Journal of Ethnicity in Substance Abuse最新文献

{"title":"Assessing the relationship between drug use initiation age and racial characteristics.","authors":"Diandian Yilin, Meghan Bellerose, Carson Borbely, Tawandra L Rowell-Cunsolo","doi":"10.1080/15332640.2023.2271871","DOIUrl":"10.1080/15332640.2023.2271871","url":null,"abstract":"<p><p>Initiating drug use in adolescence is associated with greater risk of drug misuse and dependence in adulthood and co-occurring mental health disorders. Initiating drug use in adulthood has been linked to higher-risk drug use networks and primary use of \"harder drugs\". The aim of our research is to examine racial/ethnic differences in age at drug use initiation and its relationship with adult outcomes. Based on data from the 2019 National Survey on Drug Use and Health (NSDUH), we used survey-weighted Poisson regression models with robust variance to identify associations between racial characteristics, age at drug use initiation, and three adult outcomes - past year polydrug use, substance use, and mental illness - adjusting for individual-level characteristics. Among 25,986 respondents who ever used drugs and reported their drug use initiation age, Asian-Americans reported the oldest drug use initiation age (19.5) on average, while Native Americans reported the youngest initiation age (16.6). While there were no significant differences in type of drug used during onset by race or ethnicity, generally, individuals start to use inhalants at the earliest age (17.4), while the misuse of sedatives is initiated at the oldest age (46.4). Initiation during late adolescence was associated with greater likelihood of a substance use disorder diagnosis, mental health diagnoses, and polydrug use in adulthood. Drug use prevention interventions should be tailored and accessible during adolescence to delay onset. Interventions that are culturally sensitive, screen for vulnerability to drug use, and offer age-appropriate services should be prioritized.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"810-826"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50161834","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":"Gender and substance use among Latinx college students: An application of social structure social learning theory.","authors":"Matthew Grindal, Amanda Admire, Danielle Marie Carkin, Tanya Nieri","doi":"10.1080/15332640.2023.2271873","DOIUrl":"10.1080/15332640.2023.2271873","url":null,"abstract":"<p><p>Social structure social learning theory (SSSL) is a theoretical framework that has been used to understand gender differences in substance use. However, the Latinx community remains understudied in this body of research. Drawing on a Latinx college student sample, we tested the extent to which four social learning mechanisms specified by SSSL theory (positive definitions, neutralizing definitions, differential association, and differential reinforcement) explained gender differences in three substance use outcomes: alcohol intoxication, marijuana use, and illicit prescription drug use. We found that men reported greater levels of all three substance use outcomes, and that the social learning mechanisms mediated between 24% to 44% of these gender effects. We also found some evidence that the effects of differential association and differential reinforcement were stronger for men than women, suggesting that women may exhibit greater resilience when exposed to peer influence. We discuss the implications for SSSL theory and the study of substance use and gender differences in substance use among Latinx populations.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"785-809"},"PeriodicalIF":1.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71482315","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":"Tobacco product use among youth: the intersection of sexual identity and race/ethnicity.","authors":"Selena Regalado, Jeffrey Duong","doi":"10.1080/15332640.2025.2518481","DOIUrl":"https://doi.org/10.1080/15332640.2025.2518481","url":null,"abstract":"<p><p>Tobacco use represents a public health concern in the United States. This study aimed to determine whether the association between sexual identity and tobacco use varied across race/ethnicity groups among U.S. high school students. Data from the Centers for Disease Control and Prevention's 2019 Youth Behavior Risk Survey (<i>n</i> = 13,677) were analyzed using bivariate cross-tabulations and adjusted multivariate logistic regression models with interaction terms. A significant interaction was found between sexual identity and race/ethnicity for current electronic vapor, cigar, and smokeless tobacco use. Sexual identity was most strongly associated with electronic vapor use among Black or African American youth as well as Hispanic or Latino youth and most strongly associated with cigar and smokeless tobacco use among Asian, Native Hawaiian, or Pacific Islander youth. The findings highlight the challenges faced by LGBQ (<i>Lesbian, Gay, Bisexual, Questioning</i>) students of color and the need for culturally tailored interventions for youth with multiply marginalized backgrounds.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497205","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":"Exposure to drug-related online content and drug use among racial/ethnic minority youth in the United States.","authors":"Meredith Gansner, Anna Katharine Horton, Rasika Singh, Benjamin Cook, Zev Schuman-Olivier","doi":"10.1080/15332640.2025.2521130","DOIUrl":"10.1080/15332640.2025.2521130","url":null,"abstract":"<p><p>Studies of high-risk digital media use often treat youth in the United States as a monolith. Here, we present results from an online survey study of 489 U.S. youth (aged 13-23) assessing relationships between drug-related online content exposure and drug use based on racial/ethnic identity. Regression models identified racial/ethnic differences in drug-related content exposure and interaction terms examined whether relationships of interest changed based on racial/ethnic identity. Racial/ethnic (RE)-minority youth had significantly higher odds of frequent exposure to drug-related content online and significant correlations between drug use and content exposure were seen among select populations of RE-minority youth. Assessments of drug-related digital media habits should be considered instrumental to understanding rising rates of drug use within U.S. RE-minority populations.