Addictive Behaviors Reports最新文献

{"title":"Sex-related differences in the prevalence of substance use disorders, treatment, and overdose among parents with young children","authors":"Yitong (Alice) Gao ,&nbsp;Elizabeth E. Krans ,&nbsp;Qingwen Chen ,&nbsp;Scott D. Rothenberger ,&nbsp;Kara Zivin ,&nbsp;Marian P. Jarlenski","doi":"10.1016/j.abrep.2023.100492","DOIUrl":"10.1016/j.abrep.2023.100492","url":null,"abstract":"<div><h3>Introduction</h3><p>Risk factors and treatment rates for substance use disorders (SUDs) differ by sex. Females often have greater childcare and household responsibilities than males, which may inhibit SUD treatment. We examined how SUD, medication for opioid use disorder (MOUD) receipt, and overdose rates differ by sex among parents with young children (&lt;5 years).</p></div><div><h3>Methods</h3><p>Using deidentified national administrative healthcare data from Optum’s Clinformatics® Data Mart Database version 8.1 (2007–2021), we identified parents aged 26–64 continuously enrolled in commercial insurance for ≥ 30 days and linked to ≥ 1 dependent child &lt; 5 years from January 1, 2016-February 29, 2020. We used generalized estimating equations to estimate the average predicted prevalence of SUD diagnosis, MOUD receipt after opioid use disorder (OUD) diagnosis, and overdose by parent sex in any month, adjusting for age, race/ethnicity, state of residence, enrollment month, and mental health conditions.</p></div><div><h3>Results</h3><p>From 2016 to 2020, there were 2,241,795 parents with a dependent child &lt; 5 years, including 1,155,252 (51.5%) females and 1,086,543 (48.5%) males. Male parents had a higher average predicted prevalence of an SUD diagnosis (11.1% [11, 11.16]) than female parents (5.5% [5.48, 5.58]). Among parents with OUD, the average predicted prevalence of receiving MOUD was 27.4% [26.1, 28.63] among male and 19.7% [18.34, 21.04] among female parents, with no difference in overdose rates by sex.</p></div><div><h3>Conclusion</h3><p>Female parents are less likely to be diagnosed with an SUD or receive MOUD than male parents. Removing policies that criminalize parental SUD and addressing childcare-related barriers may improve SUD identification and treatment.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/07/main.PMC10195847.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9874602","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}

{"title":"Severity of behavioral addiction symptoms among young adults using non-prescribed sedatives/hypnotics","authors":"Lea Péter ,&nbsp;Borbála Paksi ,&nbsp;Anna Magi ,&nbsp;Andrea Eisinger ,&nbsp;Eszter Kótyuk ,&nbsp;Andrea Czakó ,&nbsp;Mark D. Griffiths ,&nbsp;Zsolt Demetrovics ,&nbsp;Bálint Andó","doi":"10.1016/j.abrep.2023.100485","DOIUrl":"10.1016/j.abrep.2023.100485","url":null,"abstract":"<div><h3>Introduction</h3><p>Young adulthood is considered a critical period in terms of non-medical use of sedatives/hypnotics (NMUSH) as well as different types of behavioral addictions (BAs). However, the relationship between these behaviors has received scarce attention among young adult samples. Therefore, the aim of the present study was to investigate the association between NMUSH and symptoms of distinct BAs among young adults.</p></div><div><h3>Materials and methods</h3><p>Analyses were conducted based on the data of two large sample studies (including a representative sample) carried out with young adult samples. The following BAs were assessed: problematic internet use, problematic video gaming, problematic social media use, problem gambling, exercise addiction, eating disorders, compulsive buying behavior, problematic mobile phone use, work addiction, and hair pulling. Symptoms of distinct BAs were analyzed in three groups formed based on the NMUSH: non-users, lifetime users, and current users.</p></div><div><h3>Results</h3><p>The symptoms of problematic internet use, problematic social media use, problem gambling, exercise addiction, eating disorders, compulsive buying behavior and work addiction were significantly more severe among lifetime and/or current non-medical sedative and hypnotic users, compared to the non-user participants. The symptoms of problematic mobile phone use were the most severe in the non-user group.</p></div><div><h3>Conclusions</h3><p>The results suggest co-occurrence between NMUSH and distinct BAs among young adults. These findings draw attention to the need for preventive interventions for this high-risk population.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fd/4c/main.PMC10024082.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9156210","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}

