Substance Use & Misuse最新文献

{"title":"Frequent Alcohol Use of Adolescents in Low-Income Families: Application of the Multiple Disadvantage Model.","authors":"Tyrone C Cheng, Celia C Lo","doi":"10.1080/10826084.2025.2454657","DOIUrl":"https://doi.org/10.1080/10826084.2025.2454657","url":null,"abstract":"<p><strong>Background: </strong>This study investigated relationships between low-income adolescent drinkers' frequent alcohol use and five factors: social disorganization, social structural, social integration, mental health, and access to healthcare.</p><p><strong>Objective: </strong>A sample of 1,256 low-income adolescent drinkers and caregivers were extracted from the Future of Families and Child Wellbeing Study.</p><p><strong>Results: </strong>Logistic regression yielded results showing adolescent drinkers' weekly drinking to be associated positively with Hispanic adolescents, drinking peers, adolescents' depression/anxiety, and caregiver's daily drinking. Adolescent drinkers' weekly drinking was associated negatively with caregiver's age, family income below 100% of federal poverty level, caregiver supervision, and having usual place for health care.</p><p><strong>Conclusions/importance: </strong>Implications included support of adolescents' selection of desirable peers, promotion of caregiver supervision (especially among Hispanic adolescents), provision of assistance to families in poverty, provision of substance use treatment for caregivers and adolescents, and provision of mental health services to adolescents with depression or anxiety.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143041423","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":"Pregnant and Recently Pregnant People's Views on Policies That Punish Pregnant People Who Use Cannabis.","authors":"M Antonia Biggs, Sarah Raifman, Claudia Zaugg, Sarah C M Roberts","doi":"10.1080/10826084.2025.2454660","DOIUrl":"https://doi.org/10.1080/10826084.2025.2454660","url":null,"abstract":"<p><strong>Objective: </strong>To explore recently/currently pregnant people's experiences and views about cannabis use during pregnancy and their associated support for policies that punish pregnant people who use cannabis.</p><p><strong>Methods: </strong>A market research firm administered a survey (May-June 2022) to pregnant and recently pregnant people ages 18-49 regarding their attitudes about cannabis use policies and practices. We used multivariable regression to assess whether cannabis use and beliefs are associated with support for punishing people who use cannabis.</p><p><strong>Results: </strong>3,571 people initiated the survey, 3,569 completed support for punishment items. More participants (32%) agreed that cannabis use should be illegal for pregnant people than for everyone (17%); 30% agreed that using cannabis during pregnancy is child abuse; most agreed that pregnant people should be able to talk with their doctor about cannabis use without worrying about getting in trouble (72%) and that doctors and nurses should get consent from the pregnant person before testing their urine for cannabis (52%), although uncertainty was high (22%-39%) across items. Cannabis use pre-pregnancy (-0.39, 95% CI, -0.46, -0.32) and during pregnancy (-0.42, 95% CI, -0.49, -0.35) was associated with less support for punishment. Agreeing that use during pregnancy is safe for the baby (-0.47, 95% CI, -0.58, -0.36) and that people who use cannabis during pregnancy can be great parents (-0.55, 95% CI -0.63, -0.46) were associated with less support for punishment.</p><p><strong>Conclusions: </strong>While recently/currently pregnant people's perspectives about cannabis use during pregnancy were complex and varied by policy, most supported policies and practices that protect the patient-provider relationship.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034207","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":"Trends and Association between Smoking and the Socio-Demographic Index Among 11 South American Countries, 1990-2019.","authors":"Oladipo K Afolayan, Jessica Velazquez, Samuel Tundealao, Esteve Fernández, Cristina Martínez, Luis Leon-Novelo, Javier Retamales, Irene Tamí-Maury","doi":"10.1080/10826084.2024.2440384","DOIUrl":"https://doi.org/10.1080/10826084.2024.2440384","url":null,"abstract":"<p><strong>Objectives: </strong>To examine prevalence trends in the use of smoked tobacco products in 11 South American (SA) countries (i.e., Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Paraguay, Peru, Suriname, Uruguay, and Venezuela) and their association with country-specific socio-demographic index (SDI) over 30 years.