Journal of Ethnicity in Substance Abuse最新文献

{"title":"Employee perceptions of substance use treatment organizational DEI commitment: Examining differences by race, gender, sexual identity, and leadership status.","authors":"Sara Matsuzaka, Annie Peters, Danielle Jackman, Carolyn C Ross, Zina Rodriguez","doi":"10.1080/15332640.2025.2570341","DOIUrl":"https://doi.org/10.1080/15332640.2025.2570341","url":null,"abstract":"<p><p>Literature highlights inequities in substance use treatment experiences among clients from marginalized and stigmatized groups, such as women; Black, Indigenous, people of color (BIPOC); and sexually and gender diverse people. In response, key governing bodies related to substance use treatment have implemented diversity, equity, and inclusion (DEI) initiatives to foster more representative, fair, and inclusive workforces to meet the needs of diverse client constituents. Despite these efforts, there have been no prior studies related to DEI commitment in substance use treatment organizations. As such, the current study examined differences in employee perceptions of their substance use treatment organization's commitment to DEI by race, gender, sexual identity, and leadership role status. Online survey-based data were collected in July-August 2024 from a sample of 369 employees at substance use treatment organizations in the United States. Using linear regression, we tested the associations between race, gender, sexual identity, and leadership role status with perceived organizational commitment to DEI. Female or BIPOC employees had lower perceived organizational commitment to DEI relative to male or White employees. There was no difference in organizational commitment to DEI by sexual identity or leadership role status. Findings suggest a heterogeneity in employee perspectives of substance use treatment-based DEI initiatives on the basis of race and gender. Substance use treatment organizations are recommended to consider differential employee perspectives to inform modifications for DEI initiatives.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-20"},"PeriodicalIF":1.2,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and correlates of smoking, drinking, and exercise among men in Dak Lak, Vietnam.","authors":"Khanh Nam Pham, Anh Tuan Truong, Quoc Nhat Nguyen","doi":"10.1080/15332640.2025.2571220","DOIUrl":"https://doi.org/10.1080/15332640.2025.2571220","url":null,"abstract":"<p><p>In this study, we aimed to investigate the prevalence and determinants of health behaviors, including cigarette smoking, alcohol drinking, and physical exercise among men in Dak Lak, Vietnam. The dataset for the research comprised 1,557 men (aged 16 or above) drawn from a household interview survey in 2022. To assess correlates of health behaviors, we employed a multivariate probit model that considered the potential correlations between these behaviors, which previous research generally overlooked. The main findings revealed that individuals between 35 and 44 years old had the highest prevalence rates of smoking, drinking, and the co-occurrence of both. In addition, members in labor exchange groups possessed higher rates of smoking and drinking, while those from poor households not only reported higher rates of smoking and drinking but also participated in physical exercise less frequently. Moreover, variables such as family influence, age, ethnicity, income, and membership in labor exchange groups were significant determinants. The findings highlighted the need for education, integrated public health interventions, particularly targeting low-income and ethnic minority populations, and emphasized the promotion of healthy behaviors among influential family members.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-22"},"PeriodicalIF":1.2,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring psycho-social growth after addiction trauma in families freed from substance use.","authors":"Mehrangiz Shoaa Kazemi, Fayez Mahamid, Bilal Hamamra","doi":"10.1080/15332640.2025.2564105","DOIUrl":"https://doi.org/10.1080/15332640.2025.2564105","url":null,"abstract":"<p><p>Family experiences in addiction recovery remain underexplored, particularly regarding their role in sustaining long-term change. This study investigates psychosocial growth among families of women in recovery from substance use, focusing on how collective resilience and systemic engagement contribute to post-traumatic growth. Using grounded theory, in-depth semi-structured interviews were conducted with 15 parents and siblings of women who had maintained abstinence for one to five years. Participants were recruited from a rehabilitation center in Tehran, Iran. Analysis identified six interrelated themes: (1) family involvement in treatment, (2) repair and reconstruction of family relationships, (3) successful individual recovery, (4) the role of alternative treatment, (5) comprehensive enhancement and inner growth, and (6) sustained community engagement. Families emphasized prioritizing their own recovery, rebuilding trust, regulating emotions, and mobilizing spiritual and social resources. These findings contribute to the literature by conceptualizing recovery as a systemic process of mutual transformation, rather than the cessation of substance use alone. Familial adaptation, social reintegration, and the intergenerational transmission of recovery values were shown to reinforce resilience. Implications for clinical practice include the development of family-centered, multidimensional interventions that promote collaborative recovery and sustain long-term change.