Journal of Ethnicity in Substance Abuse最新文献

Latinx adolescents who experience discrimination distress are at greater risk for substance use. The present study examined whether Latinx adolescents with greater levels of resilience were protected from positive substance use expectancies, which have shown to be early predictors of substance use. Participants were 113 Latinx-identified adolescents [(M_age= 12.58; SD_age = 1.11); 51.3% female] who reported on average 7.17 instances of discrimination in their lifetime (SD = 7.24). Participants were recruited from three large, diverse, suburban, and urban schools with a high number of students receiving free/reduced-price school. Latinx adolescents who experienced discrimination distress and had greater levels of resilience were more protected from holding positive substance use expectancies than those with lower levels of resilience, above and beyond the effects of general stress and age. The results showed that resilience plays an important protective role against positive substance use expectancies for early Latinx adolescents who experience discrimination distress.

The therapeutic community (TC) is a social-learning treatment program for people with substance use disorders (PSUDs). Most studies focused on how the TC program facilitates positive recovery outcomes. Less emphasis was given to ethnically relevant patient dispositions that may influence the TC process from a collectivist context, especially from Asian developing countries like the Philippines. In this study, we tested the TC process experience's (TCPE) path to recovery capital (RC) and psychological well-being (PWB) as mediated by group working alliance (GWA). We also examined if PSUDs' locus-of-hope (LOH), or the person's goal-pursuit disposition involving external co-agencies like peers, family, and spirit, interact with this mechanism. A total of 451 male PSUDs from TC facilities in the Philippines were surveyed, with 406 participants included in the final analysis. Results showed that the participants' TCPE predicted RC and PWB. The direct pathways were mediated by GWA. There were no significant mediation effects among patients with high internal and external-peer LOH. Moreover, there were significant mediation effects among patients with high external-family and external-spirit LOH. The results suggest the contributions of PSUDs' LOH dispositions to the TC mechanism from a collectivist population, thus revealing nuances of the TC model applied in a vulnerable ethnic context.

This study aims to examine women's experiences of social stigmatization due to smoking and its effects on mental health and social relationships. The study was completed in May and June 2024 with a total of 251 women participants. Women who were over 18 years of age, smoked, were literate and volunteered to participate were included in the study.The data were collected online using the Descriptive Information Form, which includes socio-demographic information and smoking characteristics of the participants; the Fagerström Nicotine Dependence Test (FNDT), which measures smoking dependence levels, and the Beck Anxiety Scale (BAS), which assesses anxiety levels. Analyses were performed in SPSS 24.0 software; t test, ANOVA, chi-square and Pearson correlation analyses were used. Among the women, 58.6% were between 26 and 40 years of age, 49.8% were single, and 59.8% were university graduates and above. No significant correlation was found between FNDT and socio-demographic characteristics (p > 0.05), whereas a significant correlation was found between BAS and age, marital status, and income status (p < 0.05). Significant correlations were found between FNDT scores and duration of smoking, age of starting smoking, the reason for starting smoking, and its effect on work life. Significant correlations were found between the effects of smoking on the environment due to being a woman, its effects on social relations, and its effects on social stigmatization and BAS scores (p < 0.05). This study revealed that social stigma related to smoking negatively affects women's mental health and social relationships. Awareness campaigns, accessible psychological support, and gender-sensitive policies are essential to reduce stigma and improve women's quality of life.

The main aim of this research was to investigate the lived experiences of women cleared of addiction who exhibit self-harming behaviors, including suicide. The qualitative research method was interpretive phenomenology. The sample of this study consisted of 10 women who had been cleared of addiction and had a history of suicide attempts. They were selected through targeted and available sampling from a counseling center in Tehran. After conducting in-depth interviews and analyzing the data, the main themes identified in the research was traumatic behaviors experienced, including suicide. The main concepts that emerged were despair, shame, social stigma, traumatic life context, negative early life experiences, experiences of divorce, primary and secondary detachment, ineffective coping strategies, inability to solve problems, socioeconomic difficulties, and feelings of meaninglessness. sub themes also included gender discrimination within the family and society, blame and humiliation, the addiction of a second spouse, and fear of marriage. Based on the research findings, it can be concluded that women who have left addiction face many challenges, including psychological and social problems. They tend to blame themselves, viewing themselves as the root cause of personal and social issues. Furthermore, under societal pressure (due to the stigma and shame associated with addiction), they often compare themselves unfavorably with others. Consequently, due to their inability to achieve an acceptable and standard life or cope with childhood experiences, these women experience depression and helplessness, which ultimately drives some to consider suicide as a way to alleviate or escape this stigma.

