An exploratory study of male recovering substance abusers living in a self-help, self-governed setting.

Adult men (n = 132; 92% of the population) with histories of alcohol/drug use disorders were interviewed upon their entry to 11 Oxford Houses located in the state of Illinois. Individuals still in residence at a six-month follow-up (n = 48) were reinterviewed; prior to the follow-up interview, 42 men had left voluntarily and 42 men had been evicted for abuse or disruptive behavior. The men remaining in residence tended to be older (M age = 37 years), were disproportionately African American (56%), and were less pessimistic about their future. At the intake interview, individuals who would be evicted reported a lower expectation for abstinence social support from the other residents in Oxford House. The Oxford House model of social support for recovery from alcohol and drug dependence appears to help some residents maintain sobriety.

Exposure to serious family violence among incarcerated boys: its association with violent offending and potential mediating variables.

A sample of 213 delinquent male adolescents (mean age = 16.1) were compared on interview-based measures concerning exposure to interadult family violence and physical abuse, attitudes toward aggression, self-reported competence, and coping strategies. Using juvenile arrest data and self-reports of violence behaviors, the sample was divided into four groups: "Violent Offenders," "Violent Deniers," and "Controls." Results indicated that violent offenders and undetected violent offenders had higher rates of exposure to serious physical abuse, and weapons violence between adults, than controls and deniers. A serious of 2 x 2 ANOVAs further indicated that exposure to serious violence was associated with lower self-reported competence, attitude more supportive of aggression, and more use of aggressive control as a form of coping. Logistics regression analyses were also consistent with the hypothesis that the effects of exposure to family violence on serious violent offending are mediated by beliefs supporting aggression and by the tendency to cope through aggressive control-seeking. Implications of these results for future research concerning exposure to family violence as a risk factor for serious violent offending are discussed.

Fluoride analyses of patient water supplies requested by North Carolina health professionals.

The frequencies, patterns, and results of 1,900 patient drinking water assays for fluoride content requested in a six-month period by North Carolina health professionals were determined. Twelve per cent of the samples warranted adjustment from the full dosage fluoride supplement. Less than 3 per cent of physicians and 8 per cent of dentists submitted samples. Water supplies should be tested before a systemic fluoride supplement is prescribed. Either few dentists and physicians in North Carolina test water before prescribing supplements or few prescribe them at all.

Policy implications of the epidemiology of dental diseases for the prevention and control of periodontal disease: the North Carolina studies.

The North Carolina Dental Manpower Study indicated that periodontal disease was widespread and little was being done to control the disease. We have continued to address issues identified by the Dental Manpower Study in order to better understand the high prevalence of periodontal disease. Drawing from the theoretical basis of behavioral science and the clinical and epidemiological knowledge of periodontal disease, we have planned a strategy for testing the feasibility for controlling periodontal disease through dental health services. Only when attention to periodontal disease pervades the thinking and behavior of all segments of the dental care system--professional education, professional certification and regulation, financing mechanisms, consumers, and dental research--will factors be totally conducive to controlling this problem.