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This study examines high school diploma or equivalent (HS/E) attainment by mothers who had a nonmarital birth ("unmarried mothers") and the associations between state‐level Temporary Assistance for Needy Families (TANF) policies and their postnatal HS/E attainment. Using an analytic sample of 1154 unmarried mothers without HS/E from the restricted‐use Future of Families and Child Wellbeing Study, we tracked postnatal HS/E attainment patterns for 15 years, and conducted discrete‐time event history analysis with mixed effects to test the relationships between states' TANF policies and postnatal HS/E attainment. Only 35.1% of the sample attained HS/E after childbirth, while nearly half of mothers who attained HS/E were not able to do so within 3 years of childbirth. A $100 higher maximum monthly benefit amount is associated with 86.1% higher odds of postnatal HS/E attainment, indicating the need to consider increasing TANF benefit amounts as a means to promote educational attainment among unmarried mothers with educational disadvantages. [ABSTRACT FROM AUTHOR]

AbstractObjectiveMethodsResultsConclusionsIllicitly manufactured fentanyl (IMF) has emerged as a catalyst of the recent drug epidemic in the United States. To devise more targeted and effective prevention and treatment strategies, it is crucial to understand the demographics of the population who consumes IMF and their health and associated substance use risks. Therefore, this study explores the sociodemographic characteristics, health diagnoses, and drug injection practices of individuals reporting IMF use.Data were derived from the 2022 National Survey on Drug Use Health, based on a nationally representative sample of non-institutionalized individuals aged 12 and older in the United States. Focusing on 306 adults who reported ever using IMF, we examined their sociodemographic characteristics, health diagnoses, and substance-related behaviors in comparison to adults with a drug use disorder who did not report IMF use, using logistic regression analyses.The majority of U.S. adults reporting IMF use were aged 35–64, male, non-Hispanic White, with a high school education or lower, never married, and had an annual household income below $40,000. Compared to adults with a drug use disorder who did not report IMF use, they were more likely to report heart conditions (AOR = 2.67, 95% CI = 1.29–5.54) and Hepatitis B or C (AOR = 8.35, 95% CI = 4.05–17.02). Nearly half of this group had an opioid use disorder (OUD) in the past year, and 65.7% (95% CI = 56.7–74.8) reported a history of injecting drugs.To effectively curb the current drug epidemic, incorporating effective treatment for OUD and harm reduction strategies is crucial. [ABSTRACT FROM AUTHOR]

Objectives. To test the associations between local employment opportunities for the Black workforce and drug mortality among Black Americans, while examining the potential moderating effects of fentanyl seizure rates. Methods. We derived data from the National Center for Health Statistics' restricted-access Multiple Cause of Death file, linked with county-level job counts, drug supply, and other characteristics from the US Census Bureau and the Centers for Disease Control and Prevention. After examining the characteristics of counties by the magnitudes of increases in drug mortality from 2010‒2013 to 2018–2021, we conducted a first-differenced regression analysis to test the associations between the job-to-Black workforce ratio and age-adjusted drug mortality rates among Black Americans in US counties and test the moderating effects of state-level fentanyl seizure rates. Results. One more job per 100 Black workers was associated with 0.29 fewer drug overdose deaths per 100 000 Black Americans in the county. This negative association was stronger in the counties of the states with higher increases in fentanyl seizure rates. Conclusions. Increasing employment opportunities can be an important strategy for preventing Black Americans' drug mortality, especially among those living in areas with higher increases in fentanyl seizure rates. (Am J Public Health. 2024;114(7):729–732. https://doi.org/10.2105/AJPH.2024.307646) [ABSTRACT FROM AUTHOR]

Background: Drug mortality risks vary among industries, creating distinctive geographic patterns across US counties. However, less is known about how local labor market structure relates to drug overdose mortality amid the synthetic opioid era in the United States. This study investigates the relationship between industry‐specific job composition and drug overdose mortality at the county level while exploring how fentanyl's presence in illicit drug supplies may moderate the relationship. Methods: Data were derived from the National Center for Health Statistics' Multiple Cause of Death files for the rates of drug overdose mortality of any intent, linked with four other sources on industry‐specific job shares, drug supply, and county‐level sociodemographic characteristics and opioid prescribing rates from the US Census Bureau, the CDC, and the Drug Enforcement Administration. Negative binomial regression models were employed to examine associations between county industry‐specific job composition and drug overdose mortality, with tests for moderating effects of state‐level fentanyl seizure rates. Results: Our models indicate negative associations between job shares of manufacturing, retail trade, and educational services industries and drug overdose mortality. Positive associations were found for arts/entertainment/recreation and public administration. State‐level fentanyl seizure rates had moderating effects on administrative/support/waste management/remediation (A/S/WM/R) and educational services. Conclusion: Counties with a higher concentration of arts/entertainment/recreation and public administration jobs need targeted efforts to mitigate drug‐related overdose risks. Additionally, areas with higher concentrations of A/S/WM/R service jobs, particularly where fentanyl seizure rates are higher, may require proactive harm reduction strategies for reducing overdose risks. [ABSTRACT FROM AUTHOR]

