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      • KCI등재후보

        Social Support, Well-being and Risk Behaviors among Minority Males Treated at an Urban Orofacial Injury Center

        Elliott Brown, Karin A.,Shetty, Vivek,Atchison, Kathryn,Leathers, Richard,Black, Edward,Delrahim, Sandra Korean Academy of Oral Biology and the UCLA Dental 1998 International Journal of Oral Biology Vol.23 No.1

        This study examined the relationship between perceived social support and reports of well-being and risky health behaviors among minority males treated at an urban orofacial trauma center. One hundred nineteen African American and 49 Hispanic males, who received orofacial surgery due to a fractured jaw, participated in a structured interview over a six month period. Selected scales from the MOS Short-Form(SF-20) survey were used to obtain self-reports of general health, emotional well-being and the perceived availability of general social support. Patients were also asked about alcohol and street drug use to assess risky health behavior and its relationship to social support. An overwhelming majority of the patients perceived social support to be available to them. However, significantly more Hispanic patients reported "having enough friends and social life" compared to African-American patients. For both groups, perceived availability of social support was found to be positively related to patients reports of general health and emotional well-being. Eighty percent of the patients reported alcohol use as a habit. Alcohol use did not influence perceptions of available social support. More African-American patients (46%) reported habitual street drug use than Hispanics (16%). Habitual street drug use poses a significant risk for poor social support and emotional distress. Social support did not buffer the relationship between street drug use and mental health risk. Perceptions of social support remained consistent when examined across three and six months post-surgery. The positive perceptions of available support reported by the majority of inner-city ethnic-minority males in this study suggests that the potential positive influence of social relationships on their recovery and well-being should not be underestimated. Instead, information on supportive relationships should be elicited and availed of as an adjunct to surgical care.

      • KCI등재후보

        Orofacial Injury and the Development of Acute PTSD

        Glynn, Shirley M.,Asarnow, Joan R.,Robert Asarnow,Vivek Shetty,Elliott Brown, Karin A.,Edward Black,David Forney Korean Academy of Oral Biology and the UCLA Dental 1999 International Journal of Oral Biology Vol.24 No.1

        To examine the development of acute post traumatic stress disorder (PTSD) in inner-city, minority patients seeking care for orofacial injury were evaluated. Trained interviewers collected baseline data from one-hundred seventy-two patients seeking care for orofacial injury at an urban trauma center. Follow-up assessments of PTSD (DSM-IV criteria) and perceived impact of the injury on social functioning were repeated at one month post-injury. Patients were predominantly male and largely African-American or Hispanic. At the one month follow-up visit, 52 patients (30%) endorsed symptoms resulting from the facial injury consistent with a PTSD diagnosis. Significant predictors of the development of acute PTSD included older age and perceived life threat at the time of the incident. A substantial subsample of orofacial injury patients presenting to inner-city hospitals has negative psychological outcomes at one-month post-injury. Results underscore the potential utility of screening survivors of orofacial injury at urban trauma centers for PTSD by eliciting responses to a perceived life threat questions and developing systems of care that facilitate referral to appropriate psychological treatment.

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