Substance Use & Misuse最新文献

{"title":"Reviving Old Tricks in New Tobacco Marketing: Presence of e-Cigarette Brand Names on Merchandise Promoted by Influencers on Social Media.","authors":"Julia Vassey, Linnea I Laestadius, Jennifer B Unger","doi":"10.1080/10826084.2024.2427157","DOIUrl":"10.1080/10826084.2024.2427157","url":null,"abstract":"<p><strong>Background: </strong>Tobacco brand sharing or brand stretching involves the placement of tobacco brand names, logos, or other distinctive elements of tobacco brands, on nontobacco products, e.g., merchandize, such as clothing, sunglasses, or sporting goods. The Tobacco Master Settlement Agreement (MSA) imposed major restrictions on tobacco company marketing practices in 1999, including banning the sale and distribution of merchandize with combustible cigarette or smokeless tobacco brand names or logos. However, the MSA does not include restrictions on e-cigarette marketing, as these products were not yet on the market at the time of the settlement. Exposure to or use of e-cigarette branded merchandize advertised on social media could contribute to normalization of e-cigarette use by youth.</p><p><strong>Methods: </strong>We estimated the prevalence of merchandize (e.g., t-shirts, caps, and key chains) with e-cigarette brand names or logos in 2000 TikTok videos (2021-2022) that featured U.S. and international micro-influencers (content creators with about 10,000-100,000 followers) who promoted e-cigarettes on behalf of e-cigarette brands.</p><p><strong>Results: </strong>Of 2,000 videos, 152 (8%) had merchandise merchandise with e-cigarette brand names or logos; 125 (6%) featured micro-influencers wearing branded clothing items, i.e., t-shirts, caps, beanies, hoodies, and sweatshirts; and 27 (2%) featured influencers wearing or showing branded accessories, i.e., face masks, stickers, pins, mugs, car air fresheners, lanyards, and key chains.</p><p><strong>Conclusions: </strong>Tobacco control authorities should consider adopting provisions banning the sale, distribution, and direct (e.g., by e-cigarette brands) or indirect (e.g., by influencers) advertising of merchandize bearing e-cigarette brand names or logos.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"319-323"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628665","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":"Social and Environmental Predictors of Youth Alcohol and Cannabis Initiation Risk: The Moderating Role of Family History of Substance Use Disorders.","authors":"Erin E Wood, Yuanyuan Liang, Tae-Joon Moon, Nathalie Hill-Kapturczak, Alexander M Wasserman, John D Roache, Charles W Mathias, Heidemarie Blumenthal, Donald M Dougherty","doi":"10.1080/10826084.2024.2434007","DOIUrl":"10.1080/10826084.2024.2434007","url":null,"abstract":"<p><strong>Background: </strong>The social and local-home environment impacts youth's likelihood of early substance use initiation (SUI). Yet, it is unknown whether protective or risk factors are salient for all forms of youth SUI, or may be specific to certain substances (e.g., alcohol, cannabis). Additionally, certain family factors - such as having a family history of SUD (FH+)-may exacerbate risk for and mitigate protection from alcohol (AUI) and cannabis (CUI) use initiation.</p><p><strong>Objectives: </strong>Using a longitudinal cohort of 387 adolescents, we aimed to understand how the link between social and local-home factors on AUI and CUI was moderated by FH status.</p><p><strong>Results: </strong>Results indicated that affiliating with risky peers significantly increased the risk of AUI and CUI, but that this relationship was not moderated by FH status. On the other hand, the link between mother-youth relationship quality and CUI, was potentially moderated by FH status such that being FH+ attenuated the protective effect of a positive relationship with parents on SUI.</p><p><strong>Conclusions: </strong>This research could provide evidence that youth who are at risk of early SUI, particularly those who are FH+, may benefit from programs designed to reduce affiliation with risky peers.