Gender Nonconforming Adolescents May Be More Likely To Experience Mental Illness, Researchers Say

Reuters (9/24, Rapaport) reports, “Compared to teens whose gender expression matches societal expectations, gender nonconforming adolescents may be more likely to experience mental health problems,” research indicated.

MedPage Today (9/24, Hlavinka) reports that in the 6,082-student study, “among female students, moderate gender non-conformity was associated with feeling sad and hopeless…compared to students with low gender non-conformity – with similar risks seen among male students,” Richard Lowry, MD, of the Centers for Disease Control and Prevention, and colleagues found. Additionally, “moderate gender non-conformity was…significantly associated with seriously attempting suicide,” and among female students, “making a suicide plan,” the study revealed. The findings were published online Sept. 24 in JAMA Pediatrics.

HealthDay (9/24, Mozes) reports the author of an accompanying editorial “observed that the study adds some insight into an under-researched concern.” The editorialist called for more research “to better appreciate the hurdles faced by nonconforming youth.”

Related Links:

— “Gender nonconforming teens face higher risk of mental distress, “Lisa Rapaport, Reuters, September 24, 2018.

Excessive Alcohol Consumption Killed More Than Three Million People In 2016, WHO Report Finds

The AP (9/22) reported, “Drinking too much alcohol killed more than three million people in 2016, mostly men, the World Health Organization said” in a report released Sept. 22 in which the WHO “also warned that current policy responses are not sufficient to reverse trends predicting an increase in consumption over the next 10 years.”

Reuters (9/21, Kelland) reported the report “said that globally, an estimated 237 million men and 46 million women are problem drinkers or alcohol abusers,” with “the highest prevalence” being found “in Europe and the Americas.” Currently, “Europe has the highest per person alcohol consumption in the world, even though it has dropped by around 10 percent since 2010.”

According to CNN (9/21, Avramova), the consumption of alcohol “was also found to cause more than 5% of the global disease burden and reported to be a causal factor in over 200 disease and injury conditions.” Alcohol is now “consumed by an estimated 2.3 billion people globally, according to WHO, and school surveys point out that most children start consuming alcohol before the age of 15.”

Related Links:

— “UN: Excessive drinking killed over 3 million people in 2016, AP, September 22, 2018.

Workers Increasingly Overdosing On The Job

The New York Times (9/21, Gold) reported that the opioid crisis is “increasingly manifesting itself at construction sites, factories, warehouses, offices and other workplaces,” with “a stunning 70 percent of employers reported that their businesses had been affected by prescription drug abuse, including absenteeism, positive drug tests, injuries, accidents and overdoses, according to a 2017 survey by the National Safety Council.” The Times described the stories of many workers’ on-the-job opioid overdoses and mentioned that “about 1.3 percent of construction workers are thought to be addicted to opioids, or nearly twice the addiction rate for all working adults, according to data from the 2012-14 National Survey on Drug Use and Health.”

Related Links:

— “Workers Increasingly Overdosing On The Job, ” Jenny Gold, The New York Times, September 21, 2018.

Rise In Drug-Overdose Deaths Driven By Cocaine, Meth, Opioids, Study Indicates

The Wall Street Journal (9/20, Ulick, McKay, Subscription Publication) reports that according to a study published Thursday in the journal Science, opioids aren’t the only driver of rising drug overdose deaths because when the use of one drug declines, the use of another rises. Researchers at the University of Pittsburgh Graduate School of Public Health found a 40-year exponential-growth curve over drug-related deaths involving methamphetamines, cocaine, and other drugs in shifting patterns among different age groups around the US.

NBC News (9/20) mentions that the Department of Health and Human Services “released $1 billion this week to various agencies to use in fighting the epidemic, with funds earmarked for medications to help people stop using opioids and behavioral programs to help prevent relapses.” Dr. Donald Burke, dean of Pitt’s school of public health, predicts that even as the US curb opioid abuse, societal and cultural factors will keep substance abuse going. Burke said, “This is a reason that U.S. society needs to pay attention to the loss of the sense of purpose, the widening economic disparities, the loss of community.”

