Journal of studies on alcohol and drugs最新文献

{"title":"Blood Pressure Control among Primary Care Patients with Hypertension and Unhealthy Alcohol Use: The Role of Alcohol Brief Interventions.","authors":"Stacy A Sterling, Vanessa A Palzes, Yun Lu, Andrea H Kline-Simon, Thekla B Ross, Constance M Weisner, Joseph Elson, Derek D Satre, Sameer Awsare, Asma Asyyed, Jamal Rana, Cynthia I Campbell, Verena E Metz, Felicia W Chi","doi":"10.15288/jsad.24-00263","DOIUrl":"https://doi.org/10.15288/jsad.24-00263","url":null,"abstract":"<p><strong>Objective: </strong>Hypertension is highly prevalent in primary care. Unhealthy alcohol use can impact its management and associated cardiovascular disease risks. Alcohol screening and brief intervention (ASBI) in primary care is effective for early intervention for unhealthy use, yet its effectiveness in heterogeneous populations in real-world settings remains unclear. Using electronic health records, we emulated a pragmatic clinical trial to evaluate the effects of receiving ASBI on drinking and blood pressure (BP) outcomes among primary care patients with hypertension and unhealthy alcohol use.</p><p><strong>Method: </strong>This observational study identified 72,979 patients with hypertension who screened positive for unhealthy drinking between 1/1/2014 - 12/31/2017. We used a target trial framework to compare the effects of receiving ASBI (intervention) to not receiving BI (comparison) on drinking (change in heavy drinking days and drinks/week) and BP outcomes (changes in diastolic and systolic BP) from baseline to 2- and 5-year follow-ups. Treatment effect estimates were obtained using inverse probability weighted models.</p><p><strong>Results: </strong>At 2-years, the intervention condition had about 0.2 fewer heavy drinking days and about 0.1 fewer drinks/week than the comparison condition. The intervention condition had an additional -0.5 mmHg and -0.7 mmHg decline in diastolic and systolic BP, and 8% and 6% higher odds of having a ≥3mmHg reduction in diastolic and systolic BP, respectively, than the comparison condition. Between group differences in both outcomes diminished at 5-years.</p><p><strong>Conclusions: </strong>The modest changes in drinking and blood pressure we found contribute to the emerging evidence that BI may benefit broader health outcomes on population-level.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101998","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":"Dental Screening, Counseling, and Referral to Treatment for Substance Use Disorder: Survey of the National Dental Practice-Based Research Network.","authors":"Jenna L McCauley, Phillip Crawford, Michael C Leo, Mary Ann McBurnie, Danyelle Barton, Heather A Weidner, D Brad Rindal","doi":"10.15288/jsad.24-00383","DOIUrl":"https://doi.org/10.15288/jsad.24-00383","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to conduct a national survey of practicing dentists assessing their current knowledge, attitudes, and practice behaviors related to substance use screening among their adult patients. The secondary objective was to identify practitioner- and practice-level facilitators and barriers of substance use screening.</p><p><strong>Method: </strong>This cross-sectional study consisted of an electronic survey disseminated to practicing dentists who were active members of the National Dental Practice-Based Research Network (National Dental PBRN; n=790; 61% male).</p><p><strong>Results: </strong>The majority of dentists reported some level of screening for nicotine (95.7%), alcohol (87.2%), cannabis (83.9%), and illicit drug (87.7%) use among their adult patients. More than 2 in 5 dentists reported never counseling patients regarding problematic use of alcohol, cannabis and illicit drugs. Higher screening frequency was associated with higher counseling frequency and lower endorsement of two barrier factors: beliefs regarding responsibility, relevance, and effectiveness and lack of training and/or resources. Higher frequency of counseling was associated with higher frequency of referral behavior and lower endorsement of three barrier factors: concerns regarding patient truthfulness/discomfort, beliefs regarding responsibility, relevance, and effectiveness and lack of training and/or resources.</p><p><strong>Conclusions: </strong>Results indicate a high level of willingness to screen, counsel, and refer patients for substance use among a majority of dentists, though current practice behaviors lag willingness. Findings regarding barriers and facilitators can guide efforts to develop, disseminate and implement screening, brief intervention, and referral to treatment training, initiatives, as well as tools that are inclusive of or specifically target dental providers.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102012","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":"\"Other\" Substance Use Among American Indian Reservation-Area High School Youth.","authors":"Mark A Prince, Brandon Paez, Jessica L Morse, Bethany A Gray, Hollis Karoly, Naomi M McFarland, Noah N Emery, Meghan A Crabtree, Randall C Swaim","doi":"10.15288/jsad.25-00090","DOIUrl":"https://doi.org/10.15288/jsad.25-00090","url":null,"abstract":"<p><strong>Objective: </strong>High school youth have an elevated risk of substance use. Some substances (e.g., inhalants, MDMA) used by youth are overlooked or grouped in an \"other\" category. Compared to other racial/ethnic groups, American Indian (AI) youth may be at higher risk of using these substances. The purpose of this study is to examine the prevalence and patterns of use of \"other\" substances among youth living on or near reservations.