Substance Use & MisusePub Date : 2025-01-01Epub Date: 2025-05-31DOI: 10.1080/10826084.2025.2508748
Morica Hutchison, Anthony R Pisani, Valeria Cuellar, Sarah Donovan, Paul R Scade, Kenneth R Conner
{"title":"A Scoping Review of Programs to Support Families and Protect the Lives of Persons with Problematic Substance Use: Focus on Suicide and Overdose Prevention.","authors":"Morica Hutchison, Anthony R Pisani, Valeria Cuellar, Sarah Donovan, Paul R Scade, Kenneth R Conner","doi":"10.1080/10826084.2025.2508748","DOIUrl":"10.1080/10826084.2025.2508748","url":null,"abstract":"<p><strong>Issues: </strong>Information is scarce about programs for families of individuals with problematic substance use (IPSUs), and even less is known about the volume and quality of programs that aim to prevent overdose or suicide.</p><p><strong>Approach: </strong>We completed a scoping review to examine programs for families concerned about an IPSU since 2008 to learn: whether and in what way IPSUs are involved in family programming, program goals, and whether these programs address concerns of risk for injury death due to overdose or suicide.</p><p><strong>Key findings: </strong>A total of 8149 articles were identified, with 86 articles meeting inclusion. A total of 35 programs worked with families without involving the IPSU, and 41 involved both the family and the IPSU. Programs rarely directly targeted suicide (<i>n</i> = 1) or overdose (<i>n</i> = 2) risk. More than half of the studies only on IPSU outcomes, even though they offered family members tools to improve coping, or to reduce anxiety, depression, and stress. Many programs that aim to improve outcomes for both the IPSU and their families have similar goals, including increasing relationship quality, and improving family cohesion.</p><p><strong>Implications and conclusions: </strong>There is a paucity of programs for families of IPSUs that focus on overdose and suicide prevention. An important next step is to conduct an environmental scan focused on the content of programs to ascertain how many programs have been implemented beyond piloting and are available in different communities. Dissemination of knowledge about what services are available and where is essential for individuals to be directed toward the services that will meet their needs.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1629-1640"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192257","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}
Substance Use & MisusePub Date : 2025-01-01Epub Date: 2024-11-04DOI: 10.1080/10826084.2024.2422950
Seungbin Oh, Cindy Liu, Madison Kitchen, Hyeouk Chris Hahm
{"title":"Prescription Opioid Misuse, Comorbid Substance Use, and Suicidal Behaviors Among US Young Adults: Findings from 2015-2019 National Survey on Drug Use and Health.","authors":"Seungbin Oh, Cindy Liu, Madison Kitchen, Hyeouk Chris Hahm","doi":"10.1080/10826084.2024.2422950","DOIUrl":"10.1080/10826084.2024.2422950","url":null,"abstract":"<p><strong>Background: </strong>Few studies to date have examined the <i>number</i> of comorbid substances used alongside Prescription Opioid Misuse (POM) to predict suicidal behaviors among US young adults.</p><p><strong>Objective: </strong>This study investigated the relationship between comorbid substance use with POM and suicidal behaviors among the US young adults.</p><p><strong>Methods: </strong>Data were from individuals aged 18-25 (<i>N</i> = 69,204, 51.8% female) in the 2015-2019 National Surveys on Drug Use and Health (NSDUH). The final analytic sample for logistic regression was 36,892 young adults.</p><p><strong>Results: </strong>After controlling for key covariates, the combination of POM and three or more illicit drugs were at the greatest odds of suicidal ideation (OR = 2.57, 95% CI = 1.61 - 4.11, <i>p</i> < 0.001) and attempts (OR = 3.57, 95% CI = 1.89 - 6.76, <i>p</i> < 0.001) compared to those without POM or drug use.</p><p><strong>Conclusions: </strong>The study provides evidence of a dose-response relationship between the number of illicit drugs uses alongside POM and the suicide risk as a clinically important phenomenon with implication for intervention. Findings highlight that POM, with or without illicit drug use, can serve as a behavioral and clinical indicator for identifying young adults at heightened risk of suicidality. This group warrants prioritized intervention targets to ensure timely access to developmentally appropriate clinical treatment, aiming to mitigate addiction progression and prevent harm and mortality.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"195-201"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142574864","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}
Substance Use & MisusePub Date : 2025-01-01Epub Date: 2024-09-28DOI: 10.1080/10826084.2024.2403124
