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Firearm Violence and Off-Premises Alcohol Outlets: The Role of Outlet Characteristics and Distance 枪支暴力与店外酒类销售点:销售点特征和距离的作用
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-08-23 DOI: 10.1177/00220426241277769
Aleksandra J. Snowden, Constance A. Kostelac, Felice F. Borisy-Rudin, William Alex Pridemore
Firearm violence is a leading cause of morbidity and mortality among young men in the US. While an association of alcohol availability with violence is well established, the mechanisms through which it operates are unclear, and the role of alcohol availability in firearm violence specifically is less often studied. In this study we examined the effects of off-premises alcohol outlet characteristics on firearm violence in their immediate environs in Milwaukee, Wisconsin. Firearm violence was 1.5–3 times higher in areas near off-premises retail alcohol outlets, with levels on the higher end of the range when outlets possessed certain characteristics, specifically graffiti, greater foot traffic, loitering, or younger clientele. Examining alcohol outlet characteristics provides insight into mechanisms driving the alcohol-violence association and may aid in harm reduction.
枪支暴力是美国年轻男性发病和死亡的主要原因。虽然酒精供应与暴力之间的关系已被证实,但其作用机制尚不清楚,而且酒精供应在枪支暴力中的具体作用也较少被研究。在这项研究中,我们考察了威斯康星州密尔沃基市非酒类销售点特征对其周边地区枪支暴力事件的影响。酒类零售店附近地区的枪支暴力事件比其他地区高出 1.5-3 倍,当酒类零售店具有某些特征(特别是涂鸦、人流量大、游荡或顾客年轻化)时,枪支暴力事件的发生率会更高。通过研究酒类销售点的特征,可以深入了解酒精与暴力之间的关联机制,并有助于减少伤害。
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引用次数: 0
Substance Use Treatment Completion Among Unhoused Young Adults: A Predictive Modeling Approach 无家可归的年轻成年人完成药物使用治疗的情况:预测模型方法
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-08-19 DOI: 10.1177/00220426241274753
Nathaniel A. Dell, Charvonne Long, Christopher P. Salas-Wright, Michael G. Vaughn, Hannah S. Szlyk, Patricia Cavazos-Rehg
Background: Unhoused young adults aged 18–24 years are at increased risk of substance misuse relative to the general population and experience unique barriers to engaging in treatment. This study evaluates predictors of treatment completion for unhoused young adults receiving substance use treatment. Methods: Predictive models were generated on data from the 2020 Treatment Episode Data Set-Discharges. The sample included treatment discharges involving unhoused adults aged 18–24 years ( N = 12,273). Model performance was assessed by inspecting several evaluative metrics. Results: Overall, each model performed relatively well (AUC: 0.7234–0.7753). Classification models trained on balanced data predicted a higher proportion of treatment completers. Models trained on balanced data also achieved higher balanced accuracy and F1 scores relative to models trained on imbalanced data. Conclusions: Findings reveal multiple features important in the accurate classification of treatment completion, which may be useful for developing individualized interventions to support clients’ engagement in treatment services.
背景:与普通人相比,18-24 岁无住房的年轻成年人滥用药物的风险更高,而且在接受治疗时会遇到独特的障碍。本研究对接受药物使用治疗的无家可归的年轻人完成治疗的预测因素进行了评估。方法:根据 2020 年治疗事件数据集-出院数据生成预测模型。样本包括涉及 18-24 岁无住房成年人的治疗出院数据(N = 12273)。通过检查几个评价指标来评估模型性能。结果:总体而言,每个模型的表现都相对较好(AUC:0.7234-0.7753)。根据平衡数据训练的分类模型预测出的治疗完成者比例更高。与在不平衡数据上训练的模型相比,在平衡数据上训练的模型也获得了更高的平衡准确率和 F1 分数。结论:研究结果揭示了准确分类治疗完成情况的多个重要特征,这些特征可能有助于制定个性化干预措施,支持客户参与治疗服务。
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引用次数: 0
New Challenges and Opportunities for Opioid Agonist Treatment Access and Retention: A Scoping Review 阿片类激动剂治疗获取和保留的新挑战与新机遇:范围审查
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-08-02 DOI: 10.1177/00220426241269828
Niamh Power, Léonie Archambault, Michel Perreault
Changes to the landscape of opioid use have occurred throughout the past two decades. Opioid agonist treatment (OAT) plays an important role in reducing opioid-related harms. Yet, people with opioid use disorder (PWOUD) face issues with access and retention. This scoping review sought to provide an up-to-date synthesis on barriers and facilitators to OAT. Ninety-three studies were included. Major barriers included cost, waiting lists, and negative public attitudes toward treatment. Prominent facilitators included OAT education and flexible treatment conditions such as telehealth-delivered OAT. In prison settings, limited support with treatment referral was a barrier. Fear of judgement was a challenge for pregnant people. There was a lack of information on barriers and facilitators specific to PWOUD dealing with chronic pain or mental health comorbidities. Results highlight new challenges in reaching an increasingly heterogeneous PWOUD population. Findings underline the potential for recent advancements in treatment modalities to promote access and retention.
