American teenagers cite stress as the leading reason they might get drunk or high, a new report reveals. That only underscores the need for better adolescent mental health care, according to the research team behind the study. Better “access to treatment and support for mental health concerns and stress could reduce some of the reported motivations for substance use,” concluded investigators from the U.S. Centers for Disease Control and Prevention. In the study, a team led by CDC researcher Sarah Connolly looked at 2014-2020 data on over 9,500 people ages 13 to 18, all of who were being treated for a substance use disorder. Teens were using a myriad of substances, including alcohol, marijuana, prescription painkillers (often opioids), prescription stimulants (for example, Ritalin), or prescription sedatives (such as Valium or Xanax). The teens were also asked why they thought they were using or abusing substances. Easing stress in their lives was the leading factor cited. “The most commonly reported motivation for substance use was “to feel mellow, calm, or relaxed” (73%), with other stress-related motivations among the top reasons, including “to stop worrying about a problem or to forget bad memories” (44%) and “to help with depression or anxiety” (40%),” Connolly’s team reported. Stress relief wasn’t the only motivator, of course: Half of the teens reported using substances “to have fun or experiment.” This reason…  read on >  read on >

Dementia care can eat through the savings of cash-strapped seniors, a new study warns. The average senior with dementia in non-nursing residential care facilities spent 97% of their monthly income on long-term care, researchers found. Meanwhile, those living in nursing homes spend nearly 83% of their monthly income on their care, results show. “Because dementia is such an expensive illness, it really is in a category of its own when we start to think about funding for long-term care,” said senior study author Jalayne Arias, an associate professor in the Georgia State University School of Public Health. “Our study shows that if you compare people with dementia to their age-matched counterparts, they experience costs that are untenable to manage,” Arias added in a university news release. For the study, researchers analyzed data from a national sample of more than 4,500 adults aged 70 and older, focusing specifically on out-of-pocket expenses for dementia care. “It’s really striking to see that the [average] individual with dementia is basically putting nearly all of their income toward long-term care,” said lead researcher Jing Li, an assistant professor of health economics at the University of Washington School of Pharmacy. “We hear about this anecdotally, but to get confirmation of that from the data is really concerning.” On average, seniors with dementia paid $3,090 a month out-of-pocket for non-nursing residential care…  read on >  read on >

Filling the day with simple activities could be the key to improving mood and well-being after a person has suffered the loss of a loved one, a new study finds. These “uplifts” — activities that can improve a person’s mood — helped ease grief on a day-to-day basis, researchers reported recently in the journal Applied Psychology Health and Well-Being. “In other words, there are things we can do — which are accessible for most people — to improve our moods,” said researcher Shevaun Neupert, a professor of psychology at North Carolina State University. “And those things can help us most on days when we most need it.” Uplifts that can help a person manage their grief include: Completing a task. Getting enough sleep. Dining out. Visiting, phoning or writing a friend. Spending time with family. These uplifts helped just about everyone, regardless of their age or financial status, researchers found. “Uplifts were good for everyone, but there is some nuance in not only who is most impacted, but when the uplifts are most powerful,” Neupert says. “For example, we found that the positive effect of uplifts was more pronounced for people who had experienced traumatic loss, and especially so on days when they reported feeling older.” For this study, researchers worked with data from 440 U.S. adults ages 50 to 85, 356 of whom had…  read on >  read on >

Preliminary data from the largest survey examining the quality of life for transgender and nonbinary Americans show they suffer high levels of unemployment and harassment. In the early findings, released Wednesday, the National Center for Transgender Equality gathered responses on 600 questions from more than 92,000 transgender and nonbinary Americans, age 16 and up, from every state in the country. This latest survey, conducted in late 2022, drew more than three times as many respondents as there were in 2015, the last time the survey was conducted. “You don’t see data sets like this,” survey leader Sandy James said during a media briefing, the New York Times reported. “Tens of thousands of trans people knew that it was imperative that they make their voices heard.” What did they want Americans to hear? Many respondents reported daunting financial challenges. Eighteen percent said they were unemployed, much higher than the national rate, and one-third said they had experienced homelessness at some point in their lives. More than one-quarter reported not seeing a doctor when they needed to in the previous year because of cost. But financial problems were not their only burden to bear: Nearly a third said they had been verbally harassed in the previous year, while 3% said they were physically attacked in the last year because of their gender identity. Still, they also shared positive…  read on >  read on >

Reducing homelessness by 25% could save nearly 2,000 lives lost each year to opioid overdoses, a new study estimates. It also could save 850 lives from alcohol poisoning and 540 from cocaine overdoses, researchers from the University of Georgia estimate. This is the first study to suggest that homelessness contributes to deaths from substance use, the researchers said. “One of the frustrations for people who study and recommend policy changes is that homelessness and the opioid crisis are persistent,” said researcher David Bradford, a professor with the University of Georgia’s School of Public and International Affairs. “Our study shows that there is a causal effect. Homelessness is making the opioid crisis worse.” For the study, researchers analyzed federal data kept on homeless people between 2007 and 2017, comparing it with death certificates with drug overdose or alcohol poisoning as the cause of death. Researchers found that even a small decrease in homelessness could save lives. For example, even a 10% decrease in homelessness could save more than 650 from death by opioid overdose, their results show. “That’s a lot of lives,” said researcher Felipe Lozano-Rojas, an assistant professor in the University of Georgia’s School of Public and International Affairs. “Deaths from opioids used to be a rare event, but it has become increasingly prevalent.” Evictions have skyrocketed in recent years, with the lifting of the…  read on >  read on >