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Background: Single cigarette use among urban African Americans can perpetuate smoking continuation. There are no measures on perceptions related to reducing single cigarette use. Purpose: We develo...

INTRODUCTION: Alcohol ignition interlock devices (IID) reduce rates of drinking and driving. The interlock offers an opportune time for tailoring targeted interventions to develop habits to separate drinking from driving among this high-risk population. This study identified different types of IID users upon whom targeted interventions could be developed. METHODS: Participants (N = 114) were assessed at IID installation and again six months later. Latent class analysis (LCA) was conducted using drinking environment, drinking motivation, social support, drug use, and problem drinking behaviors as indicators. Multivariate regression analyses were conducted comparing latent class assignment with impaired driving attempts. RESULTS: LCA supported a 4-class model where 14.8% of participants fell into the low use/high awareness class; 30.6% fell into the heavy use/high awareness class; 30.6% fell into the mixed use/high awareness class; and 24.0% fell into the moderate use/low awareness class. Drivers in the moderate use/low awareness condition had increased early morning BAC lockouts. CONCLUSIONS: These typologies demonstrate important differences within high risk drivers. Indeed, drivers who fell into the moderate use/low awareness class may not have considered their alcohol-related behaviors problematic. This information could lend itself to the development of targeted interventions to address subgroups of drinking drivers.

OBJECTIVES: Adherence to most evidence-based cancer screenings is lower among African Americans due to system- and individual-level factors that contribute to persistent disparities. Given the recommendation for low-dose computed tomography (LDCT) screening among individuals at high risk for lung cancer, we sought to describe aspects of decision-making for LDCT among African Americans and to examine associations between select components of decision-making and screening-related intentions. DESIGN: African Americans (N=119) with a long-term smoking history, aged 55 to 80 years, and without lung cancer were recruited to participate in a cross-sectional survey. We measured knowledge, awareness, decisional conflict, preferences, and values related to lung cancer screening. RESULTS: The majority of the study population was of lower socioeconomic status (67.2% had an annual income of ≤$20,000) and long-term current (79%) smokers. Participants had a median 20 pack-years smoking history. Most participants (65.8%) had not heard of LDCT and the total lung cancer screening knowledge score was M=7.1/15.0 (SD=1.8). Participants with higher scores on the importance of the pros and cons of screening expressed greater likelihood of talking with a doctor, family, and friends about screening (p’s

OBJECTIVES. The purpose of this investigation was to determine what older adults find most concerning about driving as they age and how these concerns are related to driving skill, behaviors, and experiences. METHODS. In partnership with the Maryland Motor Vehicle Administration, a sample of 751 older adults ages 65 and older completed an online survey between October 2017 and May 2018. A content analysis was used to code open-ended responses about driver concerns, and multivariate logistic regression models were used to analyze the associations between driving concerns and driving skill, behavior, and experiences. RESULTS. Eighty-four percent of participants reported at least one driving concern, with 44% concerned about others’ driving, 34% concerned about their own driving, and 24% concerned about driving conditions. The most frequently mentioned driving concerns were other drivers in general, driving at night, visual ability and awareness, and other drivers being aggressive or reckless. Being concerned with their own driving was significantly associated with decreased perceived driving skill and increased odds of experiencing negative driving experiences in the past year. Being concerned about others’ driving was associated with increased odds of wearing a seatbelt (AOR = 2.67; 95% CI = 1.02, 7.00), having high perceived driving skills in emergency situations (AOR = 1.56; 95% CI = 1.14, 2.12), and getting in a near crash or collision in the past year (AOR = 1.50; 95% CI = 1.04, 2.18). CONCLUSIONS. Older adult drivers are frequently concerned about their own driving as well as the driving of others. Implications for future research and health practice are discussed.

The National Highway Traffic Safety Administration suggests that given the changing demographics of the United States it is important to examine motor vehicle statistics by race and ethnicity. The current study sought to explore differences in traffic safety concerns and driving behaviors between black and white drivers.An annual, anonymous, random-digit-dial telephone survey was used to collect data between 2003 and 2009 from Maryland drivers. Drivers (N = 5503) were assessed regarding their driving behaviors and perceived risk of receiving a traffic violation.Results showed that black drivers perceived a greater likelihood of being stopped for driving under the influence (DUI), for not wearing a seat belt and for speeding than white drivers. These differences were found among drivers with or without a history of being ticketed. Black drivers were also more likely to report a variety of risky driving behaviors than white drivers. However, black drivers were not more likely to report receiving a ticket or citation in the last month after controlling for demographic factors, risky driving behaviors, and geographic region of the state, where traffic enforcement may vary.Findings indicate that black drivers are not more likely to be ticketed, despite perceptual biases that may exist among some drivers. These differences appear to be explained by demographic as well as regional factors. These results highlight the need for more research to understand the potential differences in driving behaviors between racial and ethnic groups. More research is also needed to develop countermeasures for racial and ethnic groups most at risk for motor vehicle violations and crashes.

To compare drivers who were: (1) exposed to Maryland's sobriety "Checkpoint Strikeforce" campaign; (2) not exposed but were aware of it; and (3) neither exposed nor aware of it. This six-month campaign involved periodic road-side sobriety checkpoints, in which police attempted to detect and arrest drunk drivers and a series of radio Public Service Announcements (PSAs) that promoted public awareness.A statewide sample of 1725 drivers were interviewed by telephone to determine their exposure to and awareness of this campaign, as well as their beliefs and behaviors concerning drunk driving and seat belt usage.Relatively few people (9.6%) were exposed in any way to the campaign; however almost 30% were aware of it. Significant increases in perceived vulnerability to arrest for drinking and driving were found among those who were exposed. There were no differences in reported drinking and driving, but seat belt usage in the last 30 days was higher among those who were exposed. There were no differences among those people who had been directly exposed to the campaign (i.e., personally gone through a sobriety checkpoint) and those who were indirectly exposed (i.e., knew a family member or someone else who went through a checkpoint).Exposure to a sobriety checkpoint was associated with increased perceptions of drink-driving risk (i.e., likelihood of getting caught by the police), which was not dependent upon having personally experienced it. Awareness without exposure appears to be insufficient to change perceived risk. The need to increase the reach and frequency of the sobriety "Checkpoint Strikeforce" campaign is indicated.

