Substance Use & Misuse最新文献

{"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}

{"title":"Overdose, Naloxone Receipt, and Willingness to Distribute Naloxone Among People Who Use Drugs on An American Indian Reservation of a Tribal Nation in the Southern Plains of the United States.","authors":"Kristin E Schneider, Sean T Allen, Molly C Reid, Allison O'Rourke, Maisie Conrad, Brady Garrett, Kendra Lewis, Sierra Lewis, Lisa Wilson, Melissa Walls","doi":"10.1080/10826084.2025.2568156","DOIUrl":"https://doi.org/10.1080/10826084.2025.2568156","url":null,"abstract":"<p><strong>Background: </strong>Indigenous populations in the United States experience disproportionate substance use and opioid overdose burdens. Yet, little is known about naloxone distribution in Indigenous communities on Tribal reservation lands.</p><p><strong>Methods: </strong>We used survey data from 209 people who use drugs (PWUD), collected on the reservation lands of a southern plains Tribal Nation to understand the prevalence of overdose, naloxone receipt, and interest in participating in secondary naloxone distribution. We assessed bivariate associations between each outcome of interest and sociodemographics, drug use, witnessing overdoses, and drug use stigma.</p><p><strong>Results: </strong>The average age of participants was 42, 57% were men, 54% identified as Indigenous, and 27% were currently experiencing homelessness. One third had witnessed a non-fatal overdose in the past 6 months and 15% had witnessed a fatal overdose. 19% had experienced an overdose in the past 6 months. Witnessing both fatal and non-fatal overdoses and high drug use stigma scores were associated with increased prevalence of overdose. One quarter had received naloxone in the past 6 months. Receiving naloxone was more common among those who witnessed fatal and non-fatal overdoses and who had experienced overdoses themselves. The majority (61%) of participants were willing to distribute naloxone to others. Willingness to distribute naloxone was more common among participants who had witnessed non-fatal overdoses and who had higher drug use stigma scores.</p><p><strong>Conclusions: </strong>There is a pressing need to enhance naloxone coverage for PWUD in Indigenous communities. Secondary naloxone distribution may be a promising strategy to address this need.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239807","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":"\"I'm Treated Way Differently\": The Intersectional Risk Environment of Maternal Cannabis Use.","authors":"Erin E Gould, Siddhi S Ganesh, Rachel Carmen Ceasar","doi":"10.1080/10826084.2025.2568153","DOIUrl":"https://doi.org/10.1080/10826084.2025.2568153","url":null,"abstract":"<p><strong>Introduction: </strong>This research aimed to understand the perspectives and experiences of pregnant individuals using cannabis as they navigate healthcare settings and their pregnancies. We applied the lens of the intersectional risk environment, a harm reduction framework which explores the ways that social locations and environmental factors combine to impact health and well-being.</p><p><strong>Methods: </strong>Using qualitative, constructivist grounded theory methods, we conducted interviews with 19 participants between December 2022 and March 2023. Individuals self-identified as racially minoritized, were 21 years of age and older, spoke English/Spanish, resided in California, and had used cannabis during pregnancy in the last 0-2 years. We used constructivist grounded theory methods to analyze the socio-structural contexts and lived experiences surrounding cannabis use and disclosure to clinicians.</p><p><strong>Results: </strong>Participants who used cannabis during pregnancy described: 1) how their race/ethnicity, gender, and socioeconomic status impacted their care experiences together with their cannabis use, 2) their experience of poor perinatal care due to their insurance coverage and location of care, 3) worsening of care after disclosing cannabis use (e.g., being judged, ignored), and 4) removal from perinatal care after disclosing cannabis use.</p><p><strong>Discussion: </strong>Our study showed how patients' use of cannabis during pregnancy and their insurance status, gender, race/ethnicity, and socioeconomic level impacted the care they received across the perinatal period. Our findings emphasize the need for the multi-level import of an intersectional risk environment framework which addresses health inequities <i>via</i> a social justice-oriented lens. This can be operationalized <i>via</i> interventions that take place at the patient-clinician, institutional, and policy levels which acknowledge patients' overlapping identities to mitigate experiences of stigma and discrimination which are prevalent in perinatal care spaces today.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233328","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":"\"You're Not a Cop, Right?