Substance Use & Misuse最新文献

{"title":"Associations Between Food Restriction, Alcohol and Marijuana Use and Co-Use, and Consequences Among College Students.","authors":"Ireland M Shute, Reagan E Fitzke, Keegan D Buch, Megan E Brown, Mark A Prince, Stuart B Murray, Eric R Pedersen","doi":"10.1080/10826084.2024.2447419","DOIUrl":"10.1080/10826084.2024.2447419","url":null,"abstract":"<p><strong>Background: </strong>Simultaneous alcohol and marijuana use (SAM) and food restriction on days students intend to drink are associated with an increased risk of substance use-related consequences. However, these negative outcomes have been studied mostly in alcohol-only use contexts. Little is known about the combination of alcohol, marijuana, SAM, and food restriction. Therefore, the current cross-sectional study investigated whether alcohol, marijuana, or SAM use and food restriction on substance use days were associated with an increased risk of negative substance-use outcomes.</p><p><strong>Method: </strong>901 college students completed a survey about their substance use and eating behaviors. Hierarchical regression analyses tested the relations between these patterns and use-related consequences.</p><p><strong>Results: </strong>Among past 30-day alcohol users, alcohol use quantity and food restriction on substance use days independently associated with greater alcohol use consequences. Past 30-day frequency of food restriction on alcohol use days moderated the effect between average drink quantity and alcohol use consequences. Among past 30-day marijuana users, number of hours high and food restriction on use days independently associated with greater marijuana use consequences. For past 30-day SAM users, alcohol use quantity on SAM days significantly associated with greater alcohol consequences. Food restriction on SAM days moderated the effect of marijuana use quantity (i.e., number of times used) on marijuana use consequences.</p><p><strong>Conclusions: </strong>These results provide the basis for further exploration of food restriction and SAM, as well as targeted interventions among at-risk populations.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"704-714"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143417152","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":"Association of Vaping Reasons with Stress, Anxiety, and Depression Among Young Adults Who Currently Vape.","authors":"Donghee N Lee, Hye Min Kim, Elise M Stevens","doi":"10.1080/10826084.2024.2422949","DOIUrl":"10.1080/10826084.2024.2422949","url":null,"abstract":"<p><p><i>Purpose:</i> The use of e-cigarettes can worsen mental health symptoms in young adults. However, little is known about how young adults' mental health may relate to their reasons for using e-cigarettes (vaping). We examined the association of mental health and vaping reasons among young adults who currently vape. <i>Methods:</i> Data were analyzed from a sample of young adults who vape (<i>N</i> = 436, M<i>_age</i>=25.19) who participated in an online survey assessing mental health (stress, anxiety, and depression) and vaping reasons (vape for tension reduction or relaxation, user experience, product or substance, or utility). We conducted multiple regressions and ANCOVAs, controlling for age, gender, past 30-day e-cigarette use, and past 30-day cigarette smoking. <i>Results:</i> Experiencing higher levels of stress, anxiety, and depression were associated with vaping for tension reduction or relaxation among young adults who vape (<i>ps</i> < 0.001) and for those who dual use e-cigarettes and cigarettes (<i>ps</i> < 0.01). Experiencing severe anxiety level was associated with vaping for tension reduction or relaxation than among those experiencing minimal, mild or moderate anxiety (<i>ps</i> < 0.05). <i>Conclusions:</i> Findings show that higher stress, anxiety, and depression are associated with greater likelihood of vaping for tension reduction or relaxation. More research should examine the association of stress, anxiety, and depression on vaping in young adults to identify and determine appropriate interventions to help with vaping cessation.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"188-194"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558833","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}

{"title":"Icelandic Prevention Model in Rural Appalachian Communities: Gauging Stakeholder Experience with the Core Processes Three Years into County-Level Implementation.","authors":"Stephen M Davis, Kelly Rossetto, Megan L Smith, Michael J Mann, Jessica Coffman, Alfgeir L Kristjansson","doi":"10.1080/10826084.2024.2423373","DOIUrl":"10.1080/10826084.2024.2423373","url":null,"abstract":"<p><p><i>Background:</i> This study assessed stakeholder experience with the core processes of The Integrated Community Engagement (ICE) Collaborative, a primary prevention approach addressing adolescent substance use in rural West Virginia, after three years of county-level implementation. <i>Objectives:</i> Guided by the Icelandic Prevention Model (IPM), the ICE Collaborative aims to enhance cooperation between researchers, policy makers, local practitioners, and community members and facilitate a paradigm shift in youth and community substance use prevention. This shift involves moving away from strategies focused on the repeated allocation of short-term grants that fund time-limited programs to a long-term, holistic, and sustainable approach overseen by local practitioners and coalitions. <i>Results:</i> We conducted qualitative interviews and