Stephanie Pike Moore, Katherine Masyn, Erika Trapl, Craig S Fryer, Eugenia Lee, Douglas Gunzler, Ce Shang, Kymberle Sterling
{"title":"Prevalence of Blunt and Hemp Wrap Use Among Young Adults in the United States, 2022.","authors":"Stephanie Pike Moore, Katherine Masyn, Erika Trapl, Craig S Fryer, Eugenia Lee, Douglas Gunzler, Ce Shang, Kymberle Sterling","doi":"10.1080/10826084.2024.2403124","DOIUrl":"10.1080/10826084.2024.2403124","url":null,"abstract":"<p><strong>Introduction: </strong>Blunt and hemp wraps, as a means of consuming cannabis, have emerged into the retail space where the prevalence has been increasing since 2017. There is limited epidemiological research on the prevalence of use of these products across the U.S. particularly among young adults who are at greater risk of tobacco and cannabis use.</p><p><strong>Methods: </strong>This study draws from a U.S. national representative sample of young adults (<i>n</i> = 1178) captured in May 2022. Respondents participated in an online survey about their use of blunt and hemp wraps. Multinomial regression was used to examine differences in sociodemographic characteristics (gender, race/ethnicity, sexual orientation, educational attainment, and region) in relation to use of each wrap type.</p><p><strong>Results: </strong>One quarter (22.7%) of young adults reported ever having used a blunt wrap, 3.2% in the past 30-days. One in seven (14.3%) had ever used a hemp wrap, 2.3% in the past 30-days. Non-Hispanic Black young adults were 1.55 and 2.91 times as likely to have ever used blunt or hemp wraps, respectively, compared to non-Hispanic Whites. Similarly, participants who identified as gay or lesbian or bisexual similarly had greater odds of having ever used blunt or hemp wraps. Hispanic young adults were 2.49 times as likely to have used hempwraps compared to non-Hispanic Whites.</p><p><strong>Conclusion: </strong>Blunt and hemp wrap use is prevalent among young adults, particularly among minoritized populations. Continued research and surveillance of use of these products is needed to fully evaluate the impact their use may have on the broader population.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"142-147"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Substance Use & MisusePub Date : 2025-01-01Epub Date: 2024-12-31DOI: 10.1080/10826084.2024.2440365
Courtney R Yarbrough, Hannah L F Cooper, Stephanie Beane, Regine Haardörfer, Umed Ibragimov, Danielle F Haley, Sabriya Linton, Sarah Landes, Rashunda Lewis, Catlainn Sionean, Janet R Cummings
{"title":"State Medicaid Policies Governing Access to Medications for Opioid Use Disorder (MOUD) and MOUD Treatment Use in a Large Sample of People Who Inject Drugs in 20 U.S. States.","authors":"Courtney R Yarbrough, Hannah L F Cooper, Stephanie Beane, Regine Haardörfer, Umed Ibragimov, Danielle F Haley, Sabriya Linton, Sarah Landes, Rashunda Lewis, Catlainn Sionean, Janet R Cummings","doi":"10.1080/10826084.2024.2440365","DOIUrl":"10.1080/10826084.2024.2440365","url":null,"abstract":"<p><strong>Background: </strong>People who inject drugs (PWID) are especially vulnerable to harms from opioid use disorder (OUD). Medications for OUD (MOUD) effectively reduce overdose and infectious disease transmission risks.</p><p><strong>Objective: </strong>We investigate whether state Medicaid coverage for methadone and buprenorphine is related to past-year MOUD use among PWID using cross-sectional, multilevel analyses with individual-level data on PWID from the Centers for Disease Control and Prevention's 2018 National HIV Behavioral Surveillance. The sample included 8,142 PWID aged 18-64 who reported daily opioid use from 22 U.S. metropolitan areas. Our outcome was any self-reported MOUD use in the past 12 months. Exposures were state Medicaid coverage and prior authorization requirements for methadone and buprenorphine. We interacted these exposures with PWID race/ethnicity, insurance status, and spatial access to treatment and harm reduction resources.</p><p><strong>Results: </strong>Compared with PWID in states without Medicaid methadone coverage, odds of past-year MOUD use were 73% (<i>p</i><0.05) higher among PWID in states with methadone coverage requiring prior authorization and 80% (<i>p</i><0.05) higher among PWID in states with coverage without prior authorization. Insured PWID were twice as likely to report MOUD use than uninsured PWID, with no statistically significant differences between Medicaid versus other insurance. Medicaid prior authorization requirements for buprenorphine were not significantly associated with MOUD use. Non-Hispanic Black PWID were significantly less likely to use MOUD than non-Hispanic White and Hispanic PWID.</p><p><strong>Conclusions: </strong>State Medicaid methadone coverage was strongly associated with higher odds that PWID utilized MOUD, suggesting that expanding methadone insurance coverage could improve MOUD treatment in a vulnerable population.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"531-541"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Substance Use & MisusePub Date : 2025-01-01Epub Date: 2025-03-15DOI: 10.1080/10826084.2025.2478591
