Addictive behaviors最新文献

{"title":"Housing instability, race/ethnicity, and sexual identity as intersectional factors in adolescent cannabis use","authors":"Todd Ebling,&nbsp;Galappaththige S.R. de Silva,&nbsp;Sunday Azagba","doi":"10.1016/j.addbeh.2025.108476","DOIUrl":"10.1016/j.addbeh.2025.108476","url":null,"abstract":"<div><h3>Introduction</h3><div>This study examines the association between cannabis use and the intersection of housing instability with sexual identity and race/ethnicity among U.S. high school students.</div></div><div><h3>Methods</h3><div>We utilized nationally representative survey data from high school students in 2021 and 2023 (n = 24,885), analyzed in 2024. The dependent variable was past 30-day cannabis use, and the primary independent variables were the intersection of housing instability with sexual identity and race/ethnicity. Propensity score weighting was used to balance characteristics between the intersectional variable groups, followed by logistic regression in the outcome model.</div></div><div><h3>Results</h3><div>Results showed significantly higher odds of cannabis use among students with housing instability who identified as heterosexual (OR = 3.38, 95 %CI = 2.69–4.23), gay or lesbian (OR = 4.71, 95 %CI = 2.55–8.68), bisexual (OR = 3.89, 95 %CI = 1.90–7.96), and other sexual identities (OR = 7.73, 95 %CI = 4.24–14.08) compared to heterosexual students with stable housing. We also found higher odds of cannabis use for those with housing instability among non-Hispanic white students (OR = 3.59, 95 %CI = 2.78–4.63), non-Hispanic black students (OR = 3.24, 95 %CI = 2.10–5.00), non-Hispanic other students (OR = 3.08, 95 %CI = 2.13–4.45), and Hispanic students (OR = 5.24, 95 %CI = 3.59–7.65) compared to non-Hispanic white students with stable housing.</div></div><div><h3>Conclusions</h3><div>The findings indicate a significant association between housing instability and cannabis use, particularly among sexual and racial/ethnic minorities. The intersectional analysis underscores the compounded challenges faced by these groups.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108476"},"PeriodicalIF":3.6,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of nicotine and cannabis co-use among adolescents and the association with nicotine and cannabis dependence symptoms","authors":"Nikki S. Jafarzadeh ,&nbsp;Alyssa F. Harlow ,&nbsp;Claire A. Walsh ,&nbsp;Reid C. Whaley ,&nbsp;Dae-Hee Han ,&nbsp;Adam M. Leventhal ,&nbsp;Jessica L. Barrington-Trimis","doi":"10.1016/j.addbeh.2025.108471","DOIUrl":"10.1016/j.addbeh.2025.108471","url":null,"abstract":"<div><h3>Significance</h3><div>Adolescent nicotine and cannabis co-use is common, but prior studies use imprecise measurement of co-use which may not capture the most problematic behaviors such as same-day use.</div></div><div><h3>Methods</h3><div>This cross-sectional study examined patterns of nicotine and cannabis co-use among Southern California high school students in Fall 2022 (N = 3823). Participants were classified into five mutually exclusive past-month nicotine and cannabis use groups: 1) same-day co-use: use of both substances on the same day at least once; 2) past-month co-use: use of both without same-day use; 3) exclusive nicotine use; 4) exclusive cannabis use; 5) no use of either. Adjusted logistic regression models evaluated the association of co-use with any nicotine and/or cannabis dependence symptoms.</div></div><div><h3>Results</h3><div>Overall, 3.3% reported same-day co-use, 1.5% past-month co-use, 1.6% exclusive nicotine use, 3.1% exclusive cannabis use, and 90.5% no nicotine/cannabis use. Odds of cannabis dependence symptoms (aOR = 4.28, 95%CI[1.98–9.28]) were higher among the same-day vs. past-month co-use group, as were odds of nicotine dependence (aOR = 1.81, 95%CI[0.87–3.77]), though the result was not statistically significant. Compared to past-month co-use, exclusive cannabis use was associated with similar odds of cannabis dependence symptoms (aOR = 0.99, 95%CI[0.47–2.09]), while exclusive nicotine use was associated with non-significant lower odds of nicotine dependence symptoms (aOR = 0.42, 95%CI[0.17–1.04]).</div></div><div><h3>Conclusion</h3><div>Adolescents reporting same-day co-use had significantly greater cannabis dependence symptoms than those reporting past-month but not same-day use of both substances. Using a same-day definition of co-use might capture more problematic co-use behaviors.