\" How Tobacco Retailers Navigate Underage Tobacco Purchases at the Point of Sale: A Qualitative Analysis of Underage Buyers' Comments from Three U.S. states.","authors":"Elisabeth C Reed, Christopher Ackerman, Joseph G L Lee, Amanda Y Kong, Daniel P Giovenco, Cristine D Delnevo, Mary Hrywna","doi":"10.1080/10826084.2025.2568149","DOIUrl":"https://doi.org/10.1080/10826084.2025.2568149","url":null,"abstract":"<p><strong>Purpose: </strong>Despite the passage of federal Tobacco 21 (T21) policies, underage tobacco use remains a problem. Retailers play a critical role in enforcing T21 policies as they control access to tobacco products at the point of sale. Given the importance of retailer compliance in the success of T21 policies, this study aimed to investigate how clerks navigate situations when underage buyers attempt to purchase tobacco products by using comments captured during underage purchase attempts in a multi-state study.</p><p><strong>Methods: </strong>Comments (<i>n</i> = 1157) from underage buyers (<i>n</i> = 58) were captured from August 2019 to September 2023. We used a thematic coding approach to develop themes.</p><p><strong>Results: </strong>Three primary themes emerged: (1) \"Are you old enough to smoke?\" - Age Verification Procedures, (2) \"Okay, you're almost [21]. Close enough.\" - Evading Minimum Age of Sale Policies, and (3) \"Not for you.\" - Enforcement of T21 Policies. Many clerks complied with and enforced T21 policies at the point of sale; however, themes showed how some clerks evaded these policies to complete sales to underage buyers.</p><p><strong>Conclusion: </strong>Findings reveal a need to strengthen T21 enforcement and increase retailer education for T21 policies.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-6"},"PeriodicalIF":1.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233394","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":"Use of Electronic Nicotine Delivery Systems for Weight Control Among Sexual and Gender Minority Individuals Who Smoke Cigarettes.","authors":"Gabrielle T Maldonado, Alison J Patev, Mary A Carrico, Catherine S J Wall, Andrew J Barnes, Caroline O Cobb","doi":"10.1080/10826084.2025.2568150","DOIUrl":"https://doi.org/10.1080/10826084.2025.2568150","url":null,"abstract":"<p><strong>Background: </strong>Sexual and gender minority (SGM) individuals report higher dual use of cigarettes and electronic nicotine delivery system (ENDS) use than heterosexual individuals. Weight control intentions may contribute to these differences, as SGM individuals experience greater body dissatisfaction and engagement in disordered eating behaviors, which may increase the likelihood of using tobacco/nicotine products for weight control. This study examined correlates of ENDS and cigarette use for weight control among SGM individuals who report dual use.</p><p><strong>Methods: </strong>Between June-July 2023, 545 SGM adults who reported past 30-day cigarette use completed an online survey. We focused on individuals who also reported past 30-day ENDS use (<i>n</i>  =  174). Bivariate correlations explored associations with ENDS and cigarette use for weight control indexed by the adapted version of the Smoking-Related Weight and Eating Episodes Test for ENDS (SWEET-EC) and original the SWEET for cigarettes. Variables with significant associations were entered into regression models to understand their relationship with using ENDS and cigarettes for weight control.</p><p><strong>Results: </strong>Most participants identified as bisexual (∼48%), women (∼51%), and White (∼68%) with an average age of 35 years (SD = 9.5). Across regression models, gender identity discrimination, disordered eating behaviors and ENDS or cigarette dependence were all positively associated with ENDS and cigarette use for weight control (all <i>ps</i> < 0.05).</p><p><strong>Conclusion: </strong>Tobacco prevention/intervention programs for SGM populations should consider the impacts of gender-based discrimination and disordered eating behaviors on the use of ENDS and cigarettes for weight control. Given effects observed for dependence additional supports for cessation also may be needed.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233450","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":"A Latent Class Analysis of Polysubstance Use Patterns and Their Association with Ruminative Thinking Styles, Impulsivity-Like Traits, and Adverse Childhood Experiences Among College Students from Seven Countries.","authors":"Yanina Michelini, Maribel Luque, Folly Folivi, Angelina Pilatti, Adrian J Bravo","doi":"10.1080/10826084.2025.2568944","DOIUrl":"https://doi.org/10.1080/10826084.2025.2568944","url":null,"abstract":"<p><strong>Background: </strong>Among college students, research has found distinct classes of polysubstance use patterns differentially associated with negative consequences. However, there is less clarity regarding how vulnerability factors discriminate across polysubstance use types and cross-cultural variability in these patterns.