Addictive Behaviors Reports最新文献_第9页

E-cigarette and cannabis use among current and recently quit smokers: Co-use and Co-cessation 当前和最近戒烟者使用电子烟和大麻：共同使用和共同戒烟

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-06-01 Epub Date: 2025-04-15 DOI: 10.1016/j.abrep.2025.100611

Deanna M. Halliday , Anna V. Song , Nhung Nguyen

Background

Concurrent use of cigarettes with e-cigarette or cannabis (co-use) is common. It is unclear whether people who want to quit smoking cigarettes would also be interested in quitting using e-cigarettes/cannabis (co-cessation).

Methods

In a survey of 391 Californian adults, participants reported past 30-day use of and intentions to quit cigarettes, e-cigarettes, and cannabis, and reasons for using e-cigarettes and/or cannabis. Using cross-tabulation tables, we examined the relationship between cigarette, e-cigarette, and cannabis cessation intentions. We subsequently examined how the reasons for using e-cigarettes and cannabis related to e-cigarette and cannabis use frequency, while controlling for cigarette use and demographic characteristics.

Results

Of those who used both cigarettes and e-cigarettes and planned to quit smoking within the next 30 days, 68.9 % also planned to quit using e-cigarettes. Of those who used both cigarettes and cannabis and intended to quit smoking within 30 days, 30.0 % also wanted to quit using cannabis within the same period. Using e-cigarettes or cannabis to aid with cigarette cessation had no impact on e-cigarette or cannabis use frequency.

Significance

Those who intended to quit smoking cigarettes within 30-days also expressed interest in quitting e-cigarettes or cannabis within the same period. Using e-cigarettes or cannabis to quit smoking was not related to higher frequency e-cigarette or cannabis use. Future interventions may promote co-cessation of cigarettes, e-cigarettes, and cannabis simultaneously.

香烟与电子烟或大麻同时使用（共同使用）是很常见的。目前还不清楚想要戒烟的人是否也会对使用电子烟/大麻戒烟（共同戒烟）感兴趣。方法在一项对391名加州成年人的调查中，参与者报告了过去30天的使用情况和戒烟意图，以及使用电子烟和/或大麻的原因。使用交叉表，我们检查了香烟、电子烟和大麻戒烟意图之间的关系。我们随后研究了使用电子烟和大麻的原因与电子烟和大麻使用频率的关系，同时控制了香烟使用和人口统计学特征。结果在同时使用香烟和电子烟并计划在未来30天内戒烟的人中，68.9%的人也计划戒烟使用电子烟。在那些既吸烟又吸食大麻并打算在30天内戒烟的人中，30.0%的人也想在同一时期内戒掉吸食大麻。使用电子烟或大麻来帮助戒烟对电子烟或大麻的使用频率没有影响。那些打算在30天内戒烟的人也表示有兴趣在同一时期戒烟电子烟或大麻。使用电子烟或大麻戒烟与使用电子烟或大麻的频率较高无关。未来的干预措施可能会促进同时戒烟香烟、电子烟和大麻。

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引用次数: 0

Psychometric properties of the Reward Deficiency Syndrome Questionnaire among a non-clinical sample and its relationship with the characteristics of potentially addictive behaviors 奖赏缺失综合征问卷在非临床样本中的心理计量特性及其与潜在成瘾行为特征的关系

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-06-01 Epub Date: 2025-03-24 DOI: 10.1016/j.abrep.2025.100598

Eszter Kotyuk , Zsolt Demetrovics , Róbert Urbán , Andrea Czakó , Kenneth Blum , Mark D. Griffiths , Marc N. Potenza , Yaniv Efrati

Background and aims

The addiction literature conceptualizes problematic substance use and addictive behaviors (e.g., gambling disorder, gaming disorder) as having shared etiologies and phenomenologies. The reward deficiency syndrome (RDS) model proposes blunted responses to natural rewards that potentially contribute to the development of addictive behaviors. The 29-item Reward Deficiency Syndrome Questionnaire (RDSQ-29) was developed to assess RDS-related psychological-behavioral characteristics. The aim of the present study was to validate the Hebrew version of the RDSQ-29 and to provide empirical evidence for the relevance of RDS in addictive behaviors and related psychological features.

