the debate about the reasons for the association between cannabis use and psychosis, the final study used mathematical modelling to test four hypotheses about relationships between cannabis use and psychosis. Specifically, it examined trends in psychosis that would be predicted given the marked increases in the prevalence of cannabis use that have occurred in Australia over the past thirty years. The results suggested that a causal relationship - in which cannabis use caused psychosis among persons who would not otherwise have developed the disorder - is unlikely to explain the association. There was a better fit to the data provided by the other hypotheses examined, namely, that (a) cannabis use precipitates psychosis among vulnerable individuals; (b) cannabis use increases the risk of relapse among persons with psychosis; and (c) persons with psychosis are more likely to become regular cannabis users (without any effect upon the disorder). This thesis has demonstrated that in Australian adults there is significant comorbidity between alcohol, tobacco and cannabis use and other substance use and mental disorders. These patterns differ across the three substances. Some types of heterotypic comorbidity (e.g. between cannabis use and mood/anxiety disorders) are explained by common factors. The limited range of common factors tested here did not explain homotypic comorbidity. This thesis also suggested that mathematical modelling is a useful approach to consider when examining the plausibility of different relationships between risk factors and mental disorders. A number of hypotheses regarding comorbidity could not be tested using NSMHWB data, such as common genetic and other environmental factors. These can best be tested in research with samples of twins, and using longitudinal designs that assess a wide range of social and environmental factors. The findings of this thesis also have implications for treatment, because persons with comorbid disorders are more likely to seek treatment. There is an absence of validated treatments for persons with comorbid substance use and mental disorders, and more research is needed on this issue.
17
Edwards, Ruth Edwards. "Young adult women with problematic alcohol use: The impact of social capital on recovery". Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/201788/2/Ruth_Edwards_Thesis.pdf.
Testo completoAbstract (sommario):
This study investigated young women's social networks that can help or hinder recovery from problematic alcohol use. The views of experienced staff in alcohol and drug outreach services were examined, finding that social interactions mostly hindered young women's recovery due to the socially embedded acceptance of alcohol use within families, peers and communities. Legislation, policy and practice changes are needed to disseminate information about alcohol harms and encourage help seeking. At agency level, shifting from individualistic approaches to those more inclusive of social networks may activate support from family and friends and result in more positive outcomes for young women.
18
Watling, Hanna Amanda. "Understanding the nature and impact of mature-aged women's alcohol culture". Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101578/4/Hanna_Watling_Thesis.pdf.
Testo completoAbstract (sommario):
This thesis examined and compared the alcohol beliefs of mature-aged women in Sweden and Australia. The main aim of the program was to identify alcohol beliefs that were shared by a majority of women and that increased the likelihood of risky alcohol consumption. By doing so, the program contributes important information regarding middle-aged women's alcohol culture and its impact on drinking outcomes.document.getElementsByName("c12_disable_request")[0].checked = true;
19
Wolska, Barbara. "History, culture and alcohol: Drinking patterns in Poland and Australia". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1040.
Testo completoAbstract (sommario):
It is a widely held view in Poland that for centuries those in power have promoted heavy drinking among their subjects in order to achieve their various goals and that this contributed to the development of Polish drinking patterns. There is some empirical evidence that the political economy of alcohol in Poland promoted heavy drinking among the Polish population. Drinking alcohol in Poland was an important aspect of social situations. The most popular beverage was vodka(s). Social pressure to drink in the extreme was attributed to the tradition of hospitality. Cultural norms encouraged very heavy drinking among men and imposed heavy social sanctions on women who were supposed to display virtues of abstinence. The typical model of drinking was intermittent very heavy drinking, leading to intoxication on most occasions. These norms reinforced the notion that "we can drink more because we are Poles" and the view that safe drinking messages are designed for other nations because "Poles are accustomed to drinking strong alcohol, unlike others". Adult male informants reported drinking much less in Australia than in Poland. The biggest change was a lack of social pressure to drink. Although men claimed that they drink less, some still drink in an unsafe manner. These were largely those whose English skills restricted their employment and friendship networks. Women, on the other hand, admitted that in Australia they drink more often and more alcohol at a sitting than in Poland. Although informants did not mention any alcohol-related family problems in Australia, others reported alcohol related violence within some families. Some safety messages about alcohol do not reach this sample of people. Many view drink driving rules as purely revenue raisers for the government. However, advice from their medical practitioners to reduce their alcohol intake for serious health reasons is given more credibility. Young Polish Australians formed two groups in their attitude to drinking. The first group consisted of people who attended tertiary educational institutions and consumed alcohol in a similar fashion to other Australian students. It is likely that the university environment influenced their drinking patterns. Those who witnessed drinking at home and perceived it as a good thing, modelled their drinking on their parents' and other adults at home. Others, who perceived their parents as non-drinkers, learned to drink from their friends and displayed similar drinking patterns to their peers. The second group was older; some were in the workforce and manifested drinking patterns akin to those in the general Australian population in the same age bracket. Both groups of these young Polish Australians were much more aware of alcohol health messages and more likely to modify their behaviours such as not to drink and drive, than was the older population. However, other drinking related health warnings were largely disregarded. This research demonstrates the negative impact of reduced government funding for English programs and ethno-specific services for migrant groups. More research is needed on migrant drinking in Australia, specifically among those groups whose drinking continues to be problematic.
20
Masters, Joan Ann. "The relationship between moderate alcohol use and heart rate variability in older women /". The Ohio State University, 1998. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487950153603663.
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21
Job, Sarah. "Proximal Minority Stress, Drinking Motives, and Alcohol Use in Appalachian Sexual Minority Women". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etd/3440.
Testo completoAbstract (sommario):
Sexual minorities face identity-specific stressors (minority stress). Minority stress often predicts worse health outcomes and behaviors, like increased substance use. The current study examined the relationship between proximal minority stress and hazardous alcohol use. Possible mediators were considered. The current study involved a secondary data analysis of data from 48 sexual minority women who completed an online survey. Measures included the Lesbian Internalized Homophobia Scale, the Connectedness to the LGBT Community Scale, the AUDIT-5, the Drinking Motives scale, and an item that measured frequency of drinking. Data, analyzed via R, included t-tests, correlations, regression, and mediational analyses. Results showed that internalized stigma significantly predicted concealment. Community connectedness was neither predicted by internalized stigma nor correlated with concealment. Concealment did not predict coping motives; coping motives significantly predicted problematic drinking. Limitations included a low sample size and low observed power. Therefore, significant results may be found with a higher sample size.
