COVID-19 Fear Impact on Israeli and Maltese Female "Help" Profession Students.

BACKGROUND: The aim of this cross-sectional study was to examine the impact of COVID-19 fear on the well-being of Israeli and Maltese female "help" profession (e.g., social work and psychology) undergraduate students. This cross-national comparison includes factors of depression, anxiety, anger, loneliness, nervousness, substance use, eating behavior, burnout, and resilience. The study hypothesis is that country status, even with different social-cultural characteristics including religiosity, is not a significant factor associated with COVID-19 fear impact on select behavioral characteristics of female university students. METHODS: A total of 453 female "help" profession students completed an online survey from January to July 2021. Various statistical methods of analysis including regression were used for this study. RESULTS: The mean COVID-19 fear scores were the same among Israeli and Maltese students. Resilience was found to be higher among Israeli females; burnout was found to be higher among those from Malta. Substance use (i.e., tobacco, alcohol, cannabis, stimulants, or prescription drugs) in the last month was reported by 77.2% of the respondents. No significant differences were found for previous-month substance use based on country status. Regardless of country, respondents who reported more previous-month substance use had higher COVID-19 fear and burnout scores, as well as lower resilience. Due to COVID-19, most respondents (74.3%) reported deterioration of their psycho-emotional well-being in the last month; however, no significant differences were found based on country and religiosity statuses. Furthermore, no significant differences were found for eating behavior changes and weight increase based on country and religiosity statuses. CONCLUSION: Study findings showed the impact of COVID-19 fear on the well-being of Israeli and Maltese female "help" profession undergraduate students. This study examined only female students; however, additional research is needed to address male students and their experiences. Prevention and treatment intervention measures aimed to increase resilience and decrease burnout, including those that can be made available on campus, should be thought about by university administration personnel and student association leaders in consultation with mental health professionals.

Gaming Disorder and Psycho-Emotional Wellbeing among Male University Students and Other Young Adults in Israel.

The aim of this cross-sectional study was to examine the impact of gaming and gaming disorder on the wellbeing of Israeli male university students and other adults. Gaming disorder (i.e., persistent, and recurrent gaming activity associated with a lack of control that may be clinically diagnosed) was determined using the Internet Gaming Disorder Scale-Short-Form (IGDS9-SF). Survey participants were recruited from gaming associations, clubs and the gaming community using Facebook. Data were collected in June 2022. A total of 526 males completed the survey (30.9% university students and 69.1% other young adults). Various statistical methods of analysis including regression were used for this study. Significant study group differences revealed university students with more indications of gaming disorder, more burnout, less loneliness, more stimulant (i.e., Ritalin) use, a greater consumption of salt- and/or sugar-loaded foods and lower economic wellbeing. The levels of resilience (i.e., the ability to recover from stress), substance use (e.g., tobacco and alcohol) and weight gain were similar for the two groups. Regression analysis showed gaming disorder as a key predictor of burnout, economic wellbeing and resilience. This study examined only male gamers because of the small number of female respondents. However, additional research is needed about female internet gamers, including their possible exposure to online harassment and sexual degradation. Additionally, additional research should be considered to verify the present study's findings about gamers based on demographic factors and gaming disorder levels. Prevention and treatment intervention measures, including those that can be made available on campus, should be thought about by university administration personnel and student association leaders in consultation with professionals who are experienced in reducing gaming disorder and other harmful behaviors among students.

Cross national comparison of medical students' attitudes and beliefs about medical cannabis and its application for pain management.