</p><p><strong>Data and methods: </strong>The estimates of SDI and smoked tobacco prevalence stratified by age, sex, and country were extracted from the Global Burden of Disease Study (1990-2019) on individuals aged 15+. The annual percentage changes (APCs) of trends in country-specific prevalence of smoked tobacco were evaluated using Joinpoint regression. Correlation analysis was also used to explore the association between country-specific prevalence of smoked tobacco and their SDIs, a measure of developmental status considering income per capita, educational attainment, and total fertility rate.</p><p><strong>Results: </strong>While all SA countries showed an overall decline in smoked tobacco use prevalence between 1990 and 2019 (APCs between -0.52%-and -4.73%; <i>p</i> < 0.05), Bolivia and Ecuador showed a significant increasing trend (APCs of 0.34% and 0.20%). Country-specific SDI was strongly and significantly correlated (rs = -0.99 to -0.85) with smoking prevalence in SA countries, except for Ecuador and Bolivia (rs = 0.16 and 0.36, respectively).</p><p><strong>Conclusion: </strong>In recent decades, most SA countries have experienced a significant reduction in the prevalence of smoked tobacco use, except Ecuador and Bolivia, where smoking rates have risen, showing a direct correlation with SDI. These findings can contribute to the design and implementation of strategies and policies for tobacco prevention and control in the SA region especially within the two affected countries - Ecuador and Bolivia.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.8,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024880","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":"#natural, #vegan, #healing: A Content Analysis of Health Content Among Instagram Posts Focused on Cannabis Edibles.","authors":"Kathryn Heley, Linnea Laestadius, Emma E McGinty, Meghan Bridgid Moran, Johannes Thrul, Danielle M Edwards, Colleen L Barry, Katherine Clegg Smith","doi":"10.1080/10826084.2024.2422987","DOIUrl":"https://doi.org/10.1080/10826084.2024.2422987","url":null,"abstract":"<p><strong>Background: </strong>Despite limited scientific evidence, public perceptions of cannabis as health enhancing are significant. As food products, cannabis edibles (edibles), may also leverage food-related associations that convey health. Social media is a prominent and influential source of largely unregulated cannabis information and a potential place to correct misinformation. Given its potential to shape product appeal and perceptions of health benefits and risks, understanding the social media landscape around edibles and health is a priority.</p><p><strong>Methods: </strong>We conducted a quantitative content analysis of a random sample of #edibles Instagram posts (N = 702) published in January 2020. A structured coding instrument analyzed posts for: (1) non-food related health, medicine, and wellness content (2) food-related characteristics/associations suggesting edibles are healthy foods or appropriate for particular diets.</p><p><strong>Results: </strong>The majority of posts (61%) featured non-food related health, medicine, or wellness content. 35% of posts noted a general health or wellness issue or benefit, while 9% highlighted a medical condition, clinical diagnosis or attendant benefit; a wide range of wellness, health, and clinical issues were cited. Nearly half of all posts (45%) alluded to medicine or being medicated, while 22% referenced medical marijuana specifically. Connections to health were also made through food-related associations, with 13% of posts citing a dietary need or nutrient claim and 10% highlighting food-related characteristics that imply product healthfulness.</p><p><strong>Conclusions: </strong>Health-related content is widespread among #edibles Instagram posts. Communication approaches to counter unsubstantiated health claims and regulatory strategies limiting commercial promotion should be considered. Explicit connections between edibles and health and more implicit associations via hashtags and images warrant particular attention.