{"title":"Adverse childhood experiences and their association with substance use disorders in adulthood: A general population study (Young-HUNT)","authors":"Rosalie Broekhof ,&nbsp;Hans M. Nordahl ,&nbsp;Lars Tanum ,&nbsp;Sara G. Selvik","doi":"10.1016/j.abrep.2023.100488","DOIUrl":"10.1016/j.abrep.2023.100488","url":null,"abstract":"<div><h3>Aim</h3><p>To investigate the association of adverse childhood experiences (ACEs) and substance use disorders (alcohol and illicit drug use disorders), specifically by gender, in a large longitudinal non-clinical population study.</p></div><div><h3>Methods</h3><p>Data from 8199 adolescents, first assessed for ACE (2006–2008), were linked with subsequent data from the Norwegian Patient Register to obtain diagnoses of a substance use disorder in adulthood (after 12–14 years’ follow-up in March 2020). This study used logistic regression analysis to assess the associations between ACEs and substance use disorders with respect to gender.</p></div><div><h3>Results</h3><p>Adults with any history of ACEs have a 4.3-fold higher likelihood of developing a substance use disorder. Female adults had a 5.9-fold higher likelihood of developing an alcohol use disorder. Emotional neglect, sexual abuse and physical abuse were the strongest individual ACE predictors for this association. Male adults had a 5.0-fold higher likelihood of developing an illicit drug use disorder (for example stimulants such as cocaine, inhibiter such as opioids, cannabinoids and multiple drugs). Physical abuse, parental divorce and witnessed violence were the strongest individual ACE predictors for this association.</p></div><div><h3>Conclusions</h3><p>This study reinforces the association between ACEs and substance use disorders and exposes a gender-specific pattern. Increased attention should be paid to the meaning of individual ACEs as well as to the accumulation of ACEs in the development of a substance use disorder.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106480/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9441207","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}

{"title":"Psychometric properties of the Bergen Social Media Addiction Scale: An analysis using item response theory","authors":"Daniel Zarate ,&nbsp;Ben A. Hobson ,&nbsp;Evita March ,&nbsp;Mark D. Griffiths ,&nbsp;Vasileios Stavropoulos","doi":"10.1016/j.abrep.2022.100473","DOIUrl":"10.1016/j.abrep.2022.100473","url":null,"abstract":"<div><h3>Background</h3><p>Social media use has become an everyday behavior in contemporary life resulting in increased participation. A minority of individuals, especially younger adults, may engage excessively with the medium, resulting in the emergence of problematic social media use (PSMU). One way of assessing PSMU is by administering the Bergen Social Media Addiction Scale (BSMAS). The present study investigated the psychometric properties and prevalence of the BSMAS using Item Response Theory (IRT). Additionally, it evaluated risk factors such as gender and age.</p></div><div><h3>Methods</h3><p>A relatively large community sample (N = 968, <em>M_age</em> = 29.5 years, <em>SD</em> = 9.36, 32.5% women) completed the BSMAS online.</p></div><div><h3>Results</h3><p>IRT analyses showed differences regarding the BSMAS items’ discrimination, difficulty, and reliability capacities, with a raw score exceeding 26 (out of 30) indicating a higher risk of PSMU (n = 11; 1.1%). Females and younger participants were at greater risk of developing PSMU.</p></div><div><h3>Conclusion</h3><p>The BSMAS functions as a reliable measure of PSMU, particularly between average to high levels of the trait. Additionally, younger participants were shown to be at higher risk of PSMU suggesting that prevention and intervention protocols should focus on this group.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e3/bc/main.PMC9758518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10393633","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}

