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Validation of the Hungarian version of the Yale Food Addiction Scale 2.0 (YFAS 2.0)
Addictive Behaviors Reports Pub Date : 2025-03-07 DOI: 10.1016/j.abrep.2025.100596
Afework Tsegaye , Zsófia Németh , Eszter Kotyuk , Virág Scheller , Klaudia Szabó , Orsolya Pachner , Renáta Cserjési , Zsolt Demetrovics , H.N. Alexander Logemann
{"title":"Validation of the Hungarian version of the Yale Food Addiction Scale 2.0 (YFAS 2.0)","authors":"Afework Tsegaye ,&nbsp;Zsófia Németh ,&nbsp;Eszter Kotyuk ,&nbsp;Virág Scheller ,&nbsp;Klaudia Szabó ,&nbsp;Orsolya Pachner ,&nbsp;Renáta Cserjési ,&nbsp;Zsolt Demetrovics ,&nbsp;H.N. Alexander Logemann","doi":"10.1016/j.abrep.2025.100596","DOIUrl":"10.1016/j.abrep.2025.100596","url":null,"abstract":"<div><h3>Background</h3><div>The Yale Food Addiction Scale 2.0 (YFAS 2.0) was recently updated to assess food addiction according to the DSM-5 criteria for substance-related and addictive disorders. This study aimed to validating the YFAS 2.0 on the Hungarian sample.</div></div><div><h3>Method</h3><div>A cross-sectional descriptive study was conducted with a sample of 605 participants. The instruments used for data collection included the YFAS 2.0, Three-Factor Eating Questionnaire Revised 21-Items (TFEQ-R21), The 21-item Barratt Impulsiveness Scale Revised (BIS-R-21), Depression, Anxiety and Stress Scale (DASS-21). The factor structure, internal consistency and convergent validity of the Hungarian version of the YFAS 2.0 were evaluated.</div></div><div><h3>Results</h3><div>Proportion to the current sample Food Addiction was 18.5 %. Confirmatory factor analysis supported a good fit for the single-factor model. The YFAS 2.0 symptom count demonstrated a positive correlation with TFEQ-R-21 subscales, ranging from 0.12 to 0.54, with BIS-R-21 subscales ranging from 0.24 to 0.49, and with DASS-21 subscales ranging from 0.41 to 0.50. The H-YFAS 2.0 food addiction severity was significantly associated with TFEQ-R-21, BIS-R-21, and DASS-21 subscales of the scales. All of which were statistically significant (p &lt; 0.001), indicating acceptable convergent validity.</div></div><div><h3>Conclusion</h3><div>The Hungarian version of the YFAS 2.0 has been validated in a nonclinical sample, demonstrating its utility as an effective tool for screening food addiction.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100596"},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of gambling activities and modalities with problem gambling in Japan: A nationwide cross-sectional online survey-based study
Addictive Behaviors Reports Pub Date : 2025-03-01 DOI: 10.1016/j.abrep.2025.100595
Takashi Yoshioka , Ryuhei So , Tatsuya Noda , Moritoshi Kido , Chieko Ito , Tomoki Nakaya , Satoshi Funada , Shiori Tsutsumi , Takahiro Tabuchi
{"title":"Association of gambling activities and modalities with problem gambling in Japan: A nationwide cross-sectional online survey-based study","authors":"Takashi Yoshioka ,&nbsp;Ryuhei So ,&nbsp;Tatsuya Noda ,&nbsp;Moritoshi Kido ,&nbsp;Chieko Ito ,&nbsp;Tomoki Nakaya ,&nbsp;Satoshi Funada ,&nbsp;Shiori Tsutsumi ,&nbsp;Takahiro Tabuchi","doi":"10.1016/j.abrep.2025.100595","DOIUrl":"10.1016/j.abrep.2025.100595","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Problem gambling (PG) is a relevant public health concern. Thus, this study aimed to identify the association of specific gambling activities and modalities with PG in Japan.</div></div><div><h3>Methods</h3><div>A cross-sectional study using data from a large-scale online survey was conducted in Japan between February 6 and 27, 2023. Candidate gambling activities and modalities include sports betting (offline/online), casinos (offline/online), lotteries (offline/online), electronic gaming machines, and trading activities. PG was defined as a score ≥ 8 on the Problem Gambling Severity Index. All estimates were weighted using a nationally representative survey conducted in Japan in 2019. To estimate the association between gambling engagement and the prevalence of PG, multivariable logistic regression models were fitted after adjusting for 13 confounding factors representing demographic, socioeconomic, health-related, and geographic characteristics.</div></div><div><h3>Results</h3><div>A total of 12,955 respondents aged 15–82 years who had gambled in the past year were included. Among the respondents, 12.2 % (95 % confidence interval [CI] 11.4–13.1) were reported PG. The weighted multivariable logistic regression models revealed significant associations of PG with online sports betting (adjusted odds ratio [aOR] 2.41, 95 % CI 1.86–3.13), offline casinos (aOR 1.53, 95 % CI 1.16–2.02), online casinos (aOR 4.25, 95 % CI 3.09–5.86), and cryptocurrency trading (aOR 1.60, 95 % CI 1.22–2.10).</div></div><div><h3>Conclusion</h3><div>Experiences in online sports betting, online and offline casinos, and cryptocurrency trading demonstrated statistically significant associations with the prevalence of PG. These findings emphasize the need for legal awareness of casinos and restrictions on gambling access and betting amounts.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100595"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unpacking the complexities in racial and ethnic discrimination and tobacco use and cannabis co-use behaviors among young adults in the U.S.
