{"title":"Emerging from the shadows: A qualitative report with Panjabi women caregivers to partners with substance use disorder.","authors":"Sherry Sandhu, Manvinder Kaur Gill, Rohan Kakkar, Kanwarpreet Kaur Dhaliwal, Varinder Singh Kamboj, Imroze Singh Deol, Nitasha Puri","doi":"10.1080/15332640.2025.2505748","DOIUrl":"https://doi.org/10.1080/15332640.2025.2505748","url":null,"abstract":"<p><p>This paper presents a qualitative report of semi-structured interviews with 10 Panjabi women who are caregivers to men (specifically husbands) with substance use disorder (SUD) in Surrey, British Columbia, Canada. Core themes identified depict the significant burden caregivers carry due to managing simultaneous financial and parenting duties, negative emotional impacts of caregiving, and attempts to conceal substance use by both the participants and their husbands. Despite this, all participants shared nuanced reasons to stay in their marriage, including for their children, for financial stability or to avoid stigmatization. Participants emphasized the need for culturally competent care, family involvement in SUD treatment, compassion toward people with SUD and increased resources for women caregivers.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-27"},"PeriodicalIF":1.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110699","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}
Fayez Mahamid, Samaneh Sadeghi Hafshejani, Maryam Mokhtari Dinani, Nikolay Bokhan, Priscilla Chou, Dana Bdier, Ivan V Voevodin, Gordon Flett, Audrene Kerr-Brown, Maxim Zangeneh
{"title":"Covid-19 anxiety predicts burnout among university students: The mediating roles of hope, adaptability, and anti-mattering.","authors":"Fayez Mahamid, Samaneh Sadeghi Hafshejani, Maryam Mokhtari Dinani, Nikolay Bokhan, Priscilla Chou, Dana Bdier, Ivan V Voevodin, Gordon Flett, Audrene Kerr-Brown, Maxim Zangeneh","doi":"10.1080/15332640.2025.2507429","DOIUrl":"https://doi.org/10.1080/15332640.2025.2507429","url":null,"abstract":"<p><p>The COVID-19 pandemic negatively impacted various aspects of mental health among university students, including their academic performance. The transition to online learning, changes in tasks, and isolation at home all contributed to increased burnout among students. The current study aimed to test the association between COVID-19 anxiety and burnout among university students, and whether hope, adaptability, and anti-mattering mediate the association between COVID-19 anxiety and burnout. The study involved 450 university students from three states Canada, Russia, and Iran, consisting of 390 females and 60 males. Among the participants, 9.8% had a higher diploma, 63.8% held a master's degree, and 2.2% possessed a PhD. Results of the correlational analysis that COVID-19 anxiety was positively correlated with burnout (<i>r</i> = 0.31, <i>p < .01</i>) and anti--mattering (<i>r</i> = 0.44, <i>p < .01</i>). Conversely, COVID-19 anxiety was negatively correlated with hope (<i>r</i> = -0.20, <i>p < .01</i>) and adaptability (<i>r</i> = -0.10, <i>p <</i> .05). Regarding mediation analysis, the findings revealed that hope, adaptability, and anti-mattering mediated the association between COVID-19 anxiety and burnout among university students. The findings of the current study emphasize the need to promote hope, social adjustment, and a mattering among university students, as these factors could help enhance their mental health and prevent issues such as substance abuse, which students might resort to as negative coping strategies to deal with psychological stress and burnout related to pandemics.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119829","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}
Farah Thamer Abdullah, Abdulla A Al-Dulaimi, Krunal Vaghela, Malathi H, K D V Prasad, Jaafaru Sani Mohammed, Harshit Gupta, Samir Sahoo, Hanen Mahmod Hulail, Mundhr Kadhem
{"title":"Cannabis use in different ethnicity/race populations and risk of ischemic stroke: A systematic review and meta-analysis.","authors":"Farah Thamer Abdullah, Abdulla A Al-Dulaimi, Krunal Vaghela, Malathi H, K D V Prasad, Jaafaru Sani Mohammed, Harshit Gupta, Samir Sahoo, Hanen Mahmod Hulail, Mundhr Kadhem","doi":"10.1080/15332640.2025.2505059","DOIUrl":"https://doi.org/10.1080/15332640.2025.2505059","url":null,"abstract":"<p><p>The global incidence of ischemic stroke among young adults has risen, with emerging evidence suggesting a potential link to increased cannabis use. Despite widespread perceptions of cannabis as a relatively safe substance, its association with ischemic stroke remains unclear, especially as legalization and use rates grow. This systematic review and meta-analysis aimed to synthesize