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Substance Use Treatment Completion Among Unhoused Young Adults: A Predictive Modeling Approach 无家可归的年轻成年人完成药物使用治疗的情况：预测模型方法
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-08-19 DOI: 10.1177/00220426241274753
Nathaniel A. Dell, Charvonne Long, Christopher P. Salas-Wright, Michael G. Vaughn, Hannah S. Szlyk, Patricia Cavazos-Rehg
{"title":"Substance Use Treatment Completion Among Unhoused Young Adults: A Predictive Modeling Approach","authors":"Nathaniel A. Dell, Charvonne Long, Christopher P. Salas-Wright, Michael G. Vaughn, Hannah S. Szlyk, Patricia Cavazos-Rehg","doi":"10.1177/00220426241274753","DOIUrl":"https://doi.org/10.1177/00220426241274753","url":null,"abstract":"Background: Unhoused young adults aged 18–24 years are at increased risk of substance misuse relative to the general population and experience unique barriers to engaging in treatment. This study evaluates predictors of treatment completion for unhoused young adults receiving substance use treatment. Methods: Predictive models were generated on data from the 2020 Treatment Episode Data Set-Discharges. The sample included treatment discharges involving unhoused adults aged 18–24 years ( N = 12,273). Model performance was assessed by inspecting several evaluative metrics. Results: Overall, each model performed relatively well (AUC: 0.7234–0.7753). Classification models trained on balanced data predicted a higher proportion of treatment completers. Models trained on balanced data also achieved higher balanced accuracy and F1 scores relative to models trained on imbalanced data. Conclusions: Findings reveal multiple features important in the accurate classification of treatment completion, which may be useful for developing individualized interventions to support clients’ engagement in treatment services.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"12 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Challenges and Opportunities for Opioid Agonist Treatment Access and Retention: A Scoping Review 阿片类激动剂治疗获取和保留的新挑战与新机遇：范围审查
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-08-02 DOI: 10.1177/00220426241269828
Niamh Power, Léonie Archambault, Michel Perreault
{"title":"New Challenges and Opportunities for Opioid Agonist Treatment Access and Retention: A Scoping Review","authors":"Niamh Power, Léonie Archambault, Michel Perreault","doi":"10.1177/00220426241269828","DOIUrl":"https://doi.org/10.1177/00220426241269828","url":null,"abstract":"Changes to the landscape of opioid use have occurred throughout the past two decades. Opioid agonist treatment (OAT) plays an important role in reducing opioid-related harms. Yet, people with opioid use disorder (PWOUD) face issues with access and retention. This scoping review sought to provide an up-to-date synthesis on barriers and facilitators to OAT. Ninety-three studies were included. Major barriers included cost, waiting lists, and negative public attitudes toward treatment. Prominent facilitators included OAT education and flexible treatment conditions such as telehealth-delivered OAT. In prison settings, limited support with treatment referral was a barrier. Fear of judgement was a challenge for pregnant people. There was a lack of information on barriers and facilitators specific to PWOUD dealing with chronic pain or mental health comorbidities. Results highlight new challenges in reaching an increasingly heterogeneous PWOUD population. Findings underline the potential for recent advancements in treatment modalities to promote access and retention.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"75 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141882824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Exploratory Study of Overlapping Stigmas and Substance Use Stigma Among Women With Substance Use Histories Who are Incarcerated 对有药物使用史的被监禁妇女中重叠污名和药物使用污名的探索性研究
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-08-02 DOI: 10.1177/00220426241269992
Mary M. Levi, J. Matthew Webster, Martha Tillson, Jaxin Annett, Carrie B. Oser, Laura C. Fanucchi, Michele Staton
