American Journal on Addictions最新文献

{"title":"Factors associated with readmission to residential treatment among clients transitioned from detoxification services in Alberta, Canada","authors":"Abreham Mekonnen PhD","doi":"10.1111/ajad.70159","DOIUrl":"10.1111/ajad.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Readmission to residential treatment increases healthcare costs, strains publicly funded systems, and may not adequately meet clients' needs. This study examined rates and predictors of readmission to residential treatment among clients transitioned from detoxification services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Data from 4915 clients admitted between April 2015 and March 2022, encompassing 10,463 treatment admissions, were analyzed. Logistic regression was used to compare readmitted with nonreadmitted clients, focusing on sociodemographic characteristics, primary substance of concern, and program-related variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, 41.6% (<i>n</i> = 2046) of clients were readmitted, with a mean of 3.7 admissions, indicating that a small subgroup accounted for a disproportionate use of limited treatment capacity. Higher odds of treatment readmission were associated with opiate or alcohol use, unstable employment or marital status, detox noncompletion or repeated cycling between completion and noncompletion, transition delays exceeding 14 days, polysubstance use, urban–rural mobility, and use of multiple detox facilities. Lower odds of treatment readmission were observed in individuals using cocaine, those admitted to integrated facilities offering both detox and residential care, and clients with less frequent detox utilization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion and Scientific Significance</h3>\u0000 \u0000 <p>Readmission to residential treatment is common and linked to both individual vulnerabilities and system-level factors. Strengthening protocols for alcohol and opioid use, enhancing coordination between detox and residential treatment, and targeting high-risk groups may reduce readmission. Interventions addressing non-completion of detox and delayed transitions could further reduce treatment readmission. This study uniquely examines readmission in relation to prior detoxification programs and clients' characteristics within a continuum-of-care framework.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":"615-621"},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajad.70159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721647","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":"Interpreting divergent mortality outcomes in veterans with substance use disorder and adverse social determinants of health","authors":"Wei-Ting Lai RPh,&nbsp;Lien-Chung Wei MD, MPH","doi":"10.1111/ajad.70175","DOIUrl":"10.1111/ajad.70175","url":null,"abstract":"","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":"643-644"},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148203874","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":"DISCOVER MEMPHIS: Use this handy guide to plan your free time at the Annual Meeting","authors":"","doi":"10.1111/ajad.70196","DOIUrl":"https://doi.org/10.1111/ajad.70196","url":null,"abstract":"<p>Click on the PDF file for live links</p><p></p>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajad.70196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784862","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":"Risks of alcohol–energy drink co-consumption: Patterns, correlates and psychological outcomes in youth","authors":"Roberto Secades-Villa PhD,&nbsp;Clara Iza-Fernández MA,&nbsp;Ángel García-Pérez PhD,&nbsp;Layla Alemán-Moussa MA,&nbsp;Alba González-Roz PhD","doi":"10.1111/ajad.70173","DOIUrl":"10.1111/ajad.70173","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>This study examined the prevalence of alcohol mixed with energy drinks (AmED) among Spanish adolescents and young adults and analyzed its associations with sociodemographic factors, substance use, and mental health. The primary objective was to compare AmED users specifically against alcohol-only users to identify unique risk profiles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was administered to 6156 individuals aged 16–30 enrolled in educational programs. Participants completed self-report measures assessing substance use, emotional distress, schizotypal traits, and suicidal behavior. Bivariate analyses compared AmED users with alcohol-only users and non-drinkers. Logistic regression identified independent correlates of AmED use specifically within the alcohol-using population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among alcohol users, 31.3% reported consuming AmED. AmED users were more likely to be younger and male, and they initiated alcohol use earlier. They showed a higher prevalence of tobacco, e-cigarette, and cannabis use, as well as a greater risk of problematic alcohol, nicotine, and cannabis consumption. AmED users also reported elevated emotional distress, suicide behavior, and the schizotypal traits dimensions of anhedonia and interpersonal disorganization. Logistic regression identified younger age, male sex, binge drinking, e-cigarette use, nicotine dependence, alcohol-related problems, cannabis abuse risk, suicidal behavior, and schizotypal traits as significant correlates of AmED use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>AmED consumption is common among Spanish youth and is more strongly linked to polysubstance use and poor mental health than alcohol use alone.