Journal of studies on alcohol and drugs最新文献

{"title":"Risk Factors for Consensual and Coercive Sexual Hookup Behaviors Among College Men: A Daily Diary Study.","authors":"Alisa R Garner, Ryan C Shorey, L Christian Elledge, Melissa A Lewis, Gregory L Stuart","doi":"10.15288/jsad.24-00005","DOIUrl":"10.15288/jsad.24-00005","url":null,"abstract":"<p><strong>Objective: </strong>Hookup behaviors (HUBs; i.e., sexual activity outside an exclusive relationship with no mutual expectation of romantic commitment) are prevalent on college campuses and are linked with alcohol use and sexual assault. There is limited understanding of risk factors for consensual and coercive HUBs. We examined the proximal associations between alcohol use and consensual and coercive HUBs and the moderating influence of positive urgency and alcohol-related sexual affect and drive expectancies among college men.</p><p><strong>Method: </strong>Ninety-nine college men completed a baseline assessment and 60 consecutive daily surveys assessing their alcohol use and HUBs.</p><p><strong>Results: </strong>An alcohol use day increased the odds of a consensual and coercive HUB, compared with no HUB. An alcohol use day decreased the odds of a consensual HUB versus a coercive HUB in the models that included alcohol-related sexual affect and drive expectancies. Only alcohol-related sexual affect expectancies were a significant moderator. An alcohol use day was significantly associated with a consensual HUB, compared with no HUB, among college men at low, <i>B</i> = 0.93, <i>p</i> = .009, OR = 2.53 (95% CI [1.27, 5.06]), and high, <i>B</i> = 1.93, <i>p</i> < .001, OR = 6.87 (95% CI [4.32, 10.92]), levels of alcohol-related sexual affect expectancies.</p><p><strong>Conclusions: </strong>Results suggest that greater alcohol-related sexual affect expectancies may increase the odds of an alcohol-facilitated consensual HUB among college men. An alcohol use day increases the odds of engaging in a HUB and increases the odds of a coercive HUB, compared with a consensual HUB. Additional research is needed to identify risk factors for coercive HUBs.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"261-270"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812581","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":"Mark Keller, Alcohol Studies 'Documentalist'.","authors":"Judit H Ward, William Bejarano, Nicholas A Allred","doi":"10.15288/jsad.24-00402","DOIUrl":"https://doi.org/10.15288/jsad.24-00402","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441309","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":"The Role of Ethnicity in Alcohol Screening-related Decision Making by Medical and Dental Trainees.","authors":"Marco Funez-Ponce, Nicholas Bush, Ben Lewis, Mike Robinson, Jeff Boissoneault","doi":"10.15288/jsad.24-00394","DOIUrl":"https://doi.org/10.15288/jsad.24-00394","url":null,"abstract":"<p><strong>Objective: </strong>Chronic heavy alcohol use increases risk for developing alcohol use disorder (AUD), leading to adverse health outcomes. Evidence suggests patient demographics are used to make treatment decisions, which contributes to barriers to AUD treatment experienced by Hispanic/Latino (H/L) individuals. This study characterized the use of ethnicity in alcohol use assessment and treatment referral among medical (MT) and dental trainees (DT).</p><p><strong>Method: </strong>Current MT (n=54) and DT (n=59) reviewed thirty-two vignettes varying systematically in sex, age, ethnicity, and alcohol concern cues. Trainees used 0-100 visual analog scales (VASs) to rate likelihood of discussing the patient's alcohol use (VAS1), likelihood the patient has AUD (VAS2), comfort discussing alcohol use with the patient (VAS3), and likelihood of referring to AUD-related treatment (VAS4). Idiographic regressions characterized individuals' decision-making policies. Group-level analysis determined the influence of trainee ethnicity and trainee type on patient ethnicity cue use.</p><p><strong>Results: </strong>Almost all (96-100%) trainees reliably used the alcohol concern cue when providing ratings. 25-56% of trainees used ethnicity as a cue. Trainee ethnicity did not significantly affect ethnicity cue use when evaluating vignettes (t<1.37, p>.17, d<.56). Analyses indicated MT weighed the alcohol concern cue more heavily than DT for VAS1.</p><p><strong>Conclusions: </strong>Results suggested that a substantial proportion of trainees reliably used patient ethnicity to make alcohol treatment-related decisions, consistently to the potential detriment of H/L patients. Finally, lower weighting of alcohol concern among DT than MT in all but one judgment suggests DT may not view alcohol screening as part of their professional role as strongly as MT.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441325","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 Educational Attainment Widens Racial/Ethnic Disparities in Alcohol Use Disorder.","authors":"Sung In H Kim-Vences, Roger J Zoorob, Jacqueline M Hirth","doi":"10.15288/jsad.24-00377","DOIUrl":"https://doi.org/10.15288/jsad.24-00377","url":null,"abstract":"<p><strong>Objective: </strong>Lower education is a risk factor for alcohol-related deaths, but it is unknown if the impact of education varies by race/ethnicity. We evaluated the interaction between education and race/ethnicity on the odds of alcohol use disorder (AUD) and the significance of employment and poverty as potential mediators.