过去二十年间,阿片类药物的使用情况发生了变化。阿片类激动剂治疗(OAT)在减少阿片类药物相关危害方面发挥着重要作用。然而,阿片类药物使用障碍患者(PWOUD)在接受治疗和坚持治疗方面却面临着种种问题。本范围界定综述旨在提供有关 OAT 的障碍和促进因素的最新综述。共纳入 93 项研究。主要障碍包括费用、等候名单以及公众对治疗的负面态度。突出的促进因素包括 OAT 教育和灵活的治疗条件,如远程医疗提供的 OAT。在监狱环境中,治疗转介支持有限是一个障碍。对于孕妇来说,害怕别人的评判是一项挑战。缺乏有关患有慢性疼痛或精神健康合并症的残疾人的障碍和促进因素的信息。研究结果凸显了在接触日益多样化的残疾人和未受教育者群体时所面临的新挑战。研究结果强调了最近治疗模式的进步在促进获得和保留治疗方面的潜力。
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引用次数: 0
An Exploratory Study of Overlapping Stigmas and Substance Use Stigma Among Women With Substance Use Histories Who are Incarcerated 对有药物使用史的被监禁妇女中重叠污名和药物使用污名的探索性研究
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-08-02 DOI: 10.1177/00220426241269992
Mary M. Levi, J. Matthew Webster, Martha Tillson, Jaxin Annett, Carrie B. Oser, Laura C. Fanucchi, Michele Staton
Despite the overwhelmingly negative impacts of substance use stigma, little is known about how multiple, overlapping stigmatized identities, experiences, or characteristics (henceforth stigmas) may be related to perceived substance use stigma, especially in a sample of women who are incarcerated. The current study profiled stigmas reported by women in jail with substance use histories and investigated the relationship between the number of overlapping stigmas reported and perceptions of substance use stigma. Exploratory analyses examined the relationship between each individual stigma and substance use stigma. Findings suggest that individuals who reported more stigmas reported higher substance use stigma scores. Additionally, exploratory results suggested that rurality, transactional sex, injection drug use, methamphetamine use, being diagnosed with a mood disorder, experiencing sexual abuse or assault, and child custody loss were uniquely associated with increased substance use stigma. Results are discussed in terms of implications for stigma interventions and substance use treatment engagement.
尽管药物使用污名化具有压倒性的负面影响,但人们对多重、重叠的污名化身份、经历或特征(以下简称污名)如何与感知到的药物使用污名化之间的关系知之甚少,尤其是在被监禁的女性样本中。本研究分析了有药物使用史的女囚所报告的污名,并调查了所报告的重叠污名数量与药物使用污名感之间的关系。探索性分析检验了每个污名与药物使用污名之间的关系。研究结果表明,报告了更多污名的个人报告了更高的药物使用污名得分。此外,探索性结果表明,农村、性交易、注射吸毒、使用甲基苯丙胺、被诊断患有情绪障碍、遭受性虐待或性侵犯以及失去子女监护权与药物使用鄙视的增加有独特的关联。研究结果对污名化干预和药物使用治疗的影响进行了讨论。
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引用次数: 0
Validity and Reliability of Four Instruments for E-Cigarette Dependence and Sensory Factors in E-Cigarette Use and Correlations Between These Measurements 电子烟依赖性和电子烟使用中感官因素的四种工具的有效性和可靠性以及这些测量之间的相关性
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-07-19 DOI: 10.1177/00220426241265629
Banu Aslan, Ozgur Onal
The study aimed to examine the psychometric properties of Turkish versions of e-FTCD, PS-ECDI, EDS, and SEES. 1050 individuals aged 18+ included to assess validity, reliability, and interrelation among these scales. Scale psychometrics explored using statistical methods, including construct validity, confirmatory factor analysis, and reliability stats. The factor loadings for e-FTCD ranged from 0.528 to 0.939, PS-ECDI from 0.404 to 0.899, EDS from 0.779 to 0.897, and SEES from 0.733 to 0.849. The Cronbach’s alpha coefficients for e-FTCD, PS-ECDI, EDS (4-Item), EDS (8-Item), EDS (22-Item), and SEES were 0.561, 0.805, 0.905, 0.949, 0.984, and 0.934, respectively. The correlations were moderate between SEES and both e-FTCD (0.317) and PS-ECDI (0.394), e-FTCD was strongly correlated with PS-ECDI (0.750) and moderately with EDS versions (0.577–0.586). Correlations between the PS-ECDI and EDS versions ranged from 0.698–0.713. All four tools valid, reliable for 18+ in Türkiye. Also, positive correlation between sensory e-cigarette expectation and dependence.