the current literature to assess the relationship between cannabis use and the risk of ischemic stroke. Following PRISMA guidelines, a comprehensive search was conducted across PubMed, Web of Science, Scopus, Embase, and Google Scholar (up to March 2025) to identify studies evaluating the association between cannabis use and ischemic stroke risk. Inclusion criteria required studies to compare cannabis users with non-users and report quantitative risk estimates (odds ratios, hazard ratios, or relative risks with 95% confidence intervals). Quality assessment utilized the Joanna Briggs Institute checklist. Data were pooled using a random-effects model, and heterogeneity was assessed with the I<sup>2</sup> statistic. From 821 initial records, seven studies (published 2007-2023; case-control, cohort, and cross-sectional designs) met inclusion criteria. The meta-analysis revealed a statistically significant association between cannabis use and increased risk of ischemic stroke (pooled OR = 2.05, 95% CI: 1.46-2.87; <i>p</i> < .001, I<sup>2</sup>=68.9%, <i>p</i> = .007). Cannabis use is associated with a significantly elevated risk of ischemic stroke, particularly among young adults. These findings highlight the need for further research to clarify causality and inform public health policy as cannabis use continues to rise globally.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144110692","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}
Monica M Desjardins, Lynn D Wenger, Danielle Good, Gillian Leichtling, Morgan Godvin, Esther O Chung, Susan G Sherman, Barrot H Lambdin, Alex H Kral
{"title":"Evaluating health outcomes among American Indian/Alaska Native people who use drugs in Oregon.","authors":"Monica M Desjardins, Lynn D Wenger, Danielle Good, Gillian Leichtling, Morgan Godvin, Esther O Chung, Susan G Sherman, Barrot H Lambdin, Alex H Kral","doi":"10.1080/15332640.2025.2502975","DOIUrl":"https://doi.org/10.1080/15332640.2025.2502975","url":null,"abstract":"<p><p>The present study determined the association between identifying as American Indian/Alaska Native (AI/AN) and ever having had an opioid-related overdose, housing status, prior diagnosis of a psychiatric illness, and utilization of syringe service and drug checking services. We recruited and surveyed people who use drugs in community-settings using targeted samplings methods in eight Oregon counties (<i>N</i> = 468). We conducted logistic regression analysis to assess whether AI/AN people had higher odds of opioid overdose. We found that the adjusted odds of ever having had an opioid related overdose was significantly higher for AI/AN people (Adjusted Odds Ratio = 2.23; 95% Confidence Interval [CI] = 1.24, 4.02) compared to non-AI/AN people. These findings suggest the need for policies and interventions that prioritize access to culturally informed substance use disorder treatment and harm reduction services to reduce disparities in opioid-related overdoses among AI/AN people.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101939","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}
Nawwal Alwani Mohd Radzi, Zamros Yuzadi Mohd Yusof
{"title":"Stakeholders' perspectives on the Malaysian school-based smoking cessation program.","authors":"Nawwal Alwani Mohd Radzi, Zamros Yuzadi Mohd Yusof","doi":"10.1080/15332640.2025.2500723","DOIUrl":"https://doi.org/10.1080/15332640.2025.2500723","url":null,"abstract":"<p><p>Smoking among adolescents remains a public health concern globally, including in Malaysia. Effective execution of the dentist-led school-based smoking cessation program relies on the engagement and insights of important stakeholders. This qualitative study aims to evaluate the Malaysian school-based smoking cessation program delivered by the school dental team, named the KOTAK program. Using a semi-structured interview guide and focus group discussion, the strengths, weaknesses, and recommendations to improve the program were explored among nine homogenous groups of dentists (3 groups), teachers (2 groups), and adolescents (4 groups). The data were analyzed using thematic analysis, resulting in three main domains and seven themes. The three main domains were the KOTAK program's strengths, weaknesses, and recommendations for improving the program. The themes touched on the issues of the school's conducive setting, the dentist's unique role, and the program's perceived effectiveness. Operational and collaboration-related themes emerged under the main domains of the program's weaknesses and improvement recommendations. The dentists, teachers, and adolescents positively perceived the KOTAK program to influence adolescents' smoking habits. In addition, shared opinions of the program's shortcomings were concerned with the lack of training and clear guidelines before the program's execution. Further improvement in the operational and collaboration-related aspects is recommended to improve the program outcomes. Future research should explore the socio-cultural factors that can aid in constructing a tailored intervention program.