Journal of studies on alcohol and drugs最新文献

{"title":"Alcohol screening, counseling, and medication treatment among older adults with heart failure: A missed opportunity.","authors":"Aryn Z Phillips, SunJung Yoon, Aline Vandenbroeck, Norrina B Allen, Kellee White Whilby, Jie Chen","doi":"10.15288/jsad.26-00195","DOIUrl":"https://doi.org/10.15288/jsad.26-00195","url":null,"abstract":"<p><strong>Objective: </strong>Both alcohol use and heart failure (HF) are prevalent among older adults. Alcohol can affect heart muscle, electrical function, blood pressure, and interact with common HF medications. Alcohol screening, brief counseling, and medications for alcohol use disorder (MAUD) are evidence-based and reimbursable by Medicare, but it is unknown whether older adults with HF receive these interventions, the details of these interventions, and if clinicians are reimbursed for them. This study identified instances of claims-documented screening, brief counseling, and MAUD receipt, as well as the sources of these services, among older adults enrolled in Medicare fee-for-service (FFS) in 2 years following HF diagnosis.</p><p><strong>Method: </strong>Data are from Health and Retirement Study 2010-2018 linked with FFS claims 2008-2020. We calculated the percentage of respondents (n=1,232) that received claims-documented screening and, among those with alcohol use outside guidelines, brief counseling and MAUD following HF diagnosis. For services received, we calculated percentages by venue, clinician specialty, whether the respondent previously visited the clinician, and clinician participation in an Accountable Care Organization (ACO) contract.</p><p><strong>Results: </strong>Only 20 respondents (1.9%) received claims-documented screening. All screenings occurred in office settings. Most were administered by internal medicine specialists, clinicians that respondents previously visited, and clinicians not in ACOs. No respondents received brief counseling or MAUD.</p><p><strong>Conclusions: </strong>Interventions for alcohol use above guidelines are uncommon among older adults with HF, indicating a missed opportunity for intervention. Further, clinicians are seemingly not capitalizing on the reimbursable nature of these services; additional support for providing, documenting, and billing for these services is warranted.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224318","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":"Self-Report of Cannabis Dispensaries in Neighborhoods and Tobacco and Cannabis Co-Use among US Adults.","authors":"Jose de Jesus Navarro Barba, Salomeh Keyhani, Katherine J Hoggatt, Pamela M Ling, Deborah Hasin, Nhung Nguyen, Vira Pravosud, Francis Julian L Graham, Beth E Cohen","doi":"10.15288/jsad.26-00174","DOIUrl":"https://doi.org/10.15288/jsad.26-00174","url":null,"abstract":"<p><strong>Objective: </strong>With cannabis legalization, the number of cannabis dispensaries and rates of tobacco and cannabis co-use (past 30-day use of both substances) have increased. However, the impact of living near a dispensary on tobacco and cannabis co-use remains understudied. Examining factors associated with co-use is important for public health, as co-use may pose increased health risks compared to single product use.</p><p><strong>Methods: </strong>We conducted a web-based survey in English and Spanish in November 2023 using Ipsos KnowledgePanel, a probability-based panel designed to be representative of the U.S. population. We restricted our survey to those over 18 years old who reported past 30-day use of cigarettes or e-cigarettes and lived in states with medical or non-medical legal cannabis (n=1929). We used weighted, multivariable logistic regression models to estimate the adjusted association of self-reported awareness of a cannabis dispensary in the neighborhood and tobacco/cannabis co-use.</p><p><strong>Results: </strong>Awareness of vs. no awareness of a cannabis dispensary in the neighborhood was associated with increased odds of tobacco/cannabis co-use (OR 1.80, 95% CI 1.33-2.44). This association of dispensary awareness and co-use was found for smoking (p<.001), vaping (p<.001), and edible forms of cannabis (p=.003), but not cannabis concentrates (p=.11).</p><p><strong>Conclusions: </strong>Self-reported awareness of a cannabis dispensary in the neighborhood was associated with nearly twice the odds of co-use of tobacco and cannabis, independent of sociodemographic factors. As more states legalize cannabis, laws and public policies need to take into account the locations of dispensaries and their impact on community health.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194847","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 Treatment Practice in a Changing Landscape: Limited Early Adoption of the Federal Final Rule Among U.S. Opioid Treatment Programs.","authors":"Beth E Meyerson, Alissa Davis, Benjamin R Brady, Gregory A Carter, Linnea B Linde-Krieger, Zhanette H Coffee, Arlene N Mahoney, David Frank, Richard A Crosby, Sara M Najar, Sana Yousaf, Patrick S Rivers","doi":"10.15288/jsads.25-00464","DOIUrl":"https://doi.org/10.15288/jsads.25-00464","url":null,"abstract":"<p><strong>Background: </strong>U.S. COVID-era methadone treatment flexibilities were made permanent through the federal \"Final Rule.