Crittenden County Coalition for a Drug-Free Community

Crittenden County Coalition for a Drug-Free Community

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 Crittenden County Coalition for a Drug-Free Community
PO Box 22, Marion, KY 42064

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Crittenden County Coalition
PO Box 22, Marion, KY 42064



 
 
 
 
 
 
Prevention Community to Celebrate Red Ribbon Week

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Increases seen in teen drug use

Many small increases, no decreases in adolescent alcohol, tobacco, drug use

The 2009 Pride Survey National Summary of adolescent alcohol and drug use shows small, but significant increases in 30-day prevalence for a number of drug categories, and no significant decreases in 30-day use of any drug category measured in grades 6 through 12. These results are based on surveys completed during the 2008-2009 school year.

Most of the increases witnessed were small (less than 1 percent). However, they suggest that decreases in adolescent drug use over the last several years may have come to a halt.

Last week the Substance Abuse and Mental Health Services Administration released results of the 2008 National Survey on Drug Use and Health. The 2009 Pride Survey data reflect several of the trends seen in the NSDUH survey, for example increases in ecstasy use and little change in marijuana use among adolescents. However, the Pride Survey data was more recently collected (by at least six months) than the NSDUH data.

Here are some of the key findings of the 2009 Pride Survey National Summary:

Grades 6-8 (ages 11 to 14)

    * Increases in 30-prevalence of cigarettes, cigars, any tobacco, beer, marijuana and lifetime prescription drug abuse.
    * No significant decreases in 30-day use. 

Grades 9-12 (ages 14-18)

    * Increases in 30-day prevalence of cigarettes, smokeless tobacco, cigars, any tobacco, beer, wine coolers, liquor, any alcohol, marijuana, inhalants, heroin, ecstasy, OxyContin, meth and any illicit drug.
    * No significant decreases in 30-day use. 

Grades 6-12 (ages 11 to 18)

    * Increases in 30-prevalence of cigarettes, smokeless tobacco, cigars, any tobacco, marijuana, ecstasy, OxyContin and lifetime prescription drug abuse.
    * No significant decreases in 30-day use. 

The 2009 Pride Survey National Summary is based on the responses of 122,243 students selected from 447,532 students who completed the Pride Survey for Grades 6 to 12 during the school year from August 2008 until June 2009. These students, while not drawn through a formal probability sampling process, do represent a broad cross-section of American youth. Results from previous years national summaries have tracked closely with nationwide surveys such as Monitoring the Future.


Alzheimer's Disease

From: USA Today / October 26, 2010
http://www.usatoday.com/yourlife/health/medical/alzheimers/2010-10-26-smokingAlz26_ST_N.htm

 Heavy smoking in midlife more than doubles your odds of developing Alzheimer's disease, a Kaiser Permanente study said Monday.
The study is the first to examine the long-term consequences of heavy smoking on Alzheimer's and vascular dementia, says the study's principal investigator, Rachel Whitmer, a research scientist with Kaiser Permanente in Oakland.

Researchers evaluated the records of 21,123 men and women, who, starting in midlife, were followed for an average of 23 years. Of 5,367 study participants diagnosed with dementia later in life, 2,367 were smokers, and 261 were heavy smokers (more than two packs a day). Compared with non-smokers, those who had smoked two packs of cigarettes a day increased their risk of developing Alzheimer's by more than 157% and had a 172% higher risk of developing vascular dementia the second-most-common form of dementia after Alzheimer's. The research is published online in the Archives of Internal Medicine (see abstract below).

Though the study was observational, the authors have theories about what might be going on, Whitmer says. "People who smoke have increased inflammation, and we know inflammation also plays a role in Alzheimer's," she says.

Dementia experts say the new research is strong. "This study is particularly good because it separates out vascular dementia and Alzheimer's," says William Thies, the Alzheimer's Association's chief medical and scientific officer.

"The other novel aspect of it is that they've got a large enough sample to look at different ethnic groups, and it shows smoking's effect on dementia does not differ based on race," says Brenda Plassman, epidemiologist at Duke University Medical Center.

The bottom line: "If there's somebody out there who hasn't heard smoking's bad for you, they must live in a cave somewhere," Thies says.  "This is another good reason not to smoke."

_________________

http://archinte.ama-assn.org/cgi/content/short/archinternmed.2010.393

Heavy Smoking in Midlife and Long-term Risk of Alzheimer Disease and Vascular Dementia

Minna Rusanen, MD; Miia Kivipelto, MD, PhD; Charles P. Quesenberry Jr, PhD; Jufen Zhou, MS; Rachel A. Whitmer, PhD

Arch Intern Med. Published online October 25, 2010. doi:10.1001/archinternmed.2010.393

Background  Smoking is a risk factor for several life-threatening diseases, but its long-term association with dementia is controversial and somewhat understudied. Our objective was to investigate the long-term association of amount of smoking in middle age on the risk of dementia, Alzheimer disease (AD), and vascular dementia (VaD) several decades later in a large, diverse population.

Methods  We analyzed prospective data from a multiethnic population-based cohort of 21 123 members of a health care system who participated in a survey between 1978 and 1985. Diagnoses of dementia, AD, and VaD made in internal medicine, neurology, and neuropsychology were collected from January 1, 1994, to July 31, 2008. Multivariate Cox proportional hazards models were used to investigate the association between midlife smoking and risk of dementia, AD, and VaD.

Results  A total of 5367 people (25.4%) were diagnosed as having dementia (including 1136 cases of AD and 416 cases of VaD) during a mean follow-up period of 23 years. Results were adjusted for age, sex, education, race, marital status, hypertension, hyperlipidemia, body mass index, diabetes, heart disease, stroke, and alcohol use. Compared with nonsmokers, those smoking more than 2 packs a day had an elevated risk of dementia (adjusted hazard ratio [HR], 2.14; 95% CI, 1.65-2.78), AD (adjusted HR, 2.57; 95% CI, 1.63-4.03), and VaD (adjusted HR, 2.72; 95% CI, 1.20-6.18).

Conclusions  In this large cohort, heavy smoking in midlife was associated with a greater than 100% increase in risk of dementia, AD, and VaD more than 2 decades later. These results suggest that the brain is not immune to long-term consequences of heavy smoking.

Amy Jeffers, M.A., CPS
Regional Prevention Center Director
amy.jeffers@pathways-ky.org 

 

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