</p><p><strong>Method: </strong>The 2016-19 National Survey on Drug Use and Health was used to obtain weighted prevalence of AUD in participants 26+ years. Using AUD as the outcome, multivariable logistic regression analyses were performed, stratified by four levels of education, ranging from less than high school (<HS) to 4-year college+ (4C); odds ratios (ORs) for each race/ethnicity were compared across models for interaction. The second model included employment and poverty as co-variates; changes in ORs were calculated to assess for >|10%| change implying significant mediating or confounding effect.</p><p><strong>Results: </strong>AUD prevalence was highest among American Indian/Native Alaskans (AI/ANs) (8.06%), and similar among non-Hispanic Whites (5.37%) and Blacks (5.09%). When stratified by education, the odds of AUD among Blacks and AI/ANs increased with decreasing education [(OR 1.45, 95% CI 1.07-1.96) for Blacks v. Whites with <HS, compared to 0.55 (0.46-0.67) for Blacks v. Whites with 4C; 2.55 (1.53-4.24) for AI/ANs v. Whites with <HS v. 1.01 (0.45-2.28) for AI/ANs v. Whites with 4C). Including employment and poverty resulted in <|10%| change in ORs.</p><p><strong>Conclusions: </strong>Lower education significantly increased the odds of AUD among Blacks and AI/ANs. Employment and poverty did not significantly change the association, implying there are likely other mechanisms accounting for racial/ethnic disparities in AUD.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414583","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":"A Content Analysis of Alcohol Content Delivered via TikTok's Search Function for Alcohol-Related Terms.","authors":"Alex Clement, Nathaniel Wydra, Athitheya Gobinathan, Alex Russell, Joy Gabrielli","doi":"10.15288/jsad.24-00308","DOIUrl":"https://doi.org/10.15288/jsad.24-00308","url":null,"abstract":"<p><strong>Background: </strong>Media alcohol exposure is a modifiable environmental risk factor for adolescent drinking behavior. Shifts in teen media use have made social media engagement nearly ubiquitous among this population. TikTok, a short video-sharing social media platform, is the fastest growing platform among teens. 98% of the <i>most viewed</i> videos tagged \"#alcohol\" on TikTok portray alcohol positively. TikTok also offers a search function that provides algorithmically identified \"Top Videos\", for which alcohol-related content has yet to be characterized. Alcohol-naïve and curious youth may be more susceptible to encountering content this way.</p><p><strong>Methodology: </strong>A Python script utilizing a newly created account was used to download the 100 \"Top Videos\" for five alcohol-related search terms: #alcohol, #beer, #wine, #vodka, #tequila. Videos were qualitatively coded for context, setting, and positive/negative sentiment of alcohol depiction. 20% of videos were double-coded with a total percent agreement of 95.8% (Cohen's κ = .81).</p><p><strong>Results: </strong>For terms related to specific alcohol types (e.g., #beer), videos were overwhelmingly alcohol-positive (96.9%), rarely depicted alcohol problems, and frequently were humorous and depicted alcohol recipes and games. For the \"#alcohol\" search term, nearly half of videos (41.8%) were identified as being alcohol-negative and more often depicted alcohol problems and dependence.</p><p><strong>Conclusions: </strong>In contrast with the most viewed videos on TikTok for \"#alcohol,\" videos returned via the search function included significantly more alcohol-negative content. Content returned by all other search terms remained alcohol-positive. Understanding content delivery algorithms may be a beneficial route for mitigating risk of alcohol exposure on digital/social media platforms.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399450","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":"Generative AI-Derived Information About Opioid Use Disorder Treatment During Pregnancy: An exploratory evaluation of GPT-4's steerability for provision of trustworthy person-centered information.","authors":"Drew Herbert, Jerald Westendorf, Matthew Farmer, Blaine Reeder","doi":"10.15288/jsad.24-00319","DOIUrl":"https://doi.org/10.15288/jsad.24-00319","url":null,"abstract":"<p><strong>Objective: </strong>Increasing engagement in evidence-based treatment for opioid use disorder during pregnancy is pressing. Generative artificial intelligence large language model conversational agents may support clinicians in delivering safe, accurate, and relevant information to this population. The central aim of this study was an exploratory evaluation of the steerability of GPT-4 (generative pre-trained transformer) for the provision of trustworthy treatment-related information to pregnant people with opioid use disorder.