Journal of Ethnicity in Substance Abuse最新文献

This study examines how addiction within marriage functions as a site of psychological injury for Palestinian women, generating depression, panic, and moral injury under conditions of secrecy, stigma, and social surveillance. Drawing on thematic analysis of 30 detailed testimonies from Palestinian women in digital peer support forums, the research examines the collapse of marital trust, the corrosion of intimacy, and the moral disorientation that addiction precipitates. Findings reveal that women endure betrayal, emotional withdrawal, and chronic vigilance, manifesting in anxiety, sleeplessness, and somatic complaints. Shame, cultural codes of honor, and fear of social judgment intensify isolation and suppress disclosure, while limited access to gender responsive services perpetuates distress. The concept of moral injury illuminates how deception, abandonment, and coerced silence violate women's core values, leaving wounds of conscience alongside fear-based trauma. Coping repertoires include prayer, secrecy management, selective disclosure, and strategic disengagement, often aimed at survival rather than transformation. By situating addiction within the intersecting pressures of patriarchy, occupation, and stigma, the study argues for culturally attuned interventions that prioritize -dignity, confidentiality, and community-based recognition of women's injuries.

This study was conducted to identify the domestic and gender-based problems experienced by women whose spouses are addicted to drugs. The present study was conducted using a phenomenological design from qualitative research methods. The sample consisted of 22 women whose husbands were admitted to the hospital due to substance addiction. These subjects were selected using a purposive sampling method. The study data were collected with a semi-structured interview form, and an inductive content analysis technique was used to analyze the data. The marital experiences of women married to substance-addicted men were categorized according to the following themes: (1) The effect of addiction on marriage; (2) Domestic violence; (3) The reaction of the environment; (4) What is desired to change. Women reported that their husbands' addiction led to a decrease in their husbands' interest in them and their children, that they were exposed to different types of violence, that they experienced economic problems, and that they were under pressure from their close environment to divorce. Addiction has been shown to have a profound impact not only on the individual struggling with the condition but also on their immediate family members and the broader social environment. The family unit is often subjected to a variety of challenges, including social isolation, financial hardship, and an increased risk of domestic violence. In cases of addiction, it is recommended that the focus be shifted toward addressing the needs of the spouse and family members rather than solely on the health services that are typically focused on the addicted individual.

Background: Mental health nurses who care for patients diagnosed with substance use disorders often experience stress. The purpose of this study was to assess psychological resilience, coping behaviors, and social support among mental health nurses who work with individuals diagnosed with substance abuse disorder.

Methods: A cross-sectional research design was conducted at XX. Data were collected using the Connor-Davidson Resilience Scale (CD-RISC), the Multidimensional Scale of Perceived Social Support, and the Deakin Coping Scale.

Results: The results indicated that nurses had low levels of psychological resilience (mean of 2.49), moderate coping behaviors (mean of 3.67), and high levels of social support (mean of 4.85). The Connor-Davidson Resilience Scale (CD-RISC) demonstrated a strong positive correlation with the Multidimensional Scale of Perceived Social Support (r = 0.793, p < 0.001). However, there was no statistically significant correlation between the Connor-Davidson Resilience Scale (CD-RISC) and the Deakin Coping Scale (r = 0.081, p = 0.400).

Conclusions: The results of this study indicate low levels of psychological resilience, moderate levels of coping behaviors, and high levels of social support among the participating nurses.

The study aimed to investigate the effect of perceived social support on adolescent substance use with the mediating role of self-control and boredom in Iran. The population of the study consisted of all adolescent students of high school in Zahedan city located in southeastern of Iran, in 2025. A total of 320 adolescent students were selected as sample using multi-stage cluster sampling and were studied through questionnaires of tendency to substance use, self-control, perceived social support, and the multidimensional scale of boredom. Pearson correlation coefficient and structural equation modeling were used to analyze the data using SPSS and Smart-PLS software. The findings indicated that perceived social support had a significant negative impact on substance use in adolescents, perceived social support had a significant negative impact on substance use in adolescents with the mediating role of self-control, and perceived social support had a significant negative impact on substance use in adolescents with the mediating role of boredom. Based on the findings, it can be concluded that perceived social support affects the lack of tendency in adolescents to substance use by increasing self-control and reducing boredom.