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"403-413"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11769739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142772444","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":"#natural, #vegan, #healing: A Content Analysis of Health Content Among Instagram Posts Focused on Cannabis Edibles.","authors":"Kathryn Heley, Linnea Laestadius, Emma E McGinty, Meghan Bridgid Moran, Johannes Thrul, Danielle M Edwards, Colleen L Barry, Katherine Clegg Smith","doi":"10.1080/10826084.2024.2422987","DOIUrl":"10.1080/10826084.2024.2422987","url":null,"abstract":"<p><strong>Background: </strong>Despite limited scientific evidence, public perceptions of cannabis as health enhancing are significant. As food products, cannabis edibles (edibles), may also leverage food-related associations that convey health. Social media is a prominent and influential source of largely unregulated cannabis information and a potential place to correct misinformation. Given its potential to shape product appeal and perceptions of health benefits and risks, understanding the social media landscape around edibles and health is a priority.</p><p><strong>Methods: </strong>We conducted a quantitative content analysis of a random sample of #edibles Instagram posts (N = 702) published in January 2020. A structured coding instrument analyzed posts for: (1) non-food related health, medicine, and wellness content (2) food-related characteristics/associations suggesting edibles are healthy foods or appropriate for particular diets.</p><p><strong>Results: </strong>The majority of posts (61%) featured non-food related health, medicine, or wellness content. 35% of posts noted a general health or wellness issue or benefit, while 9% highlighted a medical condition, clinical diagnosis or attendant benefit; a wide range of wellness, health, and clinical issues were cited. Nearly half of all posts (45%) alluded to medicine or being medicated, while 22% referenced medical marijuana specifically. Connections to health were also made through food-related associations, with 13% of posts citing a dietary need or nutrient claim and 10% highlighting food-related characteristics that imply product healthfulness.</p><p><strong>Conclusions: </strong>Health-related content is widespread among #edibles Instagram posts. Communication approaches to counter unsubstantiated health claims and regulatory strategies limiting commercial promotion should be considered. Explicit connections between edibles and health and more implicit associations via hashtags and images warrant particular attention.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"457-470"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143011292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peer E-Cigarette and Cannabis Use and Adolescent Anxiety: Findings from a Mixed-Methods Study.","authors":"Ryan Lee, Shirin Emma Herzig, Carla Michelle Ramirez, Daniel Soto, Jennifer B Unger","doi":"10.1080/10826084.2024.2446738","DOIUrl":"10.1080/10826084.2024.2446738","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents are typically motivated to conform to peer influence, including substance use behaviors, and it is likely that adolescents who deviate from their peers' substance use behaviors might experience stress and anxiety.</p><p><strong>Method: </strong>A mixed-methods approach was utilized to examine the relationship between peer e-cigarette and cannabis use and symptoms of generalized anxiety among a diverse sample of 12^th grade students in Los Angeles County, California, USA (<i>N</i> = 1,867, <i>M</i>_age = 17.04, SD = 0.43). Multivariable logistic regression models examined the associations between peer substance (e-cigarette and cannabis) use and anxiety. The interactions of prior e-cigarette and cannabis use on these relationships were also tested. Focus group data (<i>n</i> = 27) were analyzed to identify themes that could further inform the quantitative associations.</p><p><strong>Results: </strong>Peer cannabis use was associated with increased odds of moderate - severe generalized anxiety (OR = 1.47, <i>p</i> = 0.02), but peer e-cigarette use was not (OR = 1.20, <i>p</i> = 0.28). These relationships were moderated by prior history of e-cigarette and cannabis use (OR = 0.44, <i>p</i> = 0.02; OR = 0.31, <i>p</i> = 0.001, respectively). Focus group findings highlighted exposure to friends and peers using substances and having mixed feelings surrounding peer use, including feelings of anxiety and discomfort with being around friends using substances or deviating from their friends' substance use behaviors.</p><p><strong>Conclusion: </strong>These findings highlight the difficulties for teens navigating peer relationships and peer influence as their friends decide to participate in risky behaviors. Better health programs and interventions addressing peer influence, advocacy, and respecting one's decision to not use substances is needed.