Journal of studies on alcohol and drugs最新文献

{"title":"Daily Anxiety and Dual Use of Cigarettes and Vaping Products: Disparities by Sex, Race, and Ethnicity in U.S. Adults.","authors":"Maggie K Richardson, Delvon T Mattingly, Osayande Agbonlahor, Alison C McLeish, Joy L Hart, Kandi L Walker","doi":"10.15288/jsad.24-00310","DOIUrl":"10.15288/jsad.24-00310","url":null,"abstract":"<p><strong>Objective: </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. 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 (<i>n</i> = 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 (odds ratio [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 between dual use and daily anxiety among Hispanic, non-Hispanic White, non-Hispanic Black, and non-Hispanic Asian adults. Of note, 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, whereas Asian females had lower odds.</p><p><strong>Conclusions: </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":"703-713"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419503/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"If It Were Enabling, Where's the Evidence? Applying Moral Hazard and Risk Compensation Theories to Community Naloxone Distribution and Other \"Safety Net\" Public Health Interventions.","authors":"Brandon Park, Rachel P Winograd","doi":"10.15288/jsad.25-00101","DOIUrl":"10.15288/jsad.25-00101","url":null,"abstract":"","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":"86 5","pages":"827-833"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958667","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":"From Assessment to Intervention: Leveraging Ecological Momentary Assessment (EMA) to Develop a Personalized mobile-health (mHealth) Ecological Momentary Intervention (EMI) for Young Adults With ADHD and High-Risk Alcohol Use.","authors":"Traci M Kennedy, Christine M Lee, Brooke S G Molina, Sarah L Pedersen","doi":"10.15288/jsad.24-00449","DOIUrl":"10.15288/jsad.24-00449","url":null,"abstract":"<p><p>Ecological momentary assessment (EMA) can be a powerful and flexible tool for collecting data on alcohol use, particularly to understand proximal precursors and consequences. EMA can also be leveraged both to inform the development of and to deploy mobile-health (mHealth) interventions. This article describes the development of an mHealth ecological momentary intervention (EMI) for young adults with high-risk alcohol use and attention-deficit/hyperactivity disorder (ADHD). This novel intervention uses EMA as an intervention component to increase self-awareness via symptom monitoring. It also incorporates additional EMI components, including personalized feedback and behavioral strategy suggestions (\"tips\"), which operate synergistically with EMA questions and are tailored by EMA data. The theoretical underpinnings of this intervention are described, and its distinct relevance for young adults with ADHD who engage in high-risk alcohol use, are discussed. The process of developing this mHealth EMI is detailed, including examining EMA data to generate intervention content, considering participant feedback through iterative pilot testing, and applying human-centered design methods with end users and community partners. Finally, practical considerations of this intervention approach are discussed, including unique benefits, key challenges, and exciting future opportunities.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958608","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 (versus without), and whether SAM use days (versus alcohol-only use) with a romantic partner present were differentially associated with alcohol use outcomes and sexual behaviors.</p><p><strong>Methods: </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 two 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 (versus without), individuals were significantly more likely to report SAM use. On SAM use (versus 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 (versus 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>Conclusion: </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 to alcohol-only use.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-23","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":"Alcohol Craving and Cue Exposure in Real Time: A Pilot EMA-Based Personalized Feedback Intervention for Young Adults.","authors":"Anne M Fairlie, Christine M Lee, Miranda L M Delawalla, Jason J Ramirez","doi":"10.15288/jsad.24-00447","DOIUrl":"10.15288/jsad.24-00447","url":null,"abstract":"<p><strong>Objective: </strong>Alcohol cues vary situationally across contexts and have been recognized as a factor that contributes to craving and alcohol use. We describe a brief web-based personalized feedback intervention (PFI) that summarizes ecological momentary assessment (EMA) data tested in a pilot study. The PFI highlighted young adults' desire to drink and the presence/absence of alcohol cues, capitalizing on variability found in the natural environment across 17 days. We examined the extent to which the EMA data collected in the pilot study were optimal for use in the PFI and participants' evaluations of the PFI.</p><p><strong>Method: </strong>Eligibility criteria included being age 18-24 years and report 1+ heavy episodic drinking occasion in last month. Data were collected from 51 participants (mean age = 21.69 years (SD=1.86); 54.9% female, 56.9% non-Hispanic white). Data were from a baseline survey, 17 days of EMAs (4x/day), and evaluation survey.</p><p><strong>Results: </strong>High EMA survey retention was obtained (85.8% completion). The intraclass correlation coefficient (ICC) for desire to drink showed that 22% of the variability was between-persons and 78% was within-person. Cues of interest were adequately reported (e.g., physical cues reported on 23.2% of PM surveys, being around people with whom typically drink on 31.9% of PM surveys). Participants rated the intervention favorably (mean on 8 of 14 items greater than 4.0 on scale 1-5).