Addictive behaviors最新文献

Infant caregiving, relational factors, mood, and pain in perinatal opioid use disorder: A prospective cohort with ecological momentary assessment 围产期阿片类药物使用障碍的婴儿护理、相关因素、情绪和疼痛：一项具有生态瞬时评估的前瞻性队列研究

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-06-01 Epub Date: 2026-02-12 DOI: 10.1016/j.addbeh.2026.108639

Alicia M. Allen , Linnea B. Linde-Krieger , James Baurley , Jendar Deschenes , Stephanie Mallahan , Alma Anderson , Stacey Tecot , Lela Rankin

Evidence-based opioid use disorder (OUD) relapse prevention interventions designed to the unique needs of the postpartum period are lacking. We aimed to identify novel intervention targets using ecological momentary assessment (EMA) with Bayesian mixed-effects models to assess infant caregiving (e.g., skin-to-skin contact), relational factors (e.g., loneliness), and individual factors (e.g., pain): (1) by OUD status, and (2) in relation to craving and coping.

Participants with and without OUD (OUD+ and OUD−, respectively) were followed from late pregnancy to postpartum week 12 with daily EMA assessing infant caregiving, relational factors, individual factors, craving for non-therapeutic opioids (e.g., heroin), craving for therapeutic opioids (e.g., methadone), and coping with cravings.

Participants (n = 61) were 29.4 ± 5.1 years old. Compared to OUD− (n = 18), OUD+(n = 43) had greater infant-focused anxiety (β = 0.24, 95% CI: 0.002, 0.48) and well-being stress (β = 0.32; 95% CI: 0.02, 0.64). Coping with cravings declined over time (β = −0.38, 95% CI: −0.77, −0.01) whereas opioid cravings did not. Numerous associations were identified including, but not limited to, non-therapeutic craving with infant-focused anxiety (β = 1.95; 95% CI: 0.33, 3.55) and pain (β = 0.08; 95% CI: 0.03, 0.13), therapeutic craving with tangible support (β = 3.99; 95% CI: 0.56, 7.48) and work-related stress (β = 1.88; 95% CI: 0.63, 3.14), and coping with cravings with skin-to-skin contact (β = 0.07; 95% CI: 0.03, 0.11) and general well-being stress (β = −2.07; 95% CI: −4.12, −0.01).

Several modifiable risk factors had unique and meaningful associations with opioid cravings and coping with craving. Future research is needed to replicate these observations in diverse samples and examine the applicability to postpartum OUD recovery support.

缺乏针对产后独特需求的基于证据的阿片类药物使用障碍（OUD）复发预防干预措施。我们的目的是利用生态瞬时评估（EMA）和贝叶斯混合效应模型来确定新的干预目标，以评估婴儿护理（如皮肤接触）、相关因素（如孤独）和个体因素（如疼痛）：(1)通过OUD状态，(2)与渴望和应对有关。有和没有OUD的参与者（分别为OUD+和OUD -）从妊娠晚期随访到产后第12周，每日EMA评估婴儿护理，相关因素，个体因素，对非治疗性阿片类药物（如海洛因）的渴望，对治疗性阿片类药物（如美沙酮）的渴望，以及应对渴望。参与者（n = 61）年龄29.4±5.1岁。与OUD−(n = 18)相比，OUD+(n = 43)有更大的婴儿关注焦虑（β = 0.24, 95% CI: 0.002, 0.48）和幸福压力（β = 0.32, 95% CI: 0.02, 0.64）。对阿片类药物的渴望随着时间的推移而下降（β = - 0.38, 95% CI: - 0.77, - 0.01），而对阿片类药物的渴望则没有。确定了许多关联，包括但不限于，非治疗性渴望与婴儿焦虑（β = 1.95; 95% CI: 0.33, 3.55）和疼痛（β = 0.08; 95% CI: 0.03, 0.13），治疗性渴望与有形支持（β = 3.99; 95% CI: 0.56, 7.48）和工作压力（β = 1.88; 95% CI: 0.63, 3.14），以及通过皮肤接触来应对渴望（β = 0.07; 95% CI: 0.03, 0.11）和一般健康压力（β = - 2.07; 95% CI: - 4.12, - 0.01）。几个可改变的风险因素与阿片类药物渴望和应对渴望有着独特而有意义的联系。未来的研究需要在不同的样本中复制这些观察结果，并检验产后OUD恢复支持的适用性。

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引用次数: 0

Gambling, smoking and alcohol use in Great Britain: insights from the 2023 Gambling Survey of Great Britain 赌博，吸烟和酒精在英国的使用：来自2023年英国赌博调查的见解

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-06-01 Epub Date: 2026-02-12 DOI: 10.1016/j.addbeh.2026.108641

Loren Kock , Jamie Brown , Vera Buss , Amanda Roberts , Lion Shahab

Gambling often co-occurs with tobacco smoking and alcohol use, which likely exacerbates the physical, psychological, and financial harm that each of them cause.

Using 2023 Gambling Survey for Great Britain (GSGB; n = 9742) data, we ran generalized linear models (adjusted for sex, age, income, housing tenure and ethnicity) to assess associations between i) risk or severity of gambling problems (Problem Gambling severity Index [PGSI], and reported overspend or ignoring spend limits), and ii) attempts to reduce gambling, with alcohol consumption (Alcohol Use Dependence Test for Consumption [AUDIT-C]) and current smoking. A multinomial model explored the association between the same gambling harm predictors and a composite measure of smoking and high-risk drinking.