{"title":"An Exploratory Study of Overlapping Stigmas and Substance Use Stigma Among Women With Substance Use Histories Who are Incarcerated","authors":"Mary M. Levi, J. Matthew Webster, Martha Tillson, Jaxin Annett, Carrie B. Oser, Laura C. Fanucchi, Michele Staton","doi":"10.1177/00220426241269992","DOIUrl":"https://doi.org/10.1177/00220426241269992","url":null,"abstract":"Despite the overwhelmingly negative impacts of substance use stigma, little is known about how multiple, overlapping stigmatized identities, experiences, or characteristics (henceforth stigmas) may be related to perceived substance use stigma, especially in a sample of women who are incarcerated. The current study profiled stigmas reported by women in jail with substance use histories and investigated the relationship between the number of overlapping stigmas reported and perceptions of substance use stigma. Exploratory analyses examined the relationship between each individual stigma and substance use stigma. Findings suggest that individuals who reported more stigmas reported higher substance use stigma scores. Additionally, exploratory results suggested that rurality, transactional sex, injection drug use, methamphetamine use, being diagnosed with a mood disorder, experiencing sexual abuse or assault, and child custody loss were uniquely associated with increased substance use stigma. Results are discussed in terms of implications for stigma interventions and substance use treatment engagement.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"342 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141882823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validity and Reliability of Four Instruments for E-Cigarette Dependence and Sensory Factors in E-Cigarette Use and Correlations Between These Measurements 电子烟依赖性和电子烟使用中感官因素的四种工具的有效性和可靠性以及这些测量之间的相关性
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-07-19 DOI: 10.1177/00220426241265629
Banu Aslan, Ozgur Onal
{"title":"Validity and Reliability of Four Instruments for E-Cigarette Dependence and Sensory Factors in E-Cigarette Use and Correlations Between These Measurements","authors":"Banu Aslan, Ozgur Onal","doi":"10.1177/00220426241265629","DOIUrl":"https://doi.org/10.1177/00220426241265629","url":null,"abstract":"The study aimed to examine the psychometric properties of Turkish versions of e-FTCD, PS-ECDI, EDS, and SEES. 1050 individuals aged 18+ included to assess validity, reliability, and interrelation among these scales. Scale psychometrics explored using statistical methods, including construct validity, confirmatory factor analysis, and reliability stats. The factor loadings for e-FTCD ranged from 0.528 to 0.939, PS-ECDI from 0.404 to 0.899, EDS from 0.779 to 0.897, and SEES from 0.733 to 0.849. The Cronbach’s alpha coefficients for e-FTCD, PS-ECDI, EDS (4-Item), EDS (8-Item), EDS (22-Item), and SEES were 0.561, 0.805, 0.905, 0.949, 0.984, and 0.934, respectively. The correlations were moderate between SEES and both e-FTCD (0.317) and PS-ECDI (0.394), e-FTCD was strongly correlated with PS-ECDI (0.750) and moderately with EDS versions (0.577–0.586). Correlations between the PS-ECDI and EDS versions ranged from 0.698–0.713. All four tools valid, reliable for 18+ in Türkiye. Also, positive correlation between sensory e-cigarette expectation and dependence.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"74 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141740019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trauma Informed Care (TIC) Interventions for Populations Experiencing Addiction and/or Homelessness: A Scoping Review of Outcomes 针对吸毒和/或无家可归人群的创伤知情护理 (TIC) 干预措施：成果范围审查
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-07-19 DOI: 10.1177/00220426241263264
Sophia Dobischok, Léonie Archambault, Marie-Ève Goyer
{"title":"Trauma Informed Care (TIC) Interventions for Populations Experiencing Addiction and/or Homelessness: A Scoping Review of Outcomes","authors":"Sophia Dobischok, Léonie Archambault, Marie-Ève Goyer","doi":"10.1177/00220426241263264","DOIUrl":"https://doi.org/10.1177/00220426241263264","url":null,"abstract":"Introduction: Trauma-informed care (TIC) is an expansive healthcare approach that recognizes and responds to a person’s trauma exposure. Many people experiencing a substance use disorder (SUD) and/or homelessness have trauma histories. There has not been a review of TIC intervention outcomes among these populations. Methods: A scoping review of literature (2008 to October 2023) on TIC intervention outcomes among populations experiencing SUD and/or homelessness was conducted. The search yielded 1139 texts, of which 58 met full-text extraction criteria. The final review included 32 texts that were systematically analysed. Results: TIC interventions show generally positive results for eight outcomes categories: 1) Psychological Well-being; 2) Substance Use; 3) Parenting; 4) Victimization; 5); Health; 6) Social Stability; 7) Criminal Justice; 8) and Retention/Adherence. However, these results do not consider study quality. Conclusions: TIC care approaches for populations experiencing SUD and/or homelessness have promising outcomes. Further outcome research with rigorous methodologies is needed.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"10 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141740018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Critical Analysis of United States Counternarcotics Strategies in Afghanistan 对美国在阿富汗缉毒战略的批判性分析