</p><p><strong>Conclusions: </strong>EMA data offers rich opportunities for PFIs aimed to reduce alcohol use and consequences. The Alcohol Cue Reactivity PFI described here can inform future intervention research.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144958585","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":"Disproportionate Increases in Daily Cannabis Use Among Adults with Co-Occurring Depression and Psychological Distress, 2005-2019.","authors":"Matthew G Myers, Madison O Walsh, Kipling M Bohnert","doi":"10.15288/jsad.25-00151","DOIUrl":"https://doi.org/10.15288/jsad.25-00151","url":null,"abstract":"<p><strong>Background: </strong>Prevalences and frequencies of cannabis use are increasing in the U.S., particularly among those with past-year major depressive episodes (MDE) or serious psychological distress (SPD). Relationships between comorbid MDE and SPD and past-year cannabis use, daily cannabis use, and cannabis use disorder are unexplored. Here, we compare trends (2005-2019) of cannabis use among U.S. adults with monomorbid, comorbid, or neither MDE nor SPD.</p><p><strong>Methods: </strong>We aggregated 2005 to 2019 National Survey on Drug Use and Health data (unweighted n=590,229). Using sociodemographic-adjusted logistic regressions, we estimated and compared the trends of past-year cannabis use, daily cannabis use, and cannabis use disorder (CUD) among U.S. adults with MDE, SPD, comorbid MDE and SPD, and neither MDE nor SPD. All results are nationally representative.</p><p><strong>Results: </strong>Individuals with MDE only, SPD only, and comorbid MDE and SPD had higher prevalences of past-year cannabis use, daily cannabis use, and CUD compared to those without MDE or SPD. Average yearly trends of past-year cannabis use increased universally but rose faster among those with MDE and/or SPD than among those without MDE or SPD. Those with comorbid MDE and SPD had the greatest increase in prevalence of daily cannabis use (327.7% from 2005 to 2019). We found no trends in CUD prevalences across all groups.</p><p><strong>Conclusions: </strong>Daily cannabis use has risen most rapidly among those with comorbid MDE and SPD, a population with potentially more complex and severe mental health symptomology. Public health efforts may need to address daily cannabis use among individuals with mental health conditions to reduce disparities.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144855668","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":"Gender Identity Moderates the Association Between Alcohol Use and Eating Disorder Risk in U.S. College and University Students.","authors":"Alexis E Duncan, F Hunter McGuire, Christina Garasky, Maya Godambe, Alicia Persaud","doi":"10.15288/jsad.25-00010","DOIUrl":"https://doi.org/10.15288/jsad.25-00010","url":null,"abstract":"<p><strong>Objective: </strong>Studies have demonstrated associations of alcohol use and alcohol use disorder (AUD) with eating disorders; however, it is unknown whether the pattern of association differs by gender identity, particularly for transgender or gender-expansive (TGE) people.</p><p><strong>Methods: </strong>Data from a US national sample of college and university students (n = 21,623) participating in the Healthy Minds Study were used to examine associations of Alcohol Use Disorder Identification Test (AUDIT) scores, categorized into no drinking, low-risk drinking, and mild, moderate, and severe AUD, with a positive screen on the five-item SCOFF eating disorder screening tool. Predicted prevalence estimates were calculated from logistic regression models that included interaction terms for gender identity by level of alcohol involvement using marginal standardization.</p><p><strong>Results: </strong>The range of predicted prevalence of a positive eating disorder screen between those who did not drink alcohol and those with severe AUD was greatest among TGE people (26.0%-69.3%, prevalence difference [PD] 43.3, p<.001), followed by cisgender women (27.0%-52.3%, PD = 25.3, p<.001), and cisgender men (18.2%-35.0%, PD = 16.8, p<.001). Among cisgender women the association was monotonic, while among cisgender men and TGE people, there was a threshold effect, with increased predicted prevalence only among those with scores in the severe or moderate and severe AUD categories.</p><p><strong>Conclusions: </strong>These findings suggest patterns of association between level of alcohol involvement and eating disorders among college and university students differ by gender identity, underscoring the need for targeted, gender identity-sensitive measures to aid the prevention and treatment of this comorbidity.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799477","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":"Product Characteristics, Warnings, and Marketing Appeals Conveyed on Delta-8 THC Product Packaging in the US and Canada.","authors":"Meagan O Robichaud, Torra E Spillane, Ryan David Kennedy, David Hammond","doi":"10.15288/jsad.25-00034","DOIUrl":"https://doi.org/10.15288/jsad.25-00034","url":null,"abstract":"<p><strong>Objective: </strong>Delta-8 tetrahydrocannabinol (delta-8 THC) cannabis products proliferated in the United States (US) following the 2018 Farm Bill and are marketed in Canada. This study assessed characteristics and marketing appeals shown on exterior product packaging for a sample of US and Canadian delta-8 THC products.</p><p><strong>Method: </strong>Delta-8 THC packaging photos were obtained from US and Canadian respondents from the 2021 and 2022 International Cannabis Policy Study. A content analysis assessed cannabinoid content labels, presence and placement of health warnings, and marketing appeals (e.g., \"hemp\" descriptors, cartoons). Packages were double-coded.