focus groups with 33 stakeholders during the fall of 2022. Data analyses generated six major themes: 1) It Takes a Village to Prevent Adolescent Substance Use, 2) Improving Understanding and Commitment to Prevention Through Outreach, 3) Enhancing Student Engagement and Program Accessibility, 4) Addressing the Chronic Underfunding of Prevention and Youth Development Programs, 5) Acknowledging Family Contexts and Family Member Substance Use as Risk Factors, and 6) ICE/IPM Inspiring Solution-based Conversations, Goal Setting, and Strategy Selection. <i>Conclusions:</i> Stakeholders reported multiple positive characteristics of ICE for their communities and applauded the long-term focus and access to local data. Several suggestions for improved strategies were also reported. Results are discussed in line with the theoretical underpinnings of the IPM and current discourse around community health promotion in rural areas.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"276-284"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576949","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":"Associations of Minority Stressors, Alcohol Use Disorder, Resilience, and HIV Testing Self-Efficacy Among Community-Based Black Men Who Have Sex with Men in a Southern U.S. City: A Causal Mediation and Moderation Analysis.","authors":"Yu Liu, Jason W Mitchell, Lauren Brown, Cristian Chandler, Chen Zhang","doi":"10.1080/10826084.2024.2409770","DOIUrl":"10.1080/10826084.2024.2409770","url":null,"abstract":"<p><p><i>Background:</i> Black men who have sex with men (BMSM) face multiple minority stressors (e.g., homophobia, racism, and presumed HIV status) that may indirectly erode their confidence in pursuing HIV testing uptake through exacerbating alcohol use disorder (AUD). <i>Objectives:</i> Using cross-sectional data from 203 community-based BMSM (71.4% as homosexual with a mean age of 26 years) living in a Southern US city, we conducted a causal mediation and moderation analysis to investigate in/direct pathways linking minority stressors, AUD risk, and self-efficacy of HIV testing, including how resilience may moderate these associations. <i>Results:</i> Our mediation analysis revealed that AUD risk accounted for 32.1% of the total effect of internalized homonegativity (β_{total effect} = -0.424; SE=0.071; p<0.001), 28.6% of the total effect of experienced homophobia (β_{total effect} = -0.684; SE=0.122; p<0.001), and 15.3% of the total effect of perceived HIV stigma (β_{total effect} = -0.361; SE=0.164; p<0.05) on HIV testing self-efficacy. Resilience significantly moderated the associations of experienced homophobia (β = -0.049; SE=0.011; p<0.001), internalized homonegativity (β = -0.065; SE=0.027; p<0.01), and perceived HIV stigma (β = -0.034; SE=0.013; p<0.05) with AUD risk. Resilience also significantly moderated the associations of experienced homophobia (β = -0.073; SE=0.021; p<0.01), internalized homonegativity (β = -0.082; SE=0.012; p<0.001), perceived HIV stigma (β = -0.037; SE=0.039; p<0.05), and AUD risk (β = -0.021; SE=0.015; p<0.05) with HIV testing self-efficacy. <i>Conclusions:</i> Our study provides important implications in identifying multilevel sources for building resilience among BMSM to buffer the effects of minority stress on AUD risk and improve HIV testing outcomes.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"120-129"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366598","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":"Associations Between Motivations for Cannabis Use and \"the Munchies\": Construct Validity of the Cannabinoid Eating Experience Questionnaire.","authors":"Jennifer Davies-Owen, Paul Christiansen, Carl Alexander Roberts","doi":"10.1080/10826084.2024.2403121","DOIUrl":"10.1080/10826084.2024.2403121","url":null,"abstract":"<p><strong>Background: </strong>The Cannabis Eating Experience Questionnaire (CEEQ) was developed and validated with a two-factor structure for the assessment of cannabis effects on both the appetitive factors that initiate eating and the hedonic factors that maintain an eating episode. The relationship between the CEEQ and cannabis use motives has not yet been considered. The study aimed to confirm the two-factor structure of the CEEQ and explore associations with the five-factor Marijuana Motives Questionnaire (MMQ).</p><p><strong>Method: </strong>Cannabis users (<i>N</i> = 546) completed the CEEQ alongside the MMQ in an online survey.</p><p><strong>Results: </strong>Confirmatory factor analysis (CFA) confirmed the two-factor structure of the CEEQ and the five-factor structure of the MMQ. Structural equation modeling (SEM) tested associations between each factor of the CEEQ and cannabis use motives. Cannabis use motives of \"enhancement\" and \"conformity\" were both positively associated with \"hedonic\" and \"appetitive\" subscales of the CEEQ, and \"coping\" was associated with increased \"appetitive\" scores. The \"social\" cannabis use motive was negatively associated with both \"hedonic\" and \"appetitive\" subscales on CEEQ, and \"expansion\" was negatively associated with the \"appetitive\" subscale.</p><p><strong>Conclusion: </strong>We provide further support for the construct validity of the CEEQ that provides a useful assessment of cannabis effects on hedonic and appetitive aspects of eating and show for the first time that cannabis use motives influence eating experiences in distinct ways. Further understanding of the relationship between cannabis use motives and the effects of cannabis on appetite may prove a useful for informing therapeutic applications of cannabis stimulating appetite or promoting weight gain.