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108471"},"PeriodicalIF":3.6,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144916887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating the likelihood of cigarette maintenance and dual use among people using e-cigarettes for cigarette cessation: Analysis of the Population Assessment of Tobacco and Health Study Waves 5 and 6","authors":"Olufemi Erinoso ,&nbsp;Karin Kasza ,&nbsp;Andrew Hyland ,&nbsp;Jennifer Pearson","doi":"10.1016/j.addbeh.2025.108458","DOIUrl":"10.1016/j.addbeh.2025.108458","url":null,"abstract":"<div><h3>Introduction</h3><div>This study longitudinally describes the relationship between frequency of e-cigarette use and past-month cigarette abstinence, dual use, and maintenance of cigarette smoking among adults in the US who ever used e-cigarettes for cigarette cessation.</div></div><div><h3>Methods</h3><div>Data were from the US Population Assessment of Tobacco and Health Study Waves 5 (2018/19; baseline) and 6 (2021; follow-up). The sample was restricted to adults who used cigarettes and e-cigarettes in the past-month and ever used e-cigarettes to quit smoking at baseline. The primary predictor was baseline daily e-cigarette-use, and outcomes at follow-up were past-month cigarette abstinence, and multiple past-month cessation outcomes: a. cigarette maintenance; b. dual use; c. dual abstinence; and, d. past-month cigarette abstinence. We used weighted multivariable logistic and multinomial regression models, adjusting for demographics and baseline daily cigarette smoking.</div></div><div><h3>Results</h3><div>Among adults who ever used e-cigarettes to quit cigarettes, more daily e-cigarette users than non-daily (36.7 % vs 8.4 %) were cigarette abstinent and had higher odds of cigarette abstinence at follow-up (AOR:1.9, 95 % CI:1.1, 3.2). Daily e-cigarette (vs. non-daily) users had a higher likelihood of cigarette abstinence than cigarette maintenance (RRR:7.1, 95 % CI:3.8, 13.0). Compared to dual use, there was a higher likelihood of cigarette abstinence among daily e-cigarette users (vs. non-daily) (RRR:2.7; 95 % CI:1.5,4.9).</div></div><div><h3>Conclusions</h3><div>Daily e-cigarette use among individuals who used e-cigarettes to quit cigarette smoking predicts past-month cigarette abstinence. Daily e-cigarette use is associated with a higher likelihood of cigarette abstinence than cigarette maintenance, and a higher likelihood of cigarette abstinence than dual use at follow-up.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108458"},"PeriodicalIF":3.6,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144916888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The business of recovery: A novel pilot study psychosocial intervention to build self-efficacy and reduce relapse risk in adolescent substance use treatment","authors":"Ian T. McKay,&nbsp;Danielle K. Nadorff","doi":"10.1016/j.addbeh.2025.108473","DOIUrl":"10.1016/j.addbeh.2025.108473","url":null,"abstract":"<div><h3>Introduction</h3><div>Relapse rates following adolescent substance use disorder (SUD) treatment remain high, highlighting a need for innovative interventions that improve engagement and target key psychosocial mechanisms of recovery. Drawing on Social Cognitive Theory, this pilot study evaluated a novel, strength-based Entrepreneurial Education Program (EEP) designed to reduce relapse risk by increasing self-efficacy, positive affect, and emotion regulation.</div></div><div><h3>Methods</h3><div>Twenty-seven adolescent males (<em>M</em> age = 15.18) in residential SUD treatment were assigned to either the EEP intervention (n = 15) or a treatment-as-usual control group (n = 12). The EEP consisted of four weekly sessions integrating entrepreneurial skill-building with Dialectical Behavior Therapy (DBT) principles. Validated measures of self-efficacy, affect, emotion regulation, depression, anxiety, and stress were administered at baseline and post-intervention (4 weeks).</div></div><div><h3>Results</h3><div>Between-group analyses showed the EEP group had a significantly greater improvement in self-efficacy (p = 0.019) and greater reductions in anxiety (p &lt; 0.001) and stress (p = 0.04) compared to the control group. Between-group differences for emotion regulation and positive affect were not statistically significant.</div></div><div><h3>Conclusions</h3><div>A brief, entrepreneurship-focused psychosocial intervention can effectively target critical antecedents of relapse in adolescents with SUD. By building self-efficacy and improving affect regulation in an engaging, non-traditional format, the EEP shows promise as an adjunctive therapy to enhance treatment outcomes. Future research should include larger, more diverse samples and long-term behavioral follow-up.