该研究旨在检验土耳其版 e-FTCD、PS-ECDI、EDS 和 SEES 的心理测量特性。研究对象包括 1050 名 18 岁以上人士,以评估这些量表的有效性、可靠性和相互关系。采用统计方法对量表的心理测量学进行了探讨,包括构造效度、确证因子分析和信度统计。e-FTCD 的因子负荷从 0.528 到 0.939 不等,PS-ECDI 从 0.404 到 0.899 不等,EDS 从 0.779 到 0.897 不等,SEES 从 0.733 到 0.849 不等。e-FTCD、PS-ECDI、EDS(4 项)、EDS(8 项)、EDS(22 项)和 SEES 的 Cronbach's alpha 系数分别为 0.561、0.805、0.905、0.949、0.984 和 0.934。SEES与e-FTCD(0.317)和PS-ECDI(0.394)之间的相关性适中,e-FTCD与PS-ECDI的相关性较强(0.750),与EDS版本的相关性适中(0.577-0.586)。PS-ECDI 和 EDS 版本之间的相关性在 0.698-0.713 之间。所有四种工具对土耳其 18 岁以上的人都有效、可靠。此外,电子烟感官预期与依赖性之间存在正相关。
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引用次数: 0
Trauma Informed Care (TIC) Interventions for Populations Experiencing Addiction and/or Homelessness: A Scoping Review of Outcomes 针对吸毒和/或无家可归人群的创伤知情护理 (TIC) 干预措施:成果范围审查
IF 1.7 4区 社会学 Q4 SUBSTANCE ABUSE Pub Date : 2024-07-19 DOI: 10.1177/00220426241263264
Sophia Dobischok, Léonie Archambault, Marie-Ève Goyer
Introduction: Trauma-informed care (TIC) is an expansive healthcare approach that recognizes and responds to a person’s trauma exposure. Many people experiencing a substance use disorder (SUD) and/or homelessness have trauma histories. There has not been a review of TIC intervention outcomes among these populations. Methods: A scoping review of literature (2008 to October 2023) on TIC intervention outcomes among populations experiencing SUD and/or homelessness was conducted. The search yielded 1139 texts, of which 58 met full-text extraction criteria. The final review included 32 texts that were systematically analysed. Results: TIC interventions show generally positive results for eight outcomes categories: 1) Psychological Well-being; 2) Substance Use; 3) Parenting; 4) Victimization; 5); Health; 6) Social Stability; 7) Criminal Justice; 8) and Retention/Adherence. However, these results do not consider study quality. Conclusions: TIC care approaches for populations experiencing SUD and/or homelessness have promising outcomes. Further outcome research with rigorous methodologies is needed.