Methods

The sample comprised 961 Jewish Israeli young adults from the general community (age 19–27 years; M = 23.40 years [SD = 1.95]) who were assessed for personality characteristics (attachment styles, RDS, compulsive personality), internet gaming disorder (IGD), problematic use of social media use (PUSM), compulsive buying-shopping disorder (CBSD), and gambling disorder (GD).

Results

The analysis confirmed the validity and factor structure of the RDSQ-29. RDSQ-29 scores showed a significant but weak association with anxiety, avoidance, and compulsive personality. Also, weak to modest relationships were found between RDSQ-29 scores and the severity of the four potential behavioral addictions.

Discussion

The findings suggest that the Hebrew translation of the RDSQ-29 is a psychometrically sound instrument to assess RDS. Given that different potentially addictive and other problematic behaviors are associated with RDS, its assessment might be useful in prevention or screening.

背景和目的成瘾文献将有问题的物质使用和成瘾行为（如赌博障碍、游戏障碍）概念化为具有共同的病因和现象。奖励缺乏综合症（RDS）模型提出了对自然奖励的迟钝反应，这可能会导致成瘾行为的发展。采用奖励缺乏综合征问卷（RDSQ-29），对rds相关的心理行为特征进行评估。本研究的目的是验证希伯来语版本的RDSQ-29，并为RDS与成瘾行为和相关心理特征的相关性提供经验证据。方法样本包括来自普通社区的961名犹太以色列青年(年龄19-27岁；M = 23.40岁[SD = 1.95])，分别评估人格特征（依恋类型、RDS、强迫人格）、网络游戏障碍（IGD）、社交媒体使用问题（PUSM）、强迫购物障碍（CBSD）和赌博障碍（GD）。结果分析证实了RDSQ-29的效度和因子结构。RDSQ-29得分与焦虑、回避和强迫人格有显著但微弱的关联。此外，RDSQ-29分数与四种潜在行为成瘾的严重程度之间存在弱到中等的关系。研究结果表明，RDSQ-29的希伯来语译本是一种心理测量学上可靠的评估RDS的工具。考虑到不同的潜在成瘾和其他问题行为与RDS有关，它的评估可能有助于预防或筛查。

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引用次数: 0

Influence of binge drinking on the resting state functional connectivity of university Students: A follow-up study 豪饮对大学生静息状态功能连通性影响的随访研究。

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-06-01 Epub Date: 2025-01-10 DOI: 10.1016/j.abrep.2025.100585

Samuel Suárez-Suárez , Fernando Cadaveira , Alfonso Barrós-Loscertales , José Manuel Pérez-García , Socorro Rodríguez Holguín , Javier Blanco-Ramos , Sonia Doallo

Binge Drinking (BD) is characterized by consuming large amounts of alcohol on one occasion, posing risks to brain function. Nonetheless, it remains the most prevalent consumption pattern among students. Cross-sectional studies have explored the relationship between BD and anomalies in resting-state functional connectivity (RS-FC), but the medium/long-term consequences of BD on RS-FC during developmental periods remain relatively unexplored. In this two-year follow-up study, the impact of sustained BD on RS-FC was investigated in 44 college students (16 binge-drinkers) via two fMRI sessions at ages 18–19 and 20–21. Using a seed-to-voxel approach, RS-FC differences were examined in nodes of the main brain functional networks vulnerable to alcohol misuse, according to previous studies. Group differences in RS-FC were observed in four of the explored brain regions. Binge drinkers, compared to the control group, exhibited, at the second assessment, decreased connectivity between the right SFG (executive control network) and right precentral gyrus, the ACC (salience network) and right postcentral gyrus, and the left amygdala (emotional network) and medial frontal gyrus/dorsal ACC. Conversely, binge drinkers showed increased connectivity between the right Nacc (reward network) and four clusters comprising bilateral middle frontal gyrus (MFG), right middle cingulate cortex, and right MFG extending to SFG. Maintaining a BD pattern during critical neurodevelopmental years impacts RS-FC, indicating mid-to-long-term alterations in functional brain organization. This study provides new insights into the neurotoxic effects of adolescent alcohol misuse, emphasizing the need for longitudinal studies addressing the lasting consequences on brain functional connectivity.