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108473"},"PeriodicalIF":3.6,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menthol cigarette alternative products: Awareness, use, and substitution intentions among adults who smoke menthol cigarettes","authors":"Christina N. Kyriakos ,&nbsp;Grace Kong ,&nbsp;Akshika Sharma ,&nbsp;Meghan E. Morean ,&nbsp;Sakinah C. Suttiratana ,&nbsp;Krysten W. Bold","doi":"10.1016/j.addbeh.2025.108470","DOIUrl":"10.1016/j.addbeh.2025.108470","url":null,"abstract":"<div><h3>Background</h3><div>Menthol cigarette alternative products (e.g., menthol accessories, non-menthol cooling cigarettes) have entered the market and may bypass menthol cigarette restrictions. Understanding awareness, use, and substitution intentions if menthol cigarette sales are prohibited is important for assessing their potential to undermine the public health benefit of such policies.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional survey in 2023 of N = 116 Connecticut adults who smoked menthol cigarettes (mean age = 33.4, 50.9 % female, 50.9 % Black, 13.8 % Hispanic). We assessed awareness and ever use of menthol cigarette alternative products including menthol accessories (i.e., menthol filter capsules, sprays, cards, filter tips) and non-menthol cooling cigarettes with synthetic coolants. We measured substitution intentions to use each product if menthol cigarettes were restricted. Logistic regression models examined associations between sociodemographic and smoking characteristics and outcomes of awareness, ever use, and substitution intentions.</div></div><div><h3>Results</h3><div>Overall, 66.4% were aware of at least one type of menthol accessory, 41.4% had used one, and 80.2% reported substitution intentions if menthol cigarettes were restricted. Moreover, 39.6% were aware of non-menthol cooling cigarettes, 25.9% had used them, and 56.0% reported substitution intentions. Younger age was associated with awareness of menthol accessories and non-menthol cooling cigarettes. Higher nicotine dependence was associated with awareness, ever use, and substitution intentions across all products.</div></div><div><h3>Conclusions</h3><div>We found considerable awareness, ever use, and substitution intentions of menthol cigarette alternative products among adults who smoke menthol cigarettes. Findings underscore the importance of comprehensive menthol cigarette restrictions that cover accessories and non-menthol cooling cigarettes to maximize public health.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108470"},"PeriodicalIF":3.6,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of the chemsex assessment for referral and evaluation (CARE) with preliminary psychometric properties: A screening tool for referral needs in community settings","authors":"Takeshi Miwa ,&nbsp;Chung-Ying Lin ,&nbsp;Stephane Wen-Wei Ku ,&nbsp;Chia-Wen Li ,&nbsp;Poyao Huang ,&nbsp;Jing-Hao Hsu ,&nbsp;Adam Bourne ,&nbsp;Carol Strong","doi":"10.1016/j.addbeh.2025.108472","DOIUrl":"10.1016/j.addbeh.2025.108472","url":null,"abstract":"<div><h3>Background</h3><div>Chemsex, the use of substances to enhance or prolong sexual experiences before or during sex, is an important public health issue among gay, bisexual, and other men who have sex with men (gbMSM). To address the lack of tailored screening tools, this study developed the Chemsex Assessment for Referral and Evaluation (CARE) to identify gbMSM who may benefit from specialised care.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey for gbMSM who engaged in chemsex in the past year was conducted in Taiwan. Exploratory factor analysis and Rasch analysis assessed the 18 dichotomous CARE items; Kuder-Richardson Formula 20 (KR-20) evaluated internal reliability; the Severity of Dependence Scale (SDS) and Drug Abuse Screening Test (DAST)-10 determined the optimal cut-off for comparing substance-related traits between low- and high-score groups.</div></div><div><h3>Results</h3><div>Using data from 730 participants, the analyses suggested a three-factor structure of CARE—social function, psychological well-being, and physiological needs—comprising of 14 items with high reliability (KR-20 = 0.830). Rasch analysis indicated good item performance, and correlations with SDS (r = 0.52) and DAST-10 (r = 0.66) demonstrated strong concurrent validity. A cut-off score of ≥ 4 showed 82.9 % sensitivity and 68.0 % specificity (DAST-10 &gt; 5) and 75.8 % sensitivity and 63.2 % specificity (SDS &gt; 4). High-scoring participants exhibited more substance-related traits.