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"20-27"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142295990","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":"Evaluation of DSM-5 Diagnostic Criteria for Betel-Quid Use Disorder Using the Addiction Characteristics Defined by American Society of Addiction Medicine.","authors":"Perl Han Lee, Chien-Hung Lee, Chih-Hung Ko","doi":"10.1080/10826084.2024.2403118","DOIUrl":"10.1080/10826084.2024.2403118","url":null,"abstract":"<p><strong>Background: </strong>The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), categorizes betel-quid use disorder (BUD) under <i>Other (Or Unknown) Substance Use Disorder</i>, and the diagnostic criteria used are adapted from those of Substance Use Disorder. Because different substances have different characteristics, an improved set of diagnostic criteria is required to better detect BUD.</p><p><strong>Objective: </strong>The objective of this study was to examine the different measures of accuracy for DSM-5 BUD by using the addiction characteristics defined by the American Society of Addiction Medicine (ASAM).</p><p><strong>Methods: </strong>A certified psychiatrist conducted face-to-face diagnostic interviews. Questionnaires were administered to assess betel-quid use history, patterns of use, and dependence features. All betel-quid users were evaluated for BUD by using the DSM-5 criteria and addiction characteristics defined by the ASAM.</p><p><strong>Results: </strong>One of the DSM-5 diagnostic criteria for BUD, namely <i>large amount of time spent on obtaining and using betel quid and recovering from betel-quid use</i>, showed the lowest sensitivity of 0.14, lowest diagnostic accuracy of 0.63, and lowest diagnostic odds ratio of 2.61. Another DSM-5 diagnostic criterion, namely <i>continued betel-quid use despite knowledge of physical or psychological problems</i>, had the lowest specificity of 0.49. The diagnostic threshold of five or more DSM-5 BUD criteria showed a sensitivity of 0.86 and a specificity of 0.97.</p><p><strong>Conclusions: </strong>This study is the first to evaluate the different measures of accuracy for DSM-5 BUD. Given that each addictive substance has unique addictive characteristics, the composition and number of criteria for diagnosing DSM-5 BUD must be reconsidered.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"12-19"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142295993","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":"Autistic Traits, Emotion Regulation, Social Anxiety, Drinking to Cope, and Problematic Alcohol Use: A Cross-Cultural Examination Among Young Adults from Seven Countries.","authors":"Cheryl L Dickter, Ingrid Chang, Joshua A Burk, Adrian J Bravo","doi":"10.1080/10826084.2024.2447435","DOIUrl":"10.1080/10826084.2024.2447435","url":null,"abstract":"<p><strong>Background: </strong>Prior research suggests that individuals reporting autistic traits are at heightened risk for alcohol dependence once they begin drinking; thus, examining factors that may lead to problematic drinking in this population is imperative. Neurotypical college students higher in autistic traits tend to have more social anxiety, more challenges with social skills and communication, and weaker social adjustment than those lower in autistic traits, which are risk factors for problematic alcohol use.</p><p><strong>Objectives: </strong>The present study sought to assess whether university students with more autistic traits would report greater alcohol-related negative consequences, and whether this association would be indirectly influenced by social anxiety, emotion regulation, and drinking to cope. Students (<i>n</i>=3,756; 71.4% female) from 12 universities spanning seven countries completed questionnaires assessing autistic traits, social anxiety, emotion regulation, drinking to cope, and negative alcohol-related consequences.</p><p><strong>Results: </strong>Results from our comprehensive path model indicated that exhibiting more autistic traits was associated with higher social anxiety and distinct emotion regulation strategies (i.e., higher endorsement of expressive suppression and lower endorsement of cognitive reappraisal), which in turn were associated with more drinking to cope motives, which in turn was associated with more alcohol-related problems. These findings were consistent across gender and country groupings (i.e., test of model invariance).</p><p><strong>Conclusions: </strong>These results inform our understanding of how university students with higher autistic traits may develop problems with alcohol and our results may inform interventions or preventative efforts. Future research should examine longitudinal designs to further refine this model and establish temporal evidence of its trajectory.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"766-774"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142955572","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}