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-18"},"PeriodicalIF":1.1,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368911","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":"Effects of expressive writing on drug craving and symptoms of anxiety and depression in Chinese community-based drug use disorder rehabilitation: A randomized controlled trial.","authors":"Shimei Jin, Shumei Zhuang, Linan Wang, Xiaoxu Shang, Yan Liu, Lei Shi, Xinran Zhu","doi":"10.1080/15332640.2025.2516558","DOIUrl":"https://doi.org/10.1080/15332640.2025.2516558","url":null,"abstract":"<p><p>The aim of this study was to assess the effects of expressive writing on drug craving and symptoms of anxiety and depression among Chinese patients experiencing community-based drug use disorder rehabilitation. It was a multicenter, single-blind, randomized controlled trial. A total of 153 participants were recruited and provided with a 4-week intervention. They were randomly assigned to two groups: apart from routine community rehabilitation, one received expressive writing intervention (trial group) and the other received traditional psychological counseling (control group). Data were collected at baseline and after the intervention, while statistical analysis was performed by SPSS 23.0 software. After the 4-week intervention, endpoint scores of anxiety, depression, and drug craving were significantly lower in the trial group than in the control group (<i>p</i> < 0.05). In addition, reductions in anxiety, depression, and drug craving scores were greater in the trial group compared to the control group during the intervention (<i>p</i> < 0.001). Therefore, expressive writing was a safe, noninvasive, effective, and replicable therapeutic approach that worked well in alleviating the psychosocial dilemmas and mental stress of people who misuse drugs in the process of community-based detoxification, relapse prevention, and resocialization.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-20"},"PeriodicalIF":1.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325943","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":"Strained patient-provider relationship, unmotivated workforce, financial constraints, and stigma: Multiple challenges in integrating mental health care within Vietnam's methadone clinics.","authors":"Nguyen Thu Trang, Nguyen Huu Anh, Han Dinh Hoe, Dinh Thi Thanh Thuy, Le Minh Giang, Le Sao Mai, Duong Thi Huong, Hoang Thi Giang, Philippe Trouiller, Laurent Michel","doi":"10.1080/15332640.2025.2513484","DOIUrl":"10.1080/15332640.2025.2513484","url":null,"abstract":"<p><p>This study examined current mental health practices in methadone treatment in Vietnam. We conducted 23 interviews with participants with methadone experiences (<i>n</i> = 12), methadone physicians (<i>n</i> = 6), counselors (<i>n</i> = 5), and one focus group with family members. Mental health issues were primarily identified through casual observation, on-site support was limited, and referrals to psychiatric care were rarely pursued. Four factors shaped this situation: (1) a strained patient-provider relationship; (2) an inadequately trained, unstable, unmotivated workforce; (3) participants' financial constraints; and (4) mental health stigma and misconception. Addressing system-level factors to enforce treatment guidelines and improve provider working conditions is critical to improving care quality.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-21"},"PeriodicalIF":1.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317075","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":"Culturally related risk and protective factors for alcohol and marijuana use among Latinx college students.","authors":"Andrea Rodriguez-Crespo, Miguel A Garcia, Ariana Borges Cervantes, Julian A Ochoa, Theodore V Cooper","doi":"10.1080/15332640.2025.2517776","DOIUrl":"https://doi.org/10.1080/15332640.2025.2517776","url":null,"abstract":"<p><p>College students indicate high use of alcohol and marijuana; cultural influences may affect substance use. This study assessed the associations between alcohol and marijuana past 30-day use, and microaggressions, acculturation, and familism among Latinx college students. Participants (<i>n</i> = 484) completed measures, and structural equation modeling was used to yield results. Findings suggested that microaggressions were a risk factor for alcohol use, (<i>B</i> = -1.29, <i>p</i> = .007) while acculturation was a risk factor for marijuana use (<i>B</i> = 1.06, <i>p</i> = .011). No other statistically significant associations with alcohol or marijuana past 30-day use were observed. Culturally based prevention and intervention efforts appear warranted.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-18"},"PeriodicalIF":1.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317073","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":"Self-stigma of individuals with alcohol dependence in Turkey: A qualitative study.","authors":"Seval Cuceler Yalmancıoglu, Mualla Yılmaz","doi":"10.1080/15332640.2025.2521128","DOIUrl":"https://doi.org/10.1080/15332640.2025.2521128","url":null,"abstract":"<p><p>This study aims to determine the self-stigma of individuals with alcohol dependence in Turkey. In this study, a qualitative research approach and content analysis were used. Also, the phenomenological design was implemented, which is one of the qualitative research approaches. The study group of the research consisted of 37 alcohol-dependent individuals receiving inpatient treatment in an addiction treatment center (AMATEM) in Turkey. The data for this study were collected between January 14 and May 22, 2020. Two main themes emerged: 1) Opinions of Alcohol-Dependent Individuals on Themselves 2) Opinions of Society on Alcohol-Dependent Individuals. Also, seven sub-themes emerged regarding these themes. This study determined the self-stigmatization of alcohol-dependent individuals, their regrets, and the effect of culture and Islamic religion on self-stigmatization. At the research, alcohol-dependent individuals stated that they stigmatized, despised, and loathed themselves and alcohol consumers in general. In line with these results, combatting against social stigma toward alcohol-dependent individuals and providing the individuals stigmatizing themselves (self-stigma) or addicted to alcohol with training on alcohol dependence and stigma prevention are recommended.