22
Lizarraga, DeeAnn Dawn. "Rumination and Self-Medication Among Women with Posttraumatic Stress and Alcohol Use Disorders". ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4004.
Testo completoAbstract (sommario):
Women with posttraumatic stress disorder (PTSD) often develop alcohol use disorders (AUD) resulting from the use of alcohol to self-medicate from negative affect. Research supports the relationship between comorbid PTSD and AUD, and studies with women additionally identify the role of rumination, or excessive thinking about distress and its causes, as a precipitating aspect leading to self-medication. Female-based data is sparse, however, regarding specific thought patterns and factors which trigger the need to self-medicate with alcohol. Numerous researchers have studied the relationship between stress, anxiety, and alcohol use, although, there exists a need for qualitative studies providing thick, rich information. Applying the self-medication model and rumination theory, the purpose of this study was to use a transcendental research framework as a lens to explore and describe the phenomenon of how women with comorbid PTSD and AUD make sense of their dual disorder. Qualitative data were gathered from in-depth interviews of 12 women who participated in Alcoholics Anonymous groups in a large Southeastern city. The women collectively described their lived experience with the phenomenon as an internally-focused strategy premised on the notion of a 'Higher Power.' They reported using this strategy to manage thoughts, feelings, and behaviors which triggered negative self-assessment and the need to self-medicate with alcohol. This research contributes to the literature by offering a more detailed understanding of comorbid PTSD and AUD. Positive social change can be achieved with a better understanding of the etiology of female trauma and the factors that trigger alcohol relapse in women with PTSD.
23
Miller, Barbara Elaine. "Women under the influence: Stressors which increase alcohol consumption". CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/887.
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Strychar, Irene. "The relationship between learning, health beliefs, weight gain, alcohol consumption, and tobacco use of pregnant women". Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/29241.
Testo completoAbstract (sommario):
Understanding how women learn during pregnancy is the foundation for planning prenatal education programs. To date, adult educators have not investigated, in any depth, the learning process during pregnancy. The purpose of this study was to examine learning during pregnancy and relate this learning to learning outcomes. The principal research questions were: "What are the learning patterns of pregnant women?" and "What is the relationship between learning and health behavior of pregnant women?"
It is unknown whether learning during pregnancy is directly associated with behavior or mediated through health beliefs. The objectives of this research were to identify pregnant women's health behaviors, learning patterns, and health beliefs. The three health behaviors examined in this study were eating, drinking, and smoking. These behaviors were operationalized in terms of their outcomes: weight gain, alcohol consumption, and tobacco use. These factors are amenable to an education intervention and are behavioral risk factors associated with low birth weight. The process of investigating learning patterns consisted of identifying: what was learned during the pregnancy, which resources were utilized, what advice was given, what amount of time was spent in learning, who initiated the learning episodes, and what learning transaction types emerged. Determining learning transaction types was based upon an adaptation of Tough's (1979) concept of planners and Knowles's concept of self-directed learners. The process of investigating health beliefs consisted of identifying pregnant women's concerns, perceived risk, perceived use of the information, and perceived barriers, defined according to an adaptation of the Health Belief Model. The principal hypotheses of the study were: (1) self-initiated learning will be positively correlated with knowledge scores, (2) self-initiated learning will be positively correlated with ideal health behaviors, and (3) health beliefs will be positively correlated with ideal health behaviors: ideal weight gain during pregnancy, reduced alcohol consumption, and reduced cigarette smoking.
The research, an ex post facto design, involved a one hour structured interview with women within the week following delivery of their infants in hospital. A proportional sample of 120 primigravidas was selected from seven hospitals with average number of monthly births greater than 100. Reporting of results was based upon 120 interviews conducted as part of the main sample and eight interviews conducted during the pilot study. Pilot responses were included because these responses were similar to responses provided by the main sample, with the exception of health belief data. One case was excluded from the sample, making for N = 127.
Data analyses were based upon the entire sample N = 127, with the exception of health belief measures. Since alcohol and smoking health belief questions were administered to drinkers and smokers and since health belief measures related to weight gain, alcohol, and smoking were missing data, health belief analyses were based upon N=123 for weight gain, N = 88 for alcohol, and N = 43 for smoking.
Women had spent an average of forty-one hours learning about weight gain, alcohol consumption, and tobacco use during pregnancy. The principal resources used were: reading materials, physicians, family members, and prenatal classes. The majority of pregnant women had engaged in other-initiated learning episodes in the one to one setting, that is with a health professional, family member, or friend. Self-initiated learning about weight gain was associated with higher knowledge scores and ideal prenatal weight gain (p≤0.05); and, weight gain health beliefs were negatively correlated with ideal prenatal weight gain (p≤0.05). Finding a negative correlation, in contrast to the predicted positive correlation, may have been due to the fact that in a retrospective study the behavior precipitated reporting of health beliefs. Other-initiated learning about alcohol was associated with higher knowledge scores and reduced alcohol intake (p≤0.05); however, alcohol health beliefs were not associated with reduced alcohol intake. For smoking, neither self-initiated nor other-initiated learning was associated with knowledge scores or reduced cigarette smoking; however, a low degree of perceived risk was predictive of reduced cigarette smoking (p≤0.05). Knowledge about tobacco use was positively correlated with health beliefs, suggesting that learning may be indirectly related to smoking behaviors.