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-14"},"PeriodicalIF":1.8,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011292","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":"Digital Marketing Strategies Used to Promote Waterpipe Tobacco Among Retailers and Manufacturers.","authors":"Eric K Soule, Jennifer Cornacchione Ross, Allison J Lazard, Heesoo Jang, Cynthia K Suerken, Caroline M Kimes, Alexandra R Zizzi, Kimberly G Wagoner, Beth A Reboussin, Erin L Sutfin","doi":"10.1080/10826084.2024.2446736","DOIUrl":"10.1080/10826084.2024.2446736","url":null,"abstract":"<p><strong>Introduction: </strong>Waterpipe tobacco (WT) is unique compared to other tobacco products. Retailers and manufacturers may promote WT products using different marketing appeals and sales propositions on popular digital marketing media. This study examined WT digital marketing content in the United States (U.S.).</p><p><strong>Methods: </strong>In 2020, a census of WT manufacturers that sold WT products in the U.S. was created and 33 WT manufacturers and 30 WT retailers across the U.S. were identified. Business websites and the 20 most recent Facebook and Instagram posts from identified manufacturers and retailers were recorded. Marketing appeals were coded for themes including sexuality and romance, U.S. patriotism, Middle Eastern culture, WT smoking cues, health or safety, and enjoyable experiences. Sale proposition content was also coded and included price promotions, scarcity, and free products.</p><p><strong>Results: </strong>Digital marketing content posts (<i>n</i> = 1,520) were recorded, including 70 webpages (primary and secondary pages), 770 Instagram posts, and 680 Facebook posts. Most content (91.0%) included at least one examined marketing appeal, including smoking cues (54.3% of all marketing content), Middle Eastern culture (29.1%), enjoyable experiences (22.4%), and sexuality and romance (19.7%). At least one sales proposition was used in 28.6% of all marketing content. The most commonly used sales proposition was a financial incentive, which was included in 11.8% marketing content.</p><p><strong>Conclusions: </strong>Manufacturers and retailers in the U.S. use a variety of digital marketing strategies to promote WT products. Research is needed examine the impact of WT digital marketing on consumer perceptions, particularly among youth and young adults who are at greatest risk for WT smoking.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011514","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":"Social Network Barriers to Extended-Release Naltrexone Within Rural Appalachia: Perspectives from Justice-Involved Clients and Clinicians.","authors":"Amanda M Bunting, Carrie B Oser, Marisa Booty, Hannah K Knudsen, Evan Batty, Michele Staton","doi":"10.1080/10826084.2024.2447430","DOIUrl":"https://doi.org/10.1080/10826084.2024.2447430","url":null,"abstract":"<p><strong>Background: </strong>Extended-release naltrexone (XR-NTX, Vivitrol^®) is an effective, but underutilized, evidence-based treatment for people with opioid use disorder (POUD) who are incarcerated. Networks of family, friends, and clinicians serve as social influencers of health behaviors, including XR-NTX initiation, and are especially salient in Appalachia.</p><p><strong>Objectives: </strong>Using a triangulation of perspectives, this study examined concordance between the social network themes that emerged from qualitative interviews with clinicians and POUD social network findings.</p><p><strong>Methods: </strong>Audio-recorded qualitative interviews were conducted with all clinicians (<i>n</i> = 15) providing assessments and community-based treatment linkages to justice-involved POUDs in Kentucky's Appalachian counties. Two independent coders coded the transcribed interviews. Social network data were collected from POUDs who completed prison-based treatment programs and were recently released from prison (<i>n</i> = 52).</p><p><strong>Results: </strong>Three themes related to POUDs' social network barriers of XR-NTX emerged from the clinician interviews: (1) networks with limited knowledge of XR-NTX, (2) homophily in networks, and (3) limited support networks. From the perspective of the POUD, knowledge of XR-NTX was nonexistent within their networks, aligning with the clinician theme. Homophily was prevalent in some attributes (e.g., employment), but only 31.8% of POUD networks had used drugs, providing mixed support for this theme. In concordance with clinicians, POUDs received high levels of emotional support, but lacked instrumental, financial, and treatment support from networks.</p><p><strong>Conclusions: </strong>The network characteristics of Appalachian POUDs recently released from prison create challenges associated with recovery, which may be addressed through network and educational interventions.