\" This study reports opioid treatment program (OTP) early adoption of expanded telehealth services and flexible dosing between the Final Rule's effective and compliance dates (April 2 and October 2, 2024).</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted from June 21 to August 14, 2024, among a national convenience sample of 154 OTP administrators. Measures included Final Rule-allowed telehealth services, flexible dosing and clinic dosing requirements. Covariates included rurality, clinic type, state law expanding or limiting methadone access, and whether the clinic was in a county with an opioid overdose death rate exceeding the national median.</p><p><strong>Results: </strong>Forty-four OTP administrators from 21 states completed surveys. Most (90.9%) offered COVID-era telehealth counseling, however expanded telehealth services were limited such as allowing initial health assessments (36.4%), health examinations by telehealth with medication pickup (22.7%), and initial medical examinations via telehealth (15.9%). Clinics required that 52.9% their patients complete daily in-clinic dosing. Multiday \"take home\" dosing options offered by clinics to over half their patients included 7-days of take-home doses during the first 14 treatment days (18.2% of clinics), 14-days of take-home doses after 15 days of treatment (18.2%), and 28 days of take-home doses after 30 days of treatment (15.9%).</p><p><strong>Conclusions: </strong>Evidence of early adoption of the 2024 federal Final Rule (42 CFR §8) was not observed among most opioid treatment programs in this sample.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194872","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":"Telehealth Policy Interactions Across the Buprenorphine Care Cascade: A System Mapping Analysis.","authors":"Zeynep Hasgul, Mohammad S Jalali, Suzan M Walters, Huiru Dong, Erin Stringfellow","doi":"10.15288/jsads.26-00059","DOIUrl":"https://doi.org/10.15288/jsads.26-00059","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 Public Health Emergency prompted multiple policies that expanded telehealth care, including buprenorphine treatment for opioid use disorder (OUD). Prior research has reviewed these policies, but not their structural relationships. We used a system mapping approach to visualize how those policies interacted to influence care delivery.</p><p><strong>Method: </strong>We developed a diagram based on system dynamics conventions to capture patient status and care transitions and provider capacity change, telehealth adoption, and attrition, informed respectively by the cascade-of-care framework and innovation diffusion models. We identified state or U.S. national policies involving telehealth buprenorphine prescribing for OUD from peer-reviewed studies published from 2020 to 2025. We mapped relevant policies onto patient and provider transitions to identify where bottlenecks or synergies might occur and thus undermine or support policies' intent.</p><p><strong>Results: </strong>We identified 17 policies that affected buprenorphine delivery via telehealth, spanning prescribing without an in-person visit, insurance changes reducing patient financial burden, provider reimbursement, lowering technological barriers, and scope-of-practice flexibilities. Only four policies specifically targeted buprenorphine prescribing, while the remaining facilitated access to buprenorphine treatment. Most policies affected multiple transitions, and all transitions were affected by multiple policies. We mapped six policies to diagnosis, nine to buprenorphine initiation, eight to treatment discontinuation, four to changes in provider capacity, eight to telehealth adoption, and three to its attrition.</p><p><strong>Conclusions: </strong>System mapping shows how telehealth-related policies jointly shape access to buprenorphine care through their alignment across patient pathways and provider participation. Policy interactions create constraints or reinforcement at key points in care delivery.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111266","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":"Developmental Variation in the Association Between Substance Use and Firearm Aggression From Adolescence to Emerging Adulthood: A Time-Varying Effect Modeling Approach.","authors":"Daniel B Lee, Deaweh Benson, Maureen A Walton, Jennifer Guo, Marc A Zimmerman, Patrick M Carter","doi":"10.15288/jsad.26-00119","DOIUrl":"https://doi.org/10.15288/jsad.26-00119","url":null,"abstract":"<p><strong>Objective: </strong>Firearm assault injury is a leading cause of death among adolescents and emerging adults. Less is known about how firearm aggression (i.e., using a firearm to threaten or injure someone) varies developmentally during this life stage, and how demographic factors and substance use contribute to its trajectory.</p><p><strong>Method: </strong>Participants were 599 individuals aged 16 to 25 who sought emergency care in Flint, Michigan, and reported past-six-month drug use. An accelerated cohort design was used to organize the data by respondents' age in quarter-year increments at the time of measurement; each participant contributed up to five repeated assessments. Time-varying effect models (TVEM) were used to examine how sociodemographic characteristics and alcohol, cigarette, and cannabis use frequencies were associated with the likelihood of firearm aggression across age.