</div></div><div><h3>Discussion</h3><div>The findings indicate that the CARE demonstrates acceptable psychometric properties, encompassing social, psychological, and physiological dimensions. This simple screening tool could be used in community settings to identify gbMSM needing support or as a self-assessment tool in digital solutions.</div><div>(245 words)</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108472"},"PeriodicalIF":3.6,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144920340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the heterogeneity of internet gaming disorder: a stage-based framework characterized by evolving euphoria and compulsivity","authors":"Min-fang Kang ,&nbsp;Lin-xuan Xu ,&nbsp;Jia-lin Zhang ,&nbsp;Kun-ru Song ,&nbsp;Zi-liang Wang ,&nbsp;Xiao-yi Fang ,&nbsp;Henrietta Bowden-Jones ,&nbsp;Stefano Pallanti ,&nbsp;Jin-tao Zhang","doi":"10.1016/j.addbeh.2025.108457","DOIUrl":"10.1016/j.addbeh.2025.108457","url":null,"abstract":"<div><h3>Introduction</h3><div>Existing diagnosis systems, such as DSM-5 and ICD-11, predominantly rely on a dichotomous approach, flat, cross-sectional definitions of Internet Gaming Disorder (IGD) that fail to capture the persistent, evolving nature and may contribute to heterogeneity. Applying a clinical staging approach, we propose that IGD spans a continuum with early stages marked by euphoria from gaming and later stages by compulsive gaming. This study aimed to empirically identify distinct IGD stages.</div></div><div><h3>Methods</h3><div>Employing a mixed design with three Chinese gamer samples (adolescent: N = 2,061, M_age = 16.90 for main study; longitudinal cohort: N = 662, M_age = 17.03 for transition analysis; young adult: N = 741, M_age = 23.68 for validation), participants completed the Stages of Internet Gaming Disorder Scale (S-IGDS), a self-developed tool assessing core phenotypes, plus measures of craving, IGD symptoms, gaming experiences and life satisfaction. Latent Profile Analysis and k-means clustering identified distinct stages; Latent Transition Analysis tested stage progression. Psychometric properties of the S-IGDS were evaluated.</div></div><div><h3>Results</h3><div>Three stages were identified: <em>Stage 0</em> (Non-IGD), <em>Stage 1</em> (Early Risk-IGD), and <em>Stage 2</em> (Later IGD), progressing from a “high euphoria” phase to a “high compulsivity” phase. The results from LPA and k-means clustering were highly consistent. The S-IGDS exhibited a stable factor structure and robust psychometric properties. Stage progression showed moderate one-year stability (56.83%), with a high probability (74.2% to 98.2%) of transition to adjacent stages. Patterns were similar in young adults.</div></div><div><h3>Conclusions</h3><div>This study provides novel evidence for distinct, empirically-derived IGD stages, highlighting the progression defined by the interplay of euphoria and compulsivity. The S-IGDS offers a reliable and valid tool for assessing an individual’s status along the IGD continuum. This provides a more nuanced understanding of IGD and paves the way for personalized and stratified interventions.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108457"},"PeriodicalIF":3.6,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of acute alcohol intake on endogenous vs. exogenous attention in visual perception","authors":"Dan Huang ,&nbsp;Kun Liao ,&nbsp;Fusong Chen ,&nbsp;Yao Chen","doi":"10.1016/j.addbeh.2025.108465","DOIUrl":"10.1016/j.addbeh.2025.108465","url":null,"abstract":"<div><div>Acute alcohol consumption is known to impair visual perception, yet the underlying mechanisms remain poorly understood. Visual perception is influenced by visual attention, which comprises two distinct components: endogenous (voluntary) and exogenous (involuntary) attention. This study investigated how a moderate alcohol dose alters attentional modulation of visual perception. Participants performed an orientation discrimination task, reporting the tilt of a peripheral Gabor patch target. Valid, neutral, or invalid precues—central (endogenous) or peripheral (exogenous)—were presented to manipulate attention. Perceptual sensitivity was compared between alcohol-free and alcohol-intake conditions. Results revealed that alcohol spared endogenous attention’s ability to enhance sensitivity at cued locations and reduce interference at invalidly cued locations. In contrast, exogenous attention’s facilitatory effects at cued positions were impaired, while its effects at uncued locations remained intact. This dissociation indicates that endogenous and exogenous attention rely on distinct neural mechanisms, with alcohol selectively disrupting exogenous orienting. These findings clarify how alcohol impairs visual perception and underscore the importance of differentiating attentional subsystems in neurocognitive studies.