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984873","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":"\"New Normal:\" Opportunities and Challenges Faced by Syringe Service Programs Following the Effects of the COVID-19 Pandemic.","authors":"Elizabeth J Austin, Elsa S Briggs, Maria A Corcorran, Jessica Chen, Nicky Cotta, Czarina N Behrends, Stephanie M Prohaska, Paul A LaKosky, Shashi N Kapadia, David C Perlman, Bruce R Schackman, Don C Des Jarlais, Emily C Williams, Sara N Glick","doi":"10.1080/10826084.2024.2447411","DOIUrl":"10.1080/10826084.2024.2447411","url":null,"abstract":"<p><p>Syringe services programs (SSPs) provide critical evidence-based public health services that decrease harms from drug use for people who use drugs (PWUD). Many SSPs have experienced significant and evolving COVID-19-related disruptions. We aimed to characterize the impacts of COVID-19 on SSP operations in the United States approximately two years into the pandemic.</p><p><p>Participating sites, selected from a national sample of SSPs, completed a semi-structured interview <i>via</i> teleconference and brief electronic survey evaluating the impacts of COVID-19 on program operations. Data collection explored program financing, service delivery approaches, and perspectives on staff morale two years into the pandemic. Interview data were analyzed qualitatively using Rapid Assessment Process. Survey data were analyzed using descriptive statistics and triangulated with qualitative findings.</p><p><p>Twenty-five SSPs completed the interview and survey between April - June 2022. Triangulation of qualitative and quantitative data characterized the dynamic ways that demand for SSP services has evolved throughout the pandemic, and how approaches to care delivery have increased in flexibility and participant-centeredness. However, SSPs expressed worry about longer-term barriers to program participant and staff engagement, and a mismatch between available programmatic resources and the \"new normal\" of service delivery needs.</p><p><p>The COVID-19 pandemic has had lasting impacts on multiple facets of syringe service delivery. While SSPs consistently meet barriers with ingenuity, greater programmatic and staff support is needed to ensure SSPs can continue to meet the changing public health needs for PWUD.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-8"},"PeriodicalIF":1.8,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984872","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":"Individual and Familial Risk and Promotive Factors for Substance Use Among Multiracial American Young Adults.","authors":"Annabelle L Atkin, Andrew M Subica, Tessa Nalven, N Keita Christophe","doi":"10.1080/10826084.2024.2440385","DOIUrl":"https://doi.org/10.1080/10826084.2024.2440385","url":null,"abstract":"<p><strong>Background: </strong>Multiracial American adults have the highest rates of binge drinking and illicit drug use of all racial groups, yet little is known about the risk and promotive factors that contribute to their substance use.</p><p><strong>Objectives: </strong>This study examines how individual factors (i.e., shifting racial expressions, perceived racial ambiguity, creating third space, self-esteem, depression) and family cohesion relate to substance use among 574 Multiracial young adults in the United States (M_age = 19.87).</p><p><strong>Results: </strong>Findings suggested that Multiracial young adults who reported higher scores on perceived racial ambiguity, self-esteem, and depression had a higher likelihood of drinking to feel drunk and binge drinking, while more family cohesion with their first primary caregiver was associated with a lower likelihood of drinking to feel drunk. Perceived racial ambiguity was also associated with a higher likelihood of illicit drug use, while family cohesion with their second primary caregiver was associated with a lower likelihood of illicit drug use. Multiracial young adults with White ancestry were more likely to drink to feel drunk than Multiple Minority Multiracials, but there were no differences between groups in binge drinking or illicit drug use.</p><p><strong>Conclusions: </strong>In sum, the unique racialized experiences, mental health, and family relationships of Multiracial Americans may play a role in substance use.