狂饮（BD）的特点是一次饮用大量酒精，对大脑功能构成风险。尽管如此，它仍然是学生中最普遍的消费模式。横断面研究已经探讨了BD与静息状态功能连接（RS-FC）异常之间的关系，但在发育期间BD对RS-FC的中长期影响仍然相对未知。在这项为期两年的随访研究中，通过两次功能磁共振成像（fMRI）研究了44名18-19岁和20-21岁的大学生（16名酗酒者）持续双相障碍对RS-FC的影响。根据之前的研究，使用种子到体素的方法，在易受酒精滥用影响的主要大脑功能网络节点中检测了RS-FC差异。在四个被探索的大脑区域观察到RS-FC的组间差异。与对照组相比，在第二次评估中，酗酒者表现出右侧SFG（执行控制网络）与右侧中央前回、ACC（突出网络）与右侧中央后回、左侧杏仁核（情绪网络）与内侧额回/背侧ACC之间的连通性下降。相反，酗酒者表现出右侧Nacc（奖励网络）和四个集群之间的连系增加，这些集群包括双侧中额回（MFG）、右侧中扣带皮层和延伸到SFG的右侧MFG。在关键的神经发育时期维持BD模式会影响RS-FC，表明功能性脑组织中长期改变。这项研究为青少年酒精滥用的神经毒性作用提供了新的见解，强调了对大脑功能连接的持久影响进行纵向研究的必要性。

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引用次数: 0

Unpacking the complexities in racial and ethnic discrimination and tobacco use and cannabis co-use behaviors among young adults in the U.S. 揭示了美国年轻人中种族和民族歧视、烟草使用和大麻共同使用行为的复杂性

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-06-01 Epub Date: 2025-02-28 DOI: 10.1016/j.abrep.2025.100593

Stephanie Pike Moore , Craig S. Fryer , Eugenia Lee , Kymberle L. Sterling

Introduction

There is a general paucity of research describing the relationship between racial and ethnic discrimination (RED) and coping strategies on use of little filtered cigars and cigarillos (LCCs) across racial and ethnic identities. This research sought to unravel some of the complex, multilayered experiences of RED and subsequent coping strategies to examine the impact on LCC use.

Methods

Data come from a cross-sectional survey conducted among a nationally representative sample of U.S. young adults (n = 1,178) in May 2022. Respondents were asked about their exposure to LCC marketing (systemic RED), interpersonal experiences of RED, coping strategies, and use of LCCs as-sold (tobacco only) or as a blunt (with marijuana). Multivariable logistic regression was used to examine odds of LCC use examining systemic and interpersonal RED and the relationship between emotion-focused and problem-focused coping strategies among those who have experienced RED.

Results

Exposure to systemic RED was associated with increased odds of blunt use. Interpersonal experiences of RED were associated with increased odds of LCC use as-sold and as blunts. Among those who experienced any RED, the impact of problem-focused and emotion-focused coping was differential across racial and ethnic identities in the impact on LCC use modality.

Conclusion

Systemic and interpersonal RED are independently associated with LCC use. There are considerable differences in how young adults cope with RED which necessitates additional research to further elucidate the complex pathways between RED and product use to more effectively inform strategies to address the undeniable racial and ethnic inequities in tobacco-related health outcomes.