{"title":"Perceived discrimination enhances the association between distress and impact related to the murder of George Floyd and unhealthy alcohol use in a survey sample of U.S. Veterans who report drinking","authors":"Monique T. Cano ,&nbsp;Jill V. Reavis ,&nbsp;David L. Pennington","doi":"10.1016/j.abrep.2023.100481","DOIUrl":"10.1016/j.abrep.2023.100481","url":null,"abstract":"<div><h3>Introduction</h3><p>On May 25, 2020, George Floyd was murdered by a Minneapolis police officer leading to increased social justice and antiracism movements (SJARM) across the United States. Vicarious exposure to racism and perceived discrimination are salient sources of distress which may lead to increased alcohol use as means of coping. The primary aim of the current study was to examine how perceived discrimination and the subjective impact and personal distress related to the SJARM following the George Floyd murder interact and relate to unhealthy alcohol use among U.S. Veterans.</p></div><div><h3>Methods</h3><p>286 Veterans were assessed for unhealthy alcohol use (AUDIT-10), perceived discrimination (EDS), and subjective impact and personal distress related to the SJARM. Two moderation analyses were performed to examine whether subjective impact and personal distress moderated relations between perceived discrimination and alcohol use. In-depth follow-up analyses were conducted to examine differences and relationships among variables.</p></div><div><h3>Results</h3><p>In two different moderation models, perceived discrimination moderated the association between both subjective impact (<em>p</em> &lt;.001) and personal distress (<em>p</em> &lt;.001) felt by the SJARM and unhealthy alcohol use. In planned exploratory analyses, Veterans who reported perceived discrimination reported higher levels of unhealthy alcohol use (M = 14.71, SD = 9.39) than those who did not t(2<!--> <!-->8<!--> <!-->4) = 5.61, p &lt;.001. In post-hoc analyses, racial/ethnic minorities were significantly more likely to report perceived racial discrimination (<em>p</em> &lt;.001) while non-Hispanic Whites were more likely to report perceived discrimination based on education or income level (<em>p</em> &lt;.01).</p></div><div><h3>Conclusions</h3><p>In the context of a socially unjust event amidst a global pandemic, perceived discrimination contributes to unhealthy alcohol use and subjective impact and personal distress associated with the SJARM following the murder of George Floyd. Results highlight the importance of addressing discrimination experiences in Veterans who seek alcohol treatment, particularly as rates of unhealthy alcohol use are on the rise.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/51/92/main.PMC9876779.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10576344","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}

{"title":"Prevalence and correlates of experiencing drug-related discrimination among people who use drugs presenting at emergency department at high risk of opioid overdose","authors":"Shayla Nolen ,&nbsp;Taneisha Wilson ,&nbsp;Brendan P. Jacka ,&nbsp;Yu Li ,&nbsp;Francesca L. Beaudoin ,&nbsp;Brandon D.L. Marshall","doi":"10.1016/j.abrep.2023.100496","DOIUrl":"10.1016/j.abrep.2023.100496","url":null,"abstract":"<div><h3>Objectives</h3><p>Our objective is to determine if specific sociodemographic characteristics were associated with perceived drug-related discrimination among people who use drugs (PWUD) presenting for care in the emergency department (ED).</p></div><div><h3>Methods</h3><p>We conducted a secondary analysis of data from the Navigator trial, a randomized control trial of two behavioral interventions in the ED for people at risk of an opioid overdose. Participants included adult patients presenting to two Rhode Island EDs. Eligible participants included those high risk for an opioid overdose, resided or received most of their healthcare in Rhode Island, and were able to provide consent. The primary outcome of this analysis was self-reported feelings of drug-related discrimination by the medical community. The independent variables of interest included race/ethnicity, gender identity, and sexual orientation. Log-binomial multivariable regression models were constructed with all three independent variables of interest and a selection of sociodemographic covariates.</p></div><div><h3>Results</h3><p>Of 620 eligible participants, 251 (40.5%) reported ever experiencing drug-related discrimination in their lifetime. In the adjusted model, participants who identified as women and participants who identified as LGBQIA+ were more likely to report experiencing drug-related discrimination from the medical community in EDs. Racial/ethnic minority groups were less likely than White (non-Hispanic) participants to report drug-related discrimination.</p></div><div><h3>Discussion</h3><p>In this study population, White participants reported more drug-related discrimination than their minority counterparts, although female and LGBQIA+ patients reported more discrimination. Future studies should further assess the significance of these intersecting identities on self-reported discrimination. This knowledge could improve ED-based interventions, policies, and services for PWUD.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9546457","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}

