Journal of Ethnicity in Substance Abuse最新文献

{"title":"Toxicology-confirmed drug exposure in Brazilian children: a case series from a Poison Center.","authors":"Vítor Camargo Pôrto, Bruno Pereira Dos Santos, Letícia Birk, Sabrina Nunes do Nascimento, Viviane Cristina Sebben, Carlos Augusto Mello-da-Silva, Patrícia de Souza Schwarz, Tiago Franco de Oliveira, Sarah Eller","doi":"10.1080/15332640.2026.2665728","DOIUrl":"https://doi.org/10.1080/15332640.2026.2665728","url":null,"abstract":"<p><p>Drug use affects a significant portion of the Brazilian population, which increases the likelihood of children being exposed to illicit drug environments, making them a particularly vulnerable group. This study describes the profile of illicit drug exposure in children up to 12 years in Rio Grande do Sul state, Brazil, based on emergency cases. Data were collected from suspected intoxication cases attended between 2018 and 2023 in children ≤12 years old. Urine samples were analyzed for cocaine and its metabolites, THC-COOH, and amphetamine-type stimulants using LC-MS/MS. Information about the cases was also collected. Of 286 suspected cases, 32.9% detected at least one illicit drug. Cocaine and its metabolites were the most common (24.8%), followed by THC-COOH (9.4%) and MDA/MDMA (2.1%). Among detected drug cases, 56.4% were male. The mean age was 3.4 ± 3.5 years, with the highest incidence in 1 to 4-year-olds (47.9%). Exposure circumstances included accidental (37.2%), mistreatment/violence (8.5%), and abuse (2.1%). Most exposures occurred at home (58.5%). A notable prevalence of illicit drugs, mainly cocaine, was found. These data show a worrying scenario of drug exposure, primarily involving children aged 1 to 4 years. Above all, it also demonstrates a high frequency of exposure to illicit drugs in their own homes. The findings provide a solid basis for toxicovigilance activities and the development of public health policies aimed at protecting the vulnerable pediatric population.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-15"},"PeriodicalIF":1.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838663","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 examination of high school students' knowledge levels, usage patterns and associated factors regarding electronic cigarettes.","authors":"Melike Dissiz, Zehra Acar, Asiye Sena Aykol, Eray Gurkan, Berna Cevik, Iremnur Demirel, Helin Guler","doi":"10.1080/15332640.2026.2634064","DOIUrl":"https://doi.org/10.1080/15332640.2026.2634064","url":null,"abstract":"<p><p>This study aims to determine high school student's knowledge levels and usage patterns concerning electronic cigarettes. This descriptive and cross-sectional study was conducted with 354 high school students studying in a district of Istanbul between September-December, 2025. Data were collected online using a Descriptive Information Form that inquired about individual characteristics and electronic cigarette use. The mean age of the students was 16.14 ± 1.21 years, and 64.4% were female. While 15% of the students reported smoking cigarettes, 59.6% had at least one parent who smoked. Additionally, 69.4% of the students began smoking between the ages of 13 and 15. Electronic cigarette usage was reported by 9.3% of the students, and 25.1% reported considering using e-cigarettes in the future. Only 38.6% of the students were aware of the harms of electronic cigarettes, with most information being obtained from friends, social media, and their environment. Compared to traditional cigarettes, 28% of students disagreed that electronic cigarettes are less harmful, 38.2% disagreed that they are less addictive, and 39% were undecided on whether electronic cigarettes are cheaper. Furthermore, 52.8% of students stated that electronic cigarettes are popular in social settings, while 62.4% believed they are completely harmless. It is recommended that awareness and educational programs related to cigarettes and electronic cigarettes be provided at an early age to raise awareness and inform young people on this issue.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-16"},"PeriodicalIF":1.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838706","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":"Ethno-territorial features of psychotherapy rehabilitation models in addictive communities abusing synthetic cannabinoids.","authors":"N A Bokhan, G Yu Selivanov, S V Vladimirova","doi":"10.1080/15332640.2026.2657005","DOIUrl":"10.1080/15332640.2026.2657005","url":null,"abstract":"<p><p><b>Objective:</b> To develop a program of psychotherapeutic rehabilitation for mental patients who abuse synthetic cannabinoids and to describe phenomenon of this comorbidity. <b>Object of study:</b> The total sample included 311 young men dependent on synthetic cannabinoids: 169 with specific and persistent personality disorders and 142 with paranoid schizophrenia. <b>Methods:</b> Follow-up, clinical-psychopathological, psychometric (ICD-10, CGI, GAF, SANS), statistical methods were used. <b>Results and discussion:</b> The developed psychotherapeutic rehabilitation program for people with drug addiction, replacing the need for drugs with the need to stay in socially acceptable addictive groups, allows to improve the quality and duration of remissions, reduce the frequency of drug addiction, improve their condition and functioning.