Addictive Behaviors Reports Pub Date : 2025-02-28 DOI: 10.1016/j.abrep.2025.100593
Stephanie Pike Moore , Craig S. Fryer , Eugenia Lee , Kymberle L. Sterling
{"title":"Unpacking the complexities in racial and ethnic discrimination and tobacco use and cannabis co-use behaviors among young adults in the U.S.","authors":"Stephanie Pike Moore ,&nbsp;Craig S. Fryer ,&nbsp;Eugenia Lee ,&nbsp;Kymberle L. Sterling","doi":"10.1016/j.abrep.2025.100593","DOIUrl":"10.1016/j.abrep.2025.100593","url":null,"abstract":"<div><h3>Introduction</h3><div>There is a general paucity of research describing the relationship between racial and ethnic discrimination (RED) and coping strategies on use of little filtered cigars and cigarillos (LCCs) across racial and ethnic identities. This research sought to unravel some of the complex, multilayered experiences of RED and subsequent coping strategies to examine the impact on LCC use.</div></div><div><h3>Methods</h3><div>Data come from a cross-sectional survey conducted among a nationally representative sample of U.S. young adults (n = 1,178) in May 2022. Respondents were asked about their exposure to LCC marketing (systemic RED), interpersonal experiences of RED, coping strategies, and use of LCCs as-sold (tobacco only) or as a blunt (with marijuana). Multivariable logistic regression was used to examine odds of LCC use examining systemic and interpersonal RED and the relationship between emotion-focused and problem-focused coping strategies among those who have experienced RED.</div></div><div><h3>Results</h3><div>Exposure to systemic RED was associated with increased odds of blunt use. Interpersonal experiences of RED were associated with increased odds of LCC use as-sold and as blunts. Among those who experienced any RED, the impact of problem-focused and emotion-focused coping was differential across racial and ethnic identities in the impact on LCC use modality.</div></div><div><h3>Conclusion</h3><div>Systemic and interpersonal RED are independently associated with LCC use. There are considerable differences in how young adults cope with RED which necessitates additional research to further elucidate the complex pathways between RED and product use to more effectively inform strategies to address the undeniable racial and ethnic inequities in tobacco-related health outcomes.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100593"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Methodological issues in behavioral addictions’ research: A call for an unbiased analysis of excessive behaviors
Addictive Behaviors Reports Pub Date : 2025-02-27 DOI: 10.1016/j.abrep.2025.100594
Yura Loscalzo, Marco Giannini
{"title":"Methodological issues in behavioral addictions’ research: A call for an unbiased analysis of excessive behaviors","authors":"Yura Loscalzo,&nbsp;Marco Giannini","doi":"10.1016/j.abrep.2025.100594","DOIUrl":"10.1016/j.abrep.2025.100594","url":null,"abstract":"<div><div>In the psychological literature, there has been a proliferation of new behavioral addictions, often biased by an aprioristic and confirmatory approach that applied the addiction framework without adequately considering other potential explanations of excessive behaviors. This position paper further extends the critiques previously pointed out in the literature by highlighting the methodological issues underlying the current behavioral addiction research and the need for future studies to avoid a confirmatory and aprioristic approach (whatever the etiological hypothesis). Analyzing repetitive behaviors in their own specifies could help find a balance between the risk of over-pathologizing common behaviors and not exploring new potential clinical disorders related to everyday (excessive) behaviors associated with functional impairment and deserving public health attention. Finally, we underline the value of recalling that if an existing diagnosis might explain the problematic behavior under consideration, a new clinical disorder should not be introduced in the literature.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100594"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychotherapy research for compulsive buying-shopping disorder: Quo vadis?