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-05-28 DOI: 10.1177/00220426241252752
Parwez Besmel, Nana Kwame Baah
{"title":"Critical Analysis of United States Counternarcotics Strategies in Afghanistan","authors":"Parwez Besmel, Nana Kwame Baah","doi":"10.1177/00220426241252752","DOIUrl":"https://doi.org/10.1177/00220426241252752","url":null,"abstract":"Between 2002 and 2018, the United States allocated $8.87 billion to counternarcotics efforts in Afghanistan, focusing on eradication, seizure, and alternative crops. Despite significant investments, Afghanistan emerged as the primary global opium supplier, responsible for 80% of opium production. Available data from 2001 to 2020 show that successful eradication and interdiction measures led to the destruction of 85,411 hectares of poppy fields and seizures of 679.05 tons of opium, yet cultivation reached 3,238,000 hectares and production reached 105,585 tons during the same period. The promotion of alternative crop projects inadvertently facilitated opium cultivation in some areas, as foreign aid empowered recipients to exploit resources contrary to their intended goals. Insecurity, weak governance, corruption, and the involvement of the elite are some of the factors for increased opium cultivation in Afghanistan. We argue that methods of foreign aid delivery, coupled with these four factors, rendered the whole enterprise of counternarcotics efforts ineffective.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"36 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141167430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of Interpersonal Trauma, Distress Intolerance, and Posttraumatic Stress Symptoms With Recent Problem Opioid Use in a Non-Clinical Sample of Women 非临床样本妇女的人际创伤、不耐受压力和创伤后应激症状与近期阿片类药物使用问题的关系
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-05-08 DOI: 10.1177/00220426241252336
Jennifer Cole, TK Logan
{"title":"Associations of Interpersonal Trauma, Distress Intolerance, and Posttraumatic Stress Symptoms With Recent Problem Opioid Use in a Non-Clinical Sample of Women","authors":"Jennifer Cole, TK Logan","doi":"10.1177/00220426241252336","DOIUrl":"https://doi.org/10.1177/00220426241252336","url":null,"abstract":"Exposure to potentially traumatic events (PTE), higher rates of Posttraumatic Stress Disorder (PTSD) and higher distress intolerance have been associated separately with opioid misuse in clinical samples. Adult women who reported past year misuse of a prescription drug were recruited on Prolific Academic (ProA) to participate in an online survey ( n = 154). Measures included the Trauma History Questionnaire (THQ) for lifetime trauma histories, PTSD Checklist for DSM-5 (PCL-5), Distress Intolerance (DI), NIDA-Modified ASSIST, and the Drug Abuse Screening Test (DAST-10). In a multinomial logistic regression model, experiencing a potentially traumatic event involving interpersonal victimization, having higher distress intolerance, and having greater PTSD symptoms, were significantly associated with drug use class. In particular, higher distress intolerance was associated with problem opioid use relative to problem use of other drugs. Distress intolerance is a potentially salient and modifiable target for mental health and substance use interventions.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"5 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140926286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging the Divide: Exploring Nonprofits’ Perceptions of Cannabis Philanthropy in the Changing Legal Landscape of the United States 弥合分歧：在美国不断变化的法律环境中探讨非营利组织对大麻慈善事业的看法
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-05-07 DOI: 10.1177/00220426241252349
Jessica L. Berrett, Kate Quintana, Michaela Steefel