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972222","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":"Smoking as a Marker of Comorbid Vulnerability Among Persons with Probable Posttraumatic Stress Disorder Who Engage in Hazardous Drinking.","authors":"Michael J Zvolensky, Tanya Smit, Aniqua Salwa, Bryce K Clausen, Jillian Robison, Amanda M Raines, Anka A Vujanovic","doi":"10.1080/10826084.2024.2447418","DOIUrl":"https://doi.org/10.1080/10826084.2024.2447418","url":null,"abstract":"<p><p><i>Background:</i> Persons with posttraumatic stress disorder (PTSD) compared to those without evince high rates of hazardous drinking, or patterns of alcohol consumption that increase the risk for harmful consequences. One potential marker of vulnerability for PTSD-hazardous drinking comorbidity may be smoking behavior. Individuals with PTSD have a higher prevalence of smoking and smoke at higher rates. Smokers, compared to nonsmokers, are more apt to engage in hazardous alcohol use. Notably, there is a need to expand research on smoking in the context of PTSD and hazardous drinking to inform treatment of these morbidities. <i>Objective:</i> The present cross-sectional investigation sought to examine smoking status as a marker of risk among persons with probable PTSD who engage in hazardous drinking (<i>N</i> = 647; <i>M</i>_age = 38.90 years, SD = 10.71; 51.2% female). <i>Results:</i> Results indicated that trauma-exposed smokers, compared to non-smokers, evinced greater severity of PTSD symptoms, depression, emotion regulation difficulties, hazardous drinking, and substance use problems, with small effect sizes. No statistically significant group differences were found for anxiety symptom severity. Secondary analyses among only smokers supported an interrelation between cigarette dependence and each of the criterion variables that demonstrated statistically significant group differences. Specifically, cigarette dependence was statistically significantly and incrementally related to PTSD symptom severity, depression, emotion regulation difficulties, more severe hazardous drinking, and a greater degree of substance use problems. <i>Conclusions:</i> Overall, the current investigation found that smoking status among persons with probable PTSD who engaged in hazardous drinking was associated with numerous indicators of mental health and substance use vulnerability.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-12"},"PeriodicalIF":1.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955574","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":"Interest in Quitting and Utilizing Quitline Services Among Long-Term E-Cigarette Users.","authors":"Matthew Carrillo, Jessica Yingst, Gail Carmen D'Souza, Sitasnu Dahal, Sophia I Allen, Jonathan Foulds","doi":"10.1080/10826084.2024.2447420","DOIUrl":"10.1080/10826084.2024.2447420","url":null,"abstract":"<p><strong>Background: </strong>Electronic cigarettes (e-cigs) contain fewer hazardous ingredients than traditional cigarettes, yet they still pose health hazards. This study evaluates experienced e-cig users' quitting interest and Quitline utilization.</p><p><strong>Methods: </strong>In a 2012 (Wave 1) baseline survey, 1875 (28.9%) provided consent consented to future study contact. This study focused on a follow-up survey sent in 2022 (4). The main indicators assessed were participants' were participants awareness, willingness, and motivations to utilize Quitlines to quit e-cigs. The Penn State Electronic Cigarette Nicotine Dependence Index (PSECDI) was used to assess the level of dependence on e-cigs. Descriptive statistics were used to examine the outcomes of interest. Additionally, a thematic analysis was performed to evaluate qualitative data.</p><p><strong>Results: </strong>Participants (<i>n</i> = 195) had a mean age of 52.4 (SD = 12.1) years, 64.6% (<i>n</i> = 126) were male, and the majority were Caucasian/White (88.2%, <i>n</i> = 172). About 42% (<i>n</i> = 82/195) of respondents had previously tried to quit e-cig use. Of these, more than half (63.4%, <i>n</i> = 52/82); had heard of Quitline; however, very few (9.8%, <i>n</i> = 8/82) were interested in utilizing Quitline services for assistance with quitting e-cigs. The themes that emerged included the impersonal nature of telephone counseling, lack of trust in external assistance, belief in participants' ability to quit without help, and skepticism about the effectiveness of Quitline interventions.</p><p><strong>Conclusion: </strong>There was widespread reluctance to utilize Quitline cessation services among experienced e-cig users. To enhance engagement in cessation programs, such as Quitline, it may be helpful to consider specialized counseling and support tailored to the unique challenges among e-cig users.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-7"},"PeriodicalIF":1.8,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955573","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}