Timothy N Crawford, Sydney Silverstein
{"title":"Exploring Associations Between Social Factors and Current Substance Use Among Older African Americans with HIV.","authors":"Timothy N Crawford, Sydney Silverstein","doi":"10.1080/10826084.2025.2478591","DOIUrl":"10.1080/10826084.2025.2478591","url":null,"abstract":"<p><p>Background: Substance use is highly prevalent among older people with HIV and continues to have a negative impact on engagement along the HIV care continuum, particularly among African Americans (AA). Social factors like resource insecurity, stigma, and discrimination may play a role in substance use behaviors. However, there is limited research on how these social factors impact substance use among older people with HIV.</p><p><p>Objectives: The purpose of this descriptive study was to examine associations between demographic and social factors and substance use among older AAs with HIV.</p><p><p>Results: Fifty-two participants who were ≥50 years of age, living in Ohio, and identified as Black or AA completed an online survey. Past three-month substance use was self-reported for alcohol, opioids, cocaine, cannabis, and/or amphetamine type stimulants. Separate unadjusted, logistic regression models were conducted to examine factors between each type of substance and HIV-related stigma, food and housing insecurity, discrimination, history of incarceration, employment status, and demographics. The majority of participants self-reported past three-month use of cocaine (53.8%), cannabis (67.3%), amphetamine type stimulants (51.9%), and risky alcohol use (85.0%), and half reported opioid use. HIV-related stigma, discrimination, and housing insecurity were all associated with increased odds of opioid, cocaine, and amphetamine use. Discrimination, food, and housing insecurity were associated with increased odds of cannabis use and risky alcohol use.</p><p><p>Conclusions: More research is needed to further understand how social factors impact substance use among older people with HIV. This understanding can lead to interventions that target these social factors which in turn reduces substance use.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1072-1076"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634510","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}
Substance Use & MisusePub Date : 2025-01-01Epub Date: 2025-04-08DOI: 10.1080/10826084.2025.2487983
Stephen Armeli, Elise Bragard, Howard Tennen
{"title":"Drinking to Cope Motivation in College as a Predictor of Post-College Interpersonal Problems and Depressive Symptoms.","authors":"Stephen Armeli, Elise Bragard, Howard Tennen","doi":"10.1080/10826084.2025.2487983","DOIUrl":"10.1080/10826084.2025.2487983","url":null,"abstract":"<p><strong>Background: </strong>Evidence indicates that high levels of drinking to cope (DTC) motivation, independent of drinking level, might precede temporally proximal increases in negative affect and interpersonal stress. In the present study, we examined whether high levels of DTC motivation were related to these outcomes prospectively over a 5-year period.</p><p><strong>Method: </strong>We assessed college student drinkers first in college and then approximately 5 years later after leaving the college environment. At both time points participants reported depression symptoms in a one-time survey and daily drinking level, motives, and interpersonal stress <i>via</i> a 30-day diary. Interpersonal chronic stress was also assessed at wave 2 using a semi-structured phone-based interview. Finally, neuroticism, trait avoidance coping, and drinking-related problems were assessed in college and used as control variables.</p><p><strong>Results: </strong>DTC motivation assessed in college was uniquely and positively related to post-college depressive symptoms, mean levels of daily interpersonal stress, and interview-rated interpersonal stress.</p><p><strong>Conclusions: </strong>Engagement in high levels of coping-motivated alcohol use in college could be a risk factor for longer-term internalizing symptoms and interpersonal problems. Individuals with high levels of DTC motivation in college could be a useful target for prevention and intervention.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1140-1147"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Substance Use & MisusePub Date : 2025-01-01Epub Date: 2025-02-02DOI: 10.1080/10826084.2024.2445846
