Journal of Substance Use最新文献

Predictors of Enacted Stigma Following Disclosure Among People in Recovery From Opioid Use Disorder: A Machine Learning Approach. 从阿片类药物使用障碍中恢复的人披露后颁布的耻辱的预测因素：一种机器学习方法。

IF 0.6 4区医学

Journal of Substance Use Pub Date : 2025-07-07 DOI: 10.1080/14659891.2025.2529806

Mohammad Mousavi, Ethel Virginia Sticinski, E Carly Hill, Natalie M Brousseau, Jessica Hulsey, Lynn M Morrison, John F Kelly, Annie B Fox, Valerie A Earnshaw

{"title":"Predictors of Enacted Stigma Following Disclosure Among People in Recovery From Opioid Use Disorder: A Machine Learning Approach.","authors":"Mohammad Mousavi, Ethel Virginia Sticinski, E Carly Hill, Natalie M Brousseau, Jessica Hulsey, Lynn M Morrison, John F Kelly, Annie B Fox, Valerie A Earnshaw","doi":"10.1080/14659891.2025.2529806","DOIUrl":"https://doi.org/10.1080/14659891.2025.2529806","url":null,"abstract":"Objective: Individuals who are in recovery from opioid use disorder experience enacted stigma, which can undermine treatment retention and recovery. Stronger understanding of who is at risk of experiencing enacted stigma can inform intervention efforts to reduce experiences of enacted stigma, enhance wellbeing, and promote treatment outcomes among people in recovery from OUD. The current study applies a machine learning framework to examine predictors of enacted stigma among people in recovery from OUD.Methods: This study employed a longitudinal approach, with n=112 participants responding to surveys before a possible disclosure and again after three months. We tested three different machine learning models and used a variety of performance metrics to evaluate model performance.Results: The random forest model performed the best with an R-squared of 0.85, indicating that our predictors explained 85% of the variance in enacted stigma. Important predictors of enacted stigma were recovery duration, age, disclosure, current issues with drugs, and sobriety commitment.Conclusions: Individuals who are in recovery for a shorter time, did not disclose, have greater issues with drugs, and are younger were at higher risk of experiencing enacted stigma. Interventions may be needed to address stigma among people with these characteristics in treatment for OUD.","PeriodicalId":17097,"journal":{"name":"Journal of Substance Use","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12311684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958628","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}

引用次数: 0

Estimating the transition from alcohol drinking onset to alcohol dependence within the first year of use in the United States, 2002-2019. 估计2002-2019年美国第一年从饮酒开始到酒精依赖的转变。

IF 0.6 4区医学

Journal of Substance Use Pub Date : 2025-06-08 DOI: 10.1080/14659891.2025.2512529

Madison O Walsh, Kipling M Bohnert, Cara A Poland, James C Anthony

{"title":"Estimating the transition from alcohol drinking onset to alcohol dependence within the first year of use in the United States, 2002-2019.","authors":"Madison O Walsh, Kipling M Bohnert, Cara A Poland, James C Anthony","doi":"10.1080/14659891.2025.2512529","DOIUrl":"https://doi.org/10.1080/14659891.2025.2512529","url":null,"abstract":"Background and objectives: Alcohol continues to be one of the most consumed substances worldwide, with unhealthy use on the rise. This study investigates the transition from the first full drink to the onset of alcohol dependence within 12 months among individuals with newly incident alcohol use in the United States.Methods: Data come from the US National Surveys on Drug Use and Health (2002-2019), encompassing 67,135 participants, with assessments via confidential computer-assisted self-interviews. Newly incident drinkers had their first full drink no more than 12 months before evaluation. Alcohol dependence (AD) was based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).Results: We found that an estimated 1.7% of individuals transition into alcohol dependence within the first year of alcohol use (95% CI = 1.5-1.9). The study includes a diverse age group and emphasizes a shorter transition time between initiation and dependence compared to previous studies.Scientific significance: Results reflect the possibility of a rapid transition to dependence within the first year of alcohol use and help identify a high-risk group that could benefit from more specialized public health prevention and intervention strategies.","PeriodicalId":17097,"journal":{"name":"Journal of Substance Use","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958617","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}

引用次数: 0

Awareness, perceptions, and use of e-cigarettes among medical university students in Tbilisi, Georgia. 格鲁吉亚第比利斯医科大学学生对电子烟的认识、认知和使用

