Substance Use & Misuse最新文献

{"title":"Perinatal Smoking Cessation and the Role of Antenatal Care.","authors":"Zsuzsanna Veroszta, Julianna Boros, Ágoston Horváth","doi":"10.1080/10826084.2025.2569793","DOIUrl":"https://doi.org/10.1080/10826084.2025.2569793","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines the smoking patterns of Hungarian women across four perinatal periods and evaluates the effectiveness of early antenatal care in promoting smoking cessation during pregnancy.</p><p><strong>Data and methods: </strong>The research utilizes data from the Cohort \"18 Growing Up\" in Hungary longitudinal study, which includes a sample of 8,000 women. The analysis focuses on identifying relationships between antenatal care entry timing and smoking cessation, with an emphasis on socioeconomic disparities. Descriptive statistics were employed to categorize mothers based on their perinatal smoking behaviors. A logistic regression model was used to estimate average marginal effects, assessing how early antenatal care influences the likelihood of quitting smoking. Socioeconomic background variables were also examined to identify vulnerable groups.</p><p><strong>Results: </strong>Among the participants, 45.8% did not smoke before or during pregnancy, 31.1% ceased smoking upon becoming pregnant, 14.4% smoked throughout the perinatal period, and 6.4% stopped after the first trimester. Women from disadvantaged socioeconomic backgrounds were disproportionately represented among late entrants to antenatal care and among persistent smokers. Regression analysis indicated that late antenatal care entry decreases the likelihood of smoking cessation by 5 percentage points (Nagelkerke R²=0.37).</p><p><strong>Conclusions: </strong>Early entry to antenatal care significantly improves smoking cessation rates during pregnancy. To maximize its impact, antenatal care systems should prioritize timely access, particularly for socioeconomically disadvantaged women who are at greater risk of continued smoking.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous Use of Alcohol and Marijuana Among College Students: The Role of Expectancies, Impulsivity and Behavioral Emotion Regulation.","authors":"Agostina Barey, Angelina Pilatti, Paul Ruiz, Ricardo M Pautassi","doi":"10.1080/10826084.2025.2568938","DOIUrl":"https://doi.org/10.1080/10826084.2025.2568938","url":null,"abstract":"<p><p><i>Background:</i> The simultaneous use of alcohol and marijuana (SAM, using both substances on the same occasion) leads to increased risk of negative outcomes compared to single-substance use. Impulsivity is a recognized risk factor for SAM use, yet less is known about the roles of behavioral emotion regulation and SAM-related expectancies. <i>Objectives:</i> We examined if recent SAM users could be distinguished from alcohol-only users and nonusers based on impulsivity traits, behavioral emotion regulation strategies, and outcome expectancies related to SAM use. We also assessed if frequency of alcohol use and related negative consequences, and binge drinking varied between SAM and alcohol-only users. <i>Methods:</i> Argentinean college students (<i>n</i> = 1369, ages 18-25) completed an online survey assessing substance use, impulsivity, behavioral emotion regulation, SAM-related expectancies, and SAM-related negative consequences. SAM vs. alcohol-only vs. nonuse comparisons were conducted <i>via</i> ANOVAs and multinomial logistic regressions (to examine the role of each included variable to distinguish across groups). <i>Results:</i> SAM users reported significantly higher binge drinking frequency and alcohol-related problems than alcohol-only users. Sensation seeking, low perseverance, and low withdrawal were associated with SAM use. Stronger positive and weaker negative SAM-related expectancies differentiated SAM users from both nonusers and alcohol-only users. <i>Conclusions:</i> The findings highlight the combined roles of impulsivity, behavioral emotion regulation, and SAM-related expectancies in differentiating SAM users from alcohol-only or nonusers. These results have implications for targeted interventions in college populations, especially underrepresented populations such as Latin American college students.