</p><p><strong>Objectives: </strong>In addressing these gaps, we identified typologies of substance use based on reported lifetime use of a set of substances in college students from seven countries. We also examined mean differences across classes on ruminative thinking styles, impulsivity-like traits, and adverse childhood experiences; and compared the proportion of students in each subgroup between pairs of countries.</p><p><strong>Methods: </strong>College students located in the U.S., Canada, South Africa, Spain, Argentina, England, and Uruguay completed an online survey following a convenience sampling procedure (<i>n</i> = 9,065; 71% women).</p><p><strong>Results: </strong>Using latent class analysis, we identified Class 1 \"Polysubstance Users\", Class 2 \"Alcohol, Marijuana, and Tobacco Co-Users\", and Class 3 \"Drinkers\". Class 1 exhibited greater adverse childhood experiences, higher ruminative thinking, and greater impulsivity than Classes 2 and 3. Our results suggest that the U.S. was more similar to Spain, Argentina, and Uruguay in alcohol, marijuana, and tobacco co-use than in the other two classes. Additionally, the U.S. was more similar to South Africa regarding polysubstance use than the other classes.</p><p><strong>Conclusions: </strong>Most participants exhibited polysubstance use and constructs with the potential of being targeted in interventions discriminating against these classes. Findings highlight the pervasiveness of these patterns, indicating a need for global prevention efforts to reduce the likelihood of engaging in polysubstance use.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239723","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":"Development and Initial Validation of the Cannabis Attention and Affect Motives Scale.","authors":"Danielle S Lowden, Jennifer H K Wong, Seth C Harty","doi":"10.1080/10826084.2025.2565420","DOIUrl":"https://doi.org/10.1080/10826084.2025.2565420","url":null,"abstract":"<p><strong>Objective: </strong>Cannabis use is a globally prevalent, though potentially harmful, behavior whereby varying patterns of use manifest from a range of motivating factors. Individuals diagnosed with attention-deficit/hyperactivity disorder (ADHD) are often overrepresented in cannabis use statistics, with some users anecdotally reporting that cannabis improves ADHD symptoms. Current motive scales do not fully capture the breadth of cognitions, specifically perceived improvement in attention, necessary to capture the range of cannabis use motivations within this population. This study developed the Cannabis Attention and Affect Motives Scale (CAAMS) to assess cannabis use in response to various situations and affective states.</p><p><strong>Method: </strong>Adult cannabis users (<i>n</i> = 417, 61.9% male, predominantly NZ/Other European) completed an online survey detailing their motives and expectancies of cannabis use as well as an ADHD risk screener.</p><p><strong>Results: </strong>While the hypothesized 46-item, 3-factor model was not an appropriate fit, a split-half sample EFA and CFA yielded a refined, theoretically and psychometrically sound, 28-item, 5-factor model. Post-hoc between-groups comparisons on those having low, medium, or high risk of ADHD showed significant differences for CAAMS factors: Negative Affect Reduction, Attention Enhancement, Attention and Behavior Motivation, and Social Anxiety Reduction, but not for Recreation and Relaxation Enhancement.</p><p><strong>Conclusions: </strong>The CAAMS is psychometrically valid, measuring five separate motives of cannabis use pertaining to cognitive enhancement. An initial analysis of these motives as a function of ADHD risk highlights the potential of this scale to understand the cognitive pathways leading to cannabis use in individuals with attentional difficulties.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225966","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":"Acute Respiratory Problems in Vape Users (Electronic Cigarette): A Comprehensive Narrative Review.","authors":"Mohammad-Rafi Bazrafshan, Atena Jowhari Shirazi, Zahra Jadali, Hadis Shabanie Nezhad, Negar Shahkarami, Ahmadreza Bazyari, Omid Barghi","doi":"10.1080/10826084.2025.2566435","DOIUrl":"https://doi.org/10.1080/10826084.2025.2566435","url":null,"abstract":"<p><strong>Background and aim: </strong>In recent years, the prevalence of new tobacco products has increased significantly worldwide. Among these various types, electronic cigarettes have become particularly popular. This study aims to investigate the relationship between e-cigarette use and acute respiratory problems.</p><p><strong>Method: </strong>Data for this review study were collected through a 3-month search conducted in 2024 by researchers using the databases Medline/PubMed, Scopus, Embase, ISI (Web of Science), ESCI, and DOAJ Collected.</p><p><strong>Result: </strong>The results of this study are classified into five categories, including etiology, symptoms of acute respiratory problems in vape users, geographic distribution of the vape, comparing the harms of vaping versus other tobacco products, and relationship between vape consumption and acute respiratory issues.