Substance Use & Misuse最新文献_第4页

The Moderating Effect of Social Capital on the Relationship Between Distress Tolerance and Problem Drinking. 社会资本对痛苦容忍与问题饮酒关系的调节作用。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-11 DOI: 10.1080/10826084.2026.2729573

Sung-Su Han, Sung-Man Bae

{"title":"The Moderating Effect of Social Capital on the Relationship Between Distress Tolerance and Problem Drinking.","authors":"Sung-Su Han, Sung-Man Bae","doi":"10.1080/10826084.2026.2729573","DOIUrl":"https://doi.org/10.1080/10826084.2026.2729573","url":null,"abstract":"Background: Social capital may serve as a contextual factor in the relationship between distress tolerance and problem drinking.Objectives: This study examined the moderating effect of social capital on the relationship between distress tolerance and problem drinking among adults.Methods: An online self-report survey was conducted among 350 participants aged 19-64 years. After excluding 20 insufficient or careless responses, data from 330 participants were analyzed. The moderating effects were examined using PROCESS macro Model 1 for SPSS version 4.2.Results: Distress tolerance significantly predicted problem drinking. Overall social capital significantly moderated the relationship between distress tolerance and problem drinking, and both structural and cognitive social capital also demonstrated significant moderating effects.Conclusions: These findings are meaningful because they examined social capital from a psychological perspective while distinguishing its structural and cognitive dimensions, thereby extending previous research that often treated social capital as a single-dimensional construct. Furthermore, the findings provide empirical evidence supporting the role of social capital as a contextual factor in distress-related problem drinking and suggest its potential value for prevention and intervention strategies across adulthood.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945746","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}

引用次数: 0

Development and Validation of the Stress Burden of Electronic Cigarette Smoking Scale (SBECSS) Among Adult Dual Users. 电子烟成人双重使用者压力负担量表（SBECSS）的研制与验证

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-10 DOI: 10.1080/10826084.2026.2698848

Duckhyun Jo, Nubia A Mayorga, Tanya Smit, Jillian Robison, Ava A Jones, Lorra Garey, Michael J Zvolensky

{"title":"Development and Validation of the Stress Burden of Electronic Cigarette Smoking Scale (SBECSS) Among Adult Dual Users.","authors":"Duckhyun Jo, Nubia A Mayorga, Tanya Smit, Jillian Robison, Ava A Jones, Lorra Garey, Michael J Zvolensky","doi":"10.1080/10826084.2026.2698848","DOIUrl":"https://doi.org/10.1080/10826084.2026.2698848","url":null,"abstract":"Background: The present study aimed to develop and evaluate the preliminary validity of the Stress Burden of Electronic Cigarette Smoking Scale (SBECSS), a new measure designed to assess the level of stress burden associated with the co-occurring perceptions of electronic cigarette (e-cigarette) use and efforts to quit within an individual.Method: To achieve this, 400 adult dual users of combustible cigarettes and e-cigarettes (52.8% female; 90% non-Hispanic White; Mage = 37.8, SD = 9.7) participated in an online survey. Items were developed in accordance with the operational definition, reviewed by field experts, and evaluated post-data collection for inter-item correlations and theoretical alignment.Results: Confirmatory factor analysis was conducted to compare the unidimensional, two-factor correlated, second order, and bifactor models. Factor analysis supported a unidimensional factor structure (X2[170] = 343.557, p < 0.001; RMSEA = 0.051 [90% CI: 0.043, 0.059], p = 0.413; CFI = 0.970; SRMR = 0.021), and measurement invariance was supported across sex. The SBECSS demonstrated construct validity with measures of e-cigarette related and affective processes.Conclusions: These findings suggest that the SBECSS is a reliable and valid tool for measuring and understanding the stress burden of using or quitting e-cigarettes among dual tobacco users.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920931","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}

引用次数: 0

Chemsex in Australia: Prevalence, Psychosocial Correlates and Patterns of Polysubstance Use. 澳大利亚化学性：多物质使用的患病率、社会心理相关因素和模式。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-09 DOI: 10.1080/10826084.2026.2727594

