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Blacks Exposed to More Tobacco Ads



Residents of black neighborhoods are exposed to an average of 2.6 more tobacco ads than people living in white neighborhoods, according to researchers at the University of Pittsburgh School of Medicine. The Pittsburgh Post-Gazette reported Aug. 21 that the Pitt researchers counted the total number of ads in each market, parsed out the tobacco ads, then correlated them with the population of the neighborhoods. Researchers looked at advertising in communities in California, Illinois, Missouri, South Carolina, Massachusetts, and other states. The study also found that the proportion of tobacco ads to ads for other products was 70 percent higher in black neighborhoods than white communities. Limiting the study was the fact that it was based on studies of advertising techniques, like billboard ads, that have now been banned. The research by Brian Primack and colleagues is published in the September/October 2007 issue of Public Health Reports.

New Life for Families of Alcoholics

Al-Anon offers new life to families of alcoholics

Alcoholism touched every aspect of Brenda’s family life. She lost a father to alcoholism, and her brother developed the disease. She also married a problem drinker. They had a large family, and her husband left the job of parenting to her.

"I had out-of-control children at home," she says. "There was no structure–no rules, no bedtime schedules. It was just chaos." Brenda tried to structure the household but found that she couldn’t do it alone. Some of her children developed behavior problems at school and eventually abused alcohol themselves.

For nearly a decade, Brenda searched for support. She went to parent meetings at school. She went to marriage counseling. She went to churches and Bible study groups. Finally, a therapist suggested Al-Anon.

"I remember listening to people at my very first Al-Anon meeting and thinking, this is where I belong," Brenda recalls. "The stories I was hearing there were about the very kinds of things happening in my life."

Al-Anon offers free and confidential support for anyone affected by an alcoholic or problem drinker. This includes parents, grandparents, spouses, partners, coworkers, and friends. Alateen, a part of Al-Anon, is a recovery program for young people impacted by a loved one’s alcoholism.

Founded in 1951 by the wives of two Alcoholics Anonymous members, Al-Anon is based on AA’s Twelve Steps. There are no dues and no fees. Rather than relying on mental health professionals, members lead self-help meetings in a spirit of mutual help. The purpose is to share their hope, strength, and experience in dealing with an alcoholic loved one.

It works. Today more than 26,000 Al-Anon groups exist in 115 countries.

Al-Anon begins with the principle that alcoholism is a family disease. And those who care most about the alcoholic are affected the most.

Al-Anon literature compares life with an alcoholic to a drama where people develop stereotyped, almost scripted, roles. Their behaviors center on the alcoholic and are dominated by:

Obsession–going to great lengths to stop the alcoholic’s drinking, such as searching the house for hidden stashes of liquor, secretly pouring drinks down the drain, or listening continually for the sound of opening beer cans.

  • Anxiety–worrying constantly about the effects of the alcoholic’s drinking on the children, the bills, and the family’s future.
  • Anger–feelings of resentment that result from being repeatedly deceived and hurt by the alcoholic.
  • Denial–ignoring, making excuses for, or actively hiding the facts about the alcoholic’s behavior.
  • Guilt–family members’ belief that they are somehow to blame for the alcoholic’s behavior.
  • Insanity–defined in Al-Anon as "doing the same thing over and over and expecting different results."

With help from their peers, Al-Anon members learn an alternative–detachment with love. This happens when family members admit that they did not cause their loved one’s alcoholism; nor can they control or cure it. Sanity returns to family life when members focus on taking care of themselves, changing the things that they can, and letting go of the rest.

As a result, alcoholic family members are no longer shielded from the consequences of their own behavior. This, more than anything else, can help them face the facts about their addiction and admit their need for help.

"Since I’ve been in Al-Anon, my life has totally changed," says Brenda. "I filed for divorce and set up my own household. Now my children are getting a lot more of their needs met with a lot more stability in their lives, and I’m a much happier parent. Since I moved out, my son has been on the honor roll at school and my daughter has had the best two years of her life."

To learn more about Al-Anon go online to http://www.al-anon-alateen.org/, or send an e-mail message to wso@al-anon.org. A basic text, "How Al-Anon Works for Families and Friends of Alcoholics," explains the Al-Anon program in detail.

Alive & Free is a health column that provides information to help prevent substance abuse problems and address such problems. It is created by Hazelden, a nonprofit agency based in Center City, Minn., that offers a wide range of information and services on addiction.