Scholars and practitioners have investigated high growth firms because a small number of high growth firms contribute disproportionately to economic development. However, we find that the standard perception and support programs of high growth firms are heavily geared toward to firms in the high-tech sector that seek venture capital investment and hyper growth. The authors in this paper conducted multiple research projects of high growth firms in Kansas City, St Louis, Indianapolis, Columbus, and Montana, and came to conclude that many high growth firms are sector agonistic, locally rooted, grow organically based on market niche, and exist in every city. This alternative model of high growth firms leads to a completely different set of policy and support implications, which we synthesize in eight points. [ABSTRACT FROM AUTHOR]

As COVID-19 reached pandemic levels in March 2020, schools shifted to remote learning. Student parents in higher education had to adapt to their own remote learning and assume responsibility for childcare and their children's education. Few studies have explored the impact of COVID-19 on mothers who are also full-time students. This study utilized a phenomenological approach to understand the lived experiences of mothering students during the COVID-19 pandemic. Student mothers were recruited from a large, public, Hispanic-serving university in a Southern state. We conducted interviews with 15 student mothers who had at least one child under the age of 18 during the first six months of the pandemic. Three main themes emerged from the analyses: (1) successfully meeting educational requirements; (2) dealing with the mental health impact of the pandemic; and (3) changing the institutional structure. The first theme captured strategies mothering students implemented to ensure their own or their children's educational goals were met. The second theme encompassed how mothers handled the stress caused by the pandemic. The third theme explored ways that mothers resisted gendered expectations and norms around care. Implications for policy and social work practice include changing institutional structures to enhance support for mothering students. [ABSTRACT FROM AUTHOR]

Objective: This report aims to identify US mutual help group (MHG) participants' psycho-socio-behavioral profiles. Method: We used data from the 2015–2018 National Survey on Drug Use and Health and the sample included 1022 adults with past-year substance use disorders (SUD). We conducted a latent class analysis to identify subgroups of MHG participants and estimated multinomial logistic regression models to examine the associations between sociodemographic/intrapersonal characteristics and class membership. Results: Analyses identified three latent classes. Class 1 (Low-Risk group, 54%) reported low risks in all correlates except for serious psychological distress (SPD, 33%). Class 2 (Psychological Distress group, 30%) demonstrated high risks of major depressive episodes (86%) and SPD (93%). Class 3 (Criminal Justice System Involvement group, 16%) showed high involvement in arrests (100%) and drug-related arrests (67%) and moderate risks for SPD (54%) and behavioral problems, e.g., drug selling (46%) and theft (35%). Compared to Class 1, Class 2 was more likely to be female, out of the labor force, and to show high risk propensity, and Class 3 was more likely to have lower education and drug use disorders. Class 3 was also less likely to be older, belong to the "other" racial/ethnic category, have lower English proficiency, and report alcohol use disorder. Conclusions: The three subgroups of the US MHG participant population illustrate the complex and heterogeneous psycho-social-behavioral profiles of MHG participants with SUD. MHG referral's effectiveness may be augmented by tailoring it to the patient/client's specific psycho-socio-behavioral profile. [ABSTRACT FROM AUTHOR]

Objective: Despite the persistent and elevated risks of prescription drug misuse (PDM) among parenting mothers in the United States, few population-based studies of this phenomenon have been conducted. To address this gap, the present study examined the latest PDM trends and patterns among parenting mothers and assessed their behavioral health comorbidities and treatment utilization. Method: Data were derived from a nationally representative U.S. sample of parenting mothers recruited for the 2015-2019 National Survey on Drug Use and Health. After examining PDM trends since 2015, we conducted a latent class analysis to identify distinctive PDM patterns among mothers reporting past-year PDM (n = 3,042). Associations between class membership and behavioral health comorbidities/treatment receipt were tested. Results: We found increasing PDM trends among unmarried Hispanic mothers since 2015, whereas no notable changes were observed for other racial/ethnic groups. Of the mothers reporting past-year PDM, nearly 50% were likely to misuse prescription stimulants with alcohol/marijuana (17.9%) or multiple prescription drugs (31.7%). Specifically, the Poly-Prescription Drug Misuse group reported greater risks of illicit drug use and mental disorders than the Prescription Opioids Misuse group. Conclusions: Our findings suggest that special attention is needed for PDM among unmarried Hispanic (for recent increasing trends) and White (for persistently higher rates) mothers as well as mothers misusing multiple prescription drugs. Their distinctive PDM patterns as well as heightened behavioral health comorbidities and low treatment receipt suggest the need for a screening and treatment referral system that addresses the unique treatment needs and barriers facing parenting mothers. [ABSTRACT FROM AUTHOR]

Studies on criminal behaviors largely focus on youth and younger adults. While criminal engagement declines with age, the aging population and significant costs associated with older offenders warrant their increased clinical and research attention. The present study utilizes data from the 2002 to 2017 National Survey on Drug Use and Health to estimate the prevalence and explore the sociodemographic and psychosocial correlates of criminal behavior in adults aged 50 years and older. The overall prevalence of older adults engaging in criminal behaviors during this time was approximately 1.20%. There was no significant difference in crime involvement between adults aged 50 to 64 years and 65 years and older. Older individuals who committed crimes were more likely to be male and Black and earning low income. Criminality was also associated with use of illicit substances and depression as well as receipt of mental health treatment. [ABSTRACT FROM AUTHOR]