This study contributes to the knowledge about learning during pregnancy by providing a descriptive profile of learning patterns during pregnancy, and by examining the relationship between learning, health beliefs, and behavior. Fostering a learning environment which stimulates self-initiated learning may assist women reach ideal weight gain during pregnancy. For alcohol, encouraging health professionals, family members, and friends to initiate learning about the hazards of consuming alcohol during pregnancy seems warranted. Self-initiated learning may not be superior to other-initiated learning but may be topic specific, due to the nature of the health behaviors examined. Identification of women's smoking health beliefs seems warranted during prenatal education. Further research is required to better understand the role of learning with respect to changing smoking behaviors during pregnancy.Education, Faculty of
Educational Studies (EDST), Department of
Graduate
25
Hardin, Melinda McKernan. "Issues women identify during their first three years of recovery from alcohol and drug addiction". Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29697.
Testo completoAbstract (sommario):
Research targeting the chemically dependent woman has received little attention, even though the research indicates a convergence of male and female drinking norms. Research centered on the special issues of the chemically dependent woman also needs to be extended beyond the scope of actual alcohol and drug abuse and resulting treatment to include information on what issues women face in their recovery process. The findings would help treatment providers design more successful interventions for this population.
This study used qualitative methods to investigate issues that 12 chemically dependent women, ranging in actual time in recovery from first to third year post inpatient treatment, discussed as part of a 16 week therapy group. Their recorded responses were transcribed and analyzed, using Glaser and Strauss' methods of comparative analysis, comparing the women between three groups desiginated by the divisions of first, second, and third year post inpatient treatment.
The findings indicate that all share many of the same issues, however there are marked differences between the groups. All the women had difficulties with intra- and interrelationships, finding it difficult to maintain a healthy recovery in spite of the problems they confronted in experiencing reality without mind-altering substances.
Many issues were influenced by the subjects' family of origin history and sex-role orientation. Conflicts in role obligations resulting in work, family, parenting, and relationship problems surfaced. All the women were aware of additional substance and compulsive dependencies that they would like to
eliminate; however, avoiding relapse of their alcohol/drug addiction was the major concern for most.
The findings reveal that the longer women spent time actively undertaking a concerted program of recovery, the more they experienced integration into the rest of society, and that the acquisition of life skills and resolution of the past were important factors to the success of this integration. The categories and theme issues that emerged from the analysis have implications for social work practice, policy, and further research.Arts, Faculty of
Social Work, School of
Graduate
26
Ott, Walter Katherine. "An analysis of medical students' perceived self-efficacy to counsel and screen for alcohol use among pregnant women". [Kent, Ohio] : Kent State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=kent1240272632.
Testo completoAbstract (sommario):
Thesis (Ph.D.)--Kent State University, 2009.Title from PDF t.p. (viewed Jan. 22, 2010). Advisor: Cynthia Symons. Keywords: Medical students'; pregnant; alcohol use; alcohol screening; alcohol counseling Includes bibliographical references (p. 183-206).
27
Dave, Walker P. "Understanding Hookups in College Women: Alcohol Use, Sex Motives, Sexual Assertiveness, and Sexual Victimization". Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1297783992.
Testo completo
28
Buchholz, Laura J. "An ecological momentary assessment of self-regulation, dietary restriction, and alcohol use among college women". Kent State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=kent1434487136.
Testo completo
29
Balaam, Sarah. "Alcohol use and associated health behaviours of women who have been treated for breast cancer". Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/130711/14/Sarah_Balaam_Thesis_DisseminationCopy.pdf.
Testo completoAbstract (sommario):
This study utilised mixed methods to determine the predisposing, enabling, and reinforcing factors associated with alcohol consumption in women previously treated for breast cancer. Underpinned by the Precede-Proceed theoretical model, the study considered quantification of alcohol consumption; demographic, psychosocial, and health-related factors associated with alcohol use; and whether a tailored e-health lifestyle intervention changed alcohol-related health behaviours. Findings provided much needed insight into the predisposing, enabling, and reinforcing factors that shape alcohol consumption in the target population.
30
Stewart, Sherry Heather. "Anxiety sensitivity and risk for alcohol abuse in young adult females". Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=41202.
Testo completoAbstract (sommario):
Much empirical evidence attests to a strong relationship between the panic-related disorders and alcoholism. Recent data suggest that anxiety sensitivity (fear of anxiety) may be one common underlying vailable contributing to the large degree of overlap between the panic-related disorders and alcoholism. In fact, some data indicate that the relationship between anxiety sensitivity and alcohol misuse may be particularly strong in women, a group which is generally underrepresented in the alcoholism etiology literature. Research described in this thesis was conducted with the aim of further elucidating the nature of the relationship between anxiety sensitivity and alcohol use/abuse in young adult women. The series of seven experiments included in this thesis demonstrated that: (1) high levels of anxiety sensitivity are characteristic of subjects meeting diagnostic criteria for panic disorder, an anxiety disorder frequently associated with alcohol abuse; (2) female university students demonstrate significantly higher average levels of anxiety sensitivity than male university students; (3) anxiety sensitivity is an important predictor of self-reported rates of alcohol consumption in university women; (4) high anxiety sensitive university students are both more likely to report drinking alcohol primarily to "cope" with negative emotional states, and less likely to report drinking alcohol primarily for social-affiliative motives, than are low anxiety sensitive university students; (5) high anxiety sensitive women display greater degrees of sober subjective-emotional arousal when anticipating aversive stimulation, greater degrees of sober electrodermal reactivity to the aversive stimulation, and greater sensitivity to the dampening effects of alcohol on these measures of reactivity, than low anxiety sensitive controls; (6) high anxiety sensitive women show a sober attentional bias favoring the processing of physically threatening information, which is dampened through th
31
Waterson, Elizabeth Janet. "Women and alcohol : the social context of changing patterns of use during pregnancy and early motherhood". Thesis, London School of Economics and Political Science (University of London), 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.296935.
Testo completo
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Louw, Jacobus Gidion. "Perception of personal and general risk of alcohol use during pregnancy among women in a high risk community in the Northern Cape province, South Africa". Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/95915.