{"title":"'I am a Drinker': A Content, Correlational, and Factor Analytic Study of Measures of Drinker Identity Among College Students.","authors":"Polly F Ingram, Peter R Finn","doi":"10.1080/10826084.2024.2447429","DOIUrl":"10.1080/10826084.2024.2447429","url":null,"abstract":"<p><p>ABSTRACT Background: Drinker identity research has proliferated over the last decade, resulting in 10 self-report questionnaire measures of this construct. However, it is unknown to what extent these measures accurately reflect the theorized multi-dimensional conceptualization of drinker identity.</p><p><strong>Objectives: </strong>The current study set out to investigate and compare these different measures using content, correlational, and factor analyses. A content analysis is conducted to investigate dimensions captured within the 10 measures of drinker identity. Correlational and exploratory factor analyses on the items is conducted within a young adult sample (<i>n</i> = 1006). Descriptions of the measures, items, and factors within the measures are discussed.</p><p><strong>Results: </strong>Across the 10 measures, seven distinct factors were identified by the content analysis, and multi-dimensionality was confirmed by both the correlational and factor analyses. Factor analysis on all items yielded four interpretable factors representing generalized identity, relative identity importance, identity value/affect, and social identification.</p><p><strong>Conclusions: </strong>The results are discussed in terms of the multi-dimensional nature of drinker identity, the psychometric equivalence of the included measures, and further issues in defining and measuring drinker identity.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"749-757"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932391","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}

{"title":"Influencer Drinking Norms: Cross-Sectional Mediators of Alcohol-Related Social Media and College Drinking.","authors":"Megan Strowger, Mai-Ly N Steers, Rachel B Geyer, Rachel Ayala Guzman, Rose Marie Ward, Abby L Braitman","doi":"10.1080/10826084.2024.2445848","DOIUrl":"https://doi.org/10.1080/10826084.2024.2445848","url":null,"abstract":"<p><p><i>Background:</i> Social influences from peers, such as the perceptions of how much one's peers drink (i.e., descriptive drinking norms) are robust predictors of college drinking. In the digital age, these influences can happen on social media through viewing posts shared by peers depicting drinking (alcohol-related content). Social media influencers also post alcohol-related content and are popular among students. However, less is known about whether influencer drinking norms potentially mediate the association between viewing influencer alcohol-related content and drinking. <i>Methods:</i> College students who drink alcohol (<i>N</i> = 528) completed an online survey which assessed if they followed influencers who posted alcohol-related content, how often they perceived the influencer shared the content, influencer norms, and personal alcohol consumption and consequences. <i>Results:</i> Findings from two cross-sectional mediation models revealed that influencer norms mediated associations between following more influencers who shared alcohol-related content or frequency of influencer content and participant drinking. <i>Conclusions:</i> These findings suggest that influencer norms are uniquely linked to students' drinking habits. Further, it extends prior research in the influencer domain by examining how perceptions of how much influencers drink (i.e., descriptive norms) may impact college drinking.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":"60 4","pages":"596-603"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415361","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":"Motivations for Tobacco, Cannabis, and Their Co-Use Among U.S. Young Adults Who Engage in Same-Day Co-Use.","authors":"Jessica Liu, Donghee N Lee, Elise M Stevens","doi":"10.1080/10826084.2024.2434682","DOIUrl":"10.1080/10826084.2024.2434682","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to identify more detailed use behaviors and motivations for same-day co-use of tobacco and cannabis among U.S. young adults, compared to previous literature on co-use.</p><p><strong>Methods: </strong>We conducted an online cross-sectional survey among <i>N</i> = 303 U.S. young adults (ages 18-30, mean 25.9) during February 2024 through Prolific. The questions included co-use behaviors of tobacco and cannabis within the same day, and motivations for tobacco, cannabis, and their co-use. Using <i>R</i>, paired two-sample <i>t</i>-tests were used to compare mean differences of separate motivations to use measures for cannabis and tobacco among participants with same day co-use.</p><p><strong>Results: </strong>Among participants who reported past-30-day co-use of tobacco and cannabis (<i>n</i> = 176), a majority (94%; <i>n</i> = 160) reported same-day co-use. Participants who engaged in same-day co-use (<i>n</i> = 160) reported craving nicotine (60%), craving cannabis (54%), and feeling stressed (49%) as reasons for co-use. Among participants who engaged in same-day co-use, motivations for using cannabis (vs. tobacco) were higher for the level of effect, satisfying feeling, control over how much used, time to feel the effect, liking, purity, price, variety of product, amount to feel the effect, feeling less judged (<i>p</i>'<i>s</i> < 0.024), and motivations for using tobacco (vs. cannabis) were higher for convenience, when feeling angry, and when feeling uncomfortable or upset (<i>p</i>'<i>s</i> < 0.044).</p><p><strong>Conclusions: </strong>Findings show that young adults may be co-using tobacco and cannabis on the same day due to cravings for both substances and stress and yet have different motivations for using cannabis and tobacco.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"515-521"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751700","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}