We examined whether the cultural value of respect based on age was indirectly associated with adolescents' drinking via parental psychological control and whether gender differences existed. Korean adolescents (N = 354, 13-16 years old, 207 female-identified) attending a middle school in Seoul participated in an innovative online survey. Measures included the Respect Based on Age Scale developed for this study, an established scale of parental psychological control, and drinking frequency in the past year. Structural Equation Modeling results revealed that respect based on age was positively associated with both dependency-oriented (DPC) and achievement-oriented psychological control (APC), which were in turn positively associated with drinking frequency. These results suggest that both respect based on age and parental psychological control may be risk factors for Korean adolescents' drinking. We uncovered subtlety in the common belief that respect based on age pervades Korean culture, as Korean adolescents simultaneously held two contradictory beliefs: respect should be based on age and also should not be based on age. Moreover, female-identified adolescents felt more bound by the cultural value of respect based on age than did male-identified adolescents, and female-identified adolescents also felt more controlled by primary caregivers than did male-identified adolescents. When male-identified adolescents believed that respect did not come with age, they reported less APC than female-identified adolescents. These results highlight cultural and familial risk factors for Korean adolescents' drinking and gender-based adolescent development in Korea.

Background: Alcohol use and its associated problems among older adults are rising. However, the relationship between alcohol use and physical functioning in Chinese population is under-studied.

Methods: Multivariate logistic regressions and ANCOVA were conducted to examine the independent association between alcohol use (never, former, moderate, and at-risk drinkers) and physical functioning (grip strength, handgrip strength asymmetry, walking speed, repeated chair stands, and balance tests) using the China Health and Retirement Longitudinal Study baseline survey.

Results: Most participants never drank alcohol (60.6%), and 7.3% were at-risk drinkers. Mean grip strength was 27.0 ± 9.5 kg, 50.0% had normal HGS asymmetry, and mean walking speed and repeated chair stand times were 4.99 ± 2.56 s and 12.7 ± 5.79 s, respectively. Overall, 60.1% completed the full tandem balance test. In adjusted models, moderate (B = 1.18, p = 0.024) and at-risk (B = 2.13, p < 0.001) drinkers had higher grip strength, whereas moderate (OR = 0.48, 95% CI 0.35-0.66, p < 0.001) and at-risk (OR = 0.65, 95% CI 0.45-0.94, p = 0.018) drinkers were less likely to complete the full tandem balance test. Alcohol use was not significantly associated with HGS asymmetry, walking speed, or repeated chair stands.

Conclusions: These findings indicate possible domain-specific effects of alcohol use on physical functioning. Alcohol should not be viewed as beneficial for strength. Clinicians should routinely assess older adults' alcohol use and help them with alcohol reduction. This may reduce alcohol use, improve balance in older adults.

Objective: The current study aimed to test the association between perceived online racism, mental health outcomes, feelings of shame and trauma symptoms among Palestinians, and whether posttraumatic growth and resilience mediate the association between these variables.

Methods: The sample of our study consisted of 880 participants, comprising 290 males and 590 females. Structural equation modeling (SEM) was performed having perceived online racism as a predictor, mental health outcomes, feelings of shame, and trauma symptoms as outcomes, and posttraumatic growth and resilience as mediating variables.

Results: The findings of our study revealed that perceived online racism positively correlated with depression (r = 0.35, p < .01), anxiety (r = 0.40, p < .01), stress (r = 0.36, p < .01), feelings of shame (r = 0.37, p < .01), and trauma symptoms (r = 0.45, p < .01). Results of (SEM) showed that posttraumatic growth and resilience mediated the association between perceived online racism, and mental health outcomes, feelings of shame, and trauma symptoms.