{"title":"Bridging the Divide: Exploring Nonprofits’ Perceptions of Cannabis Philanthropy in the Changing Legal Landscape of the United States","authors":"Jessica L. Berrett, Kate Quintana, Michaela Steefel","doi":"10.1177/00220426241252349","DOIUrl":"https://doi.org/10.1177/00220426241252349","url":null,"abstract":"Cannabis dispensaries in the U.S. aim to contribute to communities through philanthropy, but some nonprofits hesitate to accept donations. This exploratory case study in Colorado investigates nonprofits’ perceptions of cannabis philanthropy by surveying 317 organizations. Despite cannabis being illegal federally but legal at the state level, most respondents viewed cannabis philanthropy positively. Of the respondents who had negative views, many believe their negative views would shift if cannabis were federally legalized. Furthermore, the majority do not consider funds derived from cannabis sales as “tainted” or coming from a morally questionable source. The findings shed light on the complexity of how cannabis philanthropy is perceived, informing how nonprofits can adapt proactively to evolving cannabis philanthropy dynamics, particularly considering potential shifts in federal law. Additionally, the study reveals a favorable environment for the cannabis industry to engage in philanthropy and partnerships with nonprofits, and the potential positive impacts of such activities.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"9 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140926387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Examining Childhood Behavior Problems as Predictors of Alcohol Dependency in Emerging Adulthood: A Latent Class Analysis Approach 将童年行为问题作为成年期酒精依赖的预测因素进行研究：潜类分析方法
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-05-07 DOI: 10.1177/00220426241252347
Thomas Wojciechowski
{"title":"Examining Childhood Behavior Problems as Predictors of Alcohol Dependency in Emerging Adulthood: A Latent Class Analysis Approach","authors":"Thomas Wojciechowski","doi":"10.1177/00220426241252347","DOIUrl":"https://doi.org/10.1177/00220426241252347","url":null,"abstract":"There is limited research on within-person clustering of early-life behavioral issues and risk for alcohol use issues. This study examined the relevance of childhood behavior problem clusters for predicting alcohol problems in emerging adulthood. This study examined full behavioral profiles as predictors of alcohol-related problems, rather than individual behaviors. The Pathways to Desistance dataset comprised of 1354 justice-involved youth followed across seven years post-adjudication collected from Maricopa County, Arizona and Philadelphia Pennsylvania were analyzed. Latent class analysis was used to identify clusters of childhood behavioral problems (cheating, disturbing class, getting drunk/stoned, stealing, fighting). Regression modeling was used to examine various alcohol use outcomes. Findings indicated that a three-class model best fit the data (Low; FDC; High). Assignment to the High class predicted greater social consequences of alcohol use, but this effect was only marginally significant. No significant effects were observed for either alcohol dependence measure.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"154 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140926427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drug Use Stigma and Public Preferences for Public Health Versus Legal System Responses 吸毒耻辱感以及公众对公共卫生和法律系统对策的偏好
IF 1.7 4区 社会学
Journal of Drug Issues Pub Date : 2024-04-20 DOI: 10.1177/00220426241246724
Lisa A. Kort-Butler, Kimberly A. Tyler, Cindy Mays
{"title":"Drug Use Stigma and Public Preferences for Public Health Versus Legal System Responses","authors":"Lisa A. Kort-Butler, Kimberly A. Tyler, Cindy Mays","doi":"10.1177/00220426241246724","DOIUrl":"https://doi.org/10.1177/00220426241246724","url":null,"abstract":"This study explored what perceptions and beliefs about substances and substance users, personal experiences, and network experiences with substance use were related to people’s preferences for public health and legal system responses to substance use. Social context was also considered, including location of residence, political ideology, and a sense of insecurity. Data were from the Nebraska Annual Social Indicators Survey, a cross-sectional omnibus mail survey of public attitudes in Nebraska, conducted in fall 2021. Approximately 1700 adults completed the survey. Controlling for demographic characteristics, the study found stigmatized attitudes about substance use, limited or no personal history with substance use, rural residence, and political conservatism were associated with more support for legal system responses. In contrast, less stigmatized attitudes about substance use, personal history of marijuana use, urban residence, political liberalism, and a sense of security were all associated with more support for public health responses.","PeriodicalId":15626,"journal":{"name":"Journal of Drug Issues","volume":"100 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140623619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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