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Sleep Impairment in Associations Between Pain and Nicotine/Tobacco Dependence in Wave 6 of the Population Assessment of Tobacco and Health (PATH) Study.","authors":"Grant H Ripley, Joon Kyung Nam, Victoria E Carlin, Jessica M Powers, Joseph W Ditre","doi":"10.1080/10826084.2025.2561919","DOIUrl":"https://doi.org/10.1080/10826084.2025.2561919","url":null,"abstract":"<p><strong>Objective: </strong>Tobacco use is a significant national health concern that frequently co-occurs with chronic pain. Both pain and use of nicotine/tobacco have been linked to greater sleep impairments (i.e., trouble initiating and maintaining sleep), and there is reason to believe that more severe pain may indirectly contribute to greater nicotine dependence <i>via</i> sleep impairments. Therefore, the goal of this study was to examine indirect associations between pain severity and nicotine dependence <i>via</i> sleep impairment severity among adults who use cigarettes and electronic nicotine delivery systems (ENDS).</p><p><strong>Methods: </strong>Data were drawn from Wave 6 (March - November 2021) of the Population Assessment of Tobacco and Health Study (PATH), limited to <i>N</i> = 9,682 (54% male; 22% ages 25-24; 77% White) participants who reported regular cigarette smoking and/or ENDS use. Pain severity and sleep impairment were assessed using single items, and nicotine/tobacco dependence was assessed using the Wisconsin Inventory of Smoking Dependence Motives (WISDM).</p><p><strong>Results: </strong>Results indicated positive indirect associations between pain severity and both tobacco and ENDS dependence <i>via</i> sleep impairment severity.</p><p><strong>Conclusions: </strong>Sleep impairment may play an important role in associations between pain severity and nicotine dependence among adults who use cigarettes or ENDS. These findings and future work may warrant the development of interventions that address sleep dysfunction to support nicotine and tobacco cessation, particularly among adults who experience pain.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Need Satisfaction and Simultaneous Alcohol and Marijuana Use: A Moderated Mediation Model of Expectancies and Motives.","authors":"Luke Herchenroeder, Harini Krishnamurti, Tonya Dodge, Ellen Yeung","doi":"10.1080/10826084.2025.2565421","DOIUrl":"https://doi.org/10.1080/10826084.2025.2565421","url":null,"abstract":"<p><p><b><i>Background</i></b>: Prior work suggests psychological need satisfaction (PNS) may protect against single-substance alcohol and marijuana use, yet little is known about its association with simultaneous alcohol and marijuana (SAM) use. This study aims to address this gap by examining the link between PNS and SAM use in college students. Further, to better explain the conditions under which PNS associates with SAM use, we also explore SAM use motives as a potential mechanism through which PNS associates with SAM use, and investigate whether this relationship is moderated by positive expectancies about SAM use (i.e., first-stage moderated mediation). <b><i>Methods</i></b>: Participants were 822 college students from six universities who reported past-month SAM use. The sample was predominantly White, non-Hispanic (62.9%), female (70.2%), with a mean age of 19.44 (<i>SD</i> = 1.98) years. <b><i>Results</i></b>: Calm/coping and social motives mediated the association between PNS and SAM use, such that students with lower PNS reported higher levels of these motives, which were in turn associated with greater SAM use. The indirect effect of PNS on SAM use through calm/coping motives, but not social motives, was stronger among students with higher levels of positive expectancies for SAM use, compared to those with lower or average positive expectancies. <b><i>Consclusion</i></b>: These findings suggest that students with lower PNS and higher positive SAM expectancies may be at greater risk of engaging in SAM use, especially for relaxation or coping reasons. Overall, the results highlight the importance of addressing unmet psychological needs and positive expectancies in efforts to reduce SAM use among college students.