IF 0.6 4区医学

Journal of Substance Use Pub Date : 2025-05-29 DOI: 10.1080/14659891.2025.2512524

Lasha Dvali, Yuxian Cui, Lia Gumbaridze, Levan Baramidze, Nino Kiladze, Lela Sturua, Carla J Berg

{"title":"Awareness, perceptions, and use of e-cigarettes among medical university students in Tbilisi, Georgia.","authors":"Lasha Dvali, Yuxian Cui, Lia Gumbaridze, Levan Baramidze, Nino Kiladze, Lela Sturua, Carla J Berg","doi":"10.1080/14659891.2025.2512524","DOIUrl":"10.1080/14659891.2025.2512524","url":null,"abstract":"Background: The e-cigarette industry has targeted low- and middle-income countries and young adults, suggesting the particular susceptibility of populations at the intersection. This study assessed e-cigarette perceptions, use, and use intention among college students in Georgia, an LMIC with high smoking rates.Methods: We analyzed 2023 cross-sectional survey data among 225 students (Mage=21.68, SD=3.43; 56.4% female) at a large medical university in Tbilisi, Georgia. Multivariable regression analyses assessed sociodemographics, tobacco use, and e-cigarette perceptions in relation to past-month e-cigarette use and next-year use intentions.Results: Past-month use of cigarettes and e-cigarettes was 44.9% and 23.3%, respectively. The most common sources of initial exposure were friends/family (72.2%), followed by media (25.6%). The most common reasons for initiation were curiosity (49.6%), friends' use (28.5%), cigarette cessation (15.5%), and lower perceived risk versus cigarettes (2.4%). Past-month e-cigarette use was associated with past-month cigarette use (p<.001), being more informed about e-cigarettes (p=.001), and more favorable e-cigarette perceptions (p=.009). Greater next-year e-cigarette use intent was associated with past-month e-cigarette use and perceiving e-cigarettes as less of a public health problem (p=.029).Discussion: Enhanced regulatory and educational efforts must address e-cigarette use and related factors among young adults in Georgia and countries with similar contexts.","PeriodicalId":17097,"journal":{"name":"Journal of Substance Use","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131036","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}

引用次数: 0

Buprenorphine provider preferences to expanding harm reduction services in rural and suburban primary care settings: a short report. 丁丙诺啡提供者倾向于在农村和郊区初级保健机构扩大减少危害服务：一份简短报告。

IF 0.6 4区医学

Journal of Substance Use Pub Date : 2025-02-10 DOI: 10.1080/14659891.2025.2460841

Babak Tofighi, Neelufar Sarah Franklin, Ethan Wolf, Helen Maria-Lekas, Crystal Fuller Lewis

{"title":"Buprenorphine provider preferences to expanding harm reduction services in rural and suburban primary care settings: a short report.","authors":"Babak Tofighi, Neelufar Sarah Franklin, Ethan Wolf, Helen Maria-Lekas, Crystal Fuller Lewis","doi":"10.1080/14659891.2025.2460841","DOIUrl":"10.1080/14659891.2025.2460841","url":null,"abstract":"Introduction: The opioid overdose crisis continues to worsen in suburban and rural regions. Expanding harm reduction approaches in primary care offers a patient-centered approach to reduce opioid overdoses.Methods: We conducted a semi-structured survey among 26 buprenorphine prescribers to assess acceptability of office-based harm reduction strategies for people who use opioids (PWUOs) and expanding partnerships with community stakeholders to ensure low-threshold access to buprenorphine.Results: Respondents were mostly very or somewhat supportive of providing HIV testing (96.2%), information on opioid overdose prevention (100%), safe syringe disposal (100%) and use (100%), and referrals to free HIV testing (100%), social services (100%), naloxone sales in community pharmacies (96.2%) and partnering with pharmacists to facilitate referrals for patients requesting buprenorphine treatment (84.6%). Suggested strategies for enhancing care for PWUOs included addressing insurance-related barriers (e.g., prior authorization requirements, insufficient reimbursements), lifting of limits on patients prescribed buprenorphine, allowing for safe-injection sites, lifting urine drug testing requirements, integrating social services and mental health providers within primary care, and expanding the use of telebuprenorphine services.Conclusion: Findings from this study suggest strong buprenorphine provider support for adopting harm reduction strategies in primary care and collaborating with community pharmacists to facilitate referrals for PWUOs.","PeriodicalId":17097,"journal":{"name":"Journal of Substance Use","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040591","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}

