Journal of studies on alcohol and drugs最新文献

{"title":"Individual Neurobiological Heterogeneity and Demographic Concentration as Compounding Validity Threats in Cannabis-Aging Neuroimaging Research.","authors":"Thorsten Rudroff","doi":"10.15288/jsad.26-00170","DOIUrl":"https://doi.org/10.15288/jsad.26-00170","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences in Gender-Sexuality Alliances and School-Based Victimization Show Limited Differences in Alcohol Use Among Sexual and Gender Minority Adolescents.","authors":"Wouter J Kiekens, Ethan H Mereish, V Paul Poteat","doi":"10.15288/jsad.25-00449","DOIUrl":"https://doi.org/10.15288/jsad.25-00449","url":null,"abstract":"<p><strong>Objective: </strong>Sexually and gender-minoritized (SGM) adolescents report higher rates of alcohol use and heavy episodic drinking than their heterosexual, cisgender peers. School-based victimization is a known risk factor, but less research considers protective school factors such as experiences in Gender-Sexuality Alliances (GSAs). The present study takes a person-centered approach to examine how experiences in GSAs and with school-based victimization relate to alcohol use and heavy episodic drinking among SGM members.</p><p><strong>Method: </strong>Data stem from a study on members' GSA experiences (N = 469; <i>M age</i> = 15.57, <i>SD</i> = 1.35). We focused on support/socializing, advocacy, and information/resources in GSAs and school-based victimization. We conducted latent profile analyses to examine different patterns in GSA experiences and victimization. Then, we assessed the association between profile membership and alcohol use and heavy episodic drinking in a logistic regression.</p><p><strong>Results: </strong>A 4-profile solution best fit the data. Profiles were characterized as <i>broadly engaged GSA members and lower levels of victimization</i> (<i>n</i> = 247; 52.7%); <i>principally support/socializing GSA members and lower levels of victimization</i> (<i>n</i> = 164; 35.0%); <i>less engaged GSA members and lower levels of victimization</i> (<i>n</i> = 37; 7.9%); and <i>broadly engaged GSA members who are highly victimized</i> (<i>n</i> = 58; 12.4%). No differences in alcohol use or heavy episodic drinking were found.</p><p><strong>Conclusions: </strong>This study was the first to explore the association between GSA experiences and victimization with alcohol use and documented differing profiles of experiences. GSAs can play a potential role in fostering healthy coping and supporting discussions around substance use.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Depressive Symptoms Predict Increased Binge Drinking in Emerging Adulthood: Moderation by Sexuality and Socioeconomic Status.","authors":"Alexandra H Mills, Jessica L Barrington-Trimis, Dayoung Bae, Eric R Pedersen, Daniel W Soto, Jennifer B Unger","doi":"10.15288/jsad.25-00238","DOIUrl":"https://doi.org/10.15288/jsad.25-00238","url":null,"abstract":"<p><strong>Background: </strong>Binge drinking during the transition from adolescence to emerging adulthood remains a significant public health concern. Mental health symptoms may be associated with increased risk for binge drinking, and the strength of this association might vary across subgroups. This study examines whether adolescent anxiety and depression predict young adult binge drinking and whether these associations vary by race/ethnicity, sexuality, and socioeconomic status (SES).</p><p><strong>Methods: </strong>Using data from the Happiness & Health Study (N = 2,006), negative binomial models examined whether adolescent anxiety and depression predicted young adult binge drinking Models controlled for age, gender, sexuality, race/ethnicity, SES, baseline binge drinking, and cannabis/nicotine use history. Interaction terms tested moderation by race/ethnicity, sexuality, and SES.</p><p><strong>Results: </strong>Depressive symptoms were significantly associated with an increase in binge drinking (incident rate ratio = 1.013; 95% CI = 1.001, 1.024), whereas anxiety symptoms were not significantly associated with binge drinking. Moderation analyses revealed depressive symptoms associations varied by sexuality and SES, while anxious symptoms associations varied by race/ethnicity and sexuality. Notably, the association between anxiety and binge drinking was strongest among gay/lesbian individuals compared to other sexuality groups. The association between depression and binge drinking was strongest among high SES individuals compared to low SES. The association between anxiety and binge drinking was strongest among White individuals compared to Hispanics.</p><p><strong>Conclusions: </strong>These results highlight the importance of addressing adolescent mental health in interventions aimed at reducing binge drinking in emerging adulthood. The observed moderation effects emphasize the need for targeted interventions.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methadone Is Associated With Superior Long-Term Treatment Retention Compared With Buprenorphine/Naloxone in a Large Canadian Cohort.","authors":"Kristen A Morin, Mark Tatangelo, Shreedhar Acharya, Danielle Labrosse, Tara Leary, Dilusha Thiyagaratnam, Bohdan Nosyk, David C Marsh","doi":"10.15288/jsad.26-00065","DOIUrl":"https://doi.org/10.15288/jsad.26-00065","url":null,"abstract":"<p><strong>Introduction: </strong>We aimed to compare the effectiveness of methadone and sublingual buprenorphine/naloxone and their association with treatment discontinuation using real-world data from Ontario, Canada.