Daniel Demant, Bernard Saliba, Kris Rogers, Amy B Mullens

{"title":"Chemsex in Australia: Prevalence, Psychosocial Correlates and Patterns of Polysubstance Use.","authors":"Daniel Demant, Bernard Saliba, Kris Rogers, Amy B Mullens","doi":"10.1080/10826084.2026.2727594","DOIUrl":"https://doi.org/10.1080/10826084.2026.2727594","url":null,"abstract":"Background: Chemsex is an increasingly recognized public health concern, remains inconsistently defined and often framed through risk-based perspectives. This cross-sectional survey (N = 401) examined chemsex engagement patterns and psychosocial correlates among gay, bisexual and other men who have sex with men in Australia.Methods: We included demographic factors, substance use, chemsex engagement, perceptions of substances and psychosocial constructs. Descriptive statistics, bivariate analyses and logistic regression models were used to estimate associations between recent chemsex engagement and personal characteristics.Results: Nearly 60% (59.9%) of participants reported lifetime chemsex engagement and 39.2% in the past three months. Demographic factors were not significant correlates. Psychosocial models explained modest variance, with higher drug-taking confidence associated with increased odds of recent chemsex engagement, and higher sex-positivity associated with lower odds. Participants' definitions of chemsex varied. Polysubstance use was common, with a mean of 2.9 (SD = 1.2) substances/session. Frequent co-use patterns included methamphetamine, gamma-hydroxybutyrate, and poppers.Conclusions: Chemsex was relatively common in this sample, with considerable variation in frequency of engagement, perceptions of which substances constitute chemsex, and patterns of substance use. Findings highlight definitional variability, limited explanatory power of individual-level correlates, and the importance of addressing polysubstance use in research and harm reduction.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920861","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}

引用次数: 0

Combat-Deployment Status in Relation to Chronic Pain Interference and Hazardous Drinking Among U.S. Veterans. 美国退伍军人中与慢性疼痛干扰和危险饮酒有关的战斗部署状况。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-09 DOI: 10.1080/10826084.2026.2726535

Joon Kyung Nam, Kyle M White, Victoria E Carlin, Joseph W Ditre

{"title":"Combat-Deployment Status in Relation to Chronic Pain Interference and Hazardous Drinking Among U.S. Veterans.","authors":"Joon Kyung Nam, Kyle M White, Victoria E Carlin, Joseph W Ditre","doi":"10.1080/10826084.2026.2726535","DOIUrl":"https://doi.org/10.1080/10826084.2026.2726535","url":null,"abstract":"Background: Chronic pain and hazardous drinking often co-occur among U.S. veterans. Research examining associations between pain interference and alcohol use has yielded mixed findings, with some studies linking greater pain interference to lower levels of alcohol consumption, and others linking it with increased odds of alcohol dependence. However, there has been a paucity of research examining these relations among veterans. The novel contribution of the present study was to test whether combat-deployment status moderated the association between pain interference and AUDIT total scores among veterans with chronic pain.Methods: Data were drawn from a Qualtrics Panel survey of 430 U.S. veterans with chronic pain who endorsed past-month alcohol use. Participants had a mean age of 56.7 years (SD = 14.81), and 76.3% were male.Results: Greater pain interference was positively associated with higher AUDIT total scores. Significant interactions were observed, such that this association was more pronounced among combat veterans, particularly among those reporting severe pain interference.Conclusions: Among veterans with chronic pain, greater pain interference was associated with higher AUDIT total scores, and this relationship was especially pronounced among combat veterans. Tailored interventions addressing pain interference and hazardous drinking among veterans may be warranted, with attention to combat-related experiences.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913489","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}

引用次数: 0

The Burden of Opioid Use Disorders in the Americas from 1990 to 2023 and Projection to 2050. 1990年至2023年美洲阿片类药物使用障碍负担和2050年预测。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-09 DOI: 10.1080/10826084.2026.2726536