描述种族和民族歧视（RED）与跨种族和民族身份使用小过滤雪茄和小雪茄（lcc）的应对策略之间关系的研究普遍缺乏。本研究试图揭示一些复杂的、多层次的RED经验和随后的应对策略，以检查对LCC使用的影响。数据来自于2022年5月在美国年轻人（n = 1178）的全国代表性样本中进行的横断面调查。受访者被问及他们对LCC营销（系统性RED）的接触情况，RED的人际经历，应对策略，以及LCC作为销售（仅限烟草）或作为钝器（与大麻一起）的使用情况。本研究采用多变量logistic回归分析方法，探讨了经历过系统性和人际性情绪失调者使用LCC的几率，以及情绪导向型和问题导向型应对策略之间的关系。结果暴露于系统性RED与钝性使用的几率增加有关。RED的人际体验与LCC作为销售和钝器使用的几率增加有关。在经历过任何RED的人群中，以问题为中心和以情绪为中心的应对方式对LCC使用方式的影响在种族和民族身份上存在差异。结论系统性和人际性RED与LCC使用独立相关。年轻人应对烟草有害物质的方式存在相当大的差异，因此需要进行更多的研究，以进一步阐明烟草有害物质与产品使用之间的复杂途径，从而更有效地为解决烟草相关健康结果中不可否认的种族和民族不平等问题的战略提供信息。

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引用次数: 0

The temporal stability of problematic gaming and gaming disorder: A systematic review and meta-analysis 问题游戏和游戏障碍的时间稳定性：系统回顾和元分析

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-06-01 Epub Date: 2025-02-22 DOI: 10.1016/j.abrep.2025.100592

An-Pyng Sun , Chih-Hsiang Ho , Daria J. Kuss , Chad L. Cross

Classifying problematic gaming/gaming disorder as a formal psychiatric diagnosis requires data on its level of temporal stability: are the dysfunctional symptoms transient or can they persist in the absence of treatment? To evaluate this question, we conducted a literature review and meta-analysis to investigate temporal stability in problematic gaming/gaming disorder. We identified 50 relevant longitudinal studies on PubMed, PsycINFO, and SCOPUS. Our review and meta-analysis engaged on two types of temporal stability: categorical stability and dimensional stability. We used MetaXL to run the meta-analysis for categorical stability. Our meta-analysis revealed that overall, the categorical stability rate was approximately 34–38% for the 2-year follow-up studies and approximately 43–45% for the 1-year follow-up studies. This indicates that between 1/3 and 1/2 of the gamers who initially met the threshold for problematic gaming/gaming disorder continued to meet such a threshold at follow-ups. Our meta-analysis included predominantly adolescent groups, which should be noted when generalizing the obtained categorical stability rates. Our review results also showed that overall, the dimensional stability was positive and statistically significant, indicating moderate or high correlations between symptom severity at baseline and at follow-ups. Temporal stability can be a complex concept. Our results suggest that although the categorical stability of problematic gaming/gaming disorder is not as strong as some major psychiatric disorders such as schizophrenia and bipolar disorder, it is similar to personality disorder and gambling disorder. Many complex factors may affect the temporal stability of problematic gaming/gaming disorder, possibly including severity of the disorder, whether the data is from clinical or nonclinical populations, and an individual’s age group or developmental stage. More methodologically rigorous longitudinal studies that address these issues are needed.

将有问题的游戏/游戏障碍归类为正式的精神病诊断需要关于其时间稳定性水平的数据：功能失调症状是短暂的还是在没有治疗的情况下持续存在？为了评估这个问题，我们进行了文献回顾和荟萃分析，以调查问题游戏/游戏障碍的时间稳定性。我们在PubMed、PsycINFO和SCOPUS上确定了50个相关的纵向研究。我们的回顾和荟萃分析涉及两种类型的时间稳定性：分类稳定性和维度稳定性。我们使用MetaXL对分类稳定性进行meta分析。我们的荟萃分析显示，总体而言，2年随访研究的分类稳定性率约为34-38%，1年随访研究的分类稳定性率约为43-45%。这表明1/3至1/2最初达到问题游戏/游戏障碍阈值的玩家在随访中继续达到这一阈值。我们的荟萃分析主要包括青少年群体，在推广所获得的分类稳定性率时应注意这一点。我们的回顾结果还显示，总体而言，维度稳定性为正且具有统计学意义，表明基线和随访时症状严重程度之间存在中度或高度相关性。时间稳定性是一个复杂的概念。我们的研究结果表明，尽管问题游戏/游戏障碍的分类稳定性不如精神分裂症和双相情感障碍等主要精神疾病强，但与人格障碍和赌博障碍相似。许多复杂的因素可能会影响问题游戏/游戏障碍的时间稳定性，可能包括障碍的严重程度，数据是否来自临床或非临床人群，以及个人的年龄组或发展阶段。需要更多方法上严谨的纵向研究来解决这些问题。

