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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

        The Relationship of Substance Abuse to Orofacial Injuries in an Inner City Population

        Black, Edward E.,Kathryn Atchison,Vivek Shetty,Leathers, Richard D.,Shan Bagby,Sandra Delrahim Korean Academy of Oral Biology and the UCLA Dental 1998 International Journal of Oral Biology Vol.23 No.1

        The prevalence of drug and alcohol abuse was investigated prospectively in a population of 207 patients with orofacial injuries seeking treatment at the King/Drew Medical Center, Los Angeles. Demographic details were collected, the use of alcohol and street drugs obtained, and a clinical determination made on whether the injuries were related to alcohol or drug intoxication. The prevalence of covert alcoholism was determined by administering the CAGE questionnaire. The majority of victims were young (33.3±9.05 yrs), male (88%), African-American (73%) or Hispanic (25%), unemployed (71%) and had < 12 years of education (73%). About 83% of the African-American patients reported regular use of alcohol and 48% reported regular use of street drugs. Among Hispanic patients, 80% reported use of alcohol and 18% used drugs regularly. Of the 119 patients screened by the CAGE test, 60% of the African-American patients and 46% of the Hispanic patients answered affirmatively for one or more items, which indicates potential for alcoholism. A significantly greater proportion of patients who screened positive had a history of previous head trauma (80% vs. 50%, p=0.01) and a history of orofacial trauma (77% vs. 52%, p=0.03) or both, indicating a high rate of recidivism. We conclude that alcohol and drug abuse is strongly associated with the occurrence of orofacial injury in inner-city populations. The CAGE test appears to be a simple and effective screening mechanism for clinicians to yield valuable information that can affect the treatment provided. Beyond socioeconomic factors, substance abuse in and of itself appears to be an important risk factor of repeat injury.

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