{"title":"Multiple substance use and blood pressure in women experiencing homelessness","authors":"Leslie W. Suen ,&nbsp;Eric Vittinghoff ,&nbsp;Alan H.B. Wu ,&nbsp;Akshay Ravi ,&nbsp;Phillip O. Coffin ,&nbsp;Priscilla Hsue ,&nbsp;Kara L. Lynch ,&nbsp;Dhruv S. Kazi ,&nbsp;Elise D. Riley","doi":"10.1016/j.abrep.2023.100483","DOIUrl":"10.1016/j.abrep.2023.100483","url":null,"abstract":"<div><h3>Background</h3><p>Substance use increases risk of cardiovascular events, particularly among women with additional risk factors like housing instability. While multiple substance use is common among unstably housed individuals, relationships between multiple substance use and cardiovascular risk factors like blood pressure are not well characterized.</p></div><div><h3>Methods</h3><p>We conducted a cohort study between 2016 and 2019 to examine associations between multiple substance use and blood pressure in women experiencing homelessness and unstable housing. Participants completed six monthly visits including vital sign assessment, interview, and blood draw to assess toxicology-confirmed substance use (e.g., cocaine, alcohol, opioids) and cardiovascular health. We used linear mixed models to evaluate the outcomes of systolic and diastolic blood pressure (SBP; DBP).</p></div><div><h3>Results</h3><p>Mean age was 51.6 years; 74 % were women of color. Prevalence of any substance use was 85 %; 63 % of participants used at least two substances at baseline. Adjusting for race, body mass index and cholesterol, cocaine was the only substance significantly associated with SBP (4.71 mmHg higher; 95 % CI 1.68, 7.74) and DBP (2.83 mmHg higher; 95 % CI 0.72, 4.94). Further analysis found no differences in SBP or DBP between those with concurrent use of other stimulants, depressants, or both with cocaine, compared to those who used cocaine only.</p></div><div><h3>Conclusions</h3><p>Cocaine was the only substance associated with higher SBP and DBP, even after accounting for simultaneous use of other substances. Along with interventions to address cocaine use, stimulant use screening during cardiovascular risk assessment and intensive blood pressure management may improve cardiovascular outcomes among women experiencing housing instability.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9581491","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}

{"title":"Associations between biomarkers of nicotine/tobacco exposure and respiratory symptoms among adults who exclusively smoke cigarettes in the U.S.: Findings from the PATH Study Waves 1–4 (2013–2017)","authors":"Kathryn C. Edwards ,&nbsp;Jenny E. Ozga ,&nbsp;Carolyn Reyes-Guzman ,&nbsp;Danielle Smith ,&nbsp;Dorothy Hatsukami ,&nbsp;Joy L. Hart ,&nbsp;Asti Jackson ,&nbsp;Maciej Goniewicz ,&nbsp;Cassandra A. Stanton","doi":"10.1016/j.abrep.2023.100487","DOIUrl":"10.1016/j.abrep.2023.100487","url":null,"abstract":"<div><h3>Significance</h3><p>Determining if tobacco-related biomarkers of exposure (BOE) are associated with respiratory symptoms is an important public health tool that can be used to evaluate the potential harm of different tobacco products.</p></div><div><h3>Methods</h3><p>Adult data from people who exclusively smoked cigarettes (N = 2,438) in Waves 1–4 (2013–2017) of the Population Assessment of Tobacco and Health Study were stacked to examine associations between baseline and follow-up within wave pairs (W1-W2, W2-W3, W3-W4). Weighted generalized estimating equation models were used to evaluate associations between biomarkers of nicotine, tobacco-specific nitrosamines, acrolein, acrylonitrile, cadmium, and lead at baseline/follow-up and respiratory symptom(s) (wheezing/whistling in the chest, wheezing during exercise, and/or dry cough in the past 12 months) at follow-up.</p></div><div><h3>Results</h3><p>Higher acrolein metabolite (CEMA) levels at follow-up were associated with increased odds of respiratory symptoms at follow-up for people who exclusively smoked cigarettes (aOR = 1.34; 95% CI = 1.06, 1.70), including when limited to those without a diagnosed respiratory disease (aOR = 1.46; 95% CI = 1.12, 1.90) and those who smoked daily (aOR = 1.40; 95% CI = 1.06, 1.84). Higher cadmium levels at baseline (while controlling for follow-up levels) were associated with reduced odds of respiratory symptoms at follow-up (aOR = 0.80; 95% CI = 0.65, 0.98) among people who exclusively smoked cigarettes without a respiratory disease. There were no significant associations between baseline/follow-up BOE and follow-up respiratory symptoms for people who smoked cigarettes non-daily.</p></div><div><h3>Conclusions</h3><p>This research supports measuring biomarkers of acrolein, such as CEMA, as a potential intermediate measurement for increased respiratory symptom development. Measuring these biomarkers could help alleviate the clinical burden of respiratory disease.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10060600/pdf/main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9611066","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}