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引用次数: 0

Methodological issues in behavioral addictions’ research: A call for an unbiased analysis of excessive behaviors 行为成瘾研究中的方法论问题：呼吁对过度行为进行公正的分析

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2025-06-01 Epub Date: 2025-02-27 DOI: 10.1016/j.abrep.2025.100594

Yura Loscalzo, Marco Giannini

In the psychological literature, there has been a proliferation of new behavioral addictions, often biased by an aprioristic and confirmatory approach that applied the addiction framework without adequately considering other potential explanations of excessive behaviors. This position paper further extends the critiques previously pointed out in the literature by highlighting the methodological issues underlying the current behavioral addiction research and the need for future studies to avoid a confirmatory and aprioristic approach (whatever the etiological hypothesis). Analyzing repetitive behaviors in their own specifies could help find a balance between the risk of over-pathologizing common behaviors and not exploring new potential clinical disorders related to everyday (excessive) behaviors associated with functional impairment and deserving public health attention. Finally, we underline the value of recalling that if an existing diagnosis might explain the problematic behavior under consideration, a new clinical disorder should not be introduced in the literature.

在心理学文献中，出现了大量新的行为成瘾，这些行为成瘾通常被一种先验和证实性的方法所偏见，这种方法应用了成瘾框架，而没有充分考虑过度行为的其他潜在解释。本立场文件进一步扩展了先前在文献中指出的批评，强调了当前行为成瘾研究的方法学问题，以及未来研究避免证实性和先验性方法（无论病因学假设如何）的必要性。分析重复行为本身可以帮助在将常见行为过度病态化的风险与不探索与功能损害相关的日常（过度）行为相关的新的潜在临床疾病之间找到平衡，这些行为值得公共卫生关注。最后，我们强调回顾的价值，如果现有的诊断可能解释正在考虑的问题行为，不应该在文献中引入新的临床障碍。

引用次数: 0

Cognitive inflexibility moderates the relationship between relief-driven drinking motives and alcohol use 认知不灵活调节解压型饮酒动机与饮酒之间的关系

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2024-12-01 Epub Date: 2024-06-27 DOI: 10.1016/j.abrep.2024.100559

Lara R. Piccoli , Lucy Albertella , Erynn Christensen , Leonardo F. Fontenelle , Chao Suo , Karyn Richardson , Murat Yücel , Rico S.C. Lee

Introduction

Drinking motives and neurocognition play significant roles in predicting alcohol use. There is limited research examining how relief-driven drinking motives interact with neurocognition in alcohol use, which would help to elucidate the neurocognitive-motivational profiles most susceptible to harmful drinking. This study investigated the interactions between neurocognition (response inhibition and cognitive flexibility) and relief-driven drinking, in predicting problem drinking.

Methods

Participants completed the Alcohol Use Disorders Identification Test – Consumption items (AUDIT-C) to measure drinking behaviour, and online cognitive tasks, including the Value-Modulated Attentional Capture and Reversal Task (VMAC-R) and the Stop Signal Task (SST). The sample (N = 368) were individuals who drink alcohol, which included a subsample (N = 52) with problematic drinking, as defined by self-identifying as having a primary drinking problem. Drinking motives were assessed using a binary coping question in the overall sample, and the Habit, Reward, and Fear Scale (HRFS) in the subsample. Moderation analyses were conducted to investigate whether cognitive flexibility and response inhibition moderated relationships between relief-driven motives and drinking.

