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Context: Depression in primary care remains challenging; patients with depression often do not seek help. Interventions to increase help-seeking (HS) behavior have been ineffective or decreased HS. Mental Contrasting and Implementation Intentions (MCII) is a behavioral intervention to create action plan in advance. It has been effective among patients seeking to increase exercise, reduce smoking, and other health behaviors. However, it has not been used for initiating help- seeking for depression. Objective: To assess whether an online MCII training program increases HS or the intention to seek help at 2 weeks post-intervention among those with elevated depressive symptoms, compared to information-only controls (C). Study Design and Analysis: RCT comparing HS and C at 2 weeks using pre-post survey. Analysis using t-test and ANOVA; intention to treat. Setting: MTurk online cloud research toolkit (Feb-March 2020). Population Studied: Adults with Beck Depression Inventory (BDI-II) score of 14 (mild depressive symptoms) or above and who were not seeking professional help at baseline. Intervention: Published online MCII intervention. Outcome Measures: Primary: Self-reported help seeking success (single-item). Secondary: Strength of Implementation Intentions Scale (SIIS), depressive symptoms (BDI-II), current perceived depression (single item). Results: Of the 2134 participants prescreened for depression and HS, 228 met eligibility criteria (37.2 [+ or -] 12.1 yrs, 65% F, 67% white). Demographics and disease severity were similar between groups at baseline. The HS group (n=105) reported greater HS success (p = .013) as well as intention to seek help (p = .001) 2 weeks post intervention compared to C (n=124). Further, perceived HS success was more likely for those who received the HS intervention and either did not perceive themselves as currently depressed at Time 2 (OR = 3.7) or individuals whose actual BDI-II score at follow up was below 14 points (OR = 10.6). Conclusions: Among participants with elevated depression symptoms, an online training in MCII effectively increased help-seeking behavior and intention to seek help compared to information-only control participants 2 weeks after delivery. The intervention is relatively brief and potentially scalable. Further research is warranted to determine clinical utility., Presenters Amanda Keeler, MA, Liesl Nydegger, PhD, [...]

IntroductionAsian Americans are the fastest growing immigrant group in the United States and are more likely to be light and intermittent smokers (LITS) compared with non-Hispanic Whites (NHWs). LITS experience adverse health effects related to smoking. Previous research has aggregated Asian American ethnic groups, masking important differences between groups. We sought to compare LITS rates among Asian American subgroups before and after the 1998 Master Settlement Agreement (MSA) with NHWs in California utilizing data from the California Tobacco Surveys (CTS).MethodsWe combined 1990, 1992, and 1996 CTS (pre-MSA) and the 1999, 2002, 2005, and 2008 CTS (post-MSA) to examine changes in LITS (

People who are incarcerated are at heightened risk of overdose upon community reentry. Virtual reality (VR) may provide an innovative tool for overdose prevention intervention in corrections facilities. This mixed methods study sought to understand incarcerated individuals' perspectives on VR for overdose prevention and explore physiological arousal associated with use of VR equipment. Study participants were 20 individuals, stratified by gender, with an opioid use disorder at a county jail. Qualitative interviews assessed acceptability and perceived utility of VR in the jail setting. Thematic analysis indicated high levels of acceptability and potential utility in the following areas: (a) mental health and substance use interventions, (b) community reentry skills training, and (c) communication and conflict resolution skills. Heart rate variability (HRV) data were collected continuously during the interview and during VR exposure to explore whether exposure to the VR environment provoked arousal. Physiological data analyses showed a significant decrease in heart rate (HR) [b = −3.14, t(18) = −3.85, p < .01] and no arousal as measured by root mean square of successive RR interval differences (RMSSD) [b = −0.06, t(18) = −1.06, p = .30] and high frequency-HRV (HF-HRV) [b = −0.21, t(18) = −1.71, p = .10]. This study demonstrated high acceptability and decreased HR response of VR among incarcerated people who use drugs. [ABSTRACT FROM AUTHOR]

Many people enrolled in drug diversion programs are not receiving evidence-based prevention for HIV or hepatitis. This study translated basic research from cognitive science to increase screening for infection and condom use in this population. A parallel three-condition randomized trial was conducted in a drug diversion sample (N = 358), comparing a memory practice condition with two active control conditions. Outcomes were condom use frequency and testing for infection (hepatitis B/C, HIV). At 3-month follow-up, participants in the memory practice condition were at least twice as likely (OR = 2.10 or greater, p < .01) to self-report testing compared to those in the control conditions and also reported more frequent condom use compared to a health education condition [B = .37, t(1) = 2.02, p = .02]. Basic research on memory can be effectively translated to brief interventions on infection screening and risk prevention in existing drug diversion programs., Author(s): Alan W. Stacy [sup.1] , Liesl A. Nydegger [sup.2] , Yusuke Shono [sup.3] Author Affiliations: (Aff1) 0000 0004 0389 8602, grid.254271.7, School of Community and Global Health, Claremont Graduate [...]