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Scientific Significance</h3>\u0000 \u0000 <p>Screening for AmED use may help identify youth at higher risk of polysubstance use and suicidal behavior, facilitating earlier detection and targeted prevention efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":"578-585"},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajad.70173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147873103","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":"REGISTRATION OPEN: Don't miss out on next year's Annual Meeting, held in Memphis, TN!","authors":"","doi":"10.1111/ajad.70197","DOIUrl":"https://doi.org/10.1111/ajad.70197","url":null,"abstract":"<p>Click on the PDF file for live links</p><p></p>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajad.70197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784861","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":"SUBMIT YOUR ARTICLE TO ADDICTION INSIGHTS: Addiction Insights is AAAP's newsletter. We're always looking for submissions","authors":"","doi":"10.1111/ajad.70195","DOIUrl":"https://doi.org/10.1111/ajad.70195","url":null,"abstract":"<p>Click on the PDF file for live links</p><p></p>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajad.70195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784023","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":"Rural–urban residence in relation to cannabis use influences and behaviors among a sample of US young adults reporting past-month cannabis use","authors":"Katelyn F. Romm PhD,&nbsp;Amanda Y. Kong PhD, MPH,&nbsp;Patricia A. Cavazos-Rehg PhD,&nbsp;Carla J. Berg PhD, MBA","doi":"10.1111/ajad.70185","DOIUrl":"10.1111/ajad.70185","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Despite growing cannabis use rates among US rural-residing young adults, less research has examined associations of rural–urban residence with cannabis use influences (e.g., harm perceptions, peer use) or behaviors (e.g., use frequency, driving under the influence of cannabis [DUIC]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Using 2023 online survey data from 1961 US young adults (aged 18–34) reporting past-month cannabis use (<i>M</i>_age = 26.86 [standard deviation = 4.61], 14.7% rural-residing, 38.2% racial/ethnic minority, 59.2% female), multivariable regressions controlling for sociodemographics and state non-medical cannabis legalization examined associations of (1) rural–urban residence with cannabis use influences (motives, perceptions, mental/physical health, parent/peer use, advertising exposure); and (2) rural–urban residence and use influences with use behaviors (past-month days of use, past 6-month DUIC, consequences).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Rural (vs. urban) residence was associated with three use influences (i.e., greater coping motives, lower perceived harm of cannabis use, higher odds of a mental health diagnosis), more frequent cannabis use and DUIC, but fewer use consequences. All three influences were associated with more frequent use and having a mental health diagnosis was associated with more frequent DUIC. Greater coping motives and lower harm perceptions were associated with fewer consequences, and having a mental health diagnosis was associated with greater consequences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Rural (vs. urban) young adults reported more frequent cannabis use and DUIC, which may be associated with low cannabis-related harm perceptions and using cannabis to cope with stress/mental health symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Scientific Significance</h3>\u0000 \u0000 <p>Interventions targeting rural young adults that address mental health symptoms and risk perceptions, including DUIC-related risks, may be needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":"622-632"},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148366733","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":"Are you due for a PIP? Here's a list of all AAAP PIPs","authors":"","doi":"10.1111/ajad.70198","DOIUrl":"https://doi.org/10.1111/ajad.70198","url":null,"abstract":"<p>Click on the PDF file for live links</p><p></p>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajad.70198","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784860","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":"ADDICTIONS AND THEIR TREATMENT: Updated and complementary to last year's course","authors":"","doi":"10.1111/ajad.70194","DOIUrl":"https://doi.org/10.1111/ajad.70194","url":null,"abstract":"<p>Click on the PDF file for live links</p><p></p>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajad.70194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784255","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":"Healthcare professionals' perceptions of participation in one state physician health program","authors":"Cristiana N. P. Araujo PhD,&nbsp;Sidney Fire BS,&nbsp;Anna D'Ambrosio,&nbsp;Heather Thomas,&nbsp;Tish Conwell,&nbsp;Alexandria Polles MD,&nbsp;Lisa J. Merlo PhD, MPE","doi":"10.1111/ajad.70160","DOIUrl":"10.1111/ajad.70160","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objectives</h3>\u0000 \u0000 <p>Participation in physician health programs (PHPs) is associated with positive outcomes for healthcare professionals (HCPs) with potentially-impairing conditions, but more information is needed about PHP completer experiences. The present study explored program completers' perceptions of their involvement with one state PHP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A PHP staff member with no monitoring role conducted exit interviews via telephone with all individuals who completed the program between January 2019 and September 2023 (<i>n</i> = 666). Deidentified interview responses were examined using quantitative descriptive analysis and thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The HCPs who completed PHP participation were generally satisfied with the program. Three major themes emerged: (1) PHP offers valuable support; (2) Helpful components of the PHP; and (3) Challenges encountered during PHP monitoring. The HCPs generally expressed appreciation for the PHP, with many describing a bittersweet journey. Components of the program identified as helpful included peer support, availability and expertise of case managers, accountability, advocacy and support offered by the program, and mental healthcare. Key challenges faced by program completers included the financial burden, feeling overwhelmed by program requirements, and perceived stigma and negative treatment related to their PHP involvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Many PHP completers perceive PHP support as critical to improving their recovery outcomes. Additional resources may be needed to relieve the perceived financial burden of PHP participation, mitigate disruption to daily life/responsibilities, and reduce emotional distress following referral to PHP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Scientific Significance</h3>\u0000 \u0000 <p>This is a large qualitative study of the perspectives and experiences of PHP completers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7762,"journal":{"name":"American Journal on Addictions","volume":"35 5","pages":"586-596"},"PeriodicalIF":2.2,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721597","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}