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815441","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":"Between endurance and survival: Palestinian mothers' narratives of addiction and the dilemma of divorce.","authors":"Bilal Hamamra, Noor Soleiman, Fayez Mahamid","doi":"10.1080/15332640.2026.2663929","DOIUrl":"https://doi.org/10.1080/15332640.2026.2663929","url":null,"abstract":"<p><p>This study examines how Palestinian mothers living with addicted husbands navigate the moral and psychological dilemma between staying in marriage and pursuing divorce. Drawing on thematic analysis of 30 first-person narratives shared in digital peer-support spaces in the occupied West Bank, the study conceptualizes addiction not only as a behavioral condition but as a relational and moral rupture that reorganizes family life. Findings reveal that marital decision-making is profoundly shaped by stigma, gendered expectations, and intensive social surveillance that frame divorce as a socially punitive act while moralizing women's endurance as maternal virtue. Mothers describe prolonged psychological distress marked by fear, depression, emotional paralysis, and life lived in suspension, as they weigh personal survival against children's wellbeing and anticipated social judgment. Children emerge as the central ethical justification for both staying and leaving, producing deep moral ambivalence. While endurance is normalized as duty and sacrifice, leaving is narrated as an act of reclaimed agency and moral resistance. The study challenges individualistic models of choice and highlights how motherhood operates simultaneously as a source of meaning and a mechanism of social regulation in addiction-affected marriages.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-18"},"PeriodicalIF":1.2,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816164","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 associated with recovery capital among individuals with substance use disorders across treatment modalities in Iran.","authors":"Fahimeh Shabanpur, Fardin Alipour, Yahya Salimi, Mostafa Mardani, Amir Moghanibashi-Mansourieh, Mohammad Sabzi Khoshnami","doi":"10.1080/15332640.2025.2610668","DOIUrl":"https://doi.org/10.1080/15332640.2025.2610668","url":null,"abstract":"<p><p>Substance use disorders (SUDs) present persistent challenges for effective treatment and relapse prevention. Understanding the factors that support sustained recovery is therefore critical. Recovery capital, encompassing the internal and external resources that facilitate the initiation and maintenance of recovery, is recognized as a key determinant of long-term recovery outcomes. This study examines factors associated with recovery capital among individuals with SUDs across different treatment modalities in Iran. In this cross-sectional study, 332 individuals in recovery from SUDs were recruited in 2024 through cluster sampling from outpatient and community-based treatment settings. Guided by a socioecological framework, individual, social, and treatment-related factors were assessed. Data were collected using validated questionnaires measuring recovery capital, perceived social support, and perceived quality of life and satisfaction, along with demographic and substance use-related variables. Multiple linear regression analyses were conducted using SPSS. Recovery capital was significantly associated with gender (<i>p</i> = 0.005), marital status (<i>p</i> < 0.001), employment status (<i>p</i> < 0.001), predominant substance type (<i>p</i> < 0.001), stage of recovery (<i>p</i> = 0.004), relapse history (<i>p</i> = 0.034), and treatment modality (<i>p</i> < 0.001). Higher recovery capital was also strongly correlated with greater perceived social support (<i>p</i> < 0.001), perceived quality of life and satisfaction (<i>p</i> < 0.001), and engagement in meaningful activities (<i>p</i> < 0.001). In multivariable analysis, perceived social support, perceived quality of life and satisfaction, living arrangements, and treatment modality jointly explained 44% of the variance in recovery capital. Recovery capital appears to be shaped by modifiable social and contextual resources, in addition to demographic and treatment-related factors. The strong associations with social support and perceived well-being highlight the importance of integrating psychosocial and quality-of-life-focused strategies into routine SUD services to strengthen recovery resources across treatment settings.