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144093962","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":"Factors influencing substance use preventive behavior among university students in Eastern Thailand.","authors":"Trakulwong Luecha, Wanita Kwansumran, Jinjuta Chaisena Dallas, Duangjai Vatanasin, Puangtong Inchai, Watchara Tabootwong, Paiboon Sophonsuwapap, Darawan Thapinta","doi":"10.1080/15332640.2025.2500061","DOIUrl":"https://doi.org/10.1080/15332640.2025.2500061","url":null,"abstract":"<p><p>A cross-sectional study explored determinants of substance use preventive behavior among university students in an eastern province of Thailand. Data collection was performed between February and March 2024, using a self-administrated and pre-tested questionnaire. This was conducted utilizing a simple random sampling method, recruiting 450 university students (<i>M</i> = 20.26, SD = 1.32). Previous substance use experience was reported by around 40.89%, with alcohol the most used substance (41.11%). Individual parameters of adversity quotient, family connectedness, social support, and gaming addiction were identified as significant predictors of preventive behaviors with a 30.40% explanatory power of the variance, (<i>R<sup>2</sup></i> = 0.304, <i>F (4, 443)</i> = 48.50, <i>p</i> < .001). Results pointed to the need for evidence-based efforts designed to help foster resilience, deepen family connectedness, build social support systems, and increase the risk of gaming addiction. These findings informed evidence-based strategies for nurses, healthcare professionals, community organizations, policymakers, and university administrators to reduce substance use risks and promote healthier behaviors in academic settings.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-20"},"PeriodicalIF":1.1,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078256","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":"An ethnical study on the relationship between well-being and dyadic adjustment with the mediation role of satisfaction with life among Baluch male drug users.","authors":"Bahman Kord Tamini","doi":"10.1080/15332640.2025.2499569","DOIUrl":"https://doi.org/10.1080/15332640.2025.2499569","url":null,"abstract":"<p><p>This study aimed to evaluate the relationship between well-being and dyadic adjustment, with life satisfaction serving as a mediator among Baluch male drug users in Zahedan city, located in southeastern Iran. For this study, 224 Baluch male drug users were selected from the city of Zahedan through a convenience sampling method. The data gathering involved the Well-Being Questionnaire (WBQ), the Dyadic Adjustment Scale, and the Life Satisfaction Scale. The findings from the structural equation model (SEM) showed that happiness, optimism, and life satisfaction had a notable direct impact on dyadic adjustment and life satisfaction (<i>p</i> < .05). Satisfaction with life had a notable impact on dyadic adjustment (<i>p</i> < .05). Life satisfaction significantly mediated the connection between happiness and optimism with dyadic adjustment, and it also mediated the relationship between life satisfaction and dyadic adjustment significantly (<i>p</i> < .5). The remaining direct and indirect effects were insignificant. It is determined that life satisfaction, happiness and optimism can influence dyadic adjustment among Baluch men who abuse substance. Consequently, addiction healthcare facilities in Baluchestan, Iran, should focus on the psychological well-being of substance abusers.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-23"},"PeriodicalIF":1.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021568","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":"Knowledge, attitudes, and awareness toward cannabis use at a Historically Black University.","authors":"Khaled Muhsen Hasan, Tadas Sean Vasaitis","doi":"10.1080/15332640.2025.2501663","DOIUrl":"https://doi.org/10.1080/15332640.2025.2501663","url":null,"abstract":"<p><p>This study aimed to investigate the prevalence and perceptions of cannabis use among different ethnic groups, assess the beliefs about Perceptions of cannabis safety's varied role as a gateway drug, evaluate the perceptions of its safety, particularly during pregnancy, and explore attitudes toward cannabis addiction and accessibility to minors. A cross-sectional survey was conducted among