</p><p><strong>Methods: </strong>We conducted a longitudinal retrospective cohort study utilizing linked, population-level administrative databases in Ontario. We included data on all Ontario residents with an indication of opioid use disorder (OUD) between January 1, 2014, and a maximum follow-up of December 31, 2022 (n = 45,230). We defined exposure groups as methadone and buprenorphine, and the primary outcome was treatment discontinuation. We applied propensity score matching was applied to compare treatment discontinuation outcomes between patients initiating methadone or buprenorphine/naloxone, controlling for demographics and clinical measures. We incorporated various databases, including the Narcotics Monitoring System, Discharge Abstract Database, and the National Ambulatory Care Reporting System, and analyzed repeated treatment windows to evaluate healthcare utilization and treatment patterns across Ontario's diverse geographic regions.</p><p><strong>Results: </strong>From 2014 to 2022, 45,230 people with OUD contributed case or control windows. During the first 30 days of treatment, buprenorphine was associated with lower discontinuation compared with matched methadone controls (61% vs. 57.7% retained at day 30). However, beyond 60 days, methadone demonstrated lower discontinuation, with Cox proportional hazards model indicating a lower risk of treatment discontinuation. We also observed lower discontinuation time among individuals in rural and remote Northern areas. Cox proportional hazards models confirm time-varying effects, with unadjusted HR 0.95 [0.94-0.96] and fully adjusted HRs ranging from 1.03 [1.02-1.04] to 1.09 [1.05-1.12], and rural/remote Northern areas show longer time to discontinuation.</p><p><strong>Conclusion: </strong>Our study highlights the importance of considering both medication type and geographic location when developing strategies to improve treatment retention for individuals with opioid use disorder.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lower Prices Associated With Greater Alcohol-Related Harm and Risky Drinking Among Vulnerable Groups: Findings From the Consumption, Harms, Expenditures and Alcohol Prices Study.","authors":"James Clay, Keegan Lawrence, Priya K Johal, Adam Sherk, Elizabeth K Farkouh, Tim Stockwell, Timothy Naimi","doi":"10.15288/jsad.25-00458","DOIUrl":"https://doi.org/10.15288/jsad.25-00458","url":null,"abstract":"<p><strong>Objective: </strong>Minimum unit pricing (MUP) reduces use of cheap, high strength alcoholic beverages that drive harm, yet concerns remain about inequitable effects for structurally vulnerable groups. As part of the <i>Consumption, Harms, Expenditures and Alcohol Prices (CHEAP)</i> study, we linked individual-level, product-specific alcohol consumption survey data with provincial retail price data to estimate prices per standard drink (PPSD) and examine their association with alcohol-related outcomes across sociodemographic groups.</p><p><strong>Method: </strong>A cross-sectional survey of people who consumed alcohol in the past week in British Columbia, Canada, was linked to provincial product-level alcohol sales data. The population weighted sample included 1,217 adults ≥ 19 years (716 men; mean age 49.34, SD 16.98). Participants reported product-specific consumption, which was matched to retail prices to calculate individual-level PPSD. Survey weighted quasibinomial models examined associations between PPSD and three outcomes: (1) causing harm to self or others in the past year, (2) scoring ≥ 8 on the Alcohol Use Disorder Identification Test, and (3) consuming ≥ 15 standard drinks per week. Analyses were stratified by income, education, subjective social status, and race/ethnicity.</p><p><strong>Results: </strong>Lower price per standard drink was associated with higher odds of harm (OR 3.05, 95% CI 1.25-7.40) and an AUDIT score ≥ 8 (OR 2.34, 95% CI 1.37-3.99). Associations were generally stronger among structurally disadvantaged groups, including low-income and Indigenous participants.</p><p><strong>Conclusions: </strong>Lower alcohol prices are linked to risky alcohol use, with the strongest effects among structurally disadvantaged groups. MUP is likely to reduce this risk and promote health equity.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"This Supposed Conflict of Interest\": Analysis of Industry Framings of Partnership and Conflict of Interest in WHO Public Consultations on Alcohol Policy.","authors":"Emma Thompson, Nason Maani, Jeff Collin","doi":"10.15288/jsad.25-00048","DOIUrl":"10.15288/jsad.25-00048","url":null,"abstract":"<p><strong>Objective: </strong>High-level commitments to engage the private sector in governance and limited attention to managing conflicts of interest (COIs) have enabled alcohol industry actors to participate in policy development processes. This is recognized as a key barrier to developing effective alcohol policy and as important to the industry's efforts to position itself as a contributor to sustainable development. This article examines alcohol industry perspectives on governance, particularly with respect to partnerships and COI, submitted during the development of the World Health Organization (WHO) Global Alcohol Action Plan.