Constance L Chapple, Elizabeth M Green, Helen M Milojevich, Julie A Miller-Cribbs, Erin J Maher
{"title":"Adverse Childhood Experiences and Cannabis Use Among US Adults: Do Poor Health and Disability Influence Types of Cannabis Use?","authors":"Constance L Chapple, Elizabeth M Green, Helen M Milojevich, Julie A Miller-Cribbs, Erin J Maher","doi":"10.1080/10826084.2024.2445846","DOIUrl":"10.1080/10826084.2024.2445846","url":null,"abstract":"<p><p><b>Background:</b> Research suggests that individuals who experience four or more adverse childhood experiences (ACEs) have increased rates of cannabis use. However, most prior research does not separate recreational and medical usage. Medical cannabis is used legally in many states to treat a variety of health conditions, many of which are also associated with ACEs. <b>Objectives:</b> Therefore, we explore the extent to which medical cannabis users differ from recreational cannabis users and whether medical use is associated with ACEs, poor health, or disability. Accordingly, we ask the following questions: Are ACEs associated with any cannabis use when controlling for measures of poor health and disability? Are ACEs associated with medical cannabis use? Are associations between ACEs and medical cannabis use explained by poor health and/or disability? <b>Results:</b> Using 2019 BRFSS data, we find that ACEs are significantly associated with cannabis use, but that disability and poor health fully account for the effect of ACEs on medical cannabis use. <b>Conclusions:</b> We conclude that practitioners screen for ACEs and disability status when prescribing medical cannabis.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"586-595"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080975","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":"Three-Month Polysubstance Use Patterns Among People Enrolled in Outpatient Treatment for Methamphetamine Use.","authors":"Nina Pocuca, Gabrielle Campbell, Rhiannon Ellem, Grace Newland, Zoe Walter, Julie Dignan, Holly Stokes, Leanne Hides","doi":"10.1080/10826084.2024.2447437","DOIUrl":"10.1080/10826084.2024.2447437","url":null,"abstract":"<p><strong>Background: </strong>Polysubstance use is common among people who use methamphetamine. This prospective study examined the three-month polysubstance use profiles among people enrolled in outpatient treatment for methamphetamine use and associated substance use, mental health, and treatment correlates.</p><p><strong>Method: </strong>The present study used routinely collected client-reported outcome measures data from <i>N</i> = 1,507 clients enrolled in outpatient treatment who reported methamphetamine as their primary drug of concern (<i>Mean age</i> = 34.48; SD = 8.68; 56% male). Past-month substance use was assessed at baseline, one-, and three-months.</p><p><strong>Findings: </strong>Repeated measures latent class analyses revealed four classes: (1) high and decreasing methamphetamine + stable moderate alcohol + stable high cannabis and daily tobacco (<i>n</i> = 474, 31.45%); (2) stable high methamphetamine + stable high alcohol and daily tobacco (<i>n</i> = 346, 22.96%); (3) low and decreasing methamphetamine + stable moderate daily tobacco (<i>n</i> = 322, 21.37%); (4) stable high methamphetamine + stable moderate daily tobacco (<i>n</i> = 365, 24.22%). Probability of using substances other than methamphetamine remained relatively stable for each class across time. Classes 1 and 4 had greatest severity of methamphetamine involvement at baseline and three-months. Class 1 had greater odds of experiencing moderate-to-severe depression and anxiety, and PTSD and psychosis, compared to class 3.</p><p><strong>Conclusion: </strong>Individuals enrolled in outpatient treatment who report methamphetamine as their primary drug of concern report distinct substance use patterns, although daily tobacco use was mostly ubiquitous. Polysubstance use was widespread, with 79% of participants having moderate-to-high probability of polysubstance use at all timepoints. Clients with the most severe polysubstance use had the highest rates of co-occurring psychopathology.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"775-785"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955576","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}
Substance Use & MisusePub Date : 2025-01-01Epub Date: 2025-02-20DOI: 10.1080/10826084.2025.2465967
Mehreen Arif, D Lynn Homish, Lisa D Butler, Jessica A Kulak, R Lorraine Collins, Gregory G Homish