Physical and sexual intimate partner violence (IPV) among adolescents leads to adverse health behaviors, particularly suicidal ideation and attempts. Studies demonstrated the link between IPV and suicidal ideation and attempts among adolescents, yet there is conflicting evidence regarding differences between adolescent males and females; research evaluating the interaction of gender and the association between IPV and suicidal ideation and attempts is limited. The present study used a nationally representative sample from the Youth Behavioral Risk Surveillance questionnaire to determine whether there is an interaction of gender on the relationship between physical IPV, sexual IPV, and suicidal ideation and suicidal attempts. Weighted logistic regressions were fit using Stata 15.1 and multiple imputations were used to account for missing data. There is a significant gender by sexual IPV interaction (AOR = 0.66, CI = 0.51–0.84, p = 0.002) such that at low levels of sexual IPV there were no differences between genders in reported suicide attempts (t[33] = 1.19, p = 0.242). However, at moderate and high instances of sexual IPV, adolescent females were significantly less likely than males to report attempting suicide in the past year (t[33] = −2.71, p = 0.011; t[33] = −3.17, p = 0.003, respectively). The present study demonstrates the vital need for IPV and suicidal ideation and attempt screening, tailored multi-level interventions, and advocacy for adolescents. Policies are essential to increase screening among medical providers, and increase school- and community-based interventions and IPV and suicide awareness to decrease rates among adolescents. Female students were more likely than males to report suicidal ideation. Significant interaction between sex and sexual IPV on suicide attempts. Gender differences at medium and high levels of sexual IPV on suicide attempts. [ABSTRACT FROM AUTHOR]

The Superwomen Schema (SWS) describes a social framework that encompasses the role that many Black women adopt in response to chronic stress, financial pressures, and an intersection of oppression. Woods-Giscombé (Superwoman Schema: African American Women's Views on Stress, Strength, and Health. Qualitative Health Research 20 (5): 668–683, 2010) characterizes SWS using five tenets: obligation to manifest strength, obligation to suppress emotions, resistance to vulnerability or dependency, determination to succeed despite a lack of resources, and an obligation to help others. The goal of this study is to determine the connection between SWS among Black women and substance use as a means of maintaining mental health, garnering resilience, and coping with external pressures. We aimed to highlight systemic and infrastructural racism and prejudice and how they relate, not only to the adoption of SWS, but also how they may contribute to substance use. This study is a secondary analysis of a larger study on HIV prevention Black and Latine women at high risk for HIV. Only Black participants (n = 10) were included in this secondary analysis. The interviews were conducted 3 times across 3 months. Interviews were coded and analyzed using thematic content analysis in NVivo. Themes of undiagnosed mental health symptoms, medical mistrust, institutional distrust, and aversion to help-seeking were recurrent in our data. Our research confirmed and assessed dual repercussions of SWS among Black women both as a defense that granted resilience in the face of seemingly insurmountable odds and as a construct that encouraged substance use as a coping mechanism for compromised mental health. This study contextualized this subset of coping and substance use to address and dismantle systemic contributors. [ABSTRACT FROM AUTHOR]

Background: There are many reasons why individuals with depression may not seek help. Among those with elevated depressive symptomatology, some previous interventions aimed at increasing help-seeking have unintentionally decreased help-seeking intentions. Beck's cognitive theory of depression posits that individuals with elevated depressive symptomatology process information differently from those without depression (i.e., increased cognitive errors, negative bias); potentially explaining the iatrogenic results of previous interventions. Mental contrasting and implementation intentions (MCII; a self-regulatory strategy) interventions have successfully influenced physical and mental health behaviors. However, MCII has not been used specifically for initiating help-seeking for depression. The goal of this research was to ascertain whether an online MCII intervention could increase actual help-seeking or the intention to seek help for depression. Method: Two online randomized pre-post experiments were conducted to measure the primary outcome measures 2 weeks post-intervention (Study 1 collected Summer 2019: information-only control ["C"], help-seeking MCII intervention ["HS"], and comparison MCII intervention ["E"]; Study 2 collected Winter 2020: "C" and "HS"). At Time 1, adults recruited from MTurk had a minimum Beck Depression Inventory (BDI-II) score of 14 (mild depressive symptoms) and were not seeking professional help. Results: Study 1 (N =74) indicated that the intervention was feasible, provided preliminary support, and clarified intervention components for Study 2. Study 2 (N=224) indicated that the HS group reported greater intentions to seek help and actual help-seeking than the C group. Proportionally, actual help-seeking was more likely among individuals who received the HS intervention and either did not perceive themselves as depressed at Time 2 or had BDI-II scores indicating that their depressive symptomatology decreased from Time 1. Limitations: Participation was limited to US residents who self-reported data. Discussion: These studies indicate that a brief online MCII intervention to encourage help-seeking is feasible and preliminarily successful. Future studies should consider using ecological momentary assessment measurements to establish the temporal precedence of intervention effects and whether MCII is effective for encouraging help-seeking among individuals prone to experiencing cognitive errors who may not be experiencing negative bias (e.g., bipolar disorder or anxiety). Clinicians may find this method successful in encouraging ongoing treatment engagement. [ABSTRACT FROM AUTHOR]