Testo completoAbstract (sommario):
Thesis (MA)--Stellenbosch University, 2014.ENGLISH ABSTRACT: Maternal drinking during pregnancy and its consequences are a growing health concern worldwide. It has also been identified as a significant problem in South African communities with some of the highest prevalence rates of Fetal Alcohol Spectrum Disorder (FASD) reported in South Africa. The primary aim of this study was to explore how women in a South African community in the Northern Cape Province perceive the personal and general risk of drinking during pregnancy. The secondary aims were to ascertain whether there was evidence of unrealistic optimism, to examine whether there were personal characteristics that are associated with high or low risk perception, and to examine women‟s knowledge of FASD. A total of 128 women from De Aar in the Northern Cape, an area with a high prevalence of FASD, and therefore drinking during pregnancy, were recruited to take part in the study. Participants had previously taken part in a FASD prevention programme. Questionnaires were administered assessing the perception of the risk posed to a participant‟s own child should she drink during pregnancy, and the risk posed to others‟ children should they drink during pregnancy. The questionnaire also contained questions on FASD knowledge and demographic variables. Participants were between 18 and 44 years of age and reported high rates of unemployment. Most women had more than one child and 7.8% had a child diagnosed with FASD. No evidence for unrealistic optimism was found. Multiple regression analyses revealed both FASD knowledge, and the perception of how easy it would be for oneself to stop drinking, were significant predictors for both personal and general risk. A model including the perception of general risk, FASD knowledge and the perception of how easily one could stop drinking accounted for the most variance in the perception of personal risk (66.4%). Perception of personal risk on its own was the strongest predictor of the perception of general risk accounting for 56.1% of variance. There was no significant correlation between passage of time and FASD knowledge, but possible gaps in FASD knowledge were identified. The study provides an overview of the perception of the risk of drinking during pregnancy in the target population. It also suggests improvements to the research design and materials for further research.
AFRIKAANSE OPSOMMING: Moederlike drankgebruik gedurende swangerskap en die gevolge daarvan word wêreldwyd met groeiende kommer beskou. Dit is ook as ʼn wesenlike probleem in Suid-Afrika geïdentifiseer, met van die hoogste voorkomssyfers van Fetale Alkohol Spektrumafwykings (FASA) wat in Suid-Afrika aangeteken is. Die primêre doel van hierdie studie was om, in ʼn Suid-Afrikaanse gemeenskap in die Noord Kaap provinsie, die persepsie van persoonlike en algemene risiko van drink tydens swangerskap onder vrouens, te ondersoek. Die sekondêre doelstellings was om vas te stel of daar bewyse van onrealistiese optimisme is; te bepaal of daar persoonlike eienskappe is wat korreleer met ʼn hoë of lae risiko-persepsie, en om ook die vroue se kennis van Fetale Alkohol Spektrumafwykings (FASA) te ondersoek. 128 vroue van De Aar in die Noord-Kaap is gewerf om aan die studie deel te neem. Die gebied het 'n hoë FASA voorkoms, en dus ook alkoholgebruik tydens swangerskap. Deelnemers het voorheen deelgeneem aan 'n FASA voorkomingsprogram. Vraelyste is voltooi rakende die persepsie van die risiko vir 'n deelnemer se eie kind sou sy tydens swangerskap drink, en die risiko vir ander se kinders, sou hulle tydens swangerskap drink. Die vraelys het ook vrae oor FASA kennis en demografiese veranderlikes ingesluit. Deelnemers was tussen 18 en 44 jaar oud en het hoë vlakke van werkloosheid gerapporteer. Meeste vrouens het meer as een kind gehad en 7.8% het ʼn kind wat met FASA gediagnoseer is gehad. Geen bewyse vir onrealistiese optimisme is gevind nie. Meervoudige regressie-ontleding het bevind dat beide FASA-kennis en die persepsie van hoe maklik dit vir ‟n deelnemer self sou wees om op te hou drink, beduidende voorspellers vir beide persoonlike en algemene risiko is. 'n Model wat die persepsie van algemene risiko, FASA-kennis en die persepsie van hoe maklik 'n deelnemer self kan ophou drink, het die grootste variansie in die persepsie van persoonlike risiko verduidelik (66,4 %). Persepsie van persoonlike risiko op sy eie, was die sterkste voorspeller van die persepsie van algemene risiko, opsigself verantwoordelik vir 56,1% van die variansie. Daar was geen beduidende korrelasie tussen die verloop van tyd en FASA kennis nie, maar moontlike gapings in die kennis van FASA is geïdentifiseer. Die studie bied 'n oorsig van die persepsie van die risiko van drankgebruik tydens swangerskap in die teikenbevolking. Dit stel ook verbeteringe vir die navorsingsmetodiek voor vir toekomstige navorsing.
33
Wakefield, Melanie. "Evaluation of a smoking cessation intervention for pregnant women and their partners attending a public hospital antenatal clinic". Adelaide : University of Adelaide, Dept. of Community Medicine, 1994. http://web4.library.adelaide.edu.au/theses/09PH/09phw147.pdf.
Testo completo
34
Field, Rachael M. "The use of litigation and mediation for the resolution of custody and access disputes : some issues for women". Thesis, Queensland University of Technology, 1996. https://eprints.qut.edu.au/36894/1/36894_Digitised%20Thesis.pdf.
Testo completo
35
Pretorius, Liezille Jean. "Women's discourses about secretive alcohol dependence and experiences of accessing treatment". Thesis, Stellenbosch : University of Stellenbosch, 2010. http://hdl.handle.net/10019.1/5188.
Testo completoAbstract (sommario):
Thesis (PhD (Psychology))--University of Stellenbosch, 2010.ENGLISH ABSTRACT: There is a paucity of research documenting women’s undisclosed drinking. This study explored the discursive accounts of women’s alcohol dependence, treatment history and barriers in accessing alcohol dependence treatment. The goals of this dissertation were to explore women’s alcohol dependence history; explore women’s treatment history (or lack thereof); identify barriers and nature of barriers that limit women’s access to alcohol dependence treatment; identify the reasons for women not accessing treatment, and to interpret women’s experiences of treatment per se. A Human Scientific Approach was adopted to examine and interpret how women’s drinking is socially constructed. A social constructionist approach was utilised to access and construct meaning from the discourses emanating from the women’s narratives of their experience with alcohol and their attempts at rehabilitation. Ten women were interviewed using the life story (narrative) interview method. The findings illustrate two major discourses namely, secret drinking and inaccessibility of appropriate treatment facilities for women alcohol dependents. This means that participants feel forced to conceal their drinking and to drink secretively because of the stigma associated with women drinking heavily. The stigma they experience translates into barriers (mostly internal barriers) to seeking institutionalised treatment. This makes it easier for them to seek alternative treatment such as an anonymous fellowship, like Alcoholics Anonymous. Other discourses signify the importance of problem identification and treatment readiness. This means that if the alcohol dependent woman realises what the real problem is causing her to use alcohol as an escape or as a coping strategy, she will be more willing to address the underlying problem. Recommendations are made focusing on micro and macro-level intervention strategies such as access to treatment, public health campaigns and policies to improve the quality of life of women recovering from alcohol dependence.