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"648-658"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923255","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":"Effect of a State-Level Vaping Prevention Campaign on Beliefs and Behaviors in Young People.","authors":"Allison M Glasser, Valerie S Harder, Julia C West, Maria L Roemhildt, Lisa Osbahr, Rhonda Williams, Andrea C Villanti","doi":"10.1080/10826084.2024.2446741","DOIUrl":"10.1080/10826084.2024.2446741","url":null,"abstract":"<p><strong>Background: </strong>Vaping prevention media campaigns have promising effects on harm perceptions but have yet to demonstrate impacts on vaping behaviors in young people. The goal of this study was to evaluate the effect of Vermont's vaping prevention campaign (Unhyped) on vaping-related beliefs and behaviors.</p><p><strong>Methods: </strong>Data come from Waves 5 (Winter 2020) and 9 (Winter 2021) (<i>n</i> = 433) of the Policy and Communication Evaluation Vermont study, a longitudinal online cohort study of adolescents and young adults ages 12-25. Analyses examined associations between awareness of Unhyped in 2020 and outcomes in 2020 and 2021. Primary analyses compared participants aged 12-17 (campaign target) who reported awareness of Unhyped to propensity score-matched controls.</p><p><strong>Results: </strong>In 2020, more adolescents aware of the Unhyped campaign perceived great risk from weekly vaping compared with matched controls (49.3% vs. 24.3%; <i>p</i> = 0.019). Adolescents aware of Unhyped in 2020 were also less likely than matched controls to report willingness to try a vapor product in the next year (15.8% vs. 40.1%; <i>p</i> = 0.048) or use one if offered by a friend (21.4% vs. 49.1%; <i>p</i> = 0.031) in 2021. There was no relationship between brand awareness and vaping behaviors in 2020 or 2021.</p><p><strong>Conclusions: </strong>Although there were no effects of awareness of Vermont's Unhyped campaign on vaping behaviors, the campaign was effective in altering short-term risk perceptions and reducing susceptibility to vape in adolescents one year later.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"659-668"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915693","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":"Understanding Momentary Alcohol Use Cognitions Through the Lenses of Momentary Socioeconomic Identification, Unfair Treatment, and Strain.","authors":"Zhuoran Xiang, Nataria Tennille Joseph, Laurel M Peterson","doi":"10.1080/10826084.2024.2431049","DOIUrl":"10.1080/10826084.2024.2431049","url":null,"abstract":"<p><strong>Background: </strong>Studies suggest that socioeconomic status (SES) is related to alcohol use. SES may impact alcohol use <i>via</i> exposures to financial stress, discriminatory experiences, identity threats, negative emotions, and perceived threats. These experiences could lead to alcohol use <i>via</i> increases in alcohol use willingness. However, there is little research using ecological momentary assessment (EMA) to illuminate temporal dynamics in the relationship between SES and alcohol use willingness during daily life moments. This is especially important to examine in emerging adults, given their unique developmental stage.</p><p><strong>Methods: </strong>A sample of 119 African American emerging adults (mean age = 24.82, 59% female, diverse educational levels) completed 4 d of EMA surveys reporting both SES-related experiences and alcohol use willingness on an hourly basis.</p><p><strong>Results: </strong>Higher perception of SES-based unfair treatment was found to be linked with a greater willingness to drink at the moment (<i>p</i> < .001, <i>b</i> = 0.66). Conversely, a positive view of one's own SES at the moment was associated with a lower willingness to drink (<i>p</i> < .001, b = -0.12). Additionally, a heightened perception of perceived threat at the moment was associated with a higher willingness to drink (<i>p</i> = .001, <i>b</i> = 0.05).</p><p><strong>Conclusion: </strong>SES-based unfair treatment and positive identification are factors that influence spontaneous alcohol use interest among emerging adults. Clinicians should assess these SES factors when attempting prevention and treatment, especially momentary interventions. Further, research should investigate more mechanisms explaining associations between SES-based unfair treatment and willingness to use other substances.