</p><p><strong>Results: </strong>The probability of firearm aggression peaked at the onset of emerging adulthood (ages 18-20). Being male was positively associated with firearm aggression during adolescence into emerging adulthood. Alcohol use frequency was also positively associated with firearm aggression in adolescence, with effects diminished by emerging adulthood. Cannabis and cigarette use frequencies, as well as race, parental education, and public assistance, were not associated with firearm aggression across age.</p><p><strong>Conclusions: </strong>Firearm aggression was most prevalent as youth transitioned into emerging adulthood from adolescence, particularly among males and youth who used alcohol more frequently. This may reflect a period of developmental vulnerability involving ongoing maturation in self-regulation and emerging norms around masculinity, particularly among youth in under-resourced communities where community violence is prevalent.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039534","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":"BAC Feedback Lowers Perceived Intoxication and Increases Perceived Driving Fitness.","authors":"Sarah A Heymsfeld, Grace E Tomaszewski, Mark T Fillmore","doi":"10.15288/jsad.26-00153","DOIUrl":"10.15288/jsad.26-00153","url":null,"abstract":"<p><strong>Objective: </strong>Driving under the influence (DUI) is one of few offenses in which guilt can be determined by a single measure (i.e., legal limit = 0.08% BAC). Drivers perform poorly when estimating their intoxication, yet the degree to which they perceive themselves to be intoxicated strongly predicts their decision to drive. Despite more prevalent breathalyzer use, it is unclear whether feedback that drivers' BAC approximates the legal limit dissuades the decision to drive. This study tested the effect of providing BAC feedback on drinkers' perceptions of their intoxication and driving fitness after drinking alcohol.</p><p><strong>Method: </strong>Sixty-one drivers were randomly assigned to the control (C) (n=30) or feedback (F) (n=31) group. Participants attended three sessions (pre-feedback, feedback, post-feedback) during which they received 0.65g/kg alcohol (target BAC ≈ 0.08%). During the pre- and post-feedback sessions, groups rated their level of intoxication and perceived driving fitness. During the feedback session, those in the feedback group received explicit information about their actual BAC, while those in the control group received no information.</p><p><strong>Results: </strong>Prior to receiving feedback, the groups did not differ in perceived intoxication and driving fitness. After receiving feedback, however, Group F perceived lower intoxication and greater driving fitness than Group C. These group differences occurred despite comparable BACs among the groups throughout the study.</p><p><strong>Conclusions: </strong>Receiving feedback that one's BAC approximates the legal limit may not increase the driver's perceived risk of driving.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039519","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":"Cannabis and Alcohol Prepartying Among Young Adults: Daily-Level Associations with Cannabis Intoxication and Simultaneous Alcohol and Cannabis Use.","authors":"Melissa A Lewis, Brian H Calhoun, Dana M Litt, Allison Greene","doi":"10.15288/jsad.26-00193","DOIUrl":"https://doi.org/10.15288/jsad.26-00193","url":null,"abstract":"<p><strong>Objective: </strong>Prepartying is a high-risk context for alcohol use among young adults, yet little is known about cannabis use before social events. This study introduces cannabis prepartying and examines co-occurrence with alcohol prepartying, including simultaneous alcohol and cannabis (SAM) prepartying, and daily-level associations with cannabis intoxication and SAM use among young adults.</p><p><strong>Method: </strong>A longitudinal measurement burst ecological momentary assessment design was used. Participants ages 18-25 completed 3-week EMA periods repeated quarterly over 12 months. Analyses used two samples: participants reporting alcohol use on at least one sampled day (N = 507) and participants reporting cannabis use on at least one sampled day (N = 238).</p><p><strong>Results: </strong>Cannabis prepartying occurred on 15.9% of all cannabis use days (37.4% of participants who used cannabis), whereas alcohol prepartying occurred on 13.6% of all alcohol use days (39.3% of participants who used alcohol). Cannabis prepartying was positively associated within- and between-person with hours high, subjective intoxication, and likelihood of SAM use. Alcohol prepartying was positively associated within- and between-person with SAM use before adjusting for drinks and hours high but only within-person after adjustment.</p><p><strong>Conclusions: </strong>Cannabis prepartying occurs among a substantial subset of young adults and represents a measurable social context that parallels alcohol prepartying. Cannabis prepartying co-occurs with alcohol use and is associated with greater likelihood of SAM use, along with longer duration of hours high and higher subjective intoxication. These associations were observed at both within- and between-person for cannabis prepartying, whereas alcohol prepartying was associated with SAM use at the within-person level only.