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-12"},"PeriodicalIF":1.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773196","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":"\"They learned fear before letters\": Palestinian mothers' narratives of childhood in households affected by addiction.","authors":"Bilal Hamamra, Noor Soleiman, Naeem Salameh","doi":"10.1080/15332640.2026.2661674","DOIUrl":"10.1080/15332640.2026.2661674","url":null,"abstract":"<p><p>Parental substance use is widely recognized as a source of household instability with adverse consequences for children, yet limited research has examined how such harm is lived and interpreted within contexts of prolonged structural constraint. This qualitative study explores Palestinian mothers' narratives of childhood in households affected by paternal substance use in the occupied West Bank. Drawing on 30 first-person narratives shared on digital platforms, the analysis examines how fear, violence, emotional neglect, and stigma shape children's everyday lives over time. Using thematic analysis, five interrelated themes were identified: constant fear and unpredictability, exposure to violence and the normalization of harm, emotional neglect and premature responsibility, stigma and social isolation, and long-term psychological consequences coupled with fear of repetition. Mothers' accounts reveal childhood fear as anticipatory and cumulative, embedded in daily routines rather than confined to discrete events. The findings show how this behavior-related harm is intensified by political, economic, and social pressures that constrain protection and silence disclosure. By centering mothers as moral witnesses, the study reframes parental behavior as a sustained family condition that restructures childhood, identity formation, and future orientation.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-17"},"PeriodicalIF":1.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773203","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":"Coping strategies of single parents to young adults' substance misuse in small-scale mining communities in Ghana.","authors":"Philip Asamoah, Kingsley Saa-Touh Mort, Kwabena Frimpong-Manso, Portia Nana Ama Brempong","doi":"10.1080/15332640.2026.2659744","DOIUrl":"https://doi.org/10.1080/15332640.2026.2659744","url":null,"abstract":"<p><p>Substance misuse among young adults is increasingly becoming a public health concern in Ghana's small-scale mining communities, especially among young miners, where socioeconomic vulnerabilities and limited access to support services intensify the issue. While there is evidence on the challenges that families face because of young adults' substance misuse, there is limited evidence on the strategies they use to cope with them. This study aims to explore the coping strategies used by single female parents of young adults misusing substances in small-scale mining communities of southwestern Ghana. Fourteen participants were purposively selected to take part in in-depth semi-structured interviews. The findings were analyzed thematically. The mean age of participants was 54.6 years. Findings revealed three main coping strategies that were used by the parents: parental monitoring, resorting to spirituality, and informal support networks. Study implications include having parent-support groups, providing psychoeducation to parents, and implementing anti stigma campaigns to enhance help seeking attitudes.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773193","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 of cannabis use in psychosis-affected youth: Insights from an Ontario-based early intervention cohort.","authors":"Naseem Abdulmohi Alhujaili, Oyedeji Ayonrinde","doi":"10.1080/15332640.2026.2657003","DOIUrl":"https://doi.org/10.1080/15332640.2026.2657003","url":null,"abstract":"<p><p>Cannabis use has long been linked to the emergence and worsening of psychotic disorders, particularly among adolescents and young adults. This study aimed to determine the prevalence of cannabis use and its psychiatric associations in youth and young adults enrolled in an Early Psychosis Intervention (EPI) program in Southeast Ontario. A retrospective cross-sectional analysis was conducted on 116 individuals aged 14-35 who were consecutively enrolled in the EPI program between 2016 and 2019. Data on demographic characteristics, psychiatric diagnoses, and self-reported cannabis use were extracted from clinical records. Statistical analyses were performed to examine associations between cannabis use and variables such as age, gender, educational background, and psychiatric comorbidities. Cannabis use was self-reported by 82.8% of participants. The majority of users were male, and use was most prevalent among individuals aged 18-25. A significant association was found between cannabis use and diagnoses of substance-induced psychosis (p < 0.001). Lower levels of formal education were more frequent among cannabis users compared to non-users (p = 0.004).This study identified a strikingly high rate of cannabis use among youth engaged in early psychosis care, particularly among males and young adults in their early twenties. The findings underscore the importance of routine screening, targeted psychoeducation, and harm reduction strategies within EPI programs. Given the strong association with substance-induced psychosis, early identification and integrated treatment approaches are essential to improve long-term outcomes in this population.