Related Links:

— “Cocaine, Meth, Opioids All Fuel Rise in Drug-Overdose Deaths, “Josh Ulick and Betsy McKay, The Wall Street Journal, September 20, 2018.

Natural Disasters Can Exacerbate Dementia Patients’ Struggles

Kaiser Health News (9/20, Bailey) reports that for the families of many older dementia patients, Hurricane Florence was a catalyst for assessing care options for their loved ones. For the nearly 5 million American seniors with dementia, “natural disasters can be particularly terrifying.” The article spotlights the experiences of some patients who weathered Florence after being evacuated, quoting the family member of one patient as saying, “My dad was just going nuts. … It was all confusion.”

Related Links:

— “The Storm Within: Protecting Loved Ones With Dementia During Florence, “Melissa Bailey, Kaiser Health News, September 20, 2018.

Arthritis May Be A Common Comorbidity Among Older Adults With Depressive Symptoms, Research Suggests

MedPage Today (9/20, Walsh) reports, “Arthritis is a common comorbidity among older adults with depressive symptoms, diagnosed in up to two-thirds of patients with depression,” researchers concluded after analyzing data from the National Health and Nutrition Examination Survey. The data analysis “revealed that the prevalence rates of arthritis among individuals older than 50 were 55% for those with mild depressive symptoms, 62.9% among those with moderate depression, and 67.8% of those with severe depression.” The findings of the 4,792-subject study were published online Sept. 19 in the International Journal of Geriatric Psychiatry.

According to Psychiatric News (9/20), investigators “noted that arthritis and disability are known risk factors for depression in older adults,” with “the association between depression and arthritis” possibly being “linked to reduced physical activity, as well as to common biological mechanisms that result in inflammation.” Healio (9/20, Demko) also covers the study.

Related Links:

MedPage Today (requires login and subscription)

Opioid Abuse Growing Among US Seniors, Report Warns

HealthDay (9/19, Mozes) says that two new government reports warn that opioid addiction is growing among America’s seniors. The reports by the Agency for Healthcare Research and Quality “reveal that millions of older Americans are now filling prescriptions for many different opioid medications at the same time, while hundreds of thousands are winding up in the hospital with opioid-related complications.” Dr. Arlene Bierman, director of AHRQ’s Center for Evidence and Practice, said the reports “underscore the growing and under-recognized concerns with opioid use disorder in older populations,” including those who suffer from chronic pain. Dr. Anita Everett, chief medical officer for the U.S. Substance Abuse and Mental Health Services Administration, said that when common chronic pain is paired with “the generation of physicians that were taught that opioid medication, when used for pain, was not likely to become addictive,” the result is a senior citizen opioid problem.

Related Links:

— “Reports Warn of Growing Opioid Crisis Among Seniors, “Alan Mozes, HealthDay, September 19, 2018.

One In Three Children In Foster Care Who Were Treated With Psychotropic Medications Did Not Receive Proper State-Required Oversight For Treatment Planning, Medication Monitoring, OIG Report Finds

MedPage Today (9/19, Firth) reports, “One in three children in foster care who were treated with psychotropic medications did not receive proper state-required oversight for treatment planning or medication monitoring…a federal Office of the Inspector General (OIG) report” concluded. In particular, “34% of children in a five-state study did not receive either treatment planning or medication monitoring, and 8% received neither, the report noted.” What’s more, “the OIG called on the Administration for Children and Families (ACF), a division of the Department of Health and Human Services, to ‘develop a comprehensive strategy to improve States’ compliance with requirements related to treatment planning and medication monitoring for psychotropic medications.’”

Related Links:

MedPage Today (requires login and subscription)

HHS Awards More Than $1 Billion In Grants To Help Combat Opioid Epidemic

The Hill (9/19, Hellmann) reports that on Wednesday, HHS announced “it has awarded more than $1 billion in grants to states, communities and organizations fighting the opioid crisis.” Most of that money – “$930 million – is intended to support states’ efforts to provide treatment and prevention services to combat opioid abuse.” The Hill says an additional “$352 million was awarded to 1,232 community health centers to increase access to services for substance use disorder and mental health needs.”

Related Links:

— “Trump admin awards over $1 billion in grants to fight opioid epidemic, “Jessie Hellmann, The Hill, September 19, 2018.