导言:创伤知情护理(TIC)是一种广泛的医疗保健方法,可识别并应对个人所遭受的创伤。许多患有药物使用障碍(SUD)和/或无家可归的人都有心理创伤史。目前还没有针对这些人群的 TIC 干预结果的综述。方法:我们对经历过药物滥用障碍和/或无家可归的人群中的 TIC 干预结果的文献(2008 年至 2023 年 10 月)进行了一次范围审查。检索结果显示有 1139 篇文献,其中 58 篇符合全文提取标准。最终综述包括 32 篇经过系统分析的文献。结果TIC干预措施在八个结果类别中显示出普遍积极的效果:1)心理健康;2)药物使用;3)为人父母;4)受害;5)健康;6)社会稳定;7)刑事司法;8)保留/坚持。然而,这些结果并未考虑研究质量。结论针对遭受药物滥用和/或无家可归人群的 TIC 护理方法具有良好的效果。需要采用严格的方法进一步开展成果研究。
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引用次数: 0
The Impact of Opium Consumption on Inflammatory Factors in Umbilical Cord Blood and Maternal Blood Postpartum: A Potential Contributor to Neonatal Complications 吸食鸦片对产后脐带血和产妇血液中炎症因子的影响:新生儿并发症的潜在诱因
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-06-10 DOI: 10.1177/00220426241259374
S. Khayat, H. Fanaei, Farideh Riki, Shahindokht Navabi Rigi, Ebrahim Alijani
Opium addiction during pregnancy can have significant effects on the activity of the immune system as well as on pregnancy outcomes. A study was conducted comparing opium-addicted pregnant women to healthy pregnant women. Blood samples were taken from the maternal vein and umbilical cord immediately after delivery to measure concentrations of inflammatory markers. The results showed that the opium-addicted group had significantly higher levels of IL-6, IL-10, CRP, C3, and C4 in both maternal and cord blood samples compared to the control group. Additionally, adverse pregnancy outcomes such as NICU admissions, neonatal deaths, and low Apgar scores were more prevalent in the opium-addicted group. These findings suggest that opium addiction during pregnancy can lead to postpartum inflammation and negatively impact pregnancy outcomes. It is important to address opium addiction and provide appropriate support and treatment to pregnant women to improve pregnancy outcomes and reduce the risk of complications.
怀孕期间吸食鸦片会对免疫系统的活动和妊娠结果产生重大影响。一项研究将吸食鸦片的孕妇与健康孕妇进行了比较。研究人员在孕妇分娩后立即从母体静脉和脐带抽取血液样本,以测量炎症标志物的浓度。结果显示,与对照组相比,鸦片成瘾组孕妇和脐带血样本中的 IL-6、IL-10、CRP、C3 和 C4 水平明显更高。此外,鸦片成瘾组的不良妊娠结局,如入住新生儿重症监护室、新生儿死亡和低Apgar评分更为普遍。这些研究结果表明,孕期吸食鸦片成瘾会导致产后炎症,并对妊娠结局产生负面影响。必须解决鸦片成瘾问题,并为孕妇提供适当的支持和治疗,以改善妊娠结局,降低并发症风险。
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引用次数: 0
Critical Analysis of United States Counternarcotics Strategies in Afghanistan 对美国在阿富汗缉毒战略的批判性分析
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-05-28 DOI: 10.1177/00220426241252752
Parwez Besmel, Nana Kwame Baah
Between 2002 and 2018, the United States allocated $8.87 billion to counternarcotics efforts in Afghanistan, focusing on eradication, seizure, and alternative crops. Despite significant investments, Afghanistan emerged as the primary global opium supplier, responsible for 80% of opium production. Available data from 2001 to 2020 show that successful eradication and interdiction measures led to the destruction of 85,411 hectares of poppy fields and seizures of 679.05 tons of opium, yet cultivation reached 3,238,000 hectares and production reached 105,585 tons during the same period. The promotion of alternative crop projects inadvertently facilitated opium cultivation in some areas, as foreign aid empowered recipients to exploit resources contrary to their intended goals. Insecurity, weak governance, corruption, and the involvement of the elite are some of the factors for increased opium cultivation in Afghanistan. We argue that methods of foreign aid delivery, coupled with these four factors, rendered the whole enterprise of counternarcotics efforts ineffective.