Association of the Long Allele of the 5-HTTLPR Polymorphism with Compulsive Craving in Alcohol Dependence


  

Aims: Various studies have reported a role of the serotonin transporter-linked polymorphic region (5-HTTLPR) in alcoholism. Method: The present study investigated an association of this polymorphism with obsessive-compulsive alcohol craving in 124 male patients admitted for alcohol detoxification treatment. Results: We found significantly higher compulsive craving in patients with the long allele of the 5-HTTLPR polymorphism [at admission: analysis of variance (ANOVA): F = 3.48, P = 0.034, general linear model: F = 3.92, P = 0.023; after 7 days: ANOVA: F = 3.12, P = 0.049]. Conclusions: Our results suggest that the long variant of the 5-HTTLPR polymorphism is associated with higher compulsive alcohol craving at the beginning of alcohol withdrawal.



S.B. and D.B. contributed equally to this work.

Regarding Research: FAS Not the Only Risk of Prenatal Drinking

Reader Letters

Editor’s note: This letter comments on a recent , FAS Not the Only Risk of Drinking While Pregnant.


I am glad to see this has finally started coming out in the media as people working with people with FASD (Fetal Alcohol Spectrum Disorder) have known this for many years.

The facial features develop during a very short period during gestation (at about 17 to 23 days - leaving room for human variability). FAS facial features occur if the pregnant woman is drinking during this short time period - so if the woman is not drinking during this week, the newborn’s facial features may be quite normal.

But, she could be binge-drinking at other times and brain damage occurs then and is referred to as ARND or Alcohol Related Neurodevelopmental Disorder.

These are the “invisible FAS kids” and are most often diagnosed with ADHD or ADD and medicated sometimes with the wrong medications - leading to sometimes disastrous results.

Please keep the information flowing as FASD can be preventable with the right supports in place.

Veli-Martti Rautio
Pembroke, ON


Join Together welcomes reader letters for publication consideration. Submissions should be 300 words or less, be relevant to a recently published item, and include a full name and city/state. We reserve the right to edit for length or clarity. Although we read all submissions, we’re unable to reply to each one. Send to letters@jointogether.org.


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Smokers’ Babies More Likely to Have Finger, Toe Deformities



Pregnant women who smoke half a pack of cigarettes a day or more increase the risk of delivering a baby with deformed, extra or missing fingers or toes, HealthDay News reported Aug. 17. Researchers said babies born to smokers are 30 percent more likely to have finger or toe deformities. “One of the things that smoking does is interfere with oxygen delivery to cells at very key moments in development,” said researcher Manuel Alvarez of Hackensack University Medical Center in New Jersey. “If cells are deprived of oxygen, they don’t proliferate as they should. If cells don’t proliferate, you can have limb deformities.” Finger and toe deformities are among the most common birth defects: about 1 in 600 babies are born with an extra finger or toe, for example. Such defects often occur in families with no past history of such birth defects, so experts think that environmental factors may be the cause. The study, which was based on a review of about 7 million birth records by University of Pennsylvania researchers, appears in the journal Plastic and Reconstructive Surgery

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Protection of Aboriginal Children from Sexual Abuse

Protection of Aboriginal Children from Sexual Abuse

Ms. Clare Martin, Chief Minister of Australia’s Northern Territory Government has announced the most comprehensive package to tackle Indigenous disadvantage in the history of the Territory.

‘Closing the Gap’ is the Northern Territory’s Indigenous Generational Plan, aimed at closing the gap in outcomes between Indigenous and non-Indigenous Territorians. It contains a vision and objectives for the future socio-economic wellbeing of Indigenous Territorians and sets ambitious but achievable targets for the next 5, 10 and 20 years. It also identifies priority areas for action in the next 5 years, based on the best available evidence of which actions will have the greatest impact.

On 15 June 2007, the Board of Inquiry into the Protection of Aboriginal Children from Sexual Abuse (the Inquiry) released its findings. The Inquiry report included 97 recommendations across 22 themes, addressing the child protection system, as well as broader social and economic factors including housing, unemployment, offender rehabilitation, health, alcohol misuse and education.

While the Northern Territory Government supports the messages and recommendations of the Inquiry, additional areas need to be addressed if we are to overcome Indigenous disadvantage within a generation. ‘Closing the Gap’ goes beyond the recommendations of the Inquiry to provide a framework for overcoming Indigenous disadvantage.