OBJECTIVES: To examine attitudes and beliefs about medical cannabis (MC), and specifically about its application for pain management, across medical students in Israel and Thailand. DESIGN: Cross-sectional survey which measured attitudes and beliefs about MC. Participants were additionally asked to rate the perceived efficacy of MC for different medical conditions that are related to pain (arthritis, chronic pain, fibromyalgia and multiple sclerosis). Pearson's Chi-squared test was used to compare between students from the participating universities. RESULTS: 430 medical students participated, 37.9 % (n = 163) from Israel and 62.1 % (n = 267) from Thailand. Personal cannabis use was reported by 55.6 % of the Israeli and only by 6.9 % of the Thai students (p < .001). Israeli secular students, compared to those from Thailand, were more likely to recommend MC for patient treatment, less concerned about serious physical and mental health risks, and more inclined to support legalization of recreational cannabis. Israeli students reported more permissive attitudes toward MC, but reported feeling less prepared to answer patient/client questions about MC than their Thai counterparts. CONCLUSIONS: The findings of this study accentuate the need for curriculum designed around MC use to promote students' preparedness to serve patients in pain or with other medical conditions that may benefit from MC use.

Religiosity as a Substance Use Protective Factor Among Female College Students.

Research exists about religiosity as a substance use protective factor. However, there is little attention of this issue regarding Israeli female college students. Undergraduate religious and secular students were studied. Religious students reported lower last month tobacco, alcohol, cannabis and non-medical prescription drug use. Secular females who smoked, missed class because of party habits and reported easy access to cannabis had a higher probability of binge drinking. This study contributes to knowledge about religiosity and college student substance use, and it provides useful information for their mental health and well-being.

Testing the nicotine dependence measure mFTQ for adolescent smokers: A multinational investigation.

BACKGROUND AND OBJECTIVES: As a measure of nicotine dependence among adolescent smokers, the modified Fagerström Tolerance Questionnaire (mFTQ; seven items), has been successfully used in the United States (USA). Nonetheless, the validity and reliability of mFTQ at the international level is still needed. The current study is the first to test the validity and reliability of mFTQ in four countries: Thailand, Spain, the USA, and Russia. METHODS: In a cross-sectional survey, mFTQ, risk factors of nicotine dependence, and sociodemographic characteristics were assessed. Risk factors included age of first cigarette, frequency of alcohol use, frequency of marijuana use, and number of cigarettes smoked yesterday. Salivary cotinine was also obtained in Thailand and Spain. RESULTS: For all four countries, mFTQ exhibited a single factor structure, as supported by previous work in the USA. For all studied countries except Thailand, mFTQ presented acceptable internal reliability. Overall, risk factors of nicotine dependence have predicted mFTQ scores across countries. Frequency of alcohol use in the USA and frequency of marijuana use in Thailand and Spain were not associated with mFTQ scores. DISCUSSION AND CONCLUSIONS: mFTQ is a single-factor measure of nicotine dependence that shows acceptable internal consistency and validity across countries. Further work can advance the scale and tailor it to different cultures. SCIENTIFIC SIGNIFICANCE: mFTQ can be a clinically practical international measure of nicotine dependence. This study provides initial support for the utility of the mFTQ among Thai, Spanish, American, and Russian adolescents. Further research is needed to test and advance mFTQ across cultures. (Am J Addict 2017;26:689-696).

Suicidal Ideation Among Heroin-Abusing Mothers in Methadone Maintenance Treatment.

BACKGROUND: There is a dearth of information about mothers in methadone maintenance treatment (MMT), their parental stress, and suicidal ideation. AIM: To evaluate parenting stress and suicidal ideation among heroin-dependent mothers in MMT. METHOD: The study was conducted at an MMT center. Inclusion criteria were mothers with at least one child between 6-12 years of age. Mothers (n = 41) were interviewed about their background characteristics, drug use, parenting stress, and suicide ideation. RESULTS: The mothers' median age was 44 (27-63 years), 35% were single, 20% married or with a partner, 45% separated or divorced, 83% were Jewish, and about one-third completed elementary school only. Among the study participants, 52% reported ever thinking about suicide, 28% reported past-year ideation, and 15% indicated they were likely to complete suicide someday. Mothers who have used heroin and cannabis reported high levels of parenting stress. Mothers with high parenting stress levels were more likely to report suicidal ideation. Country of origin status did not differentiate those interviewed. CONCLUSION: This study provides insight into a hard-to-reach population of mothers needing treatment, parental skills training, and mental stress reduction. Further research is needed to generalize the findings for treatment, education, and training purposes.

