T Heeren’s research while affiliated with Boston University and other places

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Publications (69)


EARLY AGE OF DRINKING ONSET, PARENTAL PROVISION OF ALCOHOL TO YOUTH, AND THE DEVELOPMENT OF ALCOHOL DEPENDENCE
  • Conference Paper

June 2009

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10 Reads

Alcoholism Clinical and Experimental Research

R. W. Hingson

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T. Heeren

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Alcohol-Related Problems Among Younger Drinkers Who Misuse Prescription Drugs: Results from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC)

February 2009

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28 Reads

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12 Citations

Substance Abuse

The authors determined whether lifetime prescription drug misuse (PDM) associated with increased risks for alcohol-related problems among 18- to 34-year-old, NESARC respondents. Among 8222 "ever-drinkers," 15.4% reported ever "misusing sedatives, tranquilizers, painkillers or stimulants ... as prescriptions or from indirect sources." Outcomes were within two alcohol-related problem domains, "risk-taking behaviors," including driving while drinking, fights, injuries, and arrests, and "interpersonal troubles," including problems with jobs, family, or friends. Among all drinkers and among alcohol-dependent and cannabis-using subsamples, those reporting PDM were significantly more likely to report alcohol-related "risk-taking behaviors" or "interpersonal troubles" than were those without PDM. In adjusted analysis, young age drinking onsets, and heavy and dependent drinking independently increased these risks. Results of this cross-sectional analysis support the need for longitudinal data to more clearly define the association between drinking problems and PDM, and which can support prevention, treatment, and harm-reduction efforts for younger, multisubstance users.








Incidence study of cancer in Upper Cape Cod

January 2008

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106 Reads

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3 Citations

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[...]

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T. Heeren

The Upper Cape Cancer Incidence Study is a population-based case-control study of five towns to evaluate the relationship between the environment and cancer incidence at seven cancer sites. Incidence of all cancers is elevated in the study area compared to statewide rates. Incidence rates for the seven cancers have been elevated in one or more towns, in one or both sexes, for various years, including cancer of the breast, lung, colon/rectum, pancreas, kidney, bladder, and leukemia. Significant environmental pollution results in potential population exposure to physical and chemical agents. From 1983 through 1986, approximately 1,220 incident cases were reported to the Massachusetts Cancer Registry. Several sources were used to select the approximately 1,220 incident cases were reported to the Massachusetts Cancer Registry. Several sources were used to select the approximately 1,530 living and deceased controls representing the population at risk. Telephone and personal interviews, conducted by the University of Massachusetts Center for Survey Research collect information on known cancer risk factors, water source and consumption, and occupational and residential history; the latter will link individuals to environmental exposure data. In addition to specific sites of hazardous waste disposal, including the 20,000 acre Massachusetts Military Reservation and several leaking landfills, the study evaluates nonsite-specific, area-wide exposures, including electromagnetic radiation from power lines, radio frequency radiation from a DOD radar facility, perchloroethylene in water distribution pipes, and air emissions.


Effects of sarin and cyclosarin exposure during the 1991 Gulf War on neurobehavioral functioning in US army veterans

January 2007

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326 Reads

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108 Citations

NeuroToxicology

During the Gulf War (GW), in early March 1991, a munitions dump at Khamisiyah, Iraq, was destroyed. Later, in 1996, the dump was found to have contained the organophosphate chemical warfare agents, sarin and cyclosarin. Data collected in a study conducted between 1994 and 1996, before the Khamisiyah incident was publicly disclosed, were used to examine neurobehavioral task performances of GW veterans (n=140) categorized as having received high, moderate, or low-to-no exposure dose levels to sarin and cyclosarin at Khamisiyah, Iraq. Exposure levels were based on modeled estimates of the exposure plume and on troop location information at the time of the Khamisiyah event. Based on recent findings observed in follow-up studies of persons exposed to sarin during the 1995 terrorist attacks in Japan, we hypothesized that exposure to sarin and cyclosarin would be associated with poorer performances on objective neurobehavioral tasks in specific functional domains (particularly in visuospatial abilities and psychomotor functioning) in a dose-dependent manner. Sarin and cyclosarin exposure was significantly associated with less proficient neurobehavioral functioning on tasks involving fine psychomotor dexterity and visuospatial abilities 4-5 years after exposure. Findings suggest a dose-response association between low-level exposure to sarin and cyclosarin and specific functional central nervous system effects 4-5 years after exposure.


Citations (51)


... Prevention efforts aimed at reducing rates of alcohol use typically do so by seeking to minimize the target popula­ tion's exposure to harmful risk factors and/or enhance protective/promotive factors (Coie et al. 1993; Munoz et al. 1996). Focusing prevention efforts on youth offers partic­ ularly great potential, because the early onset of drinking has been associated with an increased likelihood of alcohol dependence later in life (Hingson et al. 2006). Although many prevention efforts have been found to reduce tobacco, alcohol, and other drug use (Hawkins et al. 1995; National Research Council and Institute of Medicine 2009; Spoth et al. 2008), these strategies often are limited by addressing risk and protective factors in just one socialization domain. ...

Reference:

Engaging Communities to Prevent Underage Drinking
Age of drinking onset and duration, severity, and number of episodes of alcohol dependence
  • Citing Conference Paper
  • May 2005

Alcoholism Clinical and Experimental Research

... Drug abuse among adolescents and young adults is a global problem. In a study conducted in United States of America between 1998 and 2001 among college students, the proportion of 18-24-year-old who reported driving under the 1 influence of alcohol increased from 26.5% to 31.4% . Another study also revealed that almost one third of adolescents aged 12 to 17 drank alcohol in the past year, around one fifth used an illicit drug, and almost one sixth smoked cigarettes. ...

