Dataset Information

Family Risk Factors Among Women With Addiction-Related Problems: An Integrative Review.

ABSTRACT: Recent years have produced many articles about women's addiction and its risk factors and the consequences of substance use and misuse in the emotional, social, psychological, and economic domains of life. Family vulnerabilities are one of the most important variables contributing to addiction among women. Thus, the purpose of this article is to investigate areas of family life that lead to women's taking up and maintaining drug and alcohol abuse.A database search of PubMed, ScienceDirect, Springer, and Google Scholar was conducted using the following keywords: "women and addiction", "women addiction and family", "addiction", "substance abuse" and "family". For the first step, we chose studies that were conducted between 2000 and 2015, and for the second step, studies conducted before 2000. We categorized all search results into three main groups: processes related to family disturbances, factors related to parenting styles, and variables related to partners.Partners, parenting styles, and family disturbances are three main factors affecting children growing up in a family and their inclination toward addiction. Some of these pathways are complicated and indirect, and some are straightforward.Future research should pay more attention to the mechanisms and pathways mediating or moderating the relationship between family risk factors and addiction in women. Clinicians and researchers should keep in mind these vulnerabilities and take into consideration factors special to processes related to addiction in women.

SUBMITTER: Abasi I

PROVIDER: S-EPMC5002339 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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Family Risk Factors Among Women With Addiction-Related Problems: An Integrative Review.

Abasi Imaneh I Mohammadkhani Parvaneh P

International journal of high risk behaviors & addiction 20160228 2

<h4>Context</h4>Recent years have produced many articles about women's addiction and its risk factors and the consequences of substance use and misuse in the emotional, social, psychological, and economic domains of life. Family vulnerabilities are one of the most important variables contributing to addiction among women. Thus, the purpose of this article is to investigate areas of family life that lead to women's taking up and maintaining drug and alcohol abuse.<h4>Evidence acquisition</h4>A da ...[more]

PMID: 27622169

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Project description:BackgroundFamily-related risk and protective factors are crucial for different antisocial behaviors, but their role in radicalization requires synthesis. Radicalization is likely to have a negative impact on families, and well-designed and implemented family-focused intervention programs have the potential to decrease radicalization.ObjectivesResearch questions were: (1) What are the family-related risk and protective factors for radicalization? (2) What is the impact of radicalization on families? (3) Are family-based interventions against radicalization effective?Search methodsSearches included 25 databases and hand searches of gray literature from April to July 2021. Leading researchers in the field were asked to provide published and unpublished studies on the topic. Reference lists of the included studies and previously published systematic reviews on risk and protective factors for radicalization were scanned.Selection criteriaPublished and unpublished quantitative studies on family-related risk and protective factors for radicalization, the impact of radicalization on families, and family-focused interventions were eligible with no restrictions regarding the study year, location, or any demographic characteristic. Studies were included if they measured the relation between a family-related factor and radicalization or if they included a family-focused intervention against radicalization. For family-related risk and protective factors, radicalized individuals needed to be compared to general population. Studies were included if they defined radicalization as support or commission of violence to defend a cause, including support for radical groups.Data collection and analysisThe systematic search identified 86,591 studies. After screening, 33 studies focused on family-related risk and protective factors were included, with 89 primary effect sizes and 48 variables grouped in 14 factors. For the factors that included two or more studies, meta-analyses with random effects were conducted. When possible, moderator analyses were performed together with sensitivity and publication bias analyses. No studies on the impact of radicalization on families or family-focused interventions were included.ResultsThe current systematic review based on studies with 148,081 adults and adolescents from diverse geographic locations showed that parental ethnic socialization (z = 0.27), having extremist family members (z = 0.26), and family conflict (z = 0.11) were related to more radicalization, whereas high family socioeconomic status (z = -0.03), bigger family size (z = -0.05), and high family commitment (z = -0.06) were related to less radicalization. Separate analyses described family-factors for behavioral versus cognitive radicalization, and different radical ideologies including Islamist, right-wing and left-wing. It was not possible to distinguish risk and protective factors from correlates and the level of overall bias was mostly high. No results regarding the impact of radicalization on families or family-focused interventions were included.Authors' conclusionsAlthough causal relations between family-related risk and protective factors could not be established, it is reasonable to suggest that policies and practice should aim at decreasing family-related risks and increasing protective factors for radicalization. Tailored interventions including these factors should be urgently designed, implemented and evaluated. Studies focused on the impact of radicalization on families and family-focused interventions are urgently needed together with longitudinal studies on family-related risk and protective factors.

Project description:OBJECTIVE:To identify risk factors for potential Drug-Related Problems (DRP) at admission in hospitalized patients. METHODOLOGY:Prospective cohort study conducted in adults patients hospitalized (May 2016 to May 2018) in a general tertiary care hospital in Brazil. Potential DRP were detected by daily review of 100% of electronic medication orders by hospital pharmacists and classified by the Pharmaceutical Care Network Europe classification system (PCNE version 6.2). For the identification of risk factors of potential DRP, backward stepwise logistic regression was used to identify the set of independent predictors among over 120 variables collected in the initial 48 hours after admission in a training set consisting of 2/3 of the study population. The model was validated in the remaining sample. RESULTS:The study population consisted of 1686 patients aged 52.0+/- 18.3 years-old, 51.4% females, with a median length of stay of 3.24 days, and 4.5% in-hospital mortality. The cumulative incidence of potential DRP was 14.5%. Admission for elective surgery and main diagnosis of disease of the circulatory system were associated with reduced risk of DRP (OR 0.41 and 0.57, respectively, p<0.05). The independent risk factors of DRP are heart rate ≥ 80 bpm (OR 1.41, p = 0.05), prescription of more than seven drugs in day 2 (OR 1.63, p = 0.05), prescription in day 1 of drugs of the Anatomical Therapeutic Chemical Code (ATC) class A (alimentary tract and metabolism, OR 2.24, p = 0.003), prescription in day 2 of two or more ATC class A drugs (OR = 3.52, p<0.001), and in day 1 of ATC class J drugs (antiinfectives for systemic use, OR 1.97, p = 0.001). In the validation set, the c-statistic of the predictive model was 0.65, the sensitivity was 56.1% and the specificity was 65.2%. CONCLUSION:This study identified seven independent risk factors of potential DRP in patients hospitalized in a general hospital that have fair predictive performance for utilization in clinical practice.

Dataset Information

Family Risk Factors Among Women With Addiction-Related Problems: An Integrative Review.

Publications

Family Risk Factors Among Women With Addiction-Related Problems: An Integrative Review.

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