Quality of life among former Soviet Union and Israeli origin methadone users.

A common treatment intervention for heroin addiction is methadone maintenance. In recent years a wider perspective has been adapted to understand and evaluate addiction through quality of life. This article examines quality of life conditions of 170 male former Soviet Union and Israeli origin drug users in methadone maintenance and provides an understanding of conditions linked to the World Health Organization Quality of Life project's best available techniques reference document. Having a partner or spouse and less chronic illness are positive factors affecting quality of life regardless of country of origin. Israeli born drug users reported better quality of life based on their psychological health and environment domain responses; no difference was found for the physical health and social relationship domains of the Israeli and former Soviet Union origin males. Because heroin addiction is a chronic and relapsing illness, one of the goals of methadone maintenance is to address patients' health status from a broad perspective. Based on clinical observations, the treatment of special populations may be enhanced if their particular needs are considered and met. Quality of life factors are relevant for assessing high risk groups, including those from different ethnic origins, in poor physical and psychological health, their treatment and personal adjustment, and their service personnel training needs.

Binge Drinking and Risk Taking Behavior Among Adolescent Females in Israel.

PURPOSE: This prospective study examined binge drinking and alcohol-related problem behavior among Israeli adolescent females attending public school or a residential facility for substance abuse treatment. PROBLEM: Scant information is known about adolescent females, especially those with high-risk (e.g., school dropout and immigrant origin) characteristics. METHODS: The authors hypothesized that school, residential treatment, and mothers' country of origin status are associated with binge drinking and problem behavior. FINDINGS: Females in residential treatment reported higher levels of binge drinking and problem behavior as expected. However, country of origin was not a significant factor differentiating the female adolescents in school or a residential facility. Logistic regression points to current cigarette smoking, ease of purchasing alcohol, unsupervised night activity, low religiosity, and being physically threatened as predictors of binge drinking and problem behavior. CONCLUSION: The lack of differences based on country of origin status points to acculturation as a possible reason for the homogeneity. Further research is needed to study the impact of acculturation as well as monitor the alcohol use patterns and problems of adolescents over time and across locations to address prevailing needs.

Toward an understanding of and response to tobacco use among high-risk Israeli and Palestinian youth.

Little has been done to bring Israeli and Palestinian people together to address common health problems. Because Jewish and Arab people have been in a declared and/or de facto state of war since the establishment of Israel as a nation in 1948, the possibility of Israelis and Palestinian working together to deal with a mutual problem has been bleak. This article describes efforts to link people together to address tobacco use cessation among Israeli and Palestinian high-risk youth and provides an overview of a current initiative to demonstrate a smoking cessation model, Project EX, which may contribute to the health of those involved and to societal change in the region.

Severity of heroin use in Israel: comparisons between native Israelis and former Soviet Union immigrants.

AIMS: This study examined drug use patterns and severity among native-Israeli and former Soviet Union (FSU) immigrants in Israel who reported heroin use. DESIGN, SETTING AND PARTICIPANTS: a total of 272 native Israelis and 300 FSU heroin users were interviewed from 2002 to 2006 as part of a large drug use surveillance study in Israel. Individuals were sampled at an intake centre, a methadone clinic and a day-treatment facility in the Negev region of Israel. Participants were assessed using the Addiction Severity Index, fifth edition. Native Israeli and FSU users were compared within two groups: those interviewed at intake and those interviewed in treatment. FINDINGS: Overall, ASI composite scores suggested generally comparable levels of addiction severity between the two ethnic groups. Native-born Israelis reported more years of heroin use; however, the FSU immigrants reported longer use of other opiates. The FSU reported significantly more heroin use by injection, and a significantly higher rate of hepatitis C and other chronic medical problems. Comparisons by gender within each group revealed higher drug severity scores for females (native-born Israeli and FSU combined). Females in the intake group had significantly higher severity scores in the areas of employment and psychiatric status when compared to individuals who had been in treatment for some time. CONCLUSIONS: Except for higher levels of alcohol use, the FSU did not have more severe drug problems than the native Israelis as measured by ASI severity scores. Injection use among FSU, however, is a critical public health problem, especially given the well-established link between injection drug use, hepatitis C and HIV/AIDS.