{"title":"The Association of Risk-Related Behaviors and Mental Health Symptomatology on Problematic Alcohol Use Among U.S. Army Reserve and National Guard Soldiers.","authors":"Mehreen Arif, D Lynn Homish, Lisa D Butler, Jessica A Kulak, R Lorraine Collins, Gregory G Homish","doi":"10.1080/10826084.2025.2465967","DOIUrl":"10.1080/10826084.2025.2465967","url":null,"abstract":"<p><strong>Objective: </strong>We sought to examine the association of risk behaviors (i.e., risk perception, risk-taking/impulsivity, and sensation-seeking) and mental health symptomatology (depression, posttraumatic stress disorder [PTSD], anxiety and anger) on problematic alcohol use (alcohol problems and frequent heavy drinking [FHD]) among United States Army Reserve and National Guard (USAR/NG) soldiers.</p><p><strong>Methods: </strong>Cross-sectional data (<i>N</i> = 343) from Operation: SAFETY (Soldiers And Families Excelling Through the Years), an ongoing study of USAR/NG soldiers were utilized. Negative binomial regression models investigated risk behaviors and alcohol use controlling for age and sex, with interaction models among risk behaviors and mental health symptoms.</p><p><strong>Results: </strong>Greater risk perception was associated with a lower likelihood of alcohol problems (<i>p</i> < .05), and FHD (<i>p</i> < .01). Greater risk-taking/impulsivity was associated with a greater likelihood of alcohol problems (<i>p</i> < .01). Interaction models showed moderate risk-taking/impulsivity and high sensation-seeking with depression predicted greater alcohol problems (<i>p</i> < .01, respectively). Greater sensation-seeking and PTSD symptomatology, and sensation-seeking and anxiety were associated with increased alcohol problems (<i>p</i> < .05, respectively). Moderate risk-taking/impulsivity and depression (<i>p</i> < .05), greater risk perception and greater sensation-seeking and anxiety had the highest probability of FHD (<i>p</i> < .05 and <i>p</i> < .01, respectively). No associations between risk behaviors and anger were observed.</p><p><strong>Conclusions: </strong>This study assesses the combined associations of risk behaviors and mental health on alcohol use among USAR/NG soldiers. USAR/NG soldiers may benefit from alcohol use interventions that target risk-taking/impulsivity, sensation-seeking behaviors, and mental health symptomatology such as depression, PTSD, and anxiety.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"895-905"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11993847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Substance Use & MisusePub Date : 2025-01-01Epub Date: 2025-04-10DOI: 10.1080/10826084.2025.2487975
Sarah S Tonkin, Constanza de Dios, Angela Heads
{"title":"HIV Testing Barriers Among Black and Latina Women: An Examination of Medical Mistrust, Daily Discrimination, and Current Substance Use.","authors":"Sarah S Tonkin, Constanza de Dios, Angela Heads","doi":"10.1080/10826084.2025.2487975","DOIUrl":"https://doi.org/10.1080/10826084.2025.2487975","url":null,"abstract":"<p><p><i>Background:</i> Black and Latina women are disproportionally affected by Human Immunodeficiency Virus (HIV) and medical mistrust may be a testing barrier, especially among women experiencing substance use and discrimination. <i>Objectives:</i> This study examined current substance use, daily discrimination exposure, and medical mistrust factors (medical disparities, medical suspiciousness) on HIV testing. An online survey was completed by 97 Black and/or Latina women. Bayesian generalized linear modeling tested two hypotheses: 1) Current substance use, higher discrimination exposure, and higher medical mistrust would reduce the odds of HIV testing (ever being tested and recent testing within the past year), 2) Substance use and discrimination would moderate associations between medical mistrust and testing. <i>Results:</i> For Hypothesis 1, current substance use (Odds Ratio [OR]=1.42), higher discrimination exposure (OR=1.26), lower medical disparities (OR=0.83), and lower medical suspiciousness (OR=0.70) were associated with higher odds of ever being HIV tested. For Hypothesis 2, current substance use moderated the association between medical disparities with ever being HIV testing, while discrimination exposure moderated the association between medical suspiciousness with ever being tested (ORs<0.66). Current substance use moderated the associations between medical disparities and medical suspiciousness with recent HIV testing, while discrimination exposure also moderated the association between medical suspiciousness with recent testing (ORs>1.11). <i>Conclusions:</i> HIV testing barriers were generally associated with higher odds of testing, suggesting complex relationships may occur within medical settings for high-risk women experiencing discrimination.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":"60 8","pages":"1126-1132"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047261","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}