Addictive Behaviors Reports Pub Date : 2025-02-25 DOI: 10.1016/j.abrep.2025.100591
Astrid Müller , Patrick Trotzke , Patricia Schaar , Tobias A. Thomas , Ekaterini Georgiadou , Sabine Steins-Loeber
{"title":"Psychotherapy research for compulsive buying-shopping disorder: Quo vadis?","authors":"Astrid Müller ,&nbsp;Patrick Trotzke ,&nbsp;Patricia Schaar ,&nbsp;Tobias A. Thomas ,&nbsp;Ekaterini Georgiadou ,&nbsp;Sabine Steins-Loeber","doi":"10.1016/j.abrep.2025.100591","DOIUrl":"10.1016/j.abrep.2025.100591","url":null,"abstract":"<div><div>Aim The aim of this position paper is to address the question of how psychotherapy research for compulsive buying-shopping disorder (CBSD) should develop further. <em>Method:</em> After a brief summary of existing psychotherapy research, this paper concentrates on the advantages and shortcomings of previous psychotherapy studies and offers recommendations for future psychotherapy research in the domain of CBSD. <em>Results:</em> Systematic reviews indicate that cognitive behavioural therapy is the most researched form of psychotherapy and presents a helpful intervention for reducing the symptom severity of CBSD. Notwithstanding the positive outcomes, the psychotherapy studies to date are limited by methodological shortcomings, which reduce their validity and generalizability. While research into the psychological mechanisms of offline and online CBSD has expanded considerably, psychotherapy research has not kept pace with this growth. Although the majority of individuals with CBSD engage in online shopping, the problematic usage of shopping websites has not been considered in any of the treatment studies to date. <em>Conclusion:</em> The application of the experimental medicine framework to psychotherapy research for CBSD may enhance the integration of findings on psychological mechanisms of CBSD with existing treatment concepts for CBSD. Moreover, it is necessary to consider the impact of technological factors and e-marketing in the context of treatment. There is a need for 1) proof-of-concept studies to test specific interventions that target specific psychological processes and mechanisms of CBSD, and 2) high-quality psychotherapy studies to test the efficacy and effectiveness of new treatment approaches in accordance with the scientific standards for randomised controlled trials</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100591"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The temporal stability of problematic gaming and gaming disorder: A systematic review and meta-analysis
Addictive Behaviors Reports Pub Date : 2025-02-22 DOI: 10.1016/j.abrep.2025.100592
An-Pyng Sun , Chih-Hsiang Ho , Daria J. Kuss , Chad L. Cross
{"title":"The temporal stability of problematic gaming and gaming disorder: A systematic review and meta-analysis","authors":"An-Pyng Sun ,&nbsp;Chih-Hsiang Ho ,&nbsp;Daria J. Kuss ,&nbsp;Chad L. Cross","doi":"10.1016/j.abrep.2025.100592","DOIUrl":"10.1016/j.abrep.2025.100592","url":null,"abstract":"<div><div>Classifying problematic gaming/gaming disorder as a formal psychiatric diagnosis requires data on its level of temporal stability: are the dysfunctional symptoms transient or can they persist in the absence of treatment? To evaluate this question, we conducted a literature review and <em>meta</em>-analysis to investigate temporal stability in problematic gaming/gaming disorder. We identified 50 relevant longitudinal studies on PubMed, PsycINFO, and SCOPUS. Our review and <em>meta</em>-analysis engaged on two types of temporal stability: categorical stability and dimensional stability. We used MetaXL to run the <em>meta</em>-analysis for categorical stability. Our <em>meta</em>-analysis revealed that overall, the categorical stability rate was approximately 34–38% for the 2-year follow-up studies and approximately 43–45% for the 1-year follow-up studies. This indicates that between 1/3 and 1/2 of the gamers who initially met the threshold for problematic gaming/gaming disorder continued to meet such a threshold at follow-ups. Our <em>meta</em>-analysis included predominantly adolescent groups, which should be noted when generalizing the obtained categorical stability rates. Our review results also showed that overall, the dimensional stability was positive and statistically significant, indicating moderate or high correlations between symptom severity at baseline and at follow-ups. Temporal stability can be a complex concept. Our results suggest that although the categorical stability of problematic gaming/gaming disorder is not as strong as some major psychiatric disorders such as schizophrenia and bipolar disorder, it is similar to personality disorder and gambling disorder. Many complex factors may affect the temporal stability of problematic gaming/gaming disorder, possibly including severity of the disorder, whether the data is from clinical or nonclinical populations, and an individual’s age group or developmental stage. More methodologically rigorous longitudinal studies that address these issues are needed.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100592"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intact habit learning in work addiction: Evidence from a probabilistic sequence learning task