2002 年至 2018 年间,美国为阿富汗的禁毒工作拨款 88.7 亿美元,重点用于根除、缉获和替代作物。尽管投入了大量资金,但阿富汗仍成为全球主要的鸦片供应国,负责80%的鸦片生产。2001 年至 2020 年的现有数据显示,成功的铲除和阻截措施摧毁了 85 411 公顷罂粟田,缉获了 679.05 吨鸦片,但同期的种植面积达到了 3 238 000 公顷,产量达到了 105 585 吨。替代作物项目的推广无意中助长了一些地区的鸦片种植,因为外国援助使受援国有能力开采资源,这与其预期目标背道而驰。不安全、治理薄弱、腐败和精英阶层的参与是阿富汗鸦片种植增加的部分因素。我们认为,外国援助的提供方法加上这四个因素,使得整个缉毒工作变得无效。
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引用次数: 0
Associations of Interpersonal Trauma, Distress Intolerance, and Posttraumatic Stress Symptoms With Recent Problem Opioid Use in a Non-Clinical Sample of Women 非临床样本妇女的人际创伤、不耐受压力和创伤后应激症状与近期阿片类药物使用问题的关系
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-05-08 DOI: 10.1177/00220426241252336
Jennifer Cole, TK Logan
Exposure to potentially traumatic events (PTE), higher rates of Posttraumatic Stress Disorder (PTSD) and higher distress intolerance have been associated separately with opioid misuse in clinical samples. Adult women who reported past year misuse of a prescription drug were recruited on Prolific Academic (ProA) to participate in an online survey ( n = 154). Measures included the Trauma History Questionnaire (THQ) for lifetime trauma histories, PTSD Checklist for DSM-5 (PCL-5), Distress Intolerance (DI), NIDA-Modified ASSIST, and the Drug Abuse Screening Test (DAST-10). In a multinomial logistic regression model, experiencing a potentially traumatic event involving interpersonal victimization, having higher distress intolerance, and having greater PTSD symptoms, were significantly associated with drug use class. In particular, higher distress intolerance was associated with problem opioid use relative to problem use of other drugs. Distress intolerance is a potentially salient and modifiable target for mental health and substance use interventions.
在临床样本中,暴露于潜在创伤事件(PTE)、较高的创伤后应激障碍(PTSD)发病率和较高的痛苦不耐受性分别与阿片类药物滥用有关。Prolific Academic(ProA)网站招募了报告过去一年滥用处方药的成年女性参与在线调查(n = 154)。调查项目包括创伤史问卷 (THQ)、创伤后应激障碍核对表 (PCL-5)、压力不耐受 (DI)、NIDA-Modified ASSIST 和药物滥用筛查测试 (DAST-10)。在多项式逻辑回归模型中,经历过涉及人际伤害的潜在创伤事件、较高的痛苦不耐受度和较重的创伤后应激障碍症状与吸毒类别有显著关联。特别是,相对于其他药物的使用问题,较高的痛苦不耐受度与阿片类药物的使用问题相关。对心理健康和药物使用干预而言,不耐受痛苦可能是一个突出的、可改变的目标。
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引用次数: 0
Bridging the Divide: Exploring Nonprofits’ Perceptions of Cannabis Philanthropy in the Changing Legal Landscape of the United States 弥合分歧:在美国不断变化的法律环境中探讨非营利组织对大麻慈善事业的看法
IF 1.7 4区 社会学 Q2 Social Sciences Pub Date : 2024-05-07 DOI: 10.1177/00220426241252349
Jessica L. Berrett, Kate Quintana, Michaela Steefel
Cannabis dispensaries in the U.S. aim to contribute to communities through philanthropy, but some nonprofits hesitate to accept donations. This exploratory case study in Colorado investigates nonprofits’ perceptions of cannabis philanthropy by surveying 317 organizations. Despite cannabis being illegal federally but legal at the state level, most respondents viewed cannabis philanthropy positively. Of the respondents who had negative views, many believe their negative views would shift if cannabis were federally legalized. Furthermore, the majority do not consider funds derived from cannabis sales as “tainted” or coming from a morally questionable source. The findings shed light on the complexity of how cannabis philanthropy is perceived, informing how nonprofits can adapt proactively to evolving cannabis philanthropy dynamics, particularly considering potential shifts in federal law. Additionally, the study reveals a favorable environment for the cannabis industry to engage in philanthropy and partnerships with nonprofits, and the potential positive impacts of such activities.
美国的大麻药房旨在通过慈善事业为社区做出贡献,但一些非营利组织对接受捐赠犹豫不决。这项在科罗拉多州进行的探索性案例研究通过调查 317 个组织,调查了非营利组织对大麻慈善事业的看法。尽管大麻在联邦一级是非法的,但在州一级是合法的,大多数受访者对大麻慈善事业持积极态度。在持负面看法的受访者中,许多人认为,如果大麻在联邦层面合法化,他们的负面看法就会转变。此外,大多数人并不认为从大麻销售中获得的资金是 "有污点的 "或来自道德上有问题的来源。研究结果揭示了人们如何看待大麻慈善事业的复杂性,为非营利组织如何主动适应不断变化的大麻慈善事业动态提供了信息,特别是考虑到联邦法律的潜在变化。此外,研究还揭示了大麻产业参与慈善事业和与非营利组织合作的有利环境,以及此类活动的潜在积极影响。
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引用次数: 0
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Journal of Drug Issues
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