{"title":"Behavioral health care provider’s beliefs, confidence, and knowledge in treating cigarette smoking in relation to their use of the 5A’s intervention","authors":"Midhat Z. Jafry ,&nbsp;Jayda Martinez ,&nbsp;Tzuan A. Chen ,&nbsp;Maggie Britton ,&nbsp;Isabel Martinez Leal ,&nbsp;Anastasia Rogova ,&nbsp;Bryce Kyburz ,&nbsp;Teresa Williams ,&nbsp;Mayuri Patel ,&nbsp;Brian J. Carter ,&nbsp;Lorraine R. Reitzel","doi":"10.1016/j.abrep.2023.100493","DOIUrl":"10.1016/j.abrep.2023.100493","url":null,"abstract":"<div><h3>Introduction</h3><p>Evidence-based smoking cessation interventions are underused settings where behavioral health treatment is provided, contributing to smoking-related health disparities in this patient group. This study assessed the relationship of provider’s beliefs about patients’ smoking, perceptions of treatment capability, and knowledge of referral options and their use of the 5A’s (<u>A</u>sk, <u>A</u>dvise, <u>A</u>ssess, <u>A</u>ssist, and <u>A</u>rrange) intervention for smoking cessation.</p></div><div><h3>Methods</h3><p>Surveys were collected from providers in healthcare settings in Texas where patients receive behavioral health care (N = 86; 9 federally qualified health centers, 16 Local Mental Health Authorities (LMHAs), 6 substance use treatment programs in LMHAs, and 55 stand-alone substance use treatment centers). Logistic regression analyses were used to assess the association between provider’s beliefs about patients’ concern and desire to quit smoking; perceptions of their confidence, skills, and effectiveness in treating smoking; their knowledge of referral options; and their use of the 5A’s with patients who smoked.</p></div><div><h3>Results</h3><p>Providers who believed that patients were concerned about smoking and wanted to quit; who perceived themselves as confident in providing cessation care, having the required skills, and being effective in providing advice; and/or who had greater referral knowledge were more likely to use the 5A’s with patients who smoked than their (respective) provider counterparts (<em>p</em>s &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>Provider-level constructs affect their 5A’s provision for patients with behavioral health needs. Future work should train providers to correct misconceptions about patients’ interest in quitting, bolster their confidence, and provide referral options to support tobacco provision efforts.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d4/7f/main.PMC10279772.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10088497","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}

{"title":"Hispanic/Latinx individuals’ attributions for abstinence and smoking: A content analysis of open-ended responses from a randomized cessation trial","authors":"Laura Casas ,&nbsp;Patricia Medina-Ramirez ,&nbsp;Vanesa Carreno ,&nbsp;Patricia Calixte-Civil ,&nbsp;Ursula Martinez ,&nbsp;Thomas H. Brandon ,&nbsp;Vani N. Simmons","doi":"10.1016/j.abrep.2022.100478","DOIUrl":"10.1016/j.abrep.2022.100478","url":null,"abstract":"<div><h3>Introduction</h3><p>Little is known about facilitators and barriers to smoking cessation among Hispanics seeking treatment. This secondary analysis examined attributions for abstinence or smoking among participants in a nationwide randomized controlled trial testing a self-help smoking cessation intervention among Spanish-speaking Hispanics in the United States (US).</p></div><div><h3>Methods</h3><p>At each follow-up assessment (6, 12, 18, and 24 months), participants (N = 1,417) responded to open-ended items regarding reasons for either abstinence or smoking. A content analysis was conducted using NVivo on the responses from 1,035 participants.</p></div><div><h3>Results</h3><p>Mood Management (e.g., stress and anxiety) was the most frequent reason for smoking across all timepoints. Concern for personal health and wellbeing was the most frequent reason cited for abstinence across all timepoints. Important barriers (e.g., financial stressors, environmental disasters) and facilitators (e.g., family, faith) were also identified. Quantitative subgroup analyses revealed differences in the frequency of abstinence and smoking attributions by sex, marital status, and annual household income.</p></div><div><h3>Conclusion</h3><p>The identified facilitators and barriers to abstinence support and expand findings from previous studies by using a geographically and ethnically diverse sample of treatment seeking, Spanish-preferring smokers. They also provide specific targets for tailoring cessation and relapse prevention interventions designed to improve cessation outcomes and reduce tobacco-related health disparities among Hispanics in the US.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/1d/main.PMC9816900.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10508993","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}