Conclusions: Our findings highlight the need for further studies to investigate the role of other possible protective factors that may help reduce depression, anxiety, stress, feelings of shame, and trauma symptoms among Palestinians subjected to online racism. Mental health professionals should receive training in culturally sensitive therapeutic approaches and effective communication strategies for addressing racial trauma in clinical settings. This includes equipping practitioners with skills to handle digital trauma and anti-racism interventions effectively.

The relationship between marijuana use and oral cancer risk remains controversial, with conflicting evidence from epidemiological studies. This systematic review and meta-analysis aimed to synthesize available evidence on the association between marijuana consumption and oral cancer incidence. Following PRISMA guidelines, we conducted comprehensive searches across Scopus, PubMed, Web of Science, and Embase databases up to August 2025. We included only case-control studies reporting quantitative risk estimates for marijuana use and histologically confirmed oral cancer (ICD-10 codes C00-C06). Data extraction followed standardized protocols, and study quality was assessed using the Joanna Briggs Institute checklist. Statistical analyses were performed using Comprehensive Meta-Analysis software with random-effects models. Heterogeneity was evaluated using I² statistics, and publication bias was assessed through funnel plots and Egger's regression test. Six case-control studies involving 4,686 cases and 10,370 controls were included. The pooled odds ratio demonstrated a statistically significant inverse association between marijuana use and oral cancer risk (OR = 0.659, 95% CI: 0.500-0.869, p = 0.003, I² = 47.35). Subgroup analyses were performed based on the duration of use, gender, and age at initiation of marijuana use; however, no clear dose-response relationship was observed. Sensitivity analyses confirmed robustness of findings, with ORs ranging from 0.599 to 0.708 across iterations. No significant publication bias was detected (Egger's test p = 0.532). Three individual studies showed statistically significant protective effects, while three others were non-significant. This meta-analysis suggests marijuana use is associated with reduced oral cancer risk. However, given methodological limitations, heterogeneity in exposure assessment, and conflicting recent evidence, these findings require cautious interpretation. Future large-scale prospective cohort studies with standardized exposure measurements are essential for definitive conclusions.

This study examines the experiences of Palestinian women living with addicted husbands, highlighting how addiction transforms the home into a site of despair, humiliation, and fragile endurance. Drawing on testimonies shared in women-only digital forums, the research uses thematic analysis to examine how addiction intersects with depression, suicidal ideation, fear, stigma, and coping. Six themes emerged: depression as daily life; despair turning inward as self-harm; suicidal thinking as routine and planned; fear and hypervigilance; silence and abandonment; and fragile coping shaped by faith, work, and social media. Findings show that addiction is not simply a private matter but a structural phenomenon that intensifies economic burdens, corrodes family safety, and erodes dignity. Coping strategies offer temporary relief but rarely secure transformation, as stigma and institutional neglect amplify suffering. The study argues that addiction in this context functions less as an individual illness than as a systemic mechanism of harm that constrains women's agency and reshapes everyday survival.

The regulation of new psychoactive substances (NPS) varies across countries and regions, and China's program provides important experience for global control of NPS. The aim of the study was to analyze the regulation of NPS in China and provide an important reference for global NPS control. This paper analyzes the legislation, scheduling methods, scheduling updates, and legal prosecution of NPS in China, and discusses improvements in the scheduling of NPS. A combination of individual listing with generic legislation is a feasible option for NPS scheduling. Taiwan regularly updates the scheduling of NPS every three months, and Hong Kong frequently updates the chemical parent nucleus and relevant substituent groups in generic legislation, both of which are valuable practices. The decriminalization of drug abuse imposes lighter penalties in mainland China, and it is also worth learning from the mandatory education programs for drug abusers on the harms of NPS in Taiwan. Taiwan and Macao have classified NPS, as they contend that it is more scientific to apply different penalties to different classifications of NPS. It is suggested that the global community adopt a combined approach of individual listing and generic legislation, regularly update NPS schedules, continuously update the chemical parent nucleus and relevant substituent groups in generic legislation, classify NPS, and apply different penalties, and implement mandatory education programs for NPS users.