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.2,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dark times & starry eyes: Substance use themes in the Weeknd's discography.","authors":"Ayomide Fakuade, Karim Mukhida","doi":"10.1080/15332640.2025.2560947","DOIUrl":"https://doi.org/10.1080/15332640.2025.2560947","url":null,"abstract":"<p><p>Societal preoccupations are manifest in popular culture, including music. Canadian award-winning musician, The Weeknd, explores substance use and pain in his discography. This study employs inductive thematic analysis to explore how substance use and pain are referenced in his songs. Lyrics from his five studio albums and three mixtapes were reviewed, revealing 399 substance use references. The analysis revealed seven overarching themes, including substance use as a symbol of celebration and luxury, its role in coping with hardship but also potentially leading to problematic use and romantic turmoil. Uncovering these recurrent themes highlights how the narratives that The Weeknd's music constructs around substance use. Knowledge of these themes and narratives could be leveraged in educational initiatives to engage a wide range of trainees on substance misuse, addiction, and its societal impact.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative illicit drug screening among elective surgery patients in West Bank, Palestine: unveiling the hidden.","authors":"Jehad Zuhd, Saleem Majadleh, Bahaa Badwan, Maria Jabarin, Rawan Madani, Rafat Ali, Ahmad Batta, Yazeed Shaksheer, Basma Damiri","doi":"10.1080/15332640.2025.2557891","DOIUrl":"https://doi.org/10.1080/15332640.2025.2557891","url":null,"abstract":"<p><p>Preoperative drug screening is not routinely performed in Palestine, which poses challenges for medical management, especially during anesthesia for surgical procedures. We aimed to determine the prevalence and types of illicit drugs through preoperative screening of patients undergoing elective surgeries and to compare these findings with self-reported drug use. A cross-sectional study was conducted in 2024 in the surgical departments of two tertiary hospitals. The study involved 236 participants aged 16-55 years from hospitals in the West Bank, who were interviewed about their drug use history and screened using a multidrug rapid test panel (12 drugs). Informed and parental consent were obtained, and assent was secured from participants under 18 years. Of the 224 participants who agreed to urine testing, 13.4% tested positive for at least one drug: benzodiazepines (3.6%), THC (3.1%), tramadol (2.7%), morphine (2.2%), ketamine (1.8%), and MDMA (0.4%). Cocaine, barbiturates, amphetamine, synthetic cannabinoids, and TCA tested negative in all samples. Additionally, 1.3% were users of multiple drugs. Furthermore, 7.6% reported current illicit drug use, and 3.8% were ex-users. Among those who self-reported illicit drug use, 41.2% tested positive for at least one drug, while 58.8% tested negative. Among participants who did not report illicit drug use, 10.6% tested positive. The study highlights significant discrepancies between urine screening results and self-reports, indicating high illicit drug use among surgical patients. Comprehensive preoperative screening, including interviews and urine tests, is essential for ensuring patient safety.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical health status of people with substance use disorders: Results from a major Turkish addiction center.","authors":"Esra Albal, Gizem Şahin Bayındır, Gökhan Umut","doi":"10.1080/15332640.2025.2553334","DOIUrl":"https://doi.org/10.1080/15332640.2025.2553334","url":null,"abstract":"<p><p>This study was conducted in a descriptive and cross-sectional design to determine the physical health status of individuals with substance use disorders receiving inpatient treatment at an addiction treatment center. Data were collected between April 2023 and April 2024 at the Adult Detoxification Center of a psychiatric hospital in Istanbul, Türkiye. The sample consisted of a total of 261 individuals with substance use disorders (218 males and 43 females) who met the inclusion criteria. Data were collected using the Personal Information Form and the Health Improvement Profile. The most common physical illness among people with