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-14"},"PeriodicalIF":1.2,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773238","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":"Evaluating risk factors and protective clinical interventions for opioid use disorder and overdose in American Indian/Alaska Native populations.","authors":"Fares Qeadan, Erin F Madden, Benjamin Tingey, Jamie Egbert, Kamilla L Venner, Kevin English","doi":"10.1080/15332640.2026.2657000","DOIUrl":"10.1080/15332640.2026.2657000","url":null,"abstract":"<p><p>American Indian/Alaska Native (AI/AN) populations often experience higher rates of opioid use disorder (OUD) and opioid overdose deaths compared to other racial/ethnic groups. This study evaluates modifiable risk factors and protective clinical interventions for OUD and overdose prevention interventions among AI/AN patients to understand potential points of intervention. This retrospective cohort study utilized electronic health record data from the Oracle Cerner Real-World Database. The sample included AI/AN individuals aged ≥12 years with an index encounter for opioid prescription or a new OUD diagnosis between January 2006 - January 2021. Modifiable risk factors and protective clinical interventions or overdose prevention interventions included opioid and benzodiazepine co-occurrence, polysubstance use, and interventions such as medications for opioid use disorder (MOUD), safe substance use education, naloxone prescription, and urine drug testing. Adjusted hazard ratios (aHRs) were obtained via Cox Proportional-Hazard regressions. Individuals with a co-occurrence of opioids and benzodiazepines had a higher risk of developing OUD (aHR 1.32, 95% CI 1.19-1.45). Polysubstance use was significantly associated with an increased risk of OUD (aHR 1.85, 95% CI 1.58-2.17) and opioid overdose (aHR 1.47, 95% CI 1.04-2.09). Receiving safe substance use education was associated with a 19% lower risk of OUD (aHR 0.81, 95% CI 0.68-0.98). Prescriptions for naloxone (aHR 0.39, 95% CI 0.17-0.89) or MOUD (aHR 0.25, 95% CI 0.13-0.49) were associated with a lower risk for opioid overdose. The findings highlight key clinical practices and patient behaviors that may significantly affect the risk of OUD and overdose for AI/AN populations.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-24"},"PeriodicalIF":1.1,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13221711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773250","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":"Exploring motivational interviewing's technical hypothesis with emerging adults from racial or ethnic minority groups with heavy alcohol use.","authors":"María Eugenia Contreras-Pérez, Eric Wagner, Michelle Hospital, Staci Leon Morris, Suzanne M Colby, Molly Magill","doi":"10.1080/15332640.2026.2657002","DOIUrl":"10.1080/15332640.2026.2657002","url":null,"abstract":"<p><p>Emerging adults from minority racial and ethnic backgrounds are rarely represented in alcohol intervention research, limiting our understanding of how these interventions function across different subgroups. This study examines whether in-session distal (i.e., decision-making that is directly about behavioral change) and proximal change talk (i.e., decisions about indirect coping activities or lifestyle changes that may facilitate behavioral change) mediate motivation to change alcohol use and strategies to limit drinking after a Brief Motivational Interview session. We also explore if racial or ethnic minority status moderates the relationship between treatment and client language mediators. Analyses used the PROCESS macro for mediation and moderated-mediation analysis. Bootstrap results testing the significance of the indirect effect indicated that Proportion Change Talk Distal mediated motivation to change alcohol use at the three-month follow-up. Other mediated effects were non-significant, and racial or ethnic group (White vs. Non-White participants) did not moderate the mediation models. Additional studies are needed to confirm and refine these preliminary results.</p>","PeriodicalId":15812,"journal":{"name":"Journal of Ethnicity in Substance Abuse","volume":" ","pages":"1-19"},"PeriodicalIF":1.1,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13359032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716873","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}