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"373-380"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11769744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717330","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":"Drug Use during Incarceration: A Comprehensive Quality and Prevalence Study in Three Danish Prisons.","authors":"Torbjørn Lien Kjær, Peter Hindersson, Jacob Rong Bentzen, Hanne Høegh Rasmussen, Torben Breindahl","doi":"10.1080/10826084.2024.2421813","DOIUrl":"10.1080/10826084.2024.2421813","url":null,"abstract":"<p><strong>Background: </strong>Drug use in Danish prisons has previously not been investigated in detail using confirmatory, laboratory analysis. The objective of the present quality study, initiated by the Danish Prison and Probation Service, was to i) evaluate the performance of an initial, on-site drug screening strategy; ii) gain insights into emerging drug trends; and iii) suggest evidence-based strategies for future drug testing.</p><p><strong>Methods: </strong>Over a two-year period, routine urine samples (<i>n</i> = 1952 from 710 inmates) from three Danish prisons were subjected to comprehensive drug testing. Immunoassay screening was conducted on-site. A parallel sample aliquot was forwarded to laboratory analysis by confirmatory methods: High-performance liquid chromatography and tandem mass spectrometry (LC-MS/MS) and gas chromatography and mass spectrometry (GC-MS) targeting 56 drugs-of-abuse/medical drugs, 26 key metabolites, 41 new psychoactive substances (NPS), including specific biomarkers for heroin, crack cocaine, or ethanol (a total of 123 target analytes/sample).</p><p><strong>Results: </strong>The on-site immunoassay method showed a sensitivity from 66 to 100%; specificity was above 98%; accuracy was above 95%. Laboratory analysis detected compounds not screened for including tramadol, oxycodone, buprenorphine, ketamine, MDMA, 4-fluoroamphetamine, and GHB. The prevalence of drug use was in the order: cannabis > ethanol > cocaine > benzodiazepines > amphetamine.</p><p><strong>Conclusion: </strong>The performance of the immunoassay was found acceptable; however, the screening program was inadequate for detecting other significant substances. Based on these findings, a broader screening method will be implemented in future at Danish Prisons to minimize false negative results. The data did not indicate a trend of using NPS in Danish prisons.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"155-167"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558835","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":"Alcohol Misuse and Correlates with Mental Health Indicators among Firefighters.","authors":"Rob J Rotunda, Joseph Herzog, Dana R Dillard, Erin King, Kellie O'Dare","doi":"10.1080/10826084.2024.2422975","DOIUrl":"10.1080/10826084.2024.2422975","url":null,"abstract":"<p><p><b>Background</b>: Stress and repetitive exposures to potentially traumatizing events are inherent to first-responder professions. Firefighters and other crisis responders are often exposed to incidents in their work environments and are at risk of developing acute or posttraumatic symptomatology, depression, and anxiety, as well as harmful patterns of alcohol consumption. Most prior research and theory suggests that many firefighters use alcohol to cope with past and current stressors, and that increased drinking accompanies ongoing exposures to stressful occupational hazards. <b>Objectives</b>: The primary aim of this research was to examine alcohol consumption and mental health variables associated in the literature with alcohol misuse. Participants included 546 predominantly male career firefighters in the U.S. Using a cross-sectional design, we examined alcohol misuse in the context of self-reported depression, generalized anxiety, PTSD, and suicidal ideation using previously validated measures. <b>Results</b>: Based on the AUDIT's recommended cut score of 8, 38.8% of our sample reported drinking at hazardous levels. Hazardous alcohol use was also significantly associated with several mental health indicators with correlations ranging from .28 to .34. Regression analyses revealed that over 14% of the variance in AUDIT scores could be explained by psychological symptom measures, and 29% of the variance in suicide risk was explained by a model using both alcohol and mental health measures. <b>Conclusions</b>: Findings suggest that psychological distress is associated with hazardous drinking, and that more consistent screening and referral for these issues, as well as multi-level interventions, are needed to effectively address these behavioral health concerns among firefighters.