In Canada, $6.9 billion annual cost AFTER women leave abusive partners

Just because a woman leaves an abusive relationship doesn’t mean that the effects of that experience end — emotionally or economically. Research by University of British Columbia Nursing Prof. Colleen Varcoe shows that after a woman leaves, the annual cost for health, legal and social services in Canada is $13,162 a year for each woman, according to this overview in MedicalNewsToday.com.

Some surprising and dramatic costs include:

  • food banks, which amounted to 80 percent of the non-health, private, third-party costs provided by charitable organizations
  • the 24 emergency room visits per month by women who’ve left abusive partners, compared with one ER visit per month by women who haven’t been in abusive relationships. (In Canada, one ER visit costs $180, significantly lower than a visit to a U.S. emergency room.)
  • 1.9 visits to a physician per month compared with the normal 0.37 visits per month.

“What our findings make clear is that ‘leaving’ is not a panacea,” says Varcoe, stressing that leaving decreases, but does not end the cost of violence to the system.

“In pointing out the economics of violence,” adds Varcoe, “we are also showing the human costs which are incalculable. As a society, we must do a better job of prevention, early detection and support for women at risk to violence.”

The post in MedicalNewsToday.com has more details and is worth checking out. The research appeared in the September issue of Canadian Public Policy.

Just 1 percent drop in global smoking rates = millions fewer TB deaths

The good news: Tuberculosis deaths could be reduced by 27 million worldwide over the next 40 years if countries push a one-percent drop in smoking rates.

The bad news, according to this post on HealthDay.com, is if rates stay where they are now, researchers at the University of California, San Francisco, predict 18 million more TB cases and 40 million more deaths over the next 40 years.

Smoking raises the risk of contracting TB, which is a lung disease cause by a bacterial infection, and of dying from the disease, said Dr. Sanjay Basu, lead author, according to the overview.

“Tobacco control is tuberculosis control,” senior author Stanton Glantz, a professor of medicine and director of the Center for Tobacco Control Research and Education at UCSF, said in a university news release.

“This paper shows that, because smoking and passive smoking facilitate the spread of TB and the transition from infection to active TB, reducing tobacco use is an important key to achieving the millennium development goals for TB,” Basu said.

The research was published in the British Medical Journal, which provides free access to the article.

Why is this post on this blog? Because, according to the CDC’s ACE Study, child trauma can lead to increased smoking in adults, who use it as a coping mechanism.

A dozen towns use Communities That Care; program reduces smoking, drinking, violence in thousands of teens

Here’s a great example of how communities that do something different made a difference….in the lives of the kids they helped, and, as a result, in reduced police, juvenile justice, and medical costs to the community.

The 4,400 teens in 24 small- to medium-sized towns in seven states that implemented the Communities That Care program had significantly fewer rates of smoking, drinking, vandalism, theft and fighting, according to this overview in HealthDay.com.

Half of the 24 towns used the program, which was developed by researchers at the University of Washington. The half that did not change their approach to youth violence prevention acted as controls to see if taking a proactive approach, rather than a reactive — that is, waiting until kids got into trouble to intervene — made a difference. In the towns that participated, students in grades 5 through 9 took advantage of 17 different school-based, after-school, and parenting interventions. Each community did its own risk assessment using the table below and chose interventions from a list of 39 programs that had been tested and shown to be effective.

Risk factors for adolescent problem behaviors

This is from the media release issued by the University of Washington:

Teens growing up in the towns using the prevention system had half the odds of ever having smoked a cigarette by tenth grade and had 21 percent lower odds of currently smoking in tenth grade compared with teens growing up in the towns without the system. They also had 38 percent lower odds of ever trying alcohol and 21 percent lower odds of initiating delinquent behavior by tenth grade.

The tenth graders in the Communities That Care towns also reported 17 percent lower odds of engaging in delinquent behavior, such as stealing, vandalism and selling drugs, and 25 percent lower odds of engaging in violence, including physical fights.

“We want to do the right thing to help our kids grow up to be healthy and lead productive lives, but historically, we haven’t demanded that the programs that we employ to do this are tested and proven effective,” said [J. David] Hawkins, who developed Communities That Care with Richard Catalano, a co-author and director of the Social Development Research Group [affiliated with the UW School of Social Work].

The research was published in the Archives of Pediatric and Adolescent Medicine. The Communities That Care program is funded by the National Institute on Drug Abuse, the National Cancer Institute, the National Institute of Child Health and Human Development, the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism and the Center for Substance Abuse Prevention, which is part of the U.S. Substance Abuse and Mental Health Services Administration.

I’ll be following up with Hawkins and people in the towns that used Communities That Care. That link, by the way, goes to a Wikipedia page that provides details of the program. This one goes to a page on UW’s Social Development Research Group site.

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