AFRIKAANSE OPSOMMING: Daar is min inligting beskikbaar oor die dokumentering van vroue wat in-die-geheim alkohol gebruik. Hierdie studie het die diskursiewe weergawe van vroue se alkoholgebruik, behandelingsgeskiedenis en hindernisse tot die behandeling van alkohol-misbruik verken. Die doelstellings van hierdie verhandeling is om die volgende te verken: Vroue se afhanklikheidsgeskiedenis; vroue se rehabiliteringsgeskiedenis (of die gebrek daaraan); die identifisering van hindernisse en die aard van die probleme wat vroue se toegang tot die behandeling van alkohol-misbruik beperk; die identifisering van redes waarom vroue rehabilitering weier; en die interpretasie van vroue se belewings van behandeling per se. ‘n Humanisties-wetenskaplike benadering is gebruik om die sosiale konstruksie van vroue se drinkgewoontes te ondersoek en te interpreteer. Die verstaan van en die skep van betekenis van die diskoerse van die vroue, en die temas wat na vore gekom het vanuit hul vertellings/narratiewe van hul alkohol-ervarings en hul pogings tot rehabilitering, is binne die raamwerk van die sosiaal-konstruksionistiese uitgangspunt aangepak. Onderhoude is met tien vroue gevoer en die narratiewe metode is gebruik. Die bevindings toon twee hoofdiskoerse naamlik, drinkery in-die-geheim en die ontoeganklikheid van gepaste behandelingsfasiliteite vir vroue met afhanklikheidsprobleme. Dit beteken dat vroue ondervind dat hulle gedwing word om in-die-geheim te drink, as gevolg van die stigmatisering van vroue en oormatige alkohol-gebruik. Hierdie stigmatisering kan herlei word tot hindernisse (meestal interne hindernisse) te make met ge-institutionaliseerde behandeling. Om die rede is dit makliker vir vroue om alternatiewe behandeling soos anonieme gemeenskappe, byvoorbeeld Alkoholiste Anoniem te oorweeg. Ander diskoerse beklemtoon die identifisering van probleme en die instemming tot rehabilitering. Dit beteken dat wanneer die alkoholis die werklike probleem vir alkohol-gebruik verstaan as ‘n ontsnapping of as ‘n hanteringsstrategie, sy meer gewillig sal wees om die onderliggende probleem aan te spreek. Aanbevelings is gemaak met die fokus op mikro- en makrointervensiestrategieë, soos die toegang tot rehabilitering, openbare gesondheidsveldtogte en beleide ten einde die leef-kwaliteit van vroue in die herstelproses van alkoholafhanklikheid te verbeter.
36
Brown, Debora. "Depressed men angry women: Non-stereotypical gender responses to anti-smoking messages in older smokers". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2001. https://ro.ecu.edu.au/theses/1034.
Testo completoAbstract (sommario):
This qualitative study into the effective use of fear arousal in social marketing advertising, focused on exploring gender differences in smokers' attitudes towards threats in anti-smoking messages in the 40 to 50 year old age group. This age group of smokers has received relatively little attention in the fear arousal literature to date, presumably because their 'hard core' attitudes are perceived as difficult to change by social marketing and medical practitioners. The key purpose of this study was to explore the attitudinal responses of male and female smokers in the 40 to 50 year old age group to anti-smoking messages and in particular to those using death and non-death threats. Unexpected findings from a previous study (Henley 1997) were the first to indicate that significant gender differences occurred in this age group to anti-smoking messages. Henley's (1997) study focused on death versus non-death threats in social marketing messages in two age groups of smokers: 16 to 25 and 40 to 50 year aids. Response to the death threat, 'Quit smoking or you'll die of emphysema' was compared to the response of the non-death threat, 'Quit smoking or you'll be disabled by emphysema', in producing change in attitude, motivation and intention to adopt the recommended behaviour. The appropriateness of these threat messages was considered in relation to male and female smokers in two age groups, 16-25 years and 40-50 years. Henley (1997) found that significant differences occurred between older male and female smokers' responses to death and non-death threats in social marketing messages, and that in general, 40-50 year old males responded more to death threats and 40-50 year old females responded more to non-death threats, with the exception of death threats and loved ones. Focus groups were the qualitative method used for data collection in this study. Data was collected from four focus groups (2 male and 2 female), that consisted of 40 to 50 year old regular smokers. Group interviews were conducted as free flowing discussions interspersed with questions pertaining to the major objectives of the study. Projective questioning techniques were used to draw out participants' deeply held beliefs rather than their more easily accessible altitudes. As such, they were not asked direct questions pertaining to attitudes or specifically prompted for response to death and non-death threats. The men and women in this study fitted the characteristics of 'hard core', precontemplative smokers due to their long term smoking behaviour and low-involvement with anti-smoking information. Data were analysed manually according to themes in relation to the major objectives with special consideration given to gender differences that emerged. Attitudes were examined according to emotional, cognitive and behavioural responses. Gender differences are discussed in relation to how responses were articulated. Significant gender differences occurred in attitudinal response to threat in antismoking messages. In particular, gender differences occurred in relation to perceived self-efficacy, and strategies employed to cope with cognitive dissonance and negative emotions that emerged from exposure to anti-smoking messages. Men in this study revealed low levels of perceived self-efficacy, self-esteem and a sense of helplessness and powerlessness over their smoking behaviour. Discussions revealed the men had adopted maladaptive coping responses such as avoidance behaviour and denial in relation to anti-smoking messages. Women in this study revealed higher levels of self-efficacy and derived more benefits from smoking than men. However, their responses indicated anger towards patriarchal and authoritarian anti-smoking messages. Data also revealed that women had adopted maladaptive coping responses such as defiance, reactance and avoidance behaviour in relation to anti-smoking messages. An unexpected finding in this study was that both genders were clearly more accepting of positively framed anti-smoking messages that engendered self-esteem and higher efficacy. The implications for practitioners and researchers are that market segmentation is advisable for older smokers. 'Hard core' smokers may be a difficult group to reach via negatively framed anti-smoking messages and it is possible that positively framed messages may offer a solution. Further quantitative research is indicated into the relative effectiveness of positively framed messages and 'hard core' smokers.