Results

Cognitive flexibility moderated the relationship between relief-driven motives and drinking (overall sample: β = 13.69, p = 0.017; subsample: β = 1.45, p = 0.013). Greater relief-driven motives were associated with heavier drinking for individuals with low cognitive flexibility. There was no significant interaction between response inhibition and relief-driven motives.

Conclusions

Relief-driven drinking motives interact with cognitive inflexibility to drive heavier drinking. Greater understanding of these neurocognitive-motivational mechanisms may help to develop more targeted and effective interventions for reducing harmful drinking.

导言：饮酒动机和神经认知在预测饮酒方面发挥着重要作用。关于解脱驱动型饮酒动机与神经认知在酒精使用中的相互作用的研究还很有限，这将有助于阐明最容易导致有害饮酒的神经认知-动机特征。本研究调查了神经认知（反应抑制和认知灵活性）与解脱驱动型饮酒之间在预测问题饮酒方面的相互作用。方法受试者完成酒精使用障碍识别测验--饮酒项目（AUDIT-C）以测量饮酒行为，并完成在线认知任务，包括价值调节注意力捕捉和逆转任务（VMAC-R）和停止信号任务（SST）。样本（N = 368）为饮酒者，其中包括一个有饮酒问题的子样本（N = 52），其定义是自我认定有主要饮酒问题。在总体样本中，采用二元应对问题对饮酒动机进行评估；在子样本中，采用习惯、奖赏和恐惧量表（HRFS）对饮酒动机进行评估。结果认知灵活性调节了解脱驱动动机与饮酒之间的关系（总体样本：β = 13.69，p = 0.017；子样本：β = 1.45，p = 0.013）。对于认知灵活性较低的个体来说，解脱动机越强，饮酒量越大。结论解脱驱动型饮酒动机与认知灵活性不足相互作用，导致饮酒量增加。加深对这些神经认知-动机机制的理解，可能有助于制定更有针对性、更有效的干预措施来减少有害饮酒。

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引用次数: 0

Mokken scale analysis of the Internet Gaming Disorder Scale–Short-Form and the Gaming Disorder Test 网络游戏障碍量表-简表和游戏障碍测试的莫肯量表分析

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2024-12-01 Epub Date: 2024-10-28 DOI: 10.1016/j.abrep.2024.100567

Laura Maldonado-Murciano , Halley M. Pontes , Maite Barrios , Juana Gómez-Benito , Georgina Guilera

In recent years, research on disordered gaming has grown substantially with researchers developing different psychometric tools for assessing it. Two of the most prominent assessment tools are the Internet Gaming Disorder Scale–Short-Form (IGDS9-SF) and the Gaming Disorder Test (GDT), which evaluate disordered gaming under the American Psychiatric Association (APA) and the World Health Organization (WHO) frameworks, respectively. The main aim of this study was to assess and compare the scalability, reliability, and validity of both scales to determine if they effectively assess disordered gaming in a normative sample, through the Mokken Scale Analysis (MSA). A sample of 605 participants (42.31 % female, mean_age = 23.98 years, SD = 9.21 years) was recruited for the present study. Results showed that both the IGDS9-SF and GDT were unidimensional, with all items presenting latent monotonicity fitting in the Monotone Homogeneity Model (MHM). Item characteristic curves did not intersect and presented with adequate fit in the Double Monotonicity Model (DMM). These findings further support the psychometric adequacy of the IGDS9-SF and GDT, attesting to their suitability to assess disordered gaming.