Historically Black Colleges and Universities students, faculty, and staff. The survey collected data on cannabis use patterns, perceptions of cannabis safety and addiction potential, and opinions on cannabis as a gateway drug. Participants were categorized by ethnicity to identify significant differences in attitudes and beliefs. The study found high cannabis use among Black students compared to other minority groups. Perceptions of cannabis safety varied, with a majority viewing it as safe, but this varied by ethnicity. Most participants agreed that cannabis use is unsafe during pregnancy. The belief that cannabis is addictive was notably high among Black faculty and other minority groups. Additionally, there was strong opposition across all ethnicities to making cannabis accessible to minors. Our study reveals significant ethnic variations in cannabis use and perceptions on campus. Beliefs about cannabis as a gateway drug and its health risks were consistent across ethnicities, as were negative views on cannabis use during pregnancy. These findings highlight the need for culturally sensitive prevention strategies, educational programs, and support services to promote healthier lifestyles and well-being for the diverse campus community.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003584","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}
Larry Keen, Candice Wallace, Caroline Bena Kuno, Ayanna Reid, Emma Quarles, Alexis Morris, Kimberly Lawrence
{"title":"Perceived protective factors associated with cannabis use among HBCU undergraduates.","authors":"Larry Keen, Candice Wallace, Caroline Bena Kuno, Ayanna Reid, Emma Quarles, Alexis Morris, Kimberly Lawrence","doi":"10.1080/15332640.2025.2490561","DOIUrl":"https://doi.org/10.1080/15332640.2025.2490561","url":null,"abstract":"<p><p>The purpose of this study was to determine the protective psychosocial correlates of cannabis use frequency in a HBCU sample. The sample included 680 college students (mean age = 19.94, SD = 1.69), with 515 females. Participants completed an online survey that included self-reported cannabis use frequency and protective measures (i.e., Social Support, Self-Compassion, Life Satisfaction, and Ethnic Identity). Ethnic identity and life satisfaction was negatively associated with recent cannabis (B = -0.16, <i>p</i> < 0.01, 95% CI [-0.27, -0.04]). The presented findings suggest empirical support for cannabis use interventions designed to increase ethnic identity among young adults.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027100","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}
Timothy I Lawrence, Cheyenne Fryar, Taliyah Mosley, Melissa Tolentino, Jun Sung Hong, Dexter Voisin
{"title":"Exposure to community violence and internalizing symptoms: The risk of substance use in African American youth.","authors":"Timothy I Lawrence, Cheyenne Fryar, Taliyah Mosley, Melissa Tolentino, Jun Sung Hong, Dexter Voisin","doi":"10.1080/15332640.2025.2497320","DOIUrl":"https://doi.org/10.1080/15332640.2025.2497320","url":null,"abstract":"<p><p>African American adolescents are often disproportionately exposed to community violence, which increases their risk of using substances and developing internalizing symptoms. While these associations are well established in the literature, a limited number of studies have examined substance use as a pathway for the development of internalizing symptoms following exposure to community violence. Using structural equation modeling (SEM) and a cross-sectional design, the current study aimed to explore whether exposure to community violence was associated with substance use. Then, the current study explored whether substance use mediated the association between exposure to community violence and internalizing symptoms while controlling for gender. The sample consisted of 668 African American adolescents from low-resourced neighborhoods in Chicago's Southside. The sample areas were characterized as racially and socioeconomically homogeneous with an average annual income ranging from $24,049 to $35,946, with the city average being $43,628. Results suggested that exposure to community violence was positively associated with substance use. Substance use also mediated the association between exposure to community violence and internalizing symptoms. That is, following exposure to community violence, African American adolescents were more likely to use substances, which increased their susceptibility to developing internalizing symptoms despite gender differences.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-20"},"PeriodicalIF":1.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021980","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}