Commentary on the Culture of Prevention

Sloboda, Zili; David, Susan B

doi:10.1007/s11121-020-01158-8

Cited by 7 publications

(2 citation statements)

References 38 publications

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“…The reversal of the perspective would help the establishment of the culture of prevention (Sloboda & David, 2020) that has not been fully embraced for SU/addiction and could benefit other areas of medicine as well. For instance, up to 50% of cancer deaths in the world are attributable to behavioral and thus modifiable causes, including SU (mostly smoking and alcohol, but illicit substances as well; Tran et al, 2022).…”

Section: Implementing a Resistance Perspectivementioning

confidence: 99%

The Concept of Resistance to Substance Use and a Research Approach: The Resist! Project

et al. 2023

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Illicit substance use is dangerous in both acute and chronic forms, frequently resulting in lethal poisoning, addiction, and other negative consequences. Similar to research in other psychiatric conditions, whose ultimate goal is to enable effective prevention and treatment, studies in substance use are focused on factors elevating the risk for the disorder. The rapid growth of the substance use problem despite the effort invested in fighting it, however, suggests the need in changing the research approach. Instead of attempting to identify risk factors, whose neutralization is often infeasible if not impossible, it may be more promising to systematically reverse the perspective to the factors enhancing the aspect of liability to disorder that shares the same dimension but is opposite to risk, that is, resistance to substance use. Resistance factors, which enable the majority of the population to remain unaffected despite the ubiquity of psychoactive substances, may be more amenable to translation. While the resistance aspect of liability is symmetric to risk, the resistance approach requires substantial changes in sampling (high-resistance rather than high-risk) and using quantitative indices of liability. This article provides an overview and a practical approach to research in resistance to substance use/addiction, currently implemented in a NIH-funded project. The project benefits from unique opportunities afforded by the data originating from two longitudinal twin studies, the Virginia Twin Study of Adolescent and Behavioral Development and the Minnesota Twin Family Study. The methodology described is also applicable to other psychiatric disorders.

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Section: Implementing a Resistance Perspectivementioning

confidence: 99%

The Concept of Resistance to Substance Use and a Research Approach: The Resist! Project

et al. 2023

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“…In keeping with these objectives, prevention science has exerted significant social impacts on individuals, families, and communities over the past 30 years (Roumeliotis 2015;Sloboda and David 2020;Spoth et al 2011). We have learned how to prevent/reduce academic failure, tobacco use, teen pregnancy, addiction, violence, mental health problems, and many other negative outcomes (Ramey 2018;Wandersman and Florin 2003;Yoshikawa et al 2012).…”

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confidence: 99%

The Pivotal Role of Prevention Science in This Syndemic

Fishbein

2020

Prev Sci

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Never before has the value of prevention science become so apparent to the populace, particularly in simultaneous fashion across all nations. A general understanding of what prevention represents in true form has lagged well behind the science and, in fact, few outside of the field recognize that there is actually a significant body of research that undergirds preventative practices, programs and policies. The current pandemic and the uneven impacts on underserved and marginalized populations has highlighted the need for proactive approaches to prevent underlying conditions that increase risk for infection, worsen the wide ranging harms from the virus, and significantly exacerbate disparities that characterize many nations. To ensure uptake of the science by end-users (e.g., community stakeholders, practitioners, policymakers), who operate the levers that determine whether resources and services are distributed equitably across societies' sectors, prevention scientists have a unique and powerful role to play. This commentary on the special issue, focused on the "culture of prevention," considers the broader issues covered in the set of original articles in light of the ongoing COVID-19 pandemic. Toward that end, I also outline two interrelated "calls to action" for prevention scientists. The first call is to concertedly apply a race equity lens to all aspects of our research, a need that is particularly critical given that our field is inherently actionable and, as such, evidence amassed has potential to equalize the playing field for disadvantaged and marginalized groups. The second acknowledges the need for prevention scientists to learn how to effectively communicate scientific knowledge to the public and policymakers to compellingly advocate for reforms guided by the science. A powerful, research-backed collective advocacy can effectively sway action of governing bodies in addressing disparities and inequities for constituents who have no voice.

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Child Maltreatment as a Problem in International Law

Kimbrough‐Melton

2022

Handbook of Child Maltreatment

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Commentary on the Culture of Prevention

Cited by 7 publications

References 38 publications

The Concept of Resistance to Substance Use and a Research Approach: The Resist! Project

The Concept of Resistance to Substance Use and a Research Approach: The Resist! Project

The Pivotal Role of Prevention Science in This Syndemic

Child Maltreatment as a Problem in International Law

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