Qianhui Hu, Yan Li, Zhengjun Wu, Zhaohui Wang

{"title":"The Burden of Opioid Use Disorders in the Americas from 1990 to 2023 and Projection to 2050.","authors":"Qianhui Hu, Yan Li, Zhengjun Wu, Zhaohui Wang","doi":"10.1080/10826084.2026.2726536","DOIUrl":"https://doi.org/10.1080/10826084.2026.2726536","url":null,"abstract":"Background: Opioid use disorder (OUD) is a severe public health crisis in the Americas. This study aimed to comprehensively evaluate the spatiotemporal trends, socioeconomic inequalities, and future projections of the OUD burden across the region from 1990 to 2050.Methods: Data from the Global Burden of Disease 2023 study were utilized to extract incidence, prevalence, mortality, and disability-adjusted life years (DALYs) for OUD. Trends were quantified using average annual percent change (AAPC). Health inequalities were assessed via the Slope Index of Inequality (SII) and Socio-demographic Index (SDI) correlations. Bayesian Age-Period-Cohort models were employed to project the burden to 2050.Results: In 2023, High-income North America bore the most severe OUD burden, with an age-standardized mortality rate (ASMR) of 19.08 per 100,000, surging dramatically since 1990 (AAPC: 8.35). Latin America exhibited a stable incidence but rising mortality. The burden was disproportionately concentrated in higher SDI regions, with absolute inequality in fatal outcomes widening significantly. Projections indicate a catastrophic escalation in mortality across the Americas by 2050.Conclusion: The OUD epidemic in the Americas is escalating and profoundly unequal. Urgent, context-specific interventions and enhanced surveillance are critical to mitigate this worsening crisis.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-34"},"PeriodicalIF":1.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920942","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}

引用次数: 0

A Comparative Analysis of Symptom and Performance Validity in Substance Use Disorder. 物质使用障碍症状效度与行为效度的比较分析。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-09 DOI: 10.1080/10826084.2026.2719640

Elvire S L Mastboom, Roy P C Kessels, Bart A W Mol, Joanneke E L VanDerNagel

{"title":"A Comparative Analysis of Symptom and Performance Validity in Substance Use Disorder.","authors":"Elvire S L Mastboom, Roy P C Kessels, Bart A W Mol, Joanneke E L VanDerNagel","doi":"10.1080/10826084.2026.2719640","DOIUrl":"10.1080/10826084.2026.2719640","url":null,"abstract":"Background: Symptom validity assessment is crucial in clinical neuropsychology, especially in populations prone to under- or overreporting, such as patients with Substance Use Disorders (SUD). This study investigated symptom validity using the Structured Inventory of Malingered Symptomatology (SIMS) in a SUD inpatient population.Objectives: To establish the SIMS failure rates in SUD patients, and examine the relationship between symptom validity, psychological distress, and performance validity.Methods: Retrospective data were analyzed from 55 patients with SUD admitted to a closed addiction ward. Symptom validity was measured with the SIMS, psychological distress with the Symptom Checklist-90-Revised (SCL-90-R), and performance validity with the Visual Association Test - Extended (VAT-E).Results: Using the traditional SIMS cutoff (>16), 32.7% of patients exceeded the threshold, compared to 12.7% using a more conservative cutoff (>23). SIMS total scores showed a strong positive correlation with psychological distress (SCL-90-R total; ρ = 0.71, p < 0.001), and weak agreement between SIMS and SCL-90-R classifications (κ = 0.46, p < 0.001) when using a liberal cutoff, and minimal agreement using a more conservative cutoff (κ = 0.17, p = 0.026). No significant associations were observed between SIMS scores and VAT-E indices of performance validity.Conclusions: Elevated SIMS scores were relatively common in this SUD sample and were strongly associated with self-reported psychological distress, while showing no relationship with performance validity. These findings highlight the conceptual distinction between symptom validity and performance validity and underscore the importance of a multimethod approach when assessing response validity in patients with SUDs.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-7"},"PeriodicalIF":1.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920672","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}

引用次数: 0

Preparing Individuals for Community Reentry: Using a Recovery Capital Framework to Assess Recovery Outcomes Post-Release from Prison. 准备个人重返社区：使用恢复资本框架评估监狱释放后的恢复结果。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-09 DOI: 10.1080/10826084.2026.2713734