Addictive Behaviors Reports Pub Date : 2025-02-10 DOI: 10.1016/j.abrep.2025.100589
Zsuzsanna Viktória Pesthy , Krisztina Berta , Teodóra Vékony , Dezső Németh , Bernadette Kun
{"title":"Intact habit learning in work addiction: Evidence from a probabilistic sequence learning task","authors":"Zsuzsanna Viktória Pesthy ,&nbsp;Krisztina Berta ,&nbsp;Teodóra Vékony ,&nbsp;Dezső Németh ,&nbsp;Bernadette Kun","doi":"10.1016/j.abrep.2025.100589","DOIUrl":"10.1016/j.abrep.2025.100589","url":null,"abstract":"<div><div>Work addiction (WA) is characterized by excessive and compulsive working patterns that detrimentally affect the individual’s health and functioning. While prior studies have indicated an overreliance on habit learning in various addictions, this study is the first to examine its role in WA. 104 adults were categorized into low-risk and high-risk groups for WA based on their scores on the Work Addiction Risk Test. We used a probabilistic sequence learning task designed to assess habit learning through the implicit acquisition of structured patterns characterized by alternating sequences. No significant differences were observed between the groups, both in terms of accuracy and reaction time. These findings suggest that individuals with WA exhibit intact habit learning, indicating that the addictive nature of work behavior may not solely stem from habitual processes. This highlights the unique features of WA compared to other addictions, potentially contributing to the relatively better overall functioning observed in affected individuals.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100589"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanism that links perceived racism and discrimination and youth cannabis use, a structural equation modeling approach
Addictive Behaviors Reports Pub Date : 2025-02-08 DOI: 10.1016/j.abrep.2025.100590
Hongying Daisy Dai , Brian Young , Cheryl Beseler
{"title":"Mechanism that links perceived racism and discrimination and youth cannabis use, a structural equation modeling approach","authors":"Hongying Daisy Dai ,&nbsp;Brian Young ,&nbsp;Cheryl Beseler","doi":"10.1016/j.abrep.2025.100590","DOIUrl":"10.1016/j.abrep.2025.100590","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Exposure to discrimination stands as a prevalent social stressor and social determinant of health. This study sought to examine mechanisms linking perceived racism and discrimination (PRD) with youth cannabis use.</div></div><div><h3>Methods</h3><div>Data were drawn from the 2021 Adolescent Behaviors and Experiences Survey (n = 7,705). Latent variables were constructed to assess stress and mental health, sleep disorder and lack of physical activity, lack of family and peer support, and financial adversity. Separate mediation analyses were conducted to examine the pathways from PRD to current (past 30-day), and frequent (≥20 days in the past 30-day) cannabis use, adjusted by sociodemographic factors.</div></div><div><h3>Results</h3><div>Adolescents with PRD (vs. no PRD) reported a higher prevalence of current use (16.2 % vs. 10.9 %, p &lt; 0.0001) and frequent use (4.6 % vs. 2.7 %, p = 0.008). Stress and mental health mediated the pathways from PRD to current (β<sub>indirect effect</sub> [SE] = 0.02 [0.01], p = 0.02) and frequent cannabis use (β<sub>indirect effect</sub> [SE] = 0.03 [0.01], p &lt; 0.001). Financial adversity was associated with current (β [SE] = 0.15 [0.06], p = 0.01) and frequent cannabis use (β [SE] = 0.26 [0.08], p = 0.002). Sleep disorder and physical activity did not significantly mediate the relationship between PRD and current or frequent cannabis use. Lack of family and peer support showed no association with cannabis use.</div></div><div><h3>Conclusions</h3><div>This national study identified important latent factors that are associated with youth cannabis use. Targeted interventions that reduce stress might mitigate the impacts of PRD on adolescent’s cannabis use.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100590"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study
Addictive Behaviors Reports Pub Date : 2025-02-02 DOI: 10.1016/j.abrep.2025.100588
Nahiyan Bin Noor , George Pro , Mahip Acharya , Hari Eswaran , Corey J. Hayes