</p><p><strong>Method: </strong>This study was a frame analysis of 111 submissions from alcohol industry actors to two public consultations held in the development of the WHO Global Alcohol Action Plan 2022-2030.</p><p><strong>Results: </strong>Alcohol industry actors engaged with two broad frames in their submissions, collaborative and adversarial. Industry submissions overwhelmingly used the collaborative frame, positioning the alcohol industry as a partner by claiming alignment with policy goals and by referencing forms of governance that prioritize industry involvement. Respondents also engaged with a contrasting adversarial frame, most commonly articulated by public health actors, by rejecting the relevance of COI, resisting restrictions on the industry's role in governance, and dismissing a potential binding global instrument for alcohol.</p><p><strong>Conclusions: </strong>The alcohol industry places significant value on participating in policy initiatives and is resistant to challenges to its engagement. The WHO Action Plan's continued ambivalence toward the alcohol industry may point toward a challenging environment for effective policy. This underscores a need for stronger norms around COI and a more cautious approach to the alcohol industry.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"454-465"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Alcohol-Impaired Driving Risk Perceptions Between Black and White Young Adults.","authors":"Olivia M Warner, Alison M Haney, Courtney A Motschman, Denis M McCarthy, Sarah L Pedersen","doi":"10.15288/jsad.24-00406","DOIUrl":"10.15288/jsad.24-00406","url":null,"abstract":"<p><strong>Objective: </strong>Risk perceptions for alcohol-impaired driving (AID) are reliably associated with AID behavior. Extant research relies on samples comprising predominantly White individuals, despite racial inequities in alcohol-related harms. This study is one of the first to compare AID risk cognitions in Black and White young adults. We assessed AID cognitions following a moderate dose of alcohol and examined their associations with AID behavior.</p><p><strong>Method: </strong>Participants (<i>N</i> = 137, <i>M</i> age = 24.57 years, 67% female, 43% Black) received a moderate dose of alcohol (target breath alcohol concentration = .08%). Subjective intoxication and perceived danger of driving were assessed five times following alcohol consumption. Perceived safe driving limit and AID behavior were assessed at baseline, and AID behavior was assessed at 6-month follow-up. Multilevel models tested differences between groups in subjective intoxication and perceived danger, whereas generalized estimating equations tested risk perceptions as predictors of AID behavior both cross-sectionally and prospectively.</p><p><strong>Results: </strong>Black participants reported lower perceived driving danger than White participants (<i>b</i> = -0.27, <i>p</i> < .05), but no group differences were observed for subjective intoxication or perceived safe limit. Higher subjective intoxication in the lab was prospectively associated with less AID for Black participants (<i>b</i> = -0.43, <i>p</i> < .001). Perceived safe limit was associated with AID, but this association did not differ for Black and White young adults.</p><p><strong>Conclusions: </strong>Results suggest commonalities and differences in AID risk for Black and White young adults. Future AID research among individuals with minoritized identities is needed to explore how experiences of discrimination influence risk perceptions and AID decision making.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"528-536"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145054014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravenous Buprenorphine Reversed Opioid-Induced Respiratory Depression Without Precipitating Withdrawal in Emergency Department Patients.","authors":"Anthony Spadaro, Nicholas Imperato, Jaclyn Scalgione, Cynthia Santos","doi":"10.15288/jsad.25-00263","DOIUrl":"10.15288/jsad.25-00263","url":null,"abstract":"<p><strong>Objective: </strong>Buprenorphine is a high-affinity partial agonist that can displace full opioid agonists and could be used to reverse opioid-induced respiratory depression. There is scant evidence to support the use of buprenorphine in an acute opioid overdose to reverse respiratory depression in the era of high fentanyl prevalence in the drug supply. This is a case series of four patients with signs and symptoms of an opioid overdose who showed clinical improvement after receiving intravenous buprenorphine.</p><p><strong>Method: </strong>A case series of adult emergency department patients treated at a single urban academic medical center was reviewed by the authors, who determined by consensus whether there was evidence of an acute opioid overdose and if those signs and symptoms were improved after receiving intravenous buprenorphine.</p><p><strong>Results: </strong>All four cases were male patients with a history of opioid use disorder who were treated in the emergency department after an opioid overdose and had signs of respiratory depression. Three of the four cases received naloxone before receiving intravenous buprenorphine. Initial doses of intravenous buprenorphine ranged from 0.1 mg to 0.15 mg. None of the patients developed buprenorphine-precipitated withdrawal. All of the cases were discharged from the emergency department with a prescription for sublingual buprenorphine.