In the USA, Black women are at disproportionately higher risk for HIV compared to women of other races/ethnicities, which can be explained by the Substance Abuse, Violence and AIDS (SAVA) syndemic. Disparities in HIV, substance use and violence are driven by multiple influences, including structural factors (e.g. housing and poverty), which exacerbate social- and individual-level factors leading to more sex partners, engaging in unprotected sex, having sex for money, experiencing forced sex from an intimate partner or increased substance use, all of which increase HIV risk. Pre-exposure prophylaxis (PrEP), a pill that can prevent HIV, is a discreet and underutilised method that Black women experiencing syndemics can use to decrease their risk. This study explored Black women's interest in, and barriers to adopting PrEP over 6 months. Thirty Black women (age M = 32.2) who experienced multiple substance use, violence and HIV-related syndemic factors were interviewed four times over a 6-month period. Results demonstrated that experiencing intimate partner violence, substance use, community violence and other structural factors (poor access to social services, transport and childcare) all acted as barriers to PrEP adoption. Future research should consider multi-level interventions that include methods such as media campaigns, providing PrEP or referrals where women who experience syndemic and structural factors seek help, and implement a PrEP adherence programmes and interventions in support group settings. [ABSTRACT FROM AUTHOR]

Background: The criminalisation of drill music, a rap-based genre, is a recent chapter in a long history of policing "Black" music. The association of drill and other rap music with "gang" violence has a direct impact on the treatment of Black boys and men in the criminal justice system. However, critics argue that, rather than causing violence, violent lyrics reflect the lived experiences of marginalised communities. Method: Using a qualitative approach, this study analysed the lyrical content of 90 drill, grime, and other rap-based songs by UK artists, using thematic analysis. Findings: The following themes were found: social issues in the local area and community, involvement in crime, social status, coping with adversity, social support network, police, and escaping. Collectively, the themes highlight a narrative of Black boys and men who have experienced a range of adversities such as poverty, racism, child criminal exploitation, and community violence. Conclusions: Artists who make reference to drugs and violence in their lyrics also discuss adverse experiences and the impact of these, supporting the view that violent lyrics are a reflection of lived experience. Thus, focusing on criminalising rap music may be deflecting attention from risk factors for serious youth violence that are evidence-based. [ABSTRACT FROM AUTHOR]

The purpose of this scoping review is to synthesize knowledge about medical mistrust and health among women who occupy other marginalized identities; namely women who also belong to one or more of the following social groups: people of color, people of low socioeconomic status, people with disabilities, lesbian and bisexual women, and/or women who have sex with women. This scoping review is based on the methodological framework by Arksey and O'Malley (2005. "Scoping Studies: Towards a Methodological Framework." International Journal of Social Research Methodology 8: 19–32. doi:). Specific search terms were entered into selected databases. Based on a set of inclusion criteria, articles were screened and assessed for eligibility. Data from the selected articles were extracted and summarized. Forty studies were included. Thirty-one studies used quantitative methodology, of which more than half used the Group-Based Medical Mistrust Scale. The majority of studies (84%) investigated the intersection of gender with race and ethnicity. Breast cancer and HIV combined accounted for more than half of the included studies. Of those studies that examined the relationship between medical mistrust and a health outcome or health behavior, almost all reported that medical mistrust had a deleterious impact. Medical mistrust among women with intersecting marginalized identities is worthy of further study, and there is still a dearth of knowledge in the role of medical mistrust among a wide range of subgroups of women and health domains. [ABSTRACT FROM AUTHOR]

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The article presents a list of thanking reviewer members of the periodical including Linda, Abarbanell; Lesley, Andrew; and Sara, Baumann.