引用次数: 0

Sex Differences in Opioid Misuse among Adults with Chronic Lower Back Pain: The Roles of Negative Affect and Related Transdiagnostic Factors. 成人慢性下背痛阿片类药物滥用的性别差异：负面情绪和相关的跨诊断因素的作用

IF 0.6 4区医学

Journal of Substance Use Pub Date : 2025-02-09 DOI: 10.1080/14659891.2025.2461288

Julia D Buckner, Caroline R Scherzer, Luke A Vargo, Paige E Morris, Andrew H Rogers, Michael J Zvolensky

{"title":"Sex Differences in Opioid Misuse among Adults with Chronic Lower Back Pain: The Roles of Negative Affect and Related Transdiagnostic Factors.","authors":"Julia D Buckner, Caroline R Scherzer, Luke A Vargo, Paige E Morris, Andrew H Rogers, Michael J Zvolensky","doi":"10.1080/14659891.2025.2461288","DOIUrl":"10.1080/14659891.2025.2461288","url":null,"abstract":"Background: The opioid epidemic is a significant public health concern, particularly among adults with chronic pain. Although sex differences in opioid-related behaviors have been observed, little work has examined the role of negative affect and related variables in greater opioid misuse severity risk among men.Methods: We tested whether, among 206 (72.3% female) adults (aged 18-64, M = 45.5) with chronic lower back pain (CLBP), the relation of sex with opioid misuse severity would be moderated by a range of negative affect-related variables (anxiety, depression, pain anxiety, pain catastrophizing, difficulty with emotion regulation, anxiety sensitivity, and distress intolerance).Results: Although these negative affect-related variables were related to more severe opioid misuse for both men and women, the relation of sex to misuse varied as a function of the following variables: anxiety, pain anxiety, pain catastrophizing, and difficulty with emotion regulation, such that at higher levels of these variables, men reported more severe opioid misuse than women. This same pattern was not evident for depression, anxiety sensitivity, or distress intolerance.Conclusions: Results highlight the important roles specific types of negative affect-related variables may play in observed sex differences in opioid misuse severity among individuals with CLBP.","PeriodicalId":17097,"journal":{"name":"Journal of Substance Use","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12396578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958674","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}

引用次数: 0

Sex Differences in State Level Prevalence of Alcohol Use among Black Women and Men in the United States. 美国黑人女性和男性州一级酒精使用流行率的性别差异

IF 0.6 4区医学

Journal of Substance Use Pub Date : 2024-09-24 DOI: 10.1080/14659891.2024.2407627

Naomi Greene, Kechna Cadet, Lorraine T Dean, Renee M Johnson

引用次数: 0

The role of psychological symptoms in the relationship between adverse childhood experiences and substance use 心理症状在童年不良经历与药物使用之间的关系中的作用

IF 0.8 4区医学

Journal of Substance Use Pub Date : 2024-09-16 DOI: 10.1080/14659891.2024.2403763

Melissa Merkley, Kimberly Renk

引用次数: 0

Are my peers impulsive? Normative perceptions of impulsivity and associations with personal impulsivity and alcohol use outcomes 我的同伴冲动吗？对冲动性的规范认知以及与个人冲动性和酒精使用结果的关联

IF 0.8 4区医学

Journal of Substance Use Pub Date : 2024-09-16 DOI: 10.1080/14659891.2024.2403061

A. L. Stamates, S. M. Todaro, M. C. Rothstein, A. L. Sherman, T. J Nolan

引用次数: 0

Substance abuse prevention strategies in higher education institutions: a review 高等教育机构的药物滥用预防战略：综述

IF 0.8 4区医学

Journal of Substance Use Pub Date : 2024-09-16 DOI: 10.1080/14659891.2024.2403761

Anwar M. Makeen

引用次数: 0

Differences and interactions between intrinsic and extrinsic motivations that drive smokers to quit and to continue smoking: a qualitative analysis 促使吸烟者戒烟和继续吸烟的内在动机与外在动机之间的差异和相互作用：定性分析

IF 0.8 4区医学

Journal of Substance Use Pub Date : 2024-09-16 DOI: 10.1080/14659891.2024.2403068

Nili Brown, Susan Limon, Shirley Cohen, Tzvia Kessel, Miriam Farkash, Yael Bar-Zeev

引用次数: 0