substance use disorders is cardiovascular disease. Significant gender-based differences were observed across multiple health domains. In the measurement subscale, women had significantly higher pulse rates compared to men. In the blood test subscale, mean total cholesterol (TC) and low-density lipoprotein (LDL) levels were also significantly higher among women. The screening subscale revealed significant gender differences in dental and eye examinations, breast self-examination, presence of constipation and/or diarrhea, as well as gastrointestinal symptoms, such as bloating, distention, or the need for laxative use. Similarly, lifestyle-related variables-including physical activity, daily alcohol and carbohydrate intake, fluid consumption, cannabis use, and engagement in safe sexual practices-differed significantly by gender. It is important to diagnose, monitor, and risk assess the physical health of individuals with substance use disorders. Therefore, mental health and psychiatric nurses should emphasize physical diagnosis and provide a holistic approach to individuals with substance use disorders.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-22"},"PeriodicalIF":1.2,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delivering opioid use disorder treatment among American Indian and Alaska Native adults during the COVID-19 pandemic and beyond: Facilitators and barriers to care.","authors":"Katherine A Hirchak, Kelsey Bajet, Meenakshi Richardson, Beverly Keyes, Racquel Shaffer, Karen Anderson Oliver, Frankie K Kropp, Aimee N C Campbell, Kamilla L Venner","doi":"10.1080/15332640.2025.2553322","DOIUrl":"10.1080/15332640.2025.2553322","url":null,"abstract":"<p><strong>Background: </strong>American Indian and Alaska Native (AI/AN) communities experienced a disproportionate increase in opioid-related fatal and non-fatal poisonings during the COVID-19 pandemic. Access to treatment, such as medications for opioid use disorder (MOUD), became even more critical, although research among this population is limited. We completed qualitative interviews with substance use disorder (SUD) treatment providers (i.e., MOUD prescribers, non-prescribing clinicians, non-clinical support staff) to assess the impact of COVID-19 on MOUD care among AI/AN adults.</p><p><strong>Methods: </strong>Sixty-minute semi-structured interviews were completed with providers working in SUD treatment (<i>N</i> = 25). Eligible providers represented 6 programs serving rural Tribal and urban areas primarily in the Pacific Northwest United States. Transcripts were independently reviewed and analyzed for themes based upon the research aims.</p><p><strong>Results: </strong>Nineteen female and six male providers completed interviews. Four themes were identified: (1) Beneficial policy changes for MOUD delivery; (2) Telehealth as the biggest policy shift; (3) Addressing complexity, and (4) Cultural services. Findings indicated providers viewed the introduction of telehealth, implementation of mobile services, and expanded take home dosing as positive and leading to increased treatment access. However, barriers related to the internet, transportation, and reimbursement of telehealth remain.</p><p><strong>Conclusions: </strong>Providers highlighted the utility in the expansion and sustainment of telehealth. Flexible policies for MOUD were particularly beneficial during the height of COVID-19 to maintain and increase access to treatment. Providing a menu of treatment options, emphasizing cultural engagement and social support were deemed necessary to enhance AI/AN community driven solutions in curbing the opioid poisoning public health crisis.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-18"},"PeriodicalIF":1.2,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negotiating autonomy and surveillance: Gendered experiences of shisha smoking among university students in Palestine.","authors":"Bilal Hamamra, Hiba Daraghmeh, Aya Al-Asi","doi":"10.1080/15332640.2025.2552767","DOIUrl":"https://doi.org/10.1080/15332640.2025.2552767","url":null,"abstract":"<p><p>Shisha (waterpipe) smoking in Palestine is a social practice shaped by gender norms. This qualitative study examines the experiences of 50 university students (28 females, 22 males) at An-Najah National University, focusing on how shisha use reflects broader negotiations of autonomy, identity, and social control. Thematic analysis identified six themes: shisha as sanctuary and escape; social surveillance and stigma; honor and shame; health discourses and double standards; peer dynamics and gendered exclusion; and agency in redefining womanhood. Female participants described shisha as a rare space for personal freedom, yet one fraught with risks of exposure, familial censure, and social punishment. Men's use, by contrast, was normalized and free from comparable sanctions. Health warnings were often used to police women's behavior more than men's. Peer groups both enabled belonging and reproduced pressures for conformity among women, while men experienced fewer social risks. The findings illustrate how shisha functions as a contested site where gender, morality, and modernity intersect. This study highlights the need for gender-sensitive approaches that address the social meanings and risks of shisha use in Palestinian society.