Evan J Batty, Carrie B Oser

{"title":"Preparing Individuals for Community Reentry: Using a Recovery Capital Framework to Assess Recovery Outcomes Post-Release from Prison.","authors":"Evan J Batty, Carrie B Oser","doi":"10.1080/10826084.2026.2713734","DOIUrl":"10.1080/10826084.2026.2713734","url":null,"abstract":"Background: Prison-based substance use disorder treatment programs aim to enhance the assets and skills available to individuals in recovery before their release from prison; however, research examining how these gained assets and skills predict recovery outcomes in the community is limited. This study addresses this gap using a recovery capital framework.Methods: Data were collected from 393 individuals who participated in prison-based substance use disorder treatment as part of the Geographic Variation in Opioid Addiction Treatment (GATE) study. We assessed the relationship between a recovery capital score indicating remission and its individual domains during incarceration and three outcomes after prison release: return to drug use, employment, and stable housing.Results: Recovery capital scores indicative of remission predicted a lower likelihood of returning to drug use (OR: 0.38, p ≤ 0.01), increased likelihood of gaining employment (OR: 3.12, p ≤ 0.001), and increased likelihood of gaining stable housing (OR: 1.93, p ≤ 0.05) after prison release. Results varied across individual recovery capital domains for each outcome.Conclusions: By assessing the post-release outcomes of returning to drug use, establishing employment, and obtaining stable housing by individual domains of RC, this research provides meaningful insight that may further support existing or novel programming in prisons to meet individuals' needs.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913445","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}

引用次数: 0

Alcohol and Cannabis Use and Co-Use in Relation to Problematic Use and Driving Under the Influence Among US Young Adults. 美国年轻人中酒精和大麻的使用和共同使用与问题使用和影响下驾驶的关系。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-09 DOI: 10.1080/10826084.2026.2729576

Diane Ndisebuye, Cassidy R LoParco, Carla J Berg

{"title":"Alcohol and Cannabis Use and Co-Use in Relation to Problematic Use and Driving Under the Influence Among US Young Adults.","authors":"Diane Ndisebuye, Cassidy R LoParco, Carla J Berg","doi":"10.1080/10826084.2026.2729576","DOIUrl":"https://doi.org/10.1080/10826084.2026.2729576","url":null,"abstract":"Background: Young adult (YA) alcohol and cannabis co-use may amplify use-related risks. We examined YA co-use in relation to problematic use and driving-under-the-influence (DUI).Methods: We analyzed 2023 data among 2,953 US YAs (18-34) reporting past-month alcohol-only use (33.4%), cannabis-only (17.9%), or alcohol-cannabis co-use (48.8%). We assessed self-reported: 1) alcohol-only use vs. alcohol-cannabis co-use, alcohol use frequency, and simultaneous use frequency in relation to problematic alcohol use and DUI of alcohol (DUIA); 2) cannabis-only use vs. co-use, cannabis use frequency, and simultaneous use in relation to problematic cannabis use and DUI of cannabis (DUIC); and 3) alcohol, cannabis, and simultaneous use in relation to DUI of alcohol and cannabis (DUIAC), controlling for sociodemographics and state legalization.Results: Co-use and more alcohol use were associated with greater problematic alcohol use (B = 0.38, SE = 0.04; B = 0.02, SE = 0.01) and DUIA (aOR = 1.35, 95%CI = 1.07-1.72; aOR = 1.07, 95%CI = 1.05-1.08). Co-use and less cannabis use were associated with problematic cannabis use (B = 0.12, SE = 0.04; B=-0.01, SE = 0.003), and more cannabis use was associated with DUIC (aOR = 1.04, 95%CI = 1.03-1.05). Simultaneous use was associated with problematic alcohol (B = 0.02, SE = 0.01) and cannabis use (B = 0.03, SE = 0.01), DUIA (aOR = 1.08, 95%CI = 1.06-1.11), DUIC (aOR = 1.05, 95%CI = 1.02-1.07), and DUIAC (aOR = 1.09, 95%CI = 1.05-1.14).Conclusions: Interventions should consider addressing both substances, particularly co-use, given related risks.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920821","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}

引用次数: 0

Internalized Stigma, Recovery Capital, Family Support, and Social Exclusion in Individuals with Substance Use Problems Receiving Mandated Treatment Under Deferred Prosecution in Taiwan. 内化污名、康复资本、家庭支持与社会排斥：台湾药物使用问题病患接受强制治疗后的暂缓起诉。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-08 DOI: 10.1080/10826084.2026.2726528