Gender differences in prevalence of drug use among high risk adolescents in Israel.

BACKGROUND: The use of tobacco, alcohol and illicit drugs is considered to be primarily a male problem. Many studies of drug use in the general population have reinforced this assumption. Other recent findings, however, call the extent of gender differences into question. METHODS: Self report data were collected from 911 high risk adolescents who ranged from 12 to 18 years. RESULTS: Last 30 day use was used to compare the youth. Significant findings show girls use cigarettes more than boys; boys use all types of alcohol more than girls; and, boys use marijuana and hashish more than girls. No differences were reported in terms of the patterns of ecstasy, inhalants, prescription drugs, LSD, amphetamines, cocaine, crack cocaine, opium and heroin. Boys more than girls were inclined to binge drink. Boys and girls reported similar patterns of being in a car with a driver who had been drinking and driving a car after drinking. Boys more than girls take loans in order to obtain drugs; girls more than boys were able to acquire drugs without having to use their own money; and boys more than girls gambled to acquire drugs. DISCUSSION: With the exception of cigarettes, boys use drugs and engage in problem behavior more than girls. Underage drinking and driving is a serious behavior problem reported by male and female youth. This factor and binge drinking should be targeted as priority prevention issues. Gender differences in prevalence of drug use among high risk adolescents should be monitored to verify what may be a growing problem among female adolescents in the country and elsewhere (Litt, I., (2003). Drugs and adolescent girls. (editorial). Journal of Adolescent Health, 32, 1-2).

Visual problems among people with mental retardation.

Vision impairment can be a debilitating condition, affecting not only the social, emotional, mental and physical functioning of an individual, but also the individual's ability to perform basic and instrumental activities of daily living. Scant knowledge exists about visual impairment among people with mental retardation. The results of this prospective study were based on interviews and eye ophthalmologic screening of 106 adults with a moderate level of mental retardation, ranging in ages from 19 to 62 years. Findings show that only 3% of those interviewed recalled having had an eye examination, yet 24% reported that they had visual problems. In spite of the high probability of visual problems for this group, only 13% reported having glasses and 20% said they needed glasses; 92% reported watching television but 22% stated they had difficulty seeing the TV; 62% of the respondents reported that they cook for themselves but 17% reported that visual problems affected their ability to perform this activity. Medical eye screening of the participants found that 79% had ocular problems - 42% were in need of eyeglasses, 12% had a cataract problem requiring surgery and 25% needed outpatient care at the local hospital. The study findings are discussed in terms of policy implications and service provision, and recommendations are made for additional research.

Immigrant and native-born female heroin addicts in Israel.

There are an estimated 25,000 heroin addicts in Israel and nearly one out of every five is a woman. Also, about one fourth of the addict population immigrated to Israel from the former Soviet Union (mostly from Russia and the Ukraine) since 1989. In this study, native born and immigrant female addicts were interviewed to develop an understanding of their background characteristics, patterns of drug use, and attitudes based on group status. Results show that the two groups of women are similar in many respects; however, differences do exist. Russian-speaking women tend to be better educated and have a greater concern about their personal health and maintaining custody of their children. Additionally, immigrant women are more inclined to use heroin and other substances while receiving treatment and are more likely to have a father who abuses alcohol. Discussion is given to the study findings as well as issues relevant to the formation of policy regarding services to female addicts in the country.