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Actionable Predictors of Community Readiness for Substance Misuse Prevention.","authors":"Alversia D Wade, Christine Guerette, Janice Vendetti, Jennifer E Sussman, Antoinette V Thuillier, Megan A O'Grady","doi":"10.1080/10826084.2025.2564878","DOIUrl":"https://doi.org/10.1080/10826084.2025.2564878","url":null,"abstract":"<p><p><b><i>Background</i></b>: The prevalence of substance misuse among young people, and the risks associated with it, emphasize the need for targeted prevention efforts. Understanding factors that impact communities' readiness to implement successful prevention programs is critical to addressing this need effectively. <b><i>Objectives</i></b>: The purpose of this paper is to identify predictors of community readiness (CR) for substance misuse prevention by examining relationships between readiness and (1) community type, (2) community attitudes, (3) barriers and facilitators, and (4) town ability to implement activities. The authors used data from a 2022 Connecticut-wide key informant survey that assessed community level readiness to implement behavioral health prevention and promotion activities. <b><i>Results</i></b>: ANOVA indicated that rural communities had a significantly lower mean CR stage (MR = 4.1, SDR = 1.8) than other community types. Three linear regression models found the following to be significantly and positively associated with CR stage: community residents' concern about prevention (b = 0.35), knowledge about community programs (b = 0.27), political support for prevention (b = 0.23), data to determine the extent of the issue (b = 0.41), the community's ability to collect local data (b = 0.64), and raise community awareness (b = 0.48). <b><i>Conclusions</i></b>: Findings suggest areas where prevention practitioners could increase focus in order to improve readiness to implement prevention practices related to substance misuse, including bolstering community capacity to collect data, educating residents, and increasing community members' knowledge, awareness, and concern about substance misuse.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Community Connectedness in Understanding the Connection Between LGBTQ+ Minority Stress and Problem Drinking.","authors":"Leo Augustus Miller, Andrew Åkerlund, Sarah Fischer","doi":"10.1080/10826084.2025.2564200","DOIUrl":"https://doi.org/10.1080/10826084.2025.2564200","url":null,"abstract":"<p><strong>Background: </strong>Research has established that LGBTQ+ individuals engage in higher rates of problem drinking than the general population. Very few studies examine the impact of distinct components of minority stress on drinking while also considering the impact of other discrimination-based stressors (e.g., ableism, racism, sexism). We examined the effect of distal (discrimination experiences) and proximal (identity concealment) minority stressors on LGBTQ+ problem drinking, when adjusting for broader discrimination-based stress experiences.</p><p><strong>Objectives: </strong>We hypothesized that LGBTQ+ community connectedness would moderate the relationship between distal and proximal minority stressors and problem drinking.</p><p><strong>Methods: </strong>We analyzed data from a sample of 595 LGBTQ+ adults using a combination of Amazon MTurk participants and undergraduate students. We tested hypotheses using linear regression analyses.</p><p><strong>Results: </strong>After adjusting for broader discrimination-based experiences, LGBTQ+ specific distal and proximal stressors were significantly associated with problem drinking. Community connectedness significantly moderated the relationship between discrimination (a distal factor) and problem drinking, and identity concealment (a proximal factor) and problem drinking. Both interaction effects indicated that problem drinking was highest when both discrimination and community connectedness were high, and when both identity concealment and community connectedness were high.</p><p><strong>Conclusions: </strong>LGBTQ+ community connectedness may amplify the relationship between specific minority stressors and problem drinking in LGBTQ+ individuals. Further investigation is warranted, particularly expanding the measurement of different experiences with LGBTQ+ community connectedness, and specific mechanisms that may increase drinking to cope. Implications include ensuring LGBTQ+ community connectedness is involved as a treatment target with LGBTQ+ individuals who engage with problem drinking.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 AI in Tobacco and Nicotine Research and Regulation.","authors":"Ebbie Kalan, Sara Dadipoor, Olatokunbo Osibogun, Ziyad Ben Taleb","doi":"10.1080/10826084.2025.2568154","DOIUrl":"https://doi.org/10.1080/10826084.2025.2568154","url":null,"abstract":"","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Role of Affect in Young Adult's Willingness to Engage in Simultaneous Alcohol and Marijuana Use.","authors":"Harini Krishnamurti, Tonya Dodge, Michelle L Stock, Brennan Kelly","doi":"10.1080/10826084.2025.2564194","DOIUrl":"https://doi.org/10.1080/10826084.2025.2564194","url":null,"abstract":"<p><strong>Background: </strong>Prior work suggests that specific motivations and day-level affect impact young adults' simultaneous alcohol and marijuana use (SAM use) behaviors, yet less is known about the influences of momentary affect experienced during the opportunity to move from single to simultaneous use on their decision to engage in SAM use.