</p><p><strong>Methods: </strong>The model was tuned using evidence-based guidelines and tenets of motivational interviewing. A rubric was developed to evaluate the safety, accuracy, and relevance of the tuned model's responses to user messages from the persona of a pregnant woman with an opioid use disorder. Two advanced practice registered nurses with more than 10 years of experience treating people with opioid use disorder independently evaluated the model-persona dialogs (<i>n</i> = 30) using the rubric and qualitative methodology.</p><p><strong>Results: </strong>Responses were rated as safe, accurate, and relevant in 96.7% of cases. Qualitative analysis identified four <i>increasing connection</i> subthemes, including three related to client-centered communication. In 100% of cases, the model identified congruence with opioid use disorder criteria and located the person within the transtheoretical model's stages of change.</p><p><strong>Conclusion: </strong>The tuned model generated clinically safe, accurate, and relevant responses about opioid use disorder treatment during pregnancy. Consistent with the progression of informatics study typology, before this model could be embedded in an application to allow direct public access, additional lab- and field-based testing is indicated, including with people with this use disorder.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399452","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":"Medical Cannabis Use Adjunct to Standard of Care in a Residential Substance Use Recovery Program: A Pilot Study.","authors":"Florriann C Fehr, Lindsay A Lo, Christopher C Nelson, Lauren Diehl, Zach Walsh","doi":"10.15288/jsad.24-00224","DOIUrl":"10.15288/jsad.24-00224","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the experiences of a novel adjunctive medical cannabis (MC) intervention within a residential substance use recovery program.</p><p><strong>Method: </strong>This qualitative study included interviews and validated self-report with clients (n=14) at baseline, one month and three months after receiving adjunct medical cannabis treatment in addition to standard of care. Interviews with program staff (n=7) supplemented assessment of barriers and facilitators to program delivery.</p><p><strong>Results: </strong>Clients reported that the cannabis substitution program demonstrates promise to help reduce problematic substance use by reducing drug cravings and assisting with pain and other comorbid symptoms. The program also helped to destigmatize medical cannabis use. Staff reports highlighted the importance of MC education, clear guidelines for dispensing MC, and an accessible framework for program delivery to facilitate effective uptake of this novel intervention.</p><p><strong>Conclusions: </strong>This study provides preliminary evidence for the feasibility of integrating MC in a supportive residential recovery program. Important factors for success include provision of cannabis education, developing a clear organizational framework and establishing evidence-informed policies within the context of substitution therapy and harm reduction. Further research to more formally evaluate integrating MC in residential substance use treatment is encouraged.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382520","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":"Parental Remission from Alcohol Use Disorder and Offspring Alcohol Use Initiation, AUD, and Remission in a High-Risk Family Sample.","authors":"Vivia V McCutcheon, Sally I-Chun Kuo, Rebecca L Smith, Rebecca Tillman, Dongbing Lai, Meredith W Francis, Jessica L Bourdon, Chella Kamarajan, Grace Chan, Weipeng Kuang, Christina E Garasky, Carolyn E Sartor, Victor Hesselbrock, Samuel Kuperman, Martin H Plawecki, Arpana Agrawal, Emma C Johnson, Marc A Schuckit, Jessica E Salvatore, Kathleen K Bucholz","doi":"10.15288/jsad.24-00268","DOIUrl":"10.15288/jsad.24-00268","url":null,"abstract":"<p><strong>Objective: </strong>We investigate offspring alcohol use outcomes as a function of unremitted and remitted parental alcohol use disorder (AUD).</p><p><strong>Methods: </strong>Self-report data of participants in the Collaborative Study on the Genetics of Alcoholism (COGA) were used. Offspring (n=2244, mean age 16.3 at baseline, 26.9 years at follow-up, 50.8% female) were linked to parent data. Time-varying associations of parental AUD and remission with offspring age at first drink, years from first drink to AUD onset, and years from AUD onset to first remission were tested in Cox models adjusted for polygenic risk for problematic alcohol use (PGSPAU). Analyses were stratified by genetically inferred continental groups of European (EA, 65.9%) and African (AA, 34.1%) Americans due to sociocultural factors that can contribute to differences in alcohol use and problems.</p><p><strong>Results: </strong>In EA, maternal remission was associated with increased risk for offspring AUD; neither maternal nor paternal remission was associated with other outcomes. In AA, maternal and paternal remission were associated with increased likelihood of early drinking; the association with maternal drinking varied as a function of whom offspring lived with during adolescence. Paternal, but not maternal, remission was associated with heightened risk for AUD onset. Parental status had no association with offspring remission in EA or AA.