The Northern Territory Government has committed AU$286.43 million towards 5 year actions to implement ‘Closing the Gap’.

This commitment includes:

  • 1 Children’s Commissioner
  • 10 child protection workers
  • 37 additional specialist Family and Children’s Services (FACS) staff
  • 40 Police - Remote Policing Strategy, Child Abuse Task Force
  • 4 specialist alcohol rehabilitation workers
  • 26 family violence support workers
  • 10 community corrections officers
  • 10 school counselors
  • 47 teachers and assistant teachers for remote schools and preschools
  • 3 specialist Department of Employment, Education and Training staff
  • 1 Aboriginal and Islander education coordinator
  • 2 court clinicians
  • 1 witness assistance officer
  • 8 alcohol compliance inspectors
  • 23 specialist FACS staff for the Child Abuse Taskforce.

Legislative Reform

  • Safety - Child Protection - AU$79.36m
  • Safety - Policing, Justice and Family Violence - AU$38.61m
  • Safety - Alcohol and Drug Management - AU$10.11m
  • Health - AU$23.4m
  • Housing - AU$42.32m
  • Education - AU$70.68m
  • Jobs - AU$13m
  • Culture - AU$0.5m
  • A Better Way of Doing Business - AU$8.45m

Full reports at; Closing the Gap

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Child Abuse in Aboriginal Communities

Measures announced by the Australian Government to halt child abuse in Indigenous communities of the Northern Territory

On 21 June 2007, the Australian Prime Minister, John Howard, announced the following measures to combat child abuse in Indigenous communities in the NT.

  • Widespread alcohol restrictions on NT Aboriginal land for 6 months
  • Medical examinations of all Indigenous children in the NT under the age of 16 years
  • Quarantining of 50% of the welfare payments to parents of children in the affected areas for the purchase of food and other essentials
  • Enforcing school attendance by linking income support and family assistance payments to school attendance for all people living on Aboriginal land
  • Taking control of townships through 5-year leases to ensure that property and public housing are improved
  • Requiring an intensive clean-up of communities to make them safer and healthier, by marshalling local workforces through Work for the Dole arrangements
  • Scrapping the permit system for common areas and road corridors on Aboriginal lands
  • Banning the possession of x-rated pornography in the proscribed areas
  • Increasing policing levels, and making law and order a central focus of the measures announced
  • Amending NT land rights legislation

The Anderson Wild report of the Northern Territory Government

The 97 recommendations covered:

  • Leadership by the federal and Northern Territory governments in consultation with Aboriginal people, government responses to ensure child safety, the role of the Family and Children’s Services program in the NT, and family support services;
  • Health aspects, both crisis intervention and prevention through primary health care;
  • Policing, police education, cooperation with the Family and Children’s Services program, support for victims, bail applications (when the alleged offence is sexual abuse of a child), and offender rehabilitation;
  • School attendance, the role of communities, community education and awareness, and housing;
  • Alcohol and other substance abuse, pornography, and gambling;
  • Community justice;
  • Cross-cultural training of staff; and
  • Implementation of the report.

Prime Minister of Australia. Joint press conference with the Hon Mal Brough, Minister for Families, Community Services and Indigenous affairs, Canberra. Indigenous emergency. http://www.pm.gov.au/media/Interview/2007/Interview24380.cfm (accessed Jul 2007).

Anderson P, Wild R. Little children are sacred: report of the Northern Territory Board of Inquiry into the protection of Aboriginal children from sexual abuse 2007. Darwin: Northern Territory Government, 2007. http://www.nt.gov.au/dcm/inquirysaac/pdf/bipacsa_final_report.pdf (accessed Jul 2007).

This report from; http://www.mja.com.au/public/issues/187_04_200807/rin10803_fm.html

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Brain Chemicals and Willpower in Addicts

Brain Chemicals Trump Willpower in Addicts

Understanding brain chemistry, not building up willpower, is the key to preventing adolescent alcohol and other drug addiction, according to Nora Volkow, director of the National Institute of Drug Abuse (NIDA).

