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The aim of this study was to conduct a review of articles about tobacco or alcohol published from 1980 to 2010 in the Journal of the American Dental Association(JADA), Journal of Dental Education(JDE), and Journal of Public Health Dentistry(JPHD) in an attempt to identify trends by decade in topics relevant to oral health consequences, oral cancer linkages, and cessation counseling. NVivo qualitative analysis software was used to code abstracts using the keywords “tobacco” or “alcohol.” The search identified 269 articles: tobacco=211 (78%), alcohol=58 (22%). This number represented 2.4% of the total articles published in these journals for the specified years. While the percentage of tobacco‐related articles increased over this period (with highs in the 1990s of 4.1% in the JDE and 9% in the JPHD), the percentage of alcohol articles reached only 1% for JADA and 3.3% for the JPHD in the 2000s. The number of tobacco‐related articles addressing oral health effects, oral cancer linkages, and cessation counseling increased in the 1990s. Although there were modest increases in the number of articles about alcohol‐related oral health effects and oral cancer linkages (particularly in the JPHD in the 2000s), only two articles (in JADA in the 2000s) addressed alcohol cessation counseling. This study concluded that tobacco and alcohol have received limited, though increasing, attention in these three major journals between 1980 and 2010, with alcohol receiving less attention than tobacco. These results suggest a need for more published studies on tobacco and alcohol interventions in dental and allied dental education to prepare students to contribute to this aspect of their patients’ health.

The purpose of this cross-sectional study was to assess sex differences among dentists pertaining to current behaviors and behavioral beliefs with regard to eating disorders.

Development of a brief instrument to assess attitudes toward treatment and predict treatment-seeking behavior among out-of-treatment substance misusers is described. Exploratory factor analysis of an initial pool of 41 items identified four subscales: Perceived need for treatment: perceived drug problem severity; motivation to quit; and negative attitudes toward treatment. Psychometric analyses of data from 535 substance misusers participating in an outreach intervention project provided substantial support for the reliability and construct validity of the first three subscales, and marginal support for the fourth. Evidence of predictive validity was provided by further analyses indicating significant relationships between the three primary scales and both treatment admissions and treatment-seeking during a 3-month follow-up period. The final instrument, the Treatment Attitude Profile (TAP), contains 25 items in a self-report format suitable for use with limited literacy populations in field or office settings.

Data are presented on drinking patterns and alcohol-related problems among 164 Anglo and 149 Mexican American male regular drinkers. The paper examines the role of acculturation with regard to alcohol use by categorizing Mexican American respondents into three acculturation groups using a multi-item measure developed for this study. Data from a random sample of males drinking at least 2-3 times a month, aged 20-50, showed that, even after socio-demographic controls, Mexican Americans were less frequent, but higher quantity drinkers than were Anglos. No ethnic differences were found for alcohol-related problems. Quantity was significantly higher among less acculturated Mexican Americans than among the more highly acculturated. "Escape" drinking motives were most common among Mexican Americans, particularly among the least acculturated. Exploratory analyses among Mexican Americans using a combination of acculturation and generational status measures indicated the heaviest drinking patterns and the highest prevalence of both alcohol-related problems and escape drinking motives among the least acculturated second generation males. These suggestive data do not support either a "simple acculturation" or an "acculturation stress" model. Rather, the data suggest a cultural marginality/stress model wherein risk of heavy and problem drinking is greatest among younger Mexican Americans who have notbecome acculturated.

This paper considers the hypothesis that the relationship between social class and impairment may be accounted for by the greater prevalence of life events among lower-class individuals. This hypothesis was evaluated on data from 713 rural Tennessee adults. The data indicated that, although social class indices were inversely related to psychiatric impairment as expected, there was nosignificant tendency for lower-class individuals to report a greater number of life events. For total number of events, as well as total number of undesirable, unexpected, or unpreventable events, middle- and upper-class individuals tended to report moreevents. Controls for the event indices did not affect the relationship between social class and symptomatology as the stress hypothesis would predict. However, locus of control was positively related to social class and was found to influence the event-impairment relationship. These data raise questions regarding the etiological role of life events in the relationship between social class and psychiatric impairment. The data suggest that observed social class differences in impairment may arise from the coping styles of certain social classes (as measured by locus of control) rather than from the differential prevalence of life events.

Evidence regarding the recent suggestion of greater prevalence of depressive symptoms in urban than in rural communities is evaluated. National data are reviewed which indicate that, whereas depressive symptoms may be less prevalent in rural than in urban communities, mean depression scores of residents of rural farm areas outside of standard metropolitan statistical areas are almost as high as scores of center city residents. Further data are presented from a study of urban and rural Florida residents which indicate a significantly higher mean number of depressive symptoms in urban than rural areas, though this difference was eliminated by controls for income, education, age, and sex. When persistent depressive symptoms were examined, urban-rural differences were not significant. The implications of the present findings for urban-rural differences in depressive disorder are considered and the need to examine the urbanicity hypothesis on a data base allowing appropriate controls for socioeconomic status-related variables and migration is emphasized.

This household survey of a random sample of 713 rural adults (ages 18 to 60) examined the influence of event characteristics upon the relationship between life change events and impairment. Data were obtained on the occurrence of events, event characteristics, demographic characteristics, and psychiatric impairment (using the General Weil-Being Schedule and the Center for Epidemiologic Studies Depression Scale). Analyses indicated that individuals experiencing higher proportions of undesirable, unanticipated, unpreventable, and disruptive events or events having minimal social support manifested higher levels of psychiatric symptomatology. Although total number of events was consistently the best predictor of impairment, it did not diminish the effects of the event characteristics on impairment. The independent effects of these event characteristics are discussed.

In this paper, we examine ethnic differences in divorce likelihood for a sample of 900 divorce petitions filed in San Antonio, Texas, during 1985. The present study explores ethnic differences in the nature of the divorce process and examines the extent to which observed ethnic differences in divorce likelihood are accounted for by differences between groups in dimensions such as socioeconomic status, marital history, and nature of complaints. Divorce likelihood is viewed from the perspective of Levinger's (1965) exchange model of marital instability, as recently applied to the phenomenon of divorce petition withdrawal by Kitson et al. (1983). Observed differences between Spanish surname and non-Spanish surname petitions in divorce likelihood and divorce delay are largely explained by controls for background and exchange model variables. Significant interaction effects with ethnicity suggest the complexity of the divorce process.