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"236-243"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606447","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":"Discrete Choice Experiment on Financial Incentives for Engaging Young Adults in Vaping Cessation Programs.","authors":"Tzeyu L Michaud, Kaeli Samson, Su-Hsin Chang, Christopher R Gustafson, Hongying Daisy Dai","doi":"10.1080/10826084.2024.2422954","DOIUrl":"10.1080/10826084.2024.2422954","url":null,"abstract":"<p><strong>Introduction: </strong>Contingency management involves rewarding individuals based on objective evidence of behavioral changes. This study explores preferences for financial incentives in vaping cessation programs.</p><p><strong>Methods: </strong>A discrete choice experiment (DCE) was conducted among young adult current e-cigarette users aged 19-29. DCE attributes (and levels) included reward amount ($100, $300), reward schedule (consistent value, escalating value), reward procedure (gain-framed, loss-framed), vaping education modules (yes, no), text messaging support (yes, no), and cost ($30, $100). Participants were randomized into one of the four blocks, each containing four choice sets. Each choice set presented two hypothetical vaping cessation programs. Choice data (n × choice sets × alternative programs = 154 × 4 × 2 = 1,232 observations) were analyzed using generalized estimation equation models.</p><p><strong>Results: </strong>Participants showed a preference for vaping cessation programs offering a higher reward amount (odds ratio [OR] = 11.5; 95% CI,7.0-19.2), gain-framed rewards for sustained abstinence (OR = 1.4; 95% CI,1.0-1.8), text messaging support (OR = 1.9; 95% CI,1.4-2.5), and a lower program cost (OR = 2.6; 95% CI,1.8-3.8). Interaction tests showed significant effects of the rewards procedure among daily e-cigarette users (adjusted OR [AOR] = 2.1; 95% CI,1.3-3.5), but not some-day users; and among those with no quit attempts in the past six months (AOR = 2.7; 95% CI,1.5-4.7), but not those with previous quit attempts. Female participants preferred text messaging support (AOR = 3.6; 95% CI,2.3-5.4), whereas male participants did not show this preference.</p><p><strong>Conclusion: </strong>A multifaceted vaping cessation intervention augmented with financial incentives might improve participation and engagement among young adults. Future studies should investigate how these attributes can enhance program reach and vaping abstinence outcomes in real-world settings.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"219-227"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142558834","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":"The Impact of Social Support and Social Network Characteristics on Trauma Symptoms Among Violence-Exposed Women with Substance Use Disorders.","authors":"Suzanne Brown, Bethany Welc","doi":"10.1080/10826084.2024.2403128","DOIUrl":"10.1080/10826084.2024.2403128","url":null,"abstract":"<p><p><i>Background:</i> Women with substance use disorder (SUD) experience higher rates of violence exposure, post-traumatic stress disorder (PTSD), and post-traumatic stress symptoms (PTSS) than their non-substance-using peers. Exposure to violence in women with SUD is associated with PTSS symptom severity and leads to lower rates of treatment adherence, poorer treatment outcomes, and a higher risk for relapse. Little is known about the buffers to PTSS among violence-exposed women with SUD. <i>Methods:</i> A sample of 375 women with SUD were recruited from three inner-city intensive treatment centers, in a midwestern city. Using ordinary least squares regression models, we sought to identify the direct effects of violence, general social support, recovery-specific social support, and social network composition on PTSS. Moderation was also examined using the Bootstrapping function in PROCESS macro for SPSS. <i>Results:</i> General social support, recovery social support, and greater duration of network relationships were associated with lower trauma symptom scores. General social network composition variables were directly associated with lower trauma symptom severity. Recovery-specific social network variables moderated the association between violence exposure and PTSS for Black participants only. <i>Conclusions:</i> These data suggest that providers should target the quality of the client's interpersonal relationships to reduce PTSS among violence-exposed women with SUD. Maintaining social network relationships should be the focus of treatment interventions for women with SUD who have experienced violence.</p>","PeriodicalId":22088,"journal":{"name":"Substance Use & Misuse","volume":" ","pages":"54-63"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142295897","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}