</p><p><strong>Conclusions: </strong>Evidence that parental remission can help mitigate the risk associated with parental AUD and increase likelihood of remission in affected offspring was limited and mixed based on continental group and sex. These nuanced outcomes highlight the complex interplay of parental AUD status and offspring's alcohol-related behaviors.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365110","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":"Modeling Trends and Projections of Riding with Alcohol-Impaired Drivers in Fatal Crashes among Young Adults: A System Dynamics Approach.","authors":"Niyousha Hosseinichimeh, Rod MacDonald, Kaigang Li, James C Fell, Denise L Haynie, Bruce Simons-Morton, Barbara C Banz, Deepa R Camenga, Ronald J Iannotti, Leslie Curry, James Dziura, David F Andersen, Federico E Vaca","doi":"10.15288/jsad.24-00199","DOIUrl":"https://doi.org/10.15288/jsad.24-00199","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of the study was to investigate factors contributing to the decline in the number of passengers riding with alcohol-impaired drivers involved in fatal crashes since 1982, and to examine the impact of simulated interventions on this group through 2050.</p><p><strong>Method: </strong>Historical data were obtained from the Fatality Analysis Reporting System. We applied linear regression to analyze changes in the average numbers of passengers per alcohol impaired young driver involved in fatal crashes between 1982 and 2020 by age and sex. We also extended our existing system dynamics simulation model developed to examine driving while impaired (DWI) behaviors of U.S. male and female drivers aged 15 to 24 and explored riding with an impaired driver (RWI) behaviors and corresponding interventions. We conducted sensitivity analyses to examine the likely trajectories of alcohol impaired drivers' passengers in fatal crashes across multiple scenarios through 2050.</p><p><strong>Results: </strong>Our findings show that the decline in passengers of alcohol impaired drivers in fatal crashes primarily stems from a decrease in the number of impaired drivers, rather than a change in average number of passengers per impaired drivers. The simulation model replicated historical trends from 1982 to 2020, and the sensitivity analyses show that the policies reducing DWI trips also decrease RWI trips.</p><p><strong>Conclusions: </strong>Wide adoption of a comprehensive strategy, combining increased enforcement, an alcohol truth campaign, the provision of alternative transportation, and the enactment of a new DWI restrictive law, could significantly reduce the number of passengers in fatal crashes involving alcohol-impaired drivers, while minimizing possible unintended consequences.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365107","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":"Disparities in daily anxiety symptoms and current exclusive and dual cigarette and electronic vaping product use among US adults.","authors":"Maggie K Richardson, Delvon Mattingly, Osayande Agbonlahor, Alison McLeish, Joy Hart, Kandi Walker","doi":"10.15288/jsad.24-00310","DOIUrl":"https://doi.org/10.15288/jsad.24-00310","url":null,"abstract":"<p><strong>Introduction: </strong>Despite a decline in cigarette use, the dual use of cigarettes and electronic vaping products (EVPs) is a concerning pattern of nicotine consumption in the United States (US). Anxiety, a risk factor for tobacco use, may contribute to dual use patterns; however, the association between daily anxiety symptoms and dual use of cigarettes and EVPs is not known. This study investigated associations between daily anxiety symptoms and dual cigarette and EVP use overall, and by sex, race, and ethnicity.</p><p><strong>Method: </strong>Data are from the 2020-2022 National Health Interview Survey (n=83,544). Multinomial logistic regression models adjusted for sociodemographic factors, tobacco use, mental health services and medication characteristics examined the relationship between daily anxiety and current exclusive/dual cigarette and EVP use. Stratified analyses explored effect modification by sex, race, and ethnicity.</p><p><strong>Results: </strong>Among the sample, 13.0% reported daily anxiety symptoms, and 1.3% reported dual cigarette and EVP use. Daily anxiety was associated with increased odds of exclusive cigarette (OR=1.54, 95% CI: 1.42-1.68), exclusive EVP (OR=1.44, 95% CI: 1.23-1.68), and dual use (OR=2.16, 95% CI: 1.77-2.63). Stratified analyses showed significant associations for dual use with daily anxiety across Hispanic, Non-Hispanic White, Non-Hispanic Black, and Non-Hispanic Asian adults. Notably, Hispanic males and females, Non-Hispanic White males and females, Black females, Non-Hispanic Asian males, and females of another race/ethnicity had higher odds of dual use, while Asian females had lower odds.</p><p><strong>Conclusion: </strong>This study highlights heterogeneous relationships between daily anxiety and dual cigarette and EVP use at the intersection of sex, race, and ethnicity. Tailored interventions addressing persistent mental health symptoms are crucial for reducing tobacco use and associated disparities.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365104","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}