</p><p><strong>Method: </strong>This study uses data from Our Youth Our Future, a national probability sample survey of substance use among reservation-based youth (n = 14,769) to examine prevalence rates of use across sex (51% male), AI identity (61% AI), and their intersection within seven geographic regions of the United States.</p><p><strong>Results: </strong>Results indicate AI youth largely did not endorse \"other\" substance use at significantly higher rates than non-AI youth, although in two regions they held higher odds of use of any \"other\" substance compared to non-AI participants. In the Southeast and Northwest, AI youth were less likely to use prescription opioids and over-the-counter cold medicines than non-AI youth, respectively. Notable effects for sex emerged such that males in the Southwest were more likely to use inhalants, hallucinogens, and tranquilizers than female participants. Participants in the Southern Plains reported the highest prevalence of \"other\" substance use.</p><p><strong>Conclusions: </strong>While overall risk of using \"other\" substances is similar between AI and non-AI youth in many regions, differences in use patterns by AI identity and sex can help target prevention and intervention efforts.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101989","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":"Balancing Public Health Priorities: Navigating the Complex Landscape of E-Cigarette Flavor Regulation.","authors":"Lauren Micalizzi, Alexander W Sokolovsky, L Morgan Snell, Mariel S Bello, Jasjit S Ahluwalia, Dale Dagar Maglalang, Sarah F Maloney","doi":"10.15288/jsad.24-00440","DOIUrl":"https://doi.org/10.15288/jsad.24-00440","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078646","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":"Blood Alcohol Content Estimation Formulas (eBAC): Challenges, Considerations, and Implications for Intensive and Longitudinal Survey Research.","authors":"Brittney A Hultgren, Brian H Calhoun, Jessica Canning, Nicole Fossos-Wong, Katarina Guttmannova, Jason R Kilmer, Jennifer M Cadigan, Mary E Larimer, Christine M Lee","doi":"10.15288/jsad.24-00424","DOIUrl":"https://doi.org/10.15288/jsad.24-00424","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078657","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":"Harm reduction research: A vital step in combating the opioid overdose crisis.","authors":"Khary K Rigg","doi":"10.15288/jsad.25-00154","DOIUrl":"https://doi.org/10.15288/jsad.25-00154","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970855","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":"Understanding College Students' Help-Seeking Intentions for Alcohol Use: A Theoretical and Network-Based Approach.","authors":"Sara A Flores, Arham Hassan, Benjamin N Montemayor","doi":"10.15288/jsad.24-00280","DOIUrl":"https://doi.org/10.15288/jsad.24-00280","url":null,"abstract":"<p><p>Despite alcohol use remaining a prevalent issue on college campuses, the number of students who seek help remains low. The Reasoned Action Approach (RAA) provides a theoretical framework for understanding the psychosocial drivers of help-seeking intentions, while social networks offer additional potential utility by shaping norms and attitudes that influence these behaviors.</p><p><strong>Objective: </strong>This study investigated the association between college students' social network characteristics, the RAA, and intentions to seek help for alcohol use if they thought or knew they had a problem.</p><p><strong>Methods: </strong>Cross-sectional survey data from 1,447 college students were extracted from a larger, nationally representative college student quota sample. Inclusion criteria were between 18 to 24 years of age, enrolled full time in a college or university, reported past-year alcohol consumption, and passed data quality checks. Participants reported demographics, RAA constructs, and egocentric network data. Network composition variables were calculated via E-Net. Descriptive statistics and hierarchical linear regression analyses were conducted to examine intentions to seek help.</p><p><strong>Results: </strong>A regression model consisting of RAA constructs was statistically significant at the <i>p</i> < .001 level, accounting for nearly 40% of the variance in help-seeking intentions. The addition of network composition variables increased the explained variance by an additional 2.8%, which was statistically significant at the <i>p</i> < .001 level.</p><p><strong>Conclusions: </strong>Integrating RAA constructs with social network characteristics can help identify specific individual beliefs and social influences that can be targeted to strengthen help-seeking intentions and behaviors among college students who engage in high-risk drinking.