近年来，关于游戏障碍的研究有了长足的发展，研究人员开发了不同的心理测量工具来评估游戏障碍。其中最著名的两种评估工具是网络游戏障碍量表-简表（IGDS9-SF）和游戏障碍测试（GDT），它们分别在美国精神病学协会（APA）和世界卫生组织（WHO）的框架下对游戏障碍进行评估。本研究的主要目的是通过莫肯量表分析法（MSA），评估和比较这两个量表的可扩展性、可靠性和有效性，以确定它们是否能有效评估常模样本中的游戏障碍。本研究共招募了 605 名参与者（42.31% 为女性，平均年龄为 23.98 岁，标准差为 9.21 岁）。结果显示，IGDS9-SF和GDT均为单维量表，所有项目均符合单调同质性模型（MHM）的潜在单调性。项目特征曲线不相交，在双单调模型（DMM）中表现出充分的拟合性。这些发现进一步证明了IGDS9-SF和GDT在心理测量学上的适当性，证明它们适用于评估游戏障碍。

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引用次数: 0

The influence of sociodemographic, tobacco use, and mental health characteristics on treatment adherence among adults enrolled in a community-based tobacco cessation program 社会人口、烟草使用和心理健康特征对参加社区戒烟计划的成年人坚持治疗的影响

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2024-12-01 Epub Date: 2024-10-19 DOI: 10.1016/j.abrep.2024.100568

Motolani E. Ogunsanya , Summer G. Frank-Pearce , Sixia Chen , Munjireen Sifat , Amy M. Cohn , Michael S. Businelle , Darla E. Kendzor

Background

While counseling and pharmacological interventions are known to facilitate smoking cessation, poor adherence can impact their effectiveness. Therefore, this study aimed to identify personal and clinical factors that influenced adherence to smoking cessation treatment among socioeconomically disadvantaged adult Oklahomans enrolled in a publicly available tobacco treatment program and observational research study.

Methods

Adult participants (N = 442) were enrolled in a community-based tobacco treatment program. Logistic regression models identified sociodemographic, mental health, and substance use characteristics associated with treatment adherence. Adherence was measured by counseling session attendance and weeks of moderate/high medication adherence assessed via the Medication Adherence Questionnaire. Analyses were conducted using SAS 9.4 with p < 0.05.

Results

Participants (mean age of 53, 55 % female, and 42.3 % racially minoritized), smoked 16 (SD = 10) cigarettes/day for 30 years on average (SD = 15), and 44.8 % reported depression (Center for Epidemiological Studies Depression Scale [CESD] score ≥ 10). Self-efficacy, White race, increasing age, and years of smoking were positively associated with counseling adherence, while menthol use, being uninsured, and depression predicted lower counseling adherence. Medication adherence was lower among individuals who used menthol cigarettes, lived with someone who smoked, and had higher levels of expired carbon monoxide.

Conclusions

This study highlights key factors that influenced adherence to smoking cessation treatment in a socioeconomically disadvantaged population. Tailored interventions are needed to address social, behavioral, and environmental factors, such as living situations and mental health, in smoking cessation interventions to enhance treatment outcomes for underserved populations. Future tobacco cessation programs should consider these factors to improve adherence and, ultimately, success rates.

背景众所周知，咨询和药物干预有助于戒烟，但戒烟依从性差会影响其效果。因此，本研究旨在确定影响参加公共烟草治疗项目和观察性研究的俄克拉荷马州社会经济条件较差的成人戒烟治疗依从性的个人和临床因素。逻辑回归模型确定了与坚持治疗相关的社会人口、心理健康和药物使用特征。治疗依从性通过咨询课程出席率和药物依从性调查问卷评估的中度/高度药物依从性周数来衡量。结果参与者（平均年龄 53 岁，55% 为女性，42.3% 为少数民族）平均每天吸烟 16 支（SD = 10），持续 30 年（SD = 15），44.8% 报告患有抑郁症（流行病学研究中心抑郁量表 [CESD] 评分≥10）。自我效能感、白种人、年龄增长和吸烟年数与咨询依从性呈正相关，而使用薄荷醇、无保险和抑郁则预示着咨询依从性较低。在使用薄荷烟、与吸烟者同住以及呼出一氧化碳水平较高的人群中，药物治疗依从性较低。在戒烟干预中，需要针对社会、行为和环境因素（如生活状况和心理健康）采取有针对性的干预措施，以提高服务不足人群的治疗效果。未来的戒烟计划应考虑这些因素，以提高戒烟依从性，最终提高戒烟成功率。