</p><p><strong>Conclusions: </strong>In this case series, patients who received intravenous buprenorphine after an acute opioid overdose had some clinical improvement and did not develop buprenorphine-precipitated withdrawal. Further research should be performed to determine the safety and efficacy of intravenous buprenorphine as an opioid overdose reversal agent.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"492-496"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12843587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous Alcohol and Cannabis Use With a Romantic Partner Present: Daily Associations With Drinking, Intoxication, and Consequences Among Young Adults.","authors":"Katherine Walukevich-Dienst, Brian H Calhoun, Jessica M Cavalli, Melissa A Janson, Megan E Patrick, Christine M Lee","doi":"10.15288/jsad.24-00392","DOIUrl":"10.15288/jsad.24-00392","url":null,"abstract":"<p><strong>Objective: </strong>Simultaneous alcohol and cannabis use (commonly referred to as SAM) represents a significant public health concern for young adults. Romantic partners are a strong source of influence on substance use; however, research on SAM use among young adults with romantic partners is sparse. Using daily data, we tested whether SAM use was more likely on alcohol use days with a romantic partner present (vs. without), and whether SAM use days (vs. alcohol-only use) with a romantic partner present were differentially associated with alcohol use outcomes and sexual behaviors.</p><p><strong>Method: </strong>A community sample of 308 young adults (ages 18-25) who reported at least one day of alcohol use with a romantic partner present completed six 14-day bursts of twice-daily surveys across 2 years. Participants completed daily measures on alcohol and SAM use, partner presence during use, subjective intoxication, positive and negative alcohol-related consequences, and sexual behaviors.</p><p><strong>Results: </strong>On alcohol use days with a partner present (vs. without), individuals were significantly more likely to report SAM use. On SAM use (vs. alcohol-only) days with a partner present, individuals reported consuming more drinks, greater subjective intoxication, more alcohol-related positive consequences, and a greater likelihood of sex while intoxicated. Reporting a greater proportion of SAM use days (vs. alcohol-only days) with a partner present across the entire study was significantly associated with overall greater subjective intoxication and a greater likelihood of having sex while intoxicated.</p><p><strong>Conclusions: </strong>The presence of a romantic partner may increase the risk of engaging in SAM use at the daily level, and SAM use with a partner present is associated with high-risk drinking behaviors and more positive alcohol-related consequences compared with alcohol-only use.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"508-517"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Randomized Controlled Trial Demonstrates Efficacy of a Culturally Adapted Behavioral Intervention Delivered in Spanish by Community Health Workers to Reduce Unhealthy Alcohol Use Among Latino/as.","authors":"Alison A Moore, Christina S Lee, Blanca X Dominguez, Melissa Garcia, Jaclyn Bergstrom, Veronica Barenstein, Juan Mendez, Mitchell P Karno","doi":"10.15288/jsad.24-00380","DOIUrl":"10.15288/jsad.24-00380","url":null,"abstract":"<p><strong>Objective: </strong>Latinos/as comprise nearly 20% of the U.S. population; 25% report past-month binge drinking, and disparities in care persist. Culturally adapted interventions may improve outcomes and access. We tested the efficacy of a culturally adapted behavioral intervention to reduce unhealthy alcohol use, delivered in Spanish to Latino/a adults.</p><p><strong>Method: </strong>We conducted a parallel, two-group, randomized controlled trial with 12- and 26-week follow-ups to test a three-session intervention delivered by community health workers (CHWs) from a community-based agency in Los Angeles, California. The intervention combined culturally adapted Motivational Enhancement Therapy and Strengths-Based Case Management (CA-MET/SBCM) and was compared to the <i>Rethinking Drinking</i> booklet. Participants were 236 non-treatment-seeking Latino/a adults who exceeded National Institute on Alcohol Abuse and Alcoholism low-risk drinking limits. The primary outcome was the percentage of heavy drinking days (≥5 drinks for men, ≥4 drinks for women) in the past 90 days at 26 weeks. Secondary outcomes were the average number of drinks per week and alcohol-related problems.</p><p><strong>Results: </strong>The CA-MET/SBCM group had greater reductions in heavy drinking days and average drinks per week at Week 26 compared with the <i>Rethinking Drinking</i> group (-21.7 vs. -12.9 for percent heavy drinking days; -15.9 vs. -9.8 for average drinks per week). At Week 12, heavy drinking days were also significantly reduced in the CA-MET/SBCM group (-18.5 vs. -10.3).</p><p><strong>Conclusions: </strong>A culturally adapted behavioral intervention, combining MET and SBCM, delivered by Spanish-speaking CHWs significantly reduced unhealthy alcohol use among Latinos/as. These results are promising in addressing health disparities, although continued research is essential to further reduce unhealthy drinking and advance health equity for Latinos/as.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"480-491"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}