{"title":"Association between different modalities of opioid use disorder-related care delivery and opioid use disorder-related patient outcomes: A retrospective cohort study","authors":"Nahiyan Bin Noor ,&nbsp;George Pro ,&nbsp;Mahip Acharya ,&nbsp;Hari Eswaran ,&nbsp;Corey J. Hayes","doi":"10.1016/j.abrep.2025.100588","DOIUrl":"10.1016/j.abrep.2025.100588","url":null,"abstract":"<div><h3>Objective</h3><div>This study assessed the impact of different modalities of delivery of opioid use disorder (OUD)-related care on several patient outcomes.</div></div><div><h3>Methods</h3><div>This study was conducted among patients newly diagnosed with OUD and receiving OUD-related care between March 2020 and March 2022, using data from Epic Cosmos. We examined the association between the most common modality of OUD-related care delivery (audio-only vs. audiovisual vs. in-person) and the number of emergency department (ED) visits for any overdose and opioid-specific overdose and receipt of medication treatment for OUD (MOUD; primary). We also examined the association between the most common modality of OUD-related care delivery and all-cause ED visits, hospitalizations, and psychiatric-related hospitalizations (secondary outcomes). We estimated logistic regression for receipt of MOUD and negative binomial for all other outcomes.</div></div><div><h3>Results</h3><div>Most patients primarily received OUD-related care in person (87.6 %, n = 159,351), followed by audiovisual visits (11.3 %, n = 20,629) and audio-only visits (1.1 %, n = 1,869). The mean (SD) ages for these groups were 51.7 (15.9), 47.1 (15.0), and 51.1 (15.8) years, respectively. Compared to receiving OUD-related care primarily in-person, receiving care predominantly through audio-only or audiovisual visits was associated with a modest decrease in number of all-cause ED visits. Receiving OUD-related care primarily through audiovisual visits, compared to in-person care, was associated with a slight increase in the odds of receiving MOUD. No statistically significant differences were found between the care delivery modalities and the other outcomes we examined.</div></div><div><h3>Conclusion</h3><div>Telehealth, delivered via audio-only or audiovisual methods, appears to provide care of similar quality to in-person OUD care and may modestly reduce OUD-related ED visits while slightly increasing MOUD receipt. These findings support continued delivery of OUD-related care through telehealth and continuation of COVID-19-related policies.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100588"},"PeriodicalIF":0.0,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143210131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intersectionality in substance use disorders: Examining gender, race/ethnicity, and sexual orientation in the 2021–2022 National Survey on Drug Use and Health
Addictive Behaviors Reports Pub Date : 2025-01-26 DOI: 10.1016/j.abrep.2025.100587
Marvin A. Schilt-Solberg , Lisa M. Blair , Julie A.M.J. Kurzer
{"title":"Intersectionality in substance use disorders: Examining gender, race/ethnicity, and sexual orientation in the 2021–2022 National Survey on Drug Use and Health","authors":"Marvin A. Schilt-Solberg ,&nbsp;Lisa M. Blair ,&nbsp;Julie A.M.J. Kurzer","doi":"10.1016/j.abrep.2025.100587","DOIUrl":"10.1016/j.abrep.2025.100587","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the impact of the intersection of gender, racial/ethnic identity, and sexual orientation among adults on substance use disorders (SUDs) from 2021 to 2022.</div></div><div><h3>Method</h3><div>We conducted an analysis of persons (ages 18 and older) who responded to the 2021 and 2022 National Survey on Drug Use and Health (NSDUH). Logistic regression models were constructed to examine odds of past-year SUDs at the intersection of gender, sexuality, and race/ethnicity. All analyses were design-corrected to enhance population representativeness and generalizability.</div></div><div><h3>Results</h3><div>Prevalence varied by race/ethnicity and sexual orientation across both sexes (total <em>n</em> = 83,722). Non-Hispanic multiracial lesbian/gay individuals had the highest prevalence of any SUD in both sexes (46.6 % in women, 52.3 % in men). Bisexual women showed consistently elevated odds of SUD across most racial/ethnic groups (aORs 1.48–2.99) compared to White heterosexual women. Men had higher prevalence of SUD than women (21.1 % compared to 15.0 %, <em>p &lt; 0</em>.0001). Only White gay and bisexual men had significantly increased odds for any SUD compared to heterosexual White men (aOR 1.73 and 1.57, respectively). White bisexual men had higher odds of reporting cannabis use disorder (CUD; aOR 1.87). Hispanic men demonstrated lower odds of any SUD or CUD (aORs 0.85 and 0.71, respectively).</div></div><div><h3>Conclusion</h3><div>Women demonstrated more pronounced SUD disparities between intersectional identity. While men had higher SUD prevalence overall, few disparities were observed between intersectional identities. To effectively address these disparities and their consequences (e.g., differential minority stress and mental/physical health outcomes), prevention and intervention efforts should prioritize an intersectionality approach.</div></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"21 ","pages":"Article 100587"},"PeriodicalIF":0.0,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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