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108465"},"PeriodicalIF":3.6,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144896469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining multiple substance use among Lesbian, Gay, and bisexual US adults","authors":"Luis M. Mestre ,&nbsp;Maria A. Parker ,&nbsp;Juhan Lee ,&nbsp;Marney A. White ,&nbsp;Krysten W. Bold","doi":"10.1016/j.addbeh.2025.108469","DOIUrl":"10.1016/j.addbeh.2025.108469","url":null,"abstract":"<div><h3>Introduction</h3><div>Using two or more substances (<span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span>) is a health risk behavior that is more frequent among lesbian, gay, and bisexual (LGB) female adults. Understanding recent trends of using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances is essential to make decisions about how to mitigate the exacerbated risks among LGB adults. We aim to assess the trends in using multiple substances among LGB US adults by sex.</div></div><div><h3>Methods</h3><div>We analyzed the National Survey on Drug Use and Health dataset of US adults from 2021 to 2023 (age <span><math><mrow><mo>≥</mo><mn>18</mn></mrow></math></span>; n = 127,645; 1.1 % are lesbian female, 1.6 % gay male, 3.8 % bisexual female and 1.5 % bisexual male adults). We examined use of <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances (of 16 measured) in the past 30 days. The independent variable was sexual identity (self-identity of sexuality). We did linear and quadratic trend tests to estimate differences by sexual identity and sex over time adjusted for other sociodemographic factors.</div></div><div><h3>Results</h3><div>Both lesbian (<span><math><mrow><mi>β</mi></mrow></math></span> = 0.12; p &lt; 0.001) and bisexual (<span><math><mrow><mi>β</mi></mrow></math></span> = 0.07; p &lt; 0.001) female adults had an increase in using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances from 2021 to 2023. Lesbian female adults had the highest increase of using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances use from 2021 to 2023 (17.3 %; p &lt; 0.001), followed by bisexual female adults (10.6 %; p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances increased the most among LGB female adults than heterosexual male, heterosexual female and LGB male adults from 2021 to 2023. Providing additional resources to develop effective strategies that address using <span><math><mrow><mo>≥</mo><mn>2</mn></mrow></math></span> substances among LGB female adults may help mitigate their related risks.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108469"},"PeriodicalIF":3.6,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence, risk factors, and protective factors of tobacco use among school-going adolescents at drug-abuse hot-spots in Malaysia","authors":"Rozmi Ismail ,&nbsp;Siti Aishah Hassan ,&nbsp;Md Shafiin Shukor ,&nbsp;Nurul Shafini Shafurdin ,&nbsp;Norshafizah Hanafi ,&nbsp;Musheer A. Aljaberi ,&nbsp;Chung-Ying Lin ,&nbsp;Mark D. Griffiths","doi":"10.1016/j.addbeh.2025.108455","DOIUrl":"10.1016/j.addbeh.2025.108455","url":null,"abstract":"<div><div>The high prevalence rate of tobacco consumption among teenage school students has become a global issue with profound implications for their developmental trajectory. Research conducted at drug-abuse hot-spots as a proximal factor related to tobacco use has been limited. Therefore, the present study examined the prevalence, risk factors, and protective factors of tobacco use among adolescents at drug-abuse hot-spots in Malaysia. Through stratified random sampling, the nationwide sample comprised 3382 school-going adolescents (71.4% male; mean age = 15.35 years [SD = 2.79]). The prevalence of tobacco use was 19.0% for current use and 28.5% for lifetime use. Stepwise logistic regression analysis showed that being male, being an older adolescent, living in urban areas, living many years in the hot-spot area, parental divorce, and having a high external locus of control were significant risk factors for tobacco use. High internal locus of control and good problem-coping skills were protective factors for tobacco use. Policy implications and suggestions for future research are discussed for the prevention and intervention of tobacco use among school-going adolescents.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"171 ","pages":"Article 108455"},"PeriodicalIF":3.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}