</p><p><strong>Conclusion: </strong>The widespread prevalence of e-cigarette use worldwide is recognized as a serious threat to the health of all members of society and requires fundamental planning and ongoing monitoring by management systems.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226041","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 Quick Response Team: A Community Based Model to Provide Personalized Services for Individuals with Opioid Use Disorder.","authors":"Nandini D P K Manne, Connie L Priddy, Larrecsa Barker, Avishek Mallick, Anthony Woart","doi":"10.1080/10826084.2025.2567451","DOIUrl":"https://doi.org/10.1080/10826084.2025.2567451","url":null,"abstract":"<p><strong>Background: </strong>The opioid crisis has significantly affected the lives of individuals and families in Huntington, West Virginia. To address this issue, public health and professional organizations in Huntington collaborated to implement a Quick Response Team (QRT) tasked with connecting individuals with substance use disorder to medication for opioid use disorder (MOUD) treatment or recovery service providers alongside the provision of other services that include health education, training on naloxone administration, etc. The objective of this study was to evaluate the role of this team in the reduction of overdoses in Huntington.</p><p><strong>Methods: </strong>An interrupted time series analysis using autoregressive integrated moving average (ARIMA) was conducted to investigate the change in suspected overdose cases during intervention period between December 2017 and June 2021 compared to the pre-intervention period between October 2014 and November 2017 in Huntington.</p><p><strong>Results: </strong>During a 31-month period, the team contacted a total of 727 men and 443 women with substance use disorder including those that have experienced an overdose and facilitated connections for 335 individuals to medication for opioid use disorder treatment and recovery programs through warm handoff referrals. Additionally, ARIMA model estimated an immediate decline of 44 suspected overdose 911 calls (<i>p</i>-value = 0.00002, 95% CI, - 23 to - 64) in the month following the intervention and subsequently, a reduction of 4 suspected overdose 911 calls per month (p-value =0.07, 95% CI, 0 to - 7).</p><p><strong>Conclusion: </strong>Quick Response Teams offer a potential approach to addressing substance use disorder and may be adaptable to various community settings.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226051","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":"A Qualitative Study on the Impact of COVID-19 on Overdose Risk from the Perspective of Survivors and Witnesses of Drug Overdose: Lessons for Future Public Health Emergencies.","authors":"Hridika Shah, Sara Whaley, Isha K Desai, Minna Song, Avery Meyer, Omeid Heidari, Sean T Allen, Noa Krawczyk, Susan G Sherman, Brendan Saloner, Samantha J Harris","doi":"10.1080/10826084.2025.2562455","DOIUrl":"https://doi.org/10.1080/10826084.2025.2562455","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic had a devastating impact on people who use drugs (PWUD). Reductions in access to harm reduction tools and treatment services elevated rates of fatal overdose for many. We explore the mechanism through which these factors influenced the rise in overdose mortality during COVID-19 from the perspective of people with overdose encounters.</p><p><strong>Methods: </strong>We conducted in-depth, semi-structured, 60-minute telephone-based interviews with 43 overdose survivors and witnesses between January and May 2022. Participants were from nine states (ME, MI, MD, NJ, NY, NM, PA, TN, WV) and Washington, DC. Data were analyzed thematically following the Continuum of Overdose Risk.</p><p><strong>Results: </strong>Most reported worsening mental health and increasing substance use during COVID-19. Isolation due to quarantining measures, coping behaviors, despair, and traumatic grief contributed to resumptions in drug use and risky behaviors. Some discussed how these stressors, combined with the rapid availability of financial resources led to increased use. Participants also attributed increased overdose risk to the increasingly toxic drug supply and stifled harm reduction access. Accounts of methadone treatment varied, however several expressed inconsistent access to take-home methadone, potentially contributing to resumed use.</p><p><strong>Conclusions: </strong>Numerous micro- and macro-social factors, as well as the drug supply and treatment disruptions contributed to the acceleration in overdose risk. Increased funding and policy reform are needed to reduce overdose mortality in future public health emergencies, including improving harm reduction and treatment service adaptations to fit the needs of clients, as well as upholding and expanding novel methadone treatment delivery models.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201367","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}