Immigrant young adults from predominantly people of color countries (IYPOC) encounter structural stressors that potentially exacerbate health outcomes such as substance use amidst ongoing societal challenges. The association may be further compounded by cultural isolation and the dual task of identity negotiation. The current study explored cultural isolation as a mediator of the association between racial discrimination and substance use among IYPOC. A cross-sectional online survey was conducted to collect data from IYPOC residing in the United States. The analytic sample was composed of 262 individuals aged 18 to 29, and the largest racial group was Black or African American. The current study performed regressions and PROCESS Macro Model 4 with bootstrapping. Racial discrimination and cultural isolation were statistically significantly associated with substance use. The indirect effect of racial discrimination on substance use through cultural isolation was statistically significant. The results underscore the need for tailored support and interventions that address the complex interplay of racial discrimination, cultural isolation, and health outcomes among IYPOC.

Background: The use of non-medical opioids has reached 60 million in 2021. Methadone-assisted treatment (MAT) is a widely used harm-reduction strategy for opioid addiction. However, methadone can cause cognitive impairment, which can impede treatment.

Methods: This cross-sectional study was conducted between July 1st and July 31, 2023. A total of 114 participants, comprising 76 MAT patients and 38 healthy subjects (controls), were recruited. Sociodemographic questionnaire, DSM-5 and neuropsychiatric cognitive (NUCOG) assessments were used. A general linear model was used to examine cognitive function between the MMT and control groups while controlling for all possible confounders.

Results: The MAT group performed significantly lower on the NUCOG total score (p < .001) and visuoconstructional (p < .001), memory (p < .001), executive (p = .016), and language (p < .001) scores than the control group. No significant differences were found between the groups in terms of the attention score (p = .457). Adjusted confounders included age, education level, income, and marital status.

Conclusions: Patients on MAT demonstrated cognitive impairment, particularly in the visuoconstructional, memory, executive, and language domains, compared to the control group. However, there are confounding factors that needs to be addressed in order to come with better treatment and intervention strategies.

Using social norms as a theoretical perspective, this exploratory study examines Chinese young adult vapers' perceptions, experiences, and the construction of social norms surrounding the health implications of e-cigarette use. Based on semi-structured interviews with 21 participants, the findings reveal that Chinese young adults, influenced by advertisements and personal experiences, have constructed a new social norm portraying e-cigarettes as both "healthier" and increasingly "prevalent." In China's less restricted vaping environment, vapers often consume more nicotine than expected, and many found vaping ineffective for smoking cessation. Participants ultimately viewed e-cigarettes as deceptively marketed as healthier alternatives. The study highlights the need for policy changes and intervention programs to address the public health risks associated with e-cigarettes.

Objective: This study was conducted to determine the social stigma toward substance use disorders in Turkey.

Methods: This descriptive and cross-sectional study was conducted with 3,130 participants in Turkey. The Sociodemographic Information Form and the Public Stigma toward Substance Use Disorder Scale were used to collect data. Multiple linear regression analysis was utilized to analyze the research data.

Results: The mean stigmatization score of the participants was 93.56 ± 21.74. The findings showed that living in a nuclear family, working in the labor or private sector, not using alcohol, and the presence of individuals with substance use disorder in the social environment were associated with the stigma score by 4% (p < .05).

Conclusions: It was found that participants were highly stigmatized due to substance use disorders. It was found that those living in nuclear families, workers and those working in the private sector, those who do not use alcohol, and those who do not have a substance use disorder in their social environment stigmatize individuals with substance use disorders more. In order to reduce social stigmatization associated with substance use disorders, it is recommended to give importance to education, provide supportive services, promote social acceptance, and implement appropriate policies and legal frameworks.

The aim of the study was to determine the relationship between self-stigma and treatment motivation among individuals with substance use disorders in Westside of Turkey. Descriptive cross-sectional design study's sample consisted of 141 patients with substance use disorder receiving treatment in an alcohol and drug treatment unit in Westside of Turkey. Data were collected using the Treatment Motivation Questionnaire (TMQ) and the Substance Abuse Self-Stigma Scale (SASSS). Self-stigma was positively correlated with internal motivation, external motivation, interpersonal help-seeking and treatment motivation (p < 0.001). Self-stigma was negatively correlated with confidence in treatment (p < 0.05). The simple linear regression analysis showed a significant relationship between treatment adherence and self-stigma (R:0.98, R2: 0.96, p < 0.001).

This study sought to evaluate the outcomes of a community-based rehabilitation program for voluntary and court-mandated drug users in the Philippines. Participants went through a bio-psycho-social-spiritual group-based program that aimed to develop their recovery skills and life skills. The program also included family modules to enhance their knowledge of drug use, its effects, and the role of family in recovery. A cohort design was used with pre- and posttest surveys administered before and immediately after the program. The sample consisted of 105 voluntary clients and 118 court-mandated clients who underwent screening or drug dependency evaluation and were recommended for community-based treatment. The program was conducted weekly by trained paraprofessionals. Results reveal significant improvements in recovery and life skills, well-being, quality of life, and family support for both voluntary and court-mandated clients. No significant differences were found between groups, suggesting that community-based interventions are a viable alternative to inpatient or treatment in closed settings for both voluntary and court-mandated clients.