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引用次数: 0

Tobacco, cannabis, alcohol, and polysubstance use disparities among sexual identity groups of US young adult women and men 烟草、大麻、酒精和多种物质使用在美国青年男女性别认同群体中的差异

Q1 Psychology

Addictive Behaviors Reports

Pub Date : 2024-12-01 Epub Date: 2024-11-23 DOI: 10.1016/j.abrep.2024.100571

Erin A. Vogel , Katelyn F. Romm , Carla J. Berg

Background

Sexual minority young adults (SMYAs) display higher rates of polysubstance use (i.e., current use of multiple substances) than their heterosexual peers, but limited research has explored differences by gender and specific sexual identity.

Methods

Latent class analyses (LCAs) examined past-month use of combustible tobacco (i.e., cigarettes, cigars, hookah), e-cigarettes, cannabis, and alcohol among 2,343 YAs (M_age = 24.69, SD = 4.70; 57.4 % women, 42.6 % men; 18.0 % bisexual, 9.4 % gay or lesbian; 36.2% racial/ethnic minority) residing in 6 US metropolitan areas. Multinomial logistic regressions examined associations among sexual identity (bisexual, gay/lesbian, heterosexual) and polysubstance use classes among women (n = 1,345) and men (n = 998), separately.

Results

LCA yielded a 5-class solution: primarily-alcohol use (29.5%), polysubstance use (i.e., use of all 4 substances, 24.3%), non-use (18.1%), cannabis and alcohol co-use (16.3%), and e-cigarette, cannabis, and alcohol co-use (11.8%). Bisexual and lesbian (vs. heterosexual) women displayed lower odds of primarily-alcohol use, whereas bisexual (vs. heterosexual) women displayed higher odds of polysubstance use, as well as e-cigarette, cannabis, and alcohol co-use. Bisexual (vs. heterosexual) men displayed lower odds of primarily-alcohol use, whereas gay (vs. heterosexual) men displayed lower odds of polysubstance use, as well as e-cigarette, cannabis, and alcohol co-use.

Conclusions

Bisexual women were at greatest risk for polysubstance use of combustible tobacco, e-cigarettes, cannabis, and alcohol, whereas bisexual and gay men were at lower risk than heterosexual men for polysubstance use. Results underscore the need for tailored interventions and campaigns to consider patterns of co-occurring tobacco, cannabis, and alcohol use, particularly for bisexual women.

性少数年轻人（SMYAs）比异性恋同龄人显示出更高的多物质使用率（即当前使用多种物质），但有限的研究探讨了性别和特定性身份的差异。方法通过潜类分析（lca）对2,343名青少年过去一个月使用可燃烟草（即香烟、雪茄、水烟）、电子烟、大麻和酒精的情况进行调查(Mage = 24.69, SD = 4.70；女性占57.4%，男性占42.6%；18.0%双性恋，9.4%男同性恋或女同性恋；36.2%种族/少数民族)居住在美国6个大都市区。多项逻辑回归分别研究了女性（n = 1345）和男性（n = 998）的性身份（双性恋、男同性恋/女同性恋、异性恋）和多物质使用类别之间的关系。结果slca得到5类解决方案：主要使用酒精（29.5%）、多物质使用（即使用所有4种物质，24.3%）、不使用（18.1%）、大麻和酒精混合使用（16.3%）、电子烟、大麻和酒精混合使用（11.8%）。双性恋和女同性恋（与异性恋相比）女性主要使用酒精的几率较低，而双性恋（与异性恋相比）女性使用多种物质、电子烟、大麻和酒精的几率较高。双性恋（相对于异性恋）男性主要使用酒精的几率较低，而同性恋（相对于异性恋）男性使用多种物质、电子烟、大麻和酒精的几率较低。结论双性恋女性使用可燃烟草、电子烟、大麻和酒精的风险最高，而双性恋和男同性恋男性使用多物质的风险低于异性恋男性。研究结果强调需要有针对性的干预措施和运动，以考虑烟草、大麻和酒精同时使用的模式，特别是双性恋妇女。

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