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148969385","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":"First-Use of Cigarettes, E-Cigarettes, and Cannabis: Qualitative Assessment of Subjective Reactions and Social Contexts Among Emerging Adults.","authors":"Hannah G Dickinson, Jessica A Kulak, Kimberly E Kamper-DeMarco, Nicholas J Felicione","doi":"10.15288/jsad.25-00436","DOIUrl":"https://doi.org/10.15288/jsad.25-00436","url":null,"abstract":"<p><strong>Objective: </strong>Increases in nicotine/tobacco and cannabis use among adolescents and emerging adults highlight the importance of understanding the circumstances surrounding substance initiation. While prior research has focused on prevalence and risk factors, fewer studies have explored subjective accounts of first use. This study used qualitative analyses of retrospective narratives to characterize emotional and contextual factors of adolescents' and emerging adults' first-use experiences.</p><p><strong>Method: </strong>Participants included 293 undergraduates (<i>M_age</i> = 21.3 years, <i>SD</i> = 2.9) from a midsized, urban Northeastern university. The sample was predominantly female (84.3%) and racially/ethnically diverse (43.9% White, 42.4% Black, 16% Latinx). Participants completed a retrospective survey assessing first use of cigarettes, e-cigarettes, and cannabis. Qualitative narratives were thematically coded for valence (positive, negative, neutral), and contextual factors (setting, social, influences, and motives).</p><p><strong>Results: </strong>Mean age of first use was 16.1 years (<i>SD</i> = 3.4) for cigarettes, 17.0 (<i>SD</i> = 2.6) for e-cigarettes, and 16.7 (<i>SD</i> = 2.2) for cannabis. E-cigarettes were the most common nicotine initiation method (54%), while joints (48.7%) were most common for cannabis. Valences of first use were mixed: most cigarette users reported negative reactions, while e-cigarettes and cannabis users reported a wider range of responses, including enjoyment, discomfort, or no effect. Social and emotional contexts, such as peer influence, parties, and curiosity were common motives.</p><p><strong>Conclusions: </strong>Qualitative accounts of first-use experiences provide insight into how adolescents and emerging adults interpret substance initiation. These findings emphasize the importance of social and emotional contexts surrounding substance initiation which may inform prevention efforts.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148969404","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":"Seriously Considering Humor as a Therapeutic Support for Addiction Recovery.","authors":"Samuel W Stull, Thomas K Gregoire, Katie Witkiewitz, Andy Gold, Susan A Murphy, Nicholas C Jacobson, Willibald Ruch, Lisa A Marsch","doi":"10.15288/jsad.26-00224","DOIUrl":"https://doi.org/10.15288/jsad.26-00224","url":null,"abstract":"<p><p>Humor interventions can increase happiness and reduce mental health symptoms such as depression and anxiety. Several authors have direct lived experience of these benefits, with humor being transformative early and throughout their addiction recovery. Yet the scientific study of humor as a support for recovery remains largely unexamined. We argue this is a missed opportunity and offer a rationale for advancing this area of research. We propose that humor aligns with putative therapeutic processes central to recovery: cognitive (i.e., psychological flexibility), reward (i.e., non-substance reward), and social processes (i.e., peer support, stigma reduction). Humor-based interventions could take many forms, including humor-focused cognitive reframing, digital comedy content, and delivery by counselors, peer recovery coaches, or other providers. Humor may strengthen treatment engagement and may also have synergistic benefits with established approaches such as CBT and mindfulness-based relapse prevention. Here, we present a humor-based intervention that integrates humor-focused cognitive reframing in group therapy and daily life, diaries to savor humorous experiences, and stand-up comedy content, including material from comedians in recovery. Our intervention example corresponds to mechanisms linking humor and outcomes (e.g., psychological flexibility, increased substance-free enjoyment, and reductions in craving via distraction). We also describe the exciting potential for humor interventions to serve as engagement and retention approaches as part of treatment. We then identify three main areas-relevant across putative processes and intervention approaches-for advancing the science of humor and addiction. This includes (1) heterogeneity in comedy preferences (e.g., comedy about addiction), (2) individual differences (e.g., anhedonia and fear of being laughed at \"gelotophobia\"), and (3) dynamic aspects of humor and recovery (e.g., humor across stages of recovery, humor in relation to changes in mood and social context). We conclude that research on humor in addiction should maintain a bi-directional relationship with lived experience: we should always be \"in on the joke.\"</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148969511","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":"Medication Safety Pictograms to Reduce Drug-Impaired Driving.","authors":"Michael R Corbett, Kei A Osawa, Kayla M Neuman, H Chip Walls, Kristina A Hogan","doi":"10.15288/jsad.25-00419","DOIUrl":"https://doi.org/10.15288/jsad.25-00419","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891271","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}