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971192","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 Impact of a Registry-Based Environmental Risk Score on Episodes of Alcohol Use Disorder and Drug Use Disorder in Swedish National Samples.","authors":"Kenneth S Kendler, Sara L Lönn, Jan Sundquist, Kristina Sundquist","doi":"10.15288/jsad.25-00035","DOIUrl":"https://doi.org/10.15288/jsad.25-00035","url":null,"abstract":"<p><strong>Objective: </strong>Psychosocial stress increases the risk for subsequent episodes of alcohol use disorder (AUD) and drug use disorder (DUD), with most studies assessing stress exposure by questionnaire or interview methods. We developed an environmental risk score (ERS) using multiple classes of stressful life events (SLEs) obtained from national Swedish registries.</p><p><strong>Method: </strong>We assessed, in the entire adult population of Sweden (<i>n</i> = 7,105,712), the occurrence of 51 categories of SLEs derived from registry information for the six months prior to 9/1/2010 and the risk for AUD and DUD registration over the subsequent 18 months. Weights for these two ERSs were obtained from a random half of our sample, and the relationship of ERS to AUD and DUD evaluated in the second half.</p><p><strong>Results: </strong>The ERS strongly predicted subsequent AUD and DUD episodes. Men were more sensitive to the pathogenic effect of the ERS than women. Those with prior episodes of AUD and DUD had larger absolute increases in ERS-associated AUD and DUD risk than those without previous episodes. Genetic risk for AUD and DUD were associated with greater sensitivity to the pathogenic effects of the ERS. A co-sibling control analysis suggested that a large proportion of the ERS-AUD and ERS-DUD associations were causal.</p><p><strong>Conclusions: </strong>Valid measures of environmental risks that predispose to AUD and DUD can be assessed from SLEs obtained from high quality national registry data. Importantly, this method avoids prior assessment problems of accurate dating and recall bias and can be performed in large samples.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998580","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 Evolving Alcohol Landscape: Implications for Public Health and Policy.","authors":"Matthew E Rossheim, Ryan D Treffers, Alicia C Sparks, Michael Sparks, Kayla K Tillett, Cassidy R LoParco, Pamela J Trangenstein, Scott T Walters, Michael Siegel, David H Jernigan","doi":"10.15288/jsad.24-00339","DOIUrl":"10.15288/jsad.24-00339","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"323-329"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729891","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 Roles of Alcohol Availability, Overserving, and Enforcement in Recreational and Social Settings on Alcohol Misuse and Harms: A Comparison of Australia and the United States.","authors":"Vi T Le, Jennifer A Bailey, Jessica A Heerde, Gabriel J Merrin, Ebru A Batmaz, Adrian B Kelly, John W Toumbourou","doi":"10.15288/jsad.24-00036","DOIUrl":"10.15288/jsad.24-00036","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine how alcohol availability, overserving, and enforcement in recreational and social settings are related to alcohol misuse and alcohol-impaired driving among young adults in Victoria, Australia, and Washington State, United States.</p><p><strong>Method: </strong>Longitudinal data came from 1,430 participants in Victoria (<i>n</i> = 757; 52% female) and Washington (<i>n</i> = 673; 53% female), surveyed in 2014 (age 25 years) and 2018 (age 29 years) from the International Youth Development Study, a population-based, cross-national study to examine factors influencing substance use. Path modeling tested associations between age 25 perceptions of the alcohol environment, age 25 social alcohol consumption, and age 29 alcohol-related harms. Multiple-group modeling examined differences in parameter estimates across both states.</p><p><strong>Results: </strong>Age 25 perceptions of the alcohol environment (alcohol availability, overservice in evening social venues, legal enforcement) and alcohol consumption in evening social settings were similar between the two states. Higher alcohol availability and perceived tendency of evening social venues to overserve were associated with higher alcohol consumption in these contexts. In turn, higher alcohol consumption in these settings was associated with more problematic alcohol use and an increased likelihood of alcohol-impaired driving 4 years later. The perceived likelihood of legal enforcement in evening social settings was not related to alcohol consumption in these contexts.</p><p><strong>Conclusions: </strong>The recreational and social settings commonly frequented by young adults can influence drinking behaviors and alcohol-related harms. Reducing alcohol availability and overservicing in settings where young adults often congregate and socialize could reduce problematic alcohol use and alcohol-impaired driving.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":"340-348"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141913026","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}