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-20"},"PeriodicalIF":1.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317074","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":"Retrospective analysis of disparities and excess mental health, opioid and alcohol mortality associated with the COVID-19 pandemic.","authors":"Besher Shami, Sadeer G Al-Kindi, Mustafa Al-Jammal, Scott E Janus, Eddie Hackler, Tarek Chami, Abid Haisam, Muhammad Imtiaz Ahmad","doi":"10.1080/15332640.2025.2507774","DOIUrl":"https://doi.org/10.1080/15332640.2025.2507774","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has caused a devastating increase in morbidity and mortality; however there is limited understanding of the continued toll of COVID-19 on mental health, opioid and alcohol related deaths.</p><p><strong>Methods: </strong>We conducted a cross-sectional, retrospective study designed using the Wide Ranging Online Data for Epidemiologic Research database from the United States (US) Center for Disease Control. This database contains all death certificate information on US residents. We examined trends of excess death by mental health and substance abuse (opioid and alcohol) among racial groups. Excess death was defined as the difference between observed number of deaths in a time period compared to the historic/expected number of deaths in a prior period. We compared mortality rates in the reference period 2018-2019 (pre-pandemic) with 2020-2021 (early pandemic), and 2022-2023 (late pandemic). We compared excess mortality in racial subgroups of Black and White individuals. Mental health deaths were attributed by International Statistical Classification of Diseases (ICD) F06, F10-F19, F20-F29, F51, F51-F60 opioid deaths (ICD X40-X44, X60-X64, X85, Y10-Y14), and alcohol deaths (ICD E24.4, F10, G31).</p><p><strong>Results: </strong>Compared to referent period (2018-2019), there was an increase in deaths attributed to Mental and Behavioral Disorders by 35.9% in 2020-2021 (early) and by 30.1% in 2022-2023 (late). This was consistent across opioid related mortality with an increase by 43.5% in 2020-2021 and 36.1% in 2022-2023, and increase in alcohol related deaths by 35.3% in 2020-2021 and 28.1% in 2022-2023. On subgroup analysis Black compared to white individuals demonstrated significantly increased rates of mortality due to Mental health (43.6% vs 34.4% <i>p</i> = 0.0029) in 2020-2021. This disparity was especially seen in excess opioid mortality in Black compared to white individuals (75.3% vs 36.8% <i>p</i> < 0.0001 in 2020-2021, and 89.5% vs 24.7% in 2022-2023 <i>p</i> < 0.0001). Black individuals compared to white individuals had excess death due to alcohol (43.5% vs 33.6%, <i>p</i> value 0.0002) in 2020-2021.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic has led to significant and persistent increase in mental health and substance abuse mortality. Excess mortality has significantly and disproportionately affected Black individuals compared to white individuals, highlighting the need for future studies to identify and eliminate the healthcare disparities.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293854","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":"Development and evaluation of the environmental factors in drug abuse tendency instrument among adolescents in Malaysia.","authors":"Nurliana Suhaini, Faudziah Yusof, Siti Marhamah Kamarul Arifain, Syazwana Aziz, Muhamad Syamiezy Sidek","doi":"10.1080/15332640.2025.2509245","DOIUrl":"https://doi.org/10.1080/15332640.2025.2509245","url":null,"abstract":"<p><p>Adolescent drug abuse is a growing issue globally, including in Malaysia, with increasing rates. However, there is limited research on tools assessing adolescents' vulnerability to substance abuse, particularly using Bronfenbrenner's Ecological Theory. To fill this gap, this study aimed to develop and validate the Environmental Factors in Drug Abuse Tendency Instrument content validation and statistical analyses. Content validity was established through expert reviews, with 10 experts assessing the questionnaire. The instrument achieved a high Content Validity Index (CVI) of >0.80, indicating strong agreement among experts. Construct validity was examined using Exploratory Factor Analysis (EFA), revealing that from the original 43 items, only 10 items were retained due to empirical factor loadings. The final instrument measured a single environmental factor contributing to 19.1% of the total variance, with factor loadings ranging from .352 to .674. Additionally, the reliability assessment using Cronbach's alpha demonstrated a high internal consistency of 0.793, exceeding the acceptable threshold of 0.70. These findings suggest that while content validity was robust, the construct validation process led to significant item reduction, highlighting the importance of rigorous statistical validation. This instrument provides a validated measure for assessing environmental influences on adolescent drug abuse tendencies. It offers valuable insights for policymakers, educators, and intervention programs in designing targeted strategies to mitigate adolescent substance abuse.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-27"},"PeriodicalIF":1.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144266410","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}