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-15"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence of smokeless tobacco use in the West Asian countries: A systematic review and meta-analysis.","authors":"Abdulsalam Abdulsattar Abdulazez, Mahmood Jawad, Mohammad Ahmar Khan, Munthar Kadhim Abosaoda, A K Kareem, K D V Prasad, Wesam R Kadhum, Zuhair I Al-Mashhadani, Sami Najaf Bokhoor, Amirali Ebrahimi","doi":"10.1080/15332640.2025.2549382","DOIUrl":"https://doi.org/10.1080/15332640.2025.2549382","url":null,"abstract":"<p><p>Smokeless tobacco use represents a significant public health concern globally, yet comprehensive prevalence data across West Asian populations remain limited. This systematic review and meta-analysis estimated the pooled prevalence of smokeless tobacco use in West Asian countries across age groups and geographic regions. A systematic literature search was conducted across databases from inception to May 2025. Studies reporting prevalence data on smokeless tobacco use in West Asian countries were included. Heterogeneity was assessed using <i>I</i>² statistics, with subgroup analyses by age and country. Publication bias was evaluated using funnel plots. Meta-analysis was performed using CMA version 3.0 with statistical significance level less than 0.05. Out of 745 fount studies, 22 studies across 11 West Asian countries were included in the meta--analysis. The overall pooled prevalence of smokeless tobacco use was 16% (95% CI: 12%, 21%) with significant heterogeneity (<i>I</i>²=99.90%, <i>p</i> < 0.001). Age-specific analysis revealed a prevalence of 15% (95% CI: 12%, 18%) among adolescents and 18% (95% CI: 6%, 29%) among adults. Country-specific prevalence varied substantially, ranging from 6% in Iraq to 34% in Lebanon. Saudi Arabia demonstrated the most extreme variation (1%-86%), largely attributed to one outlier study. Funnel plot analysis suggested potential publication bias, though sensitivity analyses confirmed the robustness of pooled estimates. Smokeless tobacco use affects approximately one in six individuals across West Asian populations, with considerable geographic and methodological variation. The substantial heterogeneity observed emphasizes the need for country--specific tobacco control strategies and standardized surveillance methods.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-26"},"PeriodicalIF":1.2,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing pain into a tablet substantiating and numbing race-based mental health during the COVID-19 pandemic.","authors":"Dionisio Nyaga Dionisio, Rose Ann Torres","doi":"10.1080/15332640.2025.2548523","DOIUrl":"https://doi.org/10.1080/15332640.2025.2548523","url":null,"abstract":"<p><p>The COVID-19 pandemic may have had many negative consequences, and yet a lot was left in its wake that could help shape mental health discussions in health care settings in Canada. This paper is shaped by stories told by Filipino nurses working in Northern Ontario. While there is a plethora of studies looking at mental health issues among nurses and other health care professionals in Canadian hospitals, a gap still remains in regard to the experiences of nurses and health care workers in Northern Ontario during COVID-19. This study seeks to look at the differentiated experiences of mental health among health care professionals during and after COVID-19. This qualitative study employs a narrative approach to discuss how neoliberal capitalism, gendered racism, substance use and colonialism shaped mental health outcomes among Filipino health care workers. While many studies have focused on mental health issues among health care providers, there has been minimal focus on race-based trauma and the ways in which substance use is employed to reduce mental health issues to an individual issue, leaving pharmaceutical companies free to boost their profits. This paper employs intersectional analysis to argue for a more comprehensive understanding of mental health issues among health care workers and allow an understanding of a culturally informed perspective to inform health care policies. The result to the study depicts the various forms of race-based trauma faced by Filipino health care workers and the use of over-the-counter medication to navigate themselves through the health care system. Note that the paper will employ the term healthcare workers and nurses interchangeably.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-25"},"PeriodicalIF":1.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144956741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}