An anonymous questionnaire was administered to students at two universities. The questionnaire contained the Social Context of Drinking Scales, the Sensation Seeking Scale, and measures of alcohol use intensity, frequency of alcohol-impaired driving, as well as frequency of riding with an impaired driver. The results revealed significant gender differences in the social context of drinking as well as sensation seeking. High intensity drinkers of each gender were more likely to drink in a context of Social Facilitation and score higher on the sensation seeking subscale--Disinhibition. High intensity men drinkers were more likely to drink in a context of Sex Seeking, whereas high intensity women drinkers tended to drink in a context of Emotional Pain. In general, the Social Context of Drinking Scales were superior to the Sensation Seeking Scales at being able to discriminate high from low intensity drinkers. The implications for targeted prevention programs on college campuses are discussed.

Two instruments measuring conceptually distinct models of alcohol use were administered to a sample of 18 to 22 year-old college drinkers. One instrument assessed social contexts of drinking, defined as a combination of intra personal motivations and immediate environmental variables which influence alcohol use. A second instrument assessed alcohol expectancies, which are the anticipated outcomes or reinforcements obtained from drinking. The results indicated that the social context set accounted for 70 per cent of the variance in a measure of alcohol use intensity, compared to 48 per cent which was accounted for by the expectancy set. Social Facilitation was the single most important context factor related to alcohol intensity. The implications of these findings and future directions for social context research are discussed.

An anonymous survey questionnaire was administered in school to over 1,100 White and close to 400 Black middle class, suburban high school students. The questionnaire included questions about the source of information and influence about drugs and alcohol. Results revealed that while both groups rated the mass media as their best source of information, Whites were more likely to report this than Blacks. Blacks reported more frequently than Whites that they would go to their family if they had a question about alcohol or drugs, if they thought they had a problem with and needed help with a drug problem, and would most likely believe their family if they were told that they had a problem with alcohol or drugs. Whites were more likely to use their friends for these sources of information. Results are discussed in terms of the need to empower parents to be more influential at preventing alcohol and drug abuse among adolescents and for the need to research whether middle class Black families employ in...

Summary An experiment was performed to test the hypotheses that (a) there would be a curvilinear relationship between increased degrees of a negative communication and persuasion, while (b) there would be a positive and linear relationship between a positive communication and persuasion. Two-hundred forty college undergraduate Smokers and Nonsmokers of both sexes were given false physiological feedback in order to manipulate their perceptions of different types of arousal (positive, negative, and control) and varying degrees of arousal (low, moderate, high, and control). The results showed that perceptions of negative arousal were related to belief acceptance and attitudes, while positive arousal was related to behavioral intentions. The results also demonstrated support for Fishbein and Ajzen's theory: beliefs predicted attitudes, while attitudes predicted intentions. However, subjective norms also predicted attitudes, and both attitudes and intentions predicted behaviors. The results not only demonstrat...

This study was designed to determine what factors might contribute to possible pregnancy and birth control usage among a sample of college women. The obtained sample was comprised of 140 college women who sought pregnancy tests at the health center at the University of Maryland. Of the 140 pregnancy tests performed 40 (28.6%) were positive. Over 40% of the women in this study were not using any type of birth control at the time of their possible pregnancy and over 15% of women whose tests proved positive had been pregnant before. The reasons given for non-use seem to reflect a tendency to deny ones sexuality. In addition over 1/3 of the non-users listed their concern over the health risks of birth control methods as a reason for non-use. Denial and health risk appear to be critical barriers for effective contraceptive usage and these issues need to be addressed in birth control education programs for this population. Not surprisingly a strong relationship was detected between sporadic or non-use of birth control and pregnancy. Also contraceptive behavior at the onset of sexual activity appears to be related consistently to use in later years. Those women who reported that they had used some method of contraception the 1st time they had intercourse were more likely to use contraception "always." Methods that supposedly had failed for those women who had positive pregnancy tests tended to be the diaphragm and the sponge. These same women were more likely to have used the diaphragm or sponge the 1st time they had intercourse. The women with negative pregnancy tests were more likely to have used condoms in both initial and subsequent sexual activity. Because lack of knowledge has not played a major role in unintended pregnancy health educators must concentrate more on the psychosocial factors of non-contraceptive use including denial and guilt over sexuality in general (particularly in women) lack of communication between the sexes a coming to terms with sexuality in general and assertiveness training.

Two social psychological theories (the Fishbein Model and the Health Belief Model) were used to derive attitude and belief factors to predict intentions to drive while under the influence of alcohol and actual drinking-driving behavior in a college population. The results revealed strong support for the Fishbein theory; attitudes and normative beliefs predicted intentions, while intentions were the best predictor of subsequent behavior. From the Health Belief Model, specific beliefs regarding one's effectiveness at being able to avoid getting caught by the police and cause an accident while driving under the influence of alcohol were also significantly related to drinking-driving intentions and behavior. These findings indicate that decisions to drink and drive are the result of one's personal evaluation of this behavior and one's perceived ability to control the threatening consequences. Thus drinking and driving may continue to be so prevalent in a college population because they erroneously believe that they are still safe drivers and effective at controlling the attendant risks.