</p><p><strong>Results: </strong>The sample (N=140 products) included ingestibles (43.6%, n=61); vapes (37.9%, n=53); dried flower (7.9%, n=11); oral liquids (6.4%, n=9); and pre-rolls, topicals, and concentrates (1.4%, n=2 each). Fifteen percent (n=21) listed cannabinoids in addition to delta-8 THC; 6.4% (n=9) listed other intoxicating cannabinoids (delta-9 THC, delta-10 THC, and/or HHC). Intoxicating cannabinoid content (including delta-8 THC) per piece and per pack was specified for 82% (n=50/61) and 73.8% (n=45/61) of ingestibles, respectively. A minority of vapes (17%, n=9/53), dried flower (27.3%, n=3/11), and oral liquids (33.3%, n=3/9) stated concentration. Warnings were observed on 32.9% of products (n=46), including 11.7% (n=16/137) of primary surfaces and 67.4% (n=31/46) of secondary surfaces. Marketing appeals included \"hemp\" descriptors (43.6%, n=61), cannabis symbols (28.6%, n=40), referencing delta-8 THC's legality (25.7%, n=36), and cartoons (21.4%, n=30).</p><p><strong>Conclusions: </strong>Delta-8 THC products come in many forms and often lack health warnings and details about cannabinoid content. Studies assessing how delta-8 THC product packaging information impacts use patterns are needed.  .</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799479","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":"More Than a Symptom Count: Measuring Functioning in Alcohol Use Disorder With the Life Stress Interview.","authors":"Dylan E Kirsch, Erica N Grodin, Danielle Keenan-Miller, Lara A Ray","doi":"10.15288/jsad.25-00030","DOIUrl":"https://doi.org/10.15288/jsad.25-00030","url":null,"abstract":"<p><strong>Objective: </strong>The alcohol field has increasingly recognized that functioning plays a key role in the clinical course of alcohol use disorder (AUD). However, there remains a need for comprehensive instruments that capture functioning in this population. This study examined the utility of the UCLA Life Stress Interview Chronic Stress Assessment (LSI)-a functional domains-based assessment widely used in mood disorder research-as a tool to measure functioning in key life domains in AUD. We: (1) compare LSI scores between individuals with and without current AUD; and (2) examine whether LSI scores are associated with recent alcohol use and AUD symptomology.</p><p><strong>Methods: </strong>This secondary case-control study included 38 adults with AUD and 35 age- and biological sex-matched controls. The LSI was used to assess functioning in interpersonal, occupational, personal health, and family health domains over the prior 6-months. The Timeline Followback was used to assess recent alcohol use, and the Structured Clinical Interview for DSM-5 was used to assess AUD symptomology.</p><p><strong>Results: </strong>Individuals with AUD exhibited significantly poorer interpersonal, occupational, and personal health functioning, compared to controls. Among individuals with AUD, worse interpersonal, occupational, and personal health functioning correlated with a higher number of AUD symptoms, and both interpersonal and occupational functioning also correlated with greater recent alcohol use.</p><p><strong>Conclusion: </strong>This secondary study provides preliminary support for the LSI as a tool to assess functioning in AUD, offering an unbiased, addiction-independent evaluation of functioning across key domains. Future work should replicate results in larger samples, conduct formal psychometric evaluation, and examine the effects of biological, demographic, and clinical factors.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799478","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":"Pandemic-Related Stressors Linked to Cannabis and Nicotine Use in a Longitudinal Study of Asian, Latinx, and White Young Adults.","authors":"Griselda Martinez, Charles B Fleming, Isaac C Rhew, Jason R Kilmer, Mary E Larimer, Katarina Guttmannova","doi":"10.15288/jsad.25-00003","DOIUrl":"https://doi.org/10.15288/jsad.25-00003","url":null,"abstract":"<p><strong>Objective: </strong>Systemic inequities are associated with stressor experiences of racial and ethnic minoritized individuals and disparities in health and substance use. Recently, young adults (YAs) experienced pandemic-related stressors but the differences in exposure and their long-term implications for substance use are not well-understood. We examined associations of pandemic-related stressors with alcohol, cannabis, and nicotine use among non-Latinx (NL) Asian, Latinx, and NL White YAs in the context where the use of these substances is legal for those 21+.</p><p><strong>Methods: </strong>We used data from a statewide longitudinal (2019-2022) sample of YAs in Washington State (<i>N</i>=3,646; 13.8% NL Asian, 16.6% Latinx, and 69.6% NL White; 74.9%, 75.1%, and 74.2% female, respectively). Stressors in 2020 were regressed on race and ethnicity and 2019 background covariates. Substance use outcomes (modeled as latent variables of use in 2020-2022) were regressed on race and ethnicity, 2020 stressors, and background covariates.</p><p><strong>Results: </strong>Latinx YAs experienced more pandemic-related stressors than NL White YAs. Across 2020-2022 and adjusting for use in 2019, Latinx YAs reported more cannabis use days and NL Asian YAs reported fewer cannabis and alcohol use days than NL White YAs. Stressors were positively and significantly associated with cannabis, cigarette, and e-cigarette use in 2020-2022 but were not strongly associated with alcohol use. Associations between substance use and stressors were similar across groups.</p><p><strong>Conclusions: </strong>Pandemic-related stressors may have long-term implications for YAs' substance use, and these stressors are an area of emphasis for preventive interventions.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794804","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}