37
Klinger, Ingrid. "The nutritional status of pregnant women in relation to alcohol consumption during pregnancy, and pregnancy outcome". Thesis, Stellenbosch : University of Stellenbosch, 2004. http://hdl.handle.net/10019.1/16365.
Testo completoAbstract (sommario):
Thesis (MVoeding)--University of Stellenbosch, 2004.ENGLISH ABSTRACT: Introduction: Heavy alcohol consumption during pregnancy is teratogenic.49-51 A woman’s nutritional requirements increase during pregnancy.4 The dangers of heavy drinking in the presence of malnutrition may put the fetus at a further disadvantage to normal development and life. Objectives: To determine the nutritional status of pregnant women in relation to alcohol consumption during pregnancy, and pregnancy outcome. To relate the combined effect of maternal alcohol consumption and nutritional status to pregnancy outcome. Study design: Prospective, longitudinal and cohort. Study population: Pregnant women attending Hanover Park MOU for pre-natal care. They were classified as subjects (heavy drinkers) or controls (light drinkers or abstainers), and 15 pairs were matched according to race, parity and gestational age at the onset of their participation in the study. Methodology: A skilled FARR worker determined the alcohol consumption of the individuals through a validated questionnaire, whilst the investigator gathered the study data blinded to the participants’ alcohol consumption status. The investigator conducted three interviews with the pregnant individuals. Anthropometrical, clinical and biochemical investigations were done and questionnaires completed to determine dietary intake, sociodemographics, health and eating habits. An experienced FARR paediatrician examined the newborns, assessing their anthropometric status, health and the presence of any alcohol-related signs. Results: The nutritional status of the matched subjects and controls did not differ significantly in terms of dietary intake, anthropometric or clinical assessment. There were significant differences between the 2 groups’ serum vitamin A values (p<0.0097). Significant associations were found between the mother and newborn data; specifically energy intake and gestational age at birth (p<0.0083), MUAC and birth weight (p<0.04), and weight gain and weight for age (p<0.0056). The participants’ energy intake also had a significant correlation with their weight gain during pregnancy (r=0.0389, p<0.01). The prevalence of FAS in the total population was 6.67%; a finding that confirms previously reported data in nearby Wellington, Western Cape.49 Conclusion: Some mothers’ good nutritional status did not protect their offspring against alcohol’s teratogenic effects. Nutritional status did have a few statistical significant effects on pregnancy. However, the investigator is of the opinion that the few significant findings were not enough to accept or reject the hypothesis; therefore, making the results inconclusive.
AFRIKAANSE OPSOMMING: Inleiding: Swaar alkoholgebruik tydens swangerskap is teratogenies.49-51 Vroue se voedingsbehoeftes verhoog met swangerskap.4 Die gevare van swaar alkoholgebruik in die teenwoordigheid van wanvoeding mag die fetus verhoed om normal te ontwikkel en groei. Doelwitte: Om die voedingstatus van swanger vroue te bepaal in verhouding met alkoholgebruik tydens swangerskap, en die swangerskapsuitkoms. Asook om die gekombineerde effek van die moeder se voedingstatus en alkoholgebruik op haar swangerskapsuitkoms te bepaal. Studie-ontwerp: Prospektief, longitudinaal en kohort. Studiepopulasie: Swanger vroue wat Hanover Park MOU besoek vir voorgeboorte sorg. Hulle is of as toetslinge (swaar drinkers) of as kontroles (ligte drinkers of geheelonthouers) geklassifiseer, en 15 pare is gepaar na aanleiding van ras, pariteit en gestasionele ouderdom by die aanvang van deelname aan die studie. Metodologie: ‘n Ervare SAVN lid het die individue se alkoholgebruik bepaal deur middel van ‘n gevalideerde vraelys. Die navorser was geblind vir die individue se alkoholgebruik. Die navorser het drie onderhoude gevoer met elke individu. Antropometriese, kliniese en biochemiese ondersoeke is gedoen. Vraelyste is voltooi om dieetinname, gesondheid, sosiodemografiese en eetgewoonte- inligting te versamel. ‘n Ervare SAVN pediater het alle pasgeborenes ondersoek om hulle antropometriese status, gesondheid en die teenwoordigheid van enige alkohol-verwante tekens te bepaal. Resultate: Die voedingstatus van die gepaarde toets-en kontrolegroepe het nie beduidend verskil in terme van dieetinname, antropometriese of kliniese evaluering nie. Daar was ‘n beduidende verskil tussen die 2 groepe se serum vitamien A vlakke (p<0.0097). Beduidende assosiasies is gevind tussen die moeder en pasgebore se data; naamlike tussen energie-inname en gestasionele ouderdom by geboorte (p<0.0083), bo-armomtrek en geboortegewig (p<0.0056), en gewigstoename tydens swangerskap en die baba se gewig vir ouderdom (p<0.0056). Die deelnemers se energie-inname het ook ‘n beduidende positiewe korrelasie met hul gewigstoename tydens swangerskap gehad (r=0.0389, p<0.01). Die prevalensie van FAS in die totale populasie was 6.67%; wat ook gevind is onlangs in die nabygeleë Wellington, Weskaap.49 Gevolgtrekking: Sommige moeders se goeie voedingstatus het nie hul kinders teen alkohol se teratogeniese effekte beskerm nie. Voedingstatus se effek op swangerskapsuitkoms was statisties beduidend in ‘n paar gevalle. Tog is die navorser van mening dat daar nie genoeg beduidende bewyse is om die nulhipotese te aanvaar of verwerp nie; dus is die gevolgtrekking onopgelos.