The Associated Press reported April 3 that Volkow said that adolescent brains are still developing and react differently to drugs than those of adults. Volkow, a researcher with a long history of exploring the brain circuitry involved in addiction, has been shifting some of NIDA’s research efforts toward examining how the brains of adolescents and people who don’t become addicted to alcohol or other drugs differ from the brains of those who do develop drug problems. "What is it that makes a person more vulnerable to take drugs or not?" said Volkow.

"Now we have Nora’s picture rather than a picture of fried eggs," said Joanna Fowler, a former colleague of Volkow’s at the Brookhaven National Laboratory. "We can go beyond that knee-jerk picture of a brain to a real brain … If you can conceptualize (addiction) as a brain disease rather than a moral weakness or lack of willpower, you can more easily bring resources to bear."

Former NIDA head Alan Leshner said Volkow has promoted the idea that addiction "has to be seen as a health issue as well as a criminal or social-justice issue. She has definitely moved neuroscience forward."

Volkow said she always has been fascinated in the brain and issues of free will. She noted that the brain is not fully matured until the early 20s, with the frontal cortex — the brain’s cognitive and reasoning center — the last to be finished. Thus, for teens, "to stand up and say ’I’m not going to do it’ is much harder than (for) an adult," Volkow said.

Brain immaturity may also explain teen risk-taking and why scare tactics can backfire in drug prevention. "It is that notion of ’I dare you,’" she said. "It may be appealing to an adolescent because they are seeking for danger in many instances."

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Addiction in the Family

Addiction is a complex issue. It affects every member of the family and can have a lasting impact on their lives. The effect on family members varies from person to person and family to family.

How Does an Addiction Develop?

Addiction is a process rather than an event. In the beginning, people often don’t experience any difficulties. As their use continues, they may begin to focus more on the alcohol, drugs or gambling than they do on the other areas of their lives. This process is often influenced by a number of factors, including the culture they live in, life events, their biological makeup and their relationships with family and friends.

Researchers have looked at genetics, environment, and the combination of these two to explain how dependence develops. Right now, it’s believed that some people are genetically susceptible to becoming dependent. But this by itself is not enough to develop an addiction. A person’s life circumstances play an important role in determining whether or not a person becomes dependent.

How Does an Addiction Affect the Family?

When a family member has a dependency, the whole family usually develops ways of coping with the problems associated with the dependency. Often, there is less communication: the family avoids talking about the issue, avoids expressing emotions, and may keep the addiction secret from the community. Some family members may take on some of the responsibilities abandoned by the addicted person.

While these coping strategies may help the family to operate more smoothly and get along better, they may also allow the dependency to continue. Unfortunately, family members may also use alcohol, drugs or gambling themselves as a way of coping with the problems in their family.

Members of an addicted family often experience loneliness, frustration, fear, anger and shame. They may also feel a sense of hopelessness about the situation. It’s important for them to realize that the addiction is not their fault. Often, seeking outside help from a support group or professional counselor can help them cope with what is going on in their family.

How Does an Addiction Affect the Children?

Addiction often creates an unstable family environment. Parents may not effectively discipline their children or provide them with training in basic life skills. Children may feel insecure or unloved. They may also begin to take on adult responsibilities that are not appropriate to their age. Children in families where an addiction is present are more likely to show anti-social behavior and have problems such as skipping school, aggressiveness, hyperactivity and eating disorders.

Is There Any Good News?

Living with an addicted person is not easy, but most children are resilient. This means that they can overcome these difficult circumstances and become strong, healthy adults. They build on their own and others’ strengths. For those who may have resulting problems, help is available. 

A good starting point is to talk to people who have experienced a family addiction or alcoholism. Contact Al-anon or Adult Children of Alcoholics/Addiction. Look in your local phone book or go to Al-anon.

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Ignition Locks for First Offenders Proposed

News Summary

First-time drunk-driving offenders would be required to install alcohol-detecting locks on their cars under a proposal being considered by Pennsylvania lawmakers, the Philadelphia Inquirer reported Aug. 15.

Such ignition-interlock devices have been mandatory for repeat drunk drivers in Philadelphia since 2003, but now a bipartisan group of state senators wants to apply the same standard to first offenders statewide. “It’s incomprehensible to me why you wouldn’t want to put in a preventative tool,” said Sen. Jane Orie (R-Allegheny).”

Philadelphia defense lawyer Nick Nastasi said that the penalty could be too harsh for a first offender. “The punishment has to fit with the offense, and the economic level you fit into shouldn’t affect your ability to drive,” Nastasi said.

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