Magnitude of alcohol-related mortality and morbidity among US college students ages 18-24: Changes from 1998 to 2001
  • Citing Article
  • January 2005

Annual Review of Public Health

... The study group of Hingson has shown a reduction of 34% in nighttime fatal crashes involving teenage drivers after the introduction of zero tolerance in Maine, New Mexico, North Carolina, and Wisconsin. 30 As explained by Musile et al., these measures are insufficient without a prevention policy based on educational programs and media campaigns. 31 In the USA, there is also a higher reduction in states that have more rigorously enforced the law and that have advertising campaigns condemning drunk driving. ...

Reduced BAC limits for young people (impact on night fatal) crashes
  • Citing Article
  • January 1991

... In addition, the policy was not effective in altering the behavior and decisions of low-income or poor families in giving birth (Romero & Agenor, 2009;Jagannathan et al., 2010;Romero & Fuentes, 2010). On the contrary, it often harmed poor children who are undisputedly the most vulnerable and needy (Cook et al., 2002). ...

Welfare Reform and the Health of Young Children
  • Citing Article
  • July 2002

Archives of Pediatrics and Adolescent Medicine

... Poor nutrition in childhood has been linked to poor physical and mental health and increased risk of chronic diseases such as diabetes and hypertension. 8,9 The US Department of Agriculture (USDA) estimates food security among U.S. households using the Current Population Survey 5.5% had low, and 0.7% had very low food security among children. A shortened six-item questionnaire is used in multiple national surveys to capture household food security. ...

Maternal Depression, Changing Public Assistance, Food Security, and Child
  • Citing Article

... CRC testing rates are higher in the US, where, by 2015, 63% of the population had been tested. (7) A later study based on the Swiss Health Interview Survey (SHIS) reported screening rates among 50-75-year-olds were 18.9% in 2007 and 22.2% in 2012. (8) However, this study solely included tests performed for screening reasons. ...

Utilization of Colorectal Cancer Screening Tests: A 1997 Survey of Massachusetts Internists
  • Citing Article
  • December 2001

Preventive Medicine

... Prior works showed positive perceptions towards voice user interfaces (VUIs) by older adults and benefits of VUIs (e.g., Google Home, Amazon Alexa, social robots) in their daily lives more so than younger adults [70]. These benefits include being assistants for various functions such as seeking information and controlling home devices [52,58,61,71], companions to alleviate loneliness [23,31,41,63,69], helping users develop skills [3,10], encouraging physical activity [8], and providing personalized reminders through AR [34]. Wearable conversational agents have been used to provide memory training for older adults [14][15][16] and monitor their daily physical activity [65] but these agents do not use visual data for general memory assistance. ...

“It”s just like You talk to a Friend’ relational agents for older adults
  • Citing Article
  • December 2005

Interacting with Computers

... Its brevity and simplicity have made it a popular screening tool that can be used by prevention and treatment service providers with no professional training in diagnosing alcohol use disorders. This instrument has been applied to a wide range of populations in various regions of the world (Aalto et al., 2009;Akvardar et al., 2004;Bühler et al., 2004;Bisson et al., 1999;Chan et al., 1994;Devos-Comby and Lange, 2008;Ewing, 1984;Malet et al., 2005;Mdege and Lang, 2011), including studies of MSM in the US and China (Ross et al., 2001;Seage et al., 1998;Wong et al., 2008;Woody et al., 1999). It has been used to screen patients in clinics and primary care, to estimate population prevalence of severe alcohol misuse, and to measure alcohol abuse and dependence as a risk factor for other outcomes (Akvardar et al., 2004;Bobak et al., 2004;Campo-Arias et al., 2009;Cherpitel, 1998;Cherpitel et al., 2005;Deiss et al., 2013;Dhalla and Kopec, 2007;Etter and Gmel, 2011;Kerr-Corrêa et al., 2007;Kooptiwoot et al., 2010;Messiah et al., 2008;Park et al., 2008). ...

The social context of drinking, drug use, and unsafe sex in the Boston Young Men Study
  • Citing Article
  • April 1998

Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology

... The body of literature distinguishing between MSMW and men who have sex with men only (MSMO), especially in the comparison between Black MSMW and MSMO is sparse. These studies have found that MSMW and MSMO have an equal number of sexual partners (2)(3)(4)(5)(6)(7) and engage in unprotected insertive anal sex at similar rates. (4,5,7) Although MSMW may generally have fewer female partners than male partners, unprotected sex with female partners is common. ...

Unsafe sex in men who have sex with both men and women
  • Citing Article
  • April 1998

Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology

... Polydrug users, those use multiple substances at the same time, have more negative and severe social and health consequences compared to monosubstance users (monodrug users; Egan, Reboussin, Blocker, Wolfson, & Sutfin, 2013;McCabe, Cranford, Morales, & Young, 2006). Whether polydrug use is defined as simultaneous (co-ingested at the same time in the same setting) or concurrent (taken within a set time frame but not co-ingested in the same setting), polydrug use leads to increased risk for alcohol-and drug-related problems including physical violence, blacking out, becoming physically ill, unplanned sex, sexual assault, depression, and suicidal thought (Earleywine & Newcomb, 1997;Egan et al., 2013;Hermos, Winter, & Heeren, 2009;McCabe et al., 2006;Midanik, Tam, & Weisner, 2007). ...

Alcohol-Related Problems Among Younger Drinkers Who Misuse Prescription Drugs: Results from the National Epidemiologic Survey of Alcohol and Related Conditions (NESARC)
  • Citing Article
  • February 2009

Substance Abuse