</p><p><strong>Objectives: </strong>Two within-subjects, scenario-based studies were conducted to examine how momentary affect during a hypothetical opportunity to move from alcohol to simultaneous alcohol and marijuana (SAM) use, impacts young adults' willingness to engage in SAM use. Study 1 (N = 212) recruited a convenience sample of college students, while Study 2 (N = 170) recruited a sample of Black, Hispanic, or Multiracial young adults using Prolific. Three hypothetical scenarios were developed, where young adults reported the extent to which they were willing to take a hit of a joint when already under the influence of alcohol, and feeling (i) excited/confident, (ii) anxious/uncertain, or (iii) affect absent. Young adults also reported varying histories of lifetime marijuana use.</p><p><strong>Results: </strong>Across studies, young adults anticipated a greater willingness to engage in SAM use when they imagined feeling confident/excited and in the affect absent scenario, compared to when feeling anxious/uncertain. Willingness ratings in the confident/excited scenario did not differ from the affect absent scenario. Further, abstainers reported the greatest willingness when feeling confident/excited, followed by affect absent, and reported the lowest willingness when feeling anxious/uncertain. For experimental and experienced marijuana users, willingness was the lowest when feeling anxious/uncertain compared to feeling confident/excited and affect absent.</p><p><strong>Conclusions: </strong>Collectively, our findings show support for the influence of momentary affect on SAM use decisions via the socially reactive pathway of information processing, and has important implications for future prevention and intervention efforts.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secular Trends in Hazardous Alcohol and Cannabis Use from 2015 to 2024 in Diverse Subgroups of Youth Entering Residential Care.","authors":"W Alex Mason, Ni Ketut Wilmayani, Mary B Chmelka","doi":"10.1080/10826084.2025.2565434","DOIUrl":"https://doi.org/10.1080/10826084.2025.2565434","url":null,"abstract":"<p><p><b><i>Background</i></b>: Secular trends in adolescent alcohol and cannabis use in the general population have shown declines in both substances, but trends among high-risk youth placed in residential care are unclear. Understanding these differences could help address substance-related issues in this vulnerable population. <b><i>Objectives</i></b>: This study examines subgroup differences in the secular trends in hazardous alcohol and cannabis use and co-use among youth entering residential care using clinical records data collected over a 10-year period from 2015 to 2024. Repeated cross-sectional data from 2,256 youth (ages 9-18 years) entering a Midwestern U.S. residential care facility (2015-2024) were analyzed. Hazardous alcohol and cannabis use were assessed using the AUDIT (Alcohol Use Disorders Identification Test) and CUDIT-R (Cannabis Use Disorders Identification Test-Revised), respectively. Subgroup differences were examined through product-term logistic regressions, testing trends by age, sex, and race/ethnicity. <b><i>Results</i></b>: Hazardous alcohol use significantly increased over time among females (OR = 1.043, se = 0.026, <i>p</i> < 0.05) but decreased among males (OR = 0.981, se = 0.021, <i>p</i> < 0.05). Both Latinx youth (OR = 0.944, se = 0.038, <i>p</i> < 0.05) and American Indian youth (OR = 0.909, se = 0.066, <i>p</i> < 0.05) reported a significant decrease in hazardous alcohol use over time compared to a significant increase among White youth (OR = 1.021, se = 0.018, <i>p</i> < 0.05). A similar interaction pattern was shown for American Indian compared to White youth for comorbid use. <b><i>Conclusions</i></b>: Results have implications for ongoing monitoring and development of tailored interventions for youth entering residential care.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/10826084.2025.2569945","DOIUrl":"https://doi.org/10.1080/10826084.2025.2569945","url":null,"abstract":"","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1"},"PeriodicalIF":1.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}