Wen-Ju Chen

{"title":"Internalized Stigma, Recovery Capital, Family Support, and Social Exclusion in Individuals with Substance Use Problems Receiving Mandated Treatment Under Deferred Prosecution in Taiwan.","authors":"Wen-Ju Chen","doi":"10.1080/10826084.2026.2726528","DOIUrl":"https://doi.org/10.1080/10826084.2026.2726528","url":null,"abstract":"Background: Social exclusion is an important but understudied aspect of recovery among individuals receiving mandated addiction treatment under deferred prosecution.Methods: Using a cross-sectional survey of 288 participants in Taiwan (85.4% male; mean age = 41.01 years, SD = 10.09), this study tested associations of internalized stigma, recovery capital, and family support with social exclusion, and examined recovery capital as a mediator of the stigma-exclusion association.Results: Internalized stigma was positively associated with social exclusion, while recovery capital and family support were negatively associated. In the final regression model (43.2% variance explained), recovery capital (β = -0.441, p < 0.001) and family support (β = -0.217, p < 0.001) remained independently associated with lower social exclusion, whereas internalized stigma was no longer significant (β = 0.109, p = 0.061). Recovery capital significantly mediated the stigma-exclusion association even after adjustment for family support (indirect effect = 0.41, 95% CI [0.22, 0.64]).Conclusions: These results indicate that social exclusion in this population reflects psychosocial vulnerability, recovery-supporting resources, and relational context, and point to the importance of addressing exclusion directly in recovery and reintegration efforts.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913470","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}

引用次数: 0

Cannabis Use Among US Young Adult Cancer Survivors: Impacts of Legal Context, Information Sources, and Interactions with Healthcare Providers. 大麻在美国年轻成年癌症幸存者中的使用：法律背景的影响，信息来源，以及与医疗保健提供者的互动。

IF 1.7 4区医学

Substance Use & Misuse Pub Date : 2026-09-08 DOI: 10.1080/10826084.2026.2724154

Carla J Berg, Darcey M McCready, Laura C Schubel, Darby Mihelich, Miranda Johnson, Cassidy R LoParco, Hannah Arem

{"title":"Cannabis Use Among US Young Adult Cancer Survivors: Impacts of Legal Context, Information Sources, and Interactions with Healthcare Providers.","authors":"Carla J Berg, Darcey M McCready, Laura C Schubel, Darby Mihelich, Miranda Johnson, Cassidy R LoParco, Hannah Arem","doi":"10.1080/10826084.2026.2724154","DOIUrl":"https://doi.org/10.1080/10826084.2026.2724154","url":null,"abstract":"Background: Given the increasing prevalence of young adult (YA) cannabis use and medical cannabis (MC) use, which is particularly relevant to cancer-related symptoms, we examined MC use and related factors among YA cancer survivors (ages 18-39).Methods: In 2025, we conducted qualitative interviews with 23 YA survivors reporting past-month cannabis use (Mage=33.65 ± 5.99, 73.9% female, 73.9% White, M = 1.22 ± 1.09 years post-treatment), assessing: implications of cannabis legalization, MC information sources, healthcare provider interactions, and symptoms/conditions MC managed. Data were analyzed using thematic analysis.Results: During treatment, 56.5% lived in states with MC-only legal and 34.8% fully legal cannabis; at time of interview, 21.7% lived in states with MC-only and 73.9% fully legal. Themes included: (1) importance of legal context in facilitating or impeding MC access/use; (2) reliance on dispensaries, social networks, and personal research/experimentation for MC information; (3) varied experiences communicating with healthcare providers (little communication, provider hesitancy, providers supporting MC use, contradictory information, stigma-related concerns, desiring shared healthcare decision-making); (4) conditions/symptoms managed and effectiveness; (5) hopes future healthcare better incorporates MC; and (6) concerns/cautions about MC use vs. alternatives.Conclusions: Findings highlight MC's perceived utility in managing symptoms among YA cancer survivors, alongside fragmented policies/systems impeding evidence-based information or healthcare provider input.","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"1-9"},"PeriodicalIF":1.7,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913372","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}

引用次数: 0