38
Chandley, Rachel Burgard. "The Impact of Emotion Dysregulation on the Relationships among Anxiety Sensitivity, Coping Drinking Motives, and Alcohol-Related Outcomes in College Women". Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1313006843.
Testo completo
39
Buchholz, Laura J. "BODY IMAGE DISSATISFACTION AND THE USE OF COMPENSATORY BEHAVIORS AMONG COLLEGE STUDENT DRINKERS". Kent State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=kent1329495430.
Testo completo
40
Philips-Roth, Emily Anne. "Coping and Enhancement Motives in Female College Drinkers: Patterns of Alcohol Use, Problems, and Risky Behavior". Miami University Honors Theses / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=muhonors1304711407.
Testo completo
41
Wakefield, Melanie, e University of Adelaide Dept of Community Medicine. "Evaluation of a smoking cessation intervention for pregnant women and their partners attending a public hospital antenatal clinic / Melanie Wakefield". Adelaide : University of Adelaide, Dept. of Community Medicine, 1994. http://hdl.handle.net/2440/21562.
Testo completoAbstract (sommario):
Includes examples of information booklets as appendicesIncludes bibliographical references: p. 232-251
xiv, 251 p. : photo. ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Thesis (Ph.D.)--University of Adelaide, Dept. of Community Medicine, 1994
42
Garcia, Angelica Silvia, e Coralyn Finlayson McCabe. "Depression and its causes in women recovering from substance abuse". CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2149.
Testo completoAbstract (sommario):
The purpose of the study was to determine the extent environmental problems such as family history of substance abuse, loneliness and lack of support contribute to high levels of depression for substance abusing women seeking recovery in residential treatment facilities.
43
Venn, Danielle. "Work timing arrangements in Australia in the 1990s : evidence from the Australian time use survey /". Connect to thesis, 2004. http://eprints.unimelb.edu.au/archive/00000812.
Testo completo
44
Irvin, Miriam, e Wilma Shepard. "A qualitative research study on fetal alcohol syndrome". CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/978.
Testo completo
45
Lee, Susan Kaye. "Alcohol, tobacco and other drug concerns of newly arrived 'CaLD' (culturally and linguistically diverse) women in Perth". Thesis, Curtin University, 2008. http://hdl.handle.net/20.500.11937/1590.
Testo completoAbstract (sommario):
Womens Health Services (WHS) in Perth provides medical services, counselling, information, community talks and workshops, referral, and outreach to women in Western Australia. WHS works with women from over sixty different nationalities, including many newly arrived migrants and refugees. New arrivals access a wide range of WHS programs, but at the time the current study was developed few ethnic women attend the alcohol and other drug (AOD) services offered by the organisation. To address this a needs assessment was conducted with newly arrived women (0 to 5 years in Australia). The needs assessment examined the use of alcohol and other drugs by newly arrived women, the barriers that prevent women from accessing alcohol and other drug (AOD) services and explored the types of services and programs newly arrived women wanted.Method. The needs assessment used both qualitative and quantitative methods. Twenty two service providers working with newly arrived migrant and humanitarian entrant women were either interviewed individually or attended a focus group. The views and experiences of 26 newly arrived women from a variety of culturally and linguistic backgrounds were also collected through one-on-one interviews (n=6) and through focus groups (n=5). The information gathered from these interviews and discussions informed the design of a questionnaire that was administered to 268 newly arrived women. All women participating in the project were 18 years of age or more, Australian citizens, permanent Australian residents or in the process of being granted permanent residency and had lived in Australia 5 years or less.Findings Regarding Tobacco and Alcohol Use. Australian cultural attitudes had had an impact on newly arrived women's alcohol and other drug use. Some impacts were positive, for example, increasing restrictions and the decrease in acceptability of smoking in public places along with strong educational messages about the risk of smoking had influenced some women to quit since coming to Australia. Unfortunately, not all Australian cultural attitudes had a positive impact on newly arrived women. Just under one third of the women (31.7%) who drank alcohol were drinking more alcohol since coming to Australia. Reasons for drinking more alcohol were varied and included alcohol being cheaper in Perth than in their own countries, socialising with Australians who drank alcohol, and using alcohol as a way of coping with stress. However, it is important to note that only a very small percentage of the newly arrived women participating in the needs assessment drank at levels considered risky or high risk for either short term or longer term harm. The vast majority of respondents surveyed did not smoke (n=207; 77.2%) and did not use alcohol (n=201; 76.1%), often due to cultural or religious reasons.Other Results. Other findings of the needs assessment included: • Over 21% of newly arrived women responding to the survey had been put in fear by some one under the influence of alcohol and/ or drugs. Nearly 17% of women responding to the survey had been verbally abused by some one under the influence of alcohol and/ or drugs. • More than one third of the women responding to the survey indicated that they wanted information and support on family violence. • Over 40% of the women responding to the survey wanted information and support for depression. • Forty women (14.9%) responding to the survey wanted support for husbands or children that were drinking too much alcohol.A surprising finding was the high level of interest in women's only exercise classes and opportunities to participate in other types of physical activity Two thirds of questionnaire respondents said that exercise was a priority for them. Subsequent feedback sessions with newly arrived women about the results of the needs assessment confirmed the need for opportunities to participate in a variety of physical activities in a safe, affordable, women only environment where childcare was available.Understandings of Alcohol and Other Drug Services. Participants in the study appeared to have a poor understanding of what AOD services were, different types of treatments and models that could be used, who was entitled to access them (not just the alcohol or other drug user), the associated costs and fees, and whether or not the police would become involved. There was a significant lack of understanding by service providers working with newly arrived women about eligibility to access alcohol and drug services and what assistance and support these agencies could provide either to women using alcohol and other drugs or to family and friends impacted by another's drug use. Few service providers asked their clients any questions about alcohol or other drug use on a regular basis.The findings from the needs assessment have been used to improve programs and services with newly arrived women at WHS. These have included the addition of a specific alcohol and other drugs program for women from culturally and linguistically diverse backgrounds with a focus on prevention activities as well as opportunities for newly arrived women to participate in a variety of physical activity classes.
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Thomas, Laura Tennille. "Extra-curricular activity participation, connectedness to school and cigarette and alcohol use : how the relationships work". Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2010. https://ro.ecu.edu.au/theses/1865.
Testo completoAbstract (sommario):
The Extra-curricular Project (ECP) was a group randomised control trial which sought to explore the impact of extra-curricular activity (ECA) participation on health and educational outcomes for secondary students attending 18 Government and non- Government schools in Perth, Western Australia. This naturalistic observation study (2004-2006) monitored students‟ participation in ECA provided by their school, perceived connectedness to school, teachers and peers and cigarette and alcohol consumption. In this study, ECA are defined as activities students choose to do (not compulsory), are fun and are not part of normal classroom work. The four main types of extra-curricular activities in this study are: sport, recreation, the arts, and other.
The main aim of this doctoral study was to test if a reduction in smoking and alcohol use occurred amongst students who participated in ECA compared to non-participants. Three sub-studies were conducted to explore the research concepts. First, student and school-level characteristics associated with students‟ ECA participation in Year 8 were explored. Second, the contribution of connectedness to teachers and peer support to students‟ perceived connectedness to school in Year 8 was investigated. Third, the longitudinal relationship between ECA participation in Years 8 and 9 and perceived connectedness to school in Year 10 was examined.
Much research in the field of ECA has been cross-sectional in study design, limiting the investigation of causal relationships between key variables. This study sought to address this gap by examining the impact of ECA participation in Years 8 and 9 on students‟ perceived connectedness to school in Year 10. Consistency of students‟ ECA participation across Years 8 and 9 positively influenced students‟ later connectedness to school. Hence, participation in both Years 8 and 9 (consistent participation), not only in Year 8, yields beneficial outcomes for students in relation to their perceived connectedness to school.
The three sub-studies contributed to the overarching research question exploring the relationship between ECA participation and cigarette and alcohol use, and the role of connectedness to school as a mediator in this relationship. Students who reported a higher perceived level of connectedness to school were less likely to report recent or lifetime cigarette use and recent or recent hazardous alcohol use in Year 10. Moreover, mediation analyses identified that while consistent participation in ECA was not in and of itself protective of recent cigarette smoking, if through consistent ECA participation students‟ perceived connectedness to school was enhanced, this was protective of students‟ reported recent cigarette use in Year 10.
These findings suggest much can be done to reduce adolescents‟ risk of cigarette and alcohol use. First students should be assisted to develop a strong connectedness to their school to reduce their likelihood of cigarette and alcohol use. ECA participation is one way to enhance students‟ connectedness to school, but every opportunity to do so should be explored. In addition, the modification of ECA programs in Western Australian schools to encourage continued participation in multiple activities is likely to enhance students‟ connectedness to school and thus reduce the likelihood of cigarette and alcohol use.
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Wertz, Jennifer S. "Perceptions of postdrinking anxiety : effect of sex, beverage, and sex of companion /". Thesis, This resource online, 1991. http://scholar.lib.vt.edu/theses/available/etd-12302008-063136/.
Testo completo
48
Cunningham, Sarah E. "An ethnographic exploration of college drinking culture". Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1345335.
Testo completoAbstract (sommario):
This thesis interprets student culture as a vehicle to understanding college drinking. It presents the findings of an ethnographic study of college drinking culture as experienced by college women. Particular emphasis is placed on age and gender variations within the student culture which significantly impact drinking beliefs and behavior. The subject of this study is the meanings of drinking in student culture. The findings suggest that university alcohol policy should speak to and from student culture, rather than to and from university administrative values. Based on the meanings of drinking in student culture, suggestions are made toward formulating a more effective university alcohol policy.Department of Anthropology
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Haynes, Ellen E. "Childhood Abuse, Emotion Regulation, Alcohol, and Dating Violence Victimization as Cross-Sectional and Longitudinal Predictors of Dating Violence Perpetration among College Women". Ohio University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1492442859294324.
Testo completo
50
Abraham, Hanlie. "Family interaction patterns in maternal alcohol abuse: an application of Murray Bowen's family system theory". Thesis, Nelson Mandela University, 2017. http://hdl.handle.net/10948/13669.
Testo completoAbstract (sommario):
The aim of this study was to explore and describe the intergenerational interactional patterns in a Coloured family where the mother has abused alcohol. Researchers have found that drinking behaviours of parents can have major effects on the children’s lives throughout generations. Substance abuse of a parent has major influences on the family, their interactions, and relationships, mostly between the parent and the child. There is a major gap in the study of the Coloured families and how substance abuse affects their families and children. The study employed Bowen’s constructs of differentiation of self, multigenerational transmission process, triangulation, emotional cut-off, nuclear family emotional system, sibling position, family projection process, and societal regression and utilized analytical generalization of the concepts to achieve its aim. The mother, an older sibling and maternal mother were the main sources of data although the perspective of the mother herself was privileged in the study. Semi-structured interviews were utilized to gather the data. This allowed participants to freely narrate their personal perceptions and experiences of interaction in both the family of origin and the current nuclear family. The research used a single case study of a purposively sampled family. The researcher is a Coloured female who had specific interest in this specific cultural group and their interactional patterns, which optimised cultural familiarity during the research process and reduced the likelihood of potential discriminatory racial bias of the participants. The findings demonstrate that perceptions of interactional patterns in the nuclear family and family of origin coincided with certain of Bowen’s Family Systems concepts, particularly, triangulation and differentiation. However, the need for further exploration of concepts such as the nuclear family emotional system and the family projection process in Coloured families are still needed in future studies. The findings provided insight into the functioning of the relationships and FAMILY INTERACTION IN MATERNAL ALCOHOL ABUSE interactions in both the nuclear family and the family of origin. Limitations of the current study are identified and recommendations for future studies in this field are also offered.