Compared with non-gamblers, AUDIT-C was significantly (all p < 0.001) higher across all PGSI response categories in a dose dependent fashion (PGSI 0 β=0.30; PGSI 1–2 β=0.64; PGSI 3–7 β=0.75; PGSI ≥ 8 β=1.40). The odds of current smoking also increased with higher PGSI scores but was only statistically significant for PGSI scores ≥ 8 (OR_adj = 2.81, 95%CI 1.85, 4.28). Similar associations were apparent for overspending or ignoring limits. Those who attempted to reduce or stop gambling in the past year were more likely to smoke. Disordered gamblers (PGSI ≥ 8) compared with those who do not gamble had greatly increased odds of both smoking and having an AUDIT-C ≥ 8 (high-risk drinking) vs. not smoking and having an AUDIT-C score < 8 (OR_adj = 9.37; 95%CI = 4.15–21.14; p < 0.001).

Increased risk or severity of gambling problems is associated with risky drinking and odds of smoking in a dose dependent fashion. These findings underscore the need for integrated policy and intervention approaches to address gambling-related and substance-related harms together.

赌博经常与吸烟和饮酒同时发生，这可能会加剧它们各自造成的身体、心理和经济伤害。使用2023年英国赌博调查（GSGB; n = 9742）数据，我们运行广义线性模型（根据性别、年龄、收入、住房期限和种族进行调整）来评估i)赌博问题的风险或严重程度（问题赌博严重指数[PGSI]，以及报告的超支或忽视支出限制）和ii)减少赌博的尝试与饮酒（消费酒精使用依赖测试[审计- c]）和当前吸烟之间的关系。一个多项模型探索了同样的赌博危害预测因子与吸烟和高风险饮酒的综合测量之间的联系。与非赌徒相比，AUDIT-C在所有PGSI反应类别中以剂量依赖的方式显著（均p <； 0.001）升高（PGSI 0 β=0.30; PGSI 1-2 β=0.64; PGSI 3-7 β=0.75; PGSI≥8 β=1.40）。目前吸烟的几率也随着PGSI评分的升高而增加，但只有PGSI评分≥8时才有统计学意义（ORadj = 2.81, 95%CI 1.85, 4.28）。类似的关联在超支或忽视限制方面也很明显。那些在过去一年中试图减少或停止赌博的人更有可能吸烟。与不赌博的人相比，不赌博的人吸烟和AUDIT-C≥8（高危饮酒）的几率大大增加（ORadj = 9.37; 95%CI = 4.15-21.14; p < 0.001）。赌博问题的风险或严重程度的增加与酗酒和吸烟的几率呈剂量依赖关系。这些发现强调需要采取综合政策和干预方法，共同解决与赌博有关和与药物有关的危害。

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引用次数: 0

Treating those not ready to quit smoking: Doing harm while trying to help? 治疗那些还没有准备好戒烟的人：在试图戒烟的同时也在伤害他们？

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-02-03 DOI: 10.1016/j.addbeh.2026.108632

Jennifer M. Betts , Elias M. Klemperer , Timothy B. Baker , Wei-Yin Loh , Sulamunn R.M. Coleman , Jessica W. Cook

Introduction: Motivation-phase smoking treatment can increase treatment reach and abstinence in persons unmotivated to quit smoking. However, Motivation-phase treatment is modestly and inconsistently effective. This research aims to identify factors that may influence the effectiveness of the two intervention components most commonly used in Motivation-phase treatment: nicotine replacement therapy (NRT) and reduction counseling.

Methods: An exploratory, secondary analysis of a 4-factor, randomized trial enrolled 577 primary care patients who were willing to reduce, but not quit, smoking. Participants were randomized to the following interventions: smoking reduction counseling, nicotine mini-lozenge, behavioral activation counseling, and 5Rs-motivational counseling. Using a precision medicine approach, machine learning analyses determined whether demographic and smoking variables identified persons more likely to benefit from the interventions with regard to 24-hour quit attempts, entry into cessation treatment, and self-reported 7-day point prevalence abstinence at 1 year.

Results: Quitting self-efficacy predicted the likelihood of making a quit attempt and entering cessation treatment. At high levels of self-efficacy (>3.5 out of 5), there were no significant effects of interventions. At low levels of self-efficacy (≤3.5 out of 5), receiving reduction counseling reduced the odds of making a quit attempt (OR = 0.51, p = 0.002), and receiving mini-lozenge reduced the odds of entering cessation treatment (OR = 0.55, p = 0.02). No significant effects were found for smoking abstinence.

Conclusions: Baseline quitting self-efficacy may identify persons who will not be aided by standard Motivation-phase treatment and thus require a different therapeutic approach. These results raise questions about whom to treat, and how to treat, individuals who decline cessation treatment.

引言：动机阶段的吸烟治疗可以增加治疗的覆盖面和戒烟的人没有动机戒烟。然而，动机阶段的治疗是适度和不一致的有效。本研究旨在确定可能影响动机阶段治疗中最常用的两种干预成分的有效性的因素：尼古丁替代疗法（NRT）和减少咨询。方法：对一项4因素随机试验进行探索性、二次分析，纳入577名愿意减少吸烟但不戒烟的初级保健患者。参与者被随机分配到以下干预措施：减少吸烟咨询、尼古丁迷你含片、行为激活咨询和5rs动机咨询。使用精准医学方法，机器学习分析确定了人口统计学和吸烟变量是否确定了更有可能从24小时戒烟尝试、进入戒烟治疗和1年后自我报告的7天点流行戒烟方面的干预措施中受益的人。结果：戒烟自我效能感预测了戒烟尝试和进入戒烟治疗的可能性。在高水平的自我效能（bb0 - 3.5 / 5）中，干预没有显著影响。在自我效能水平较低的情况下（≤3.5 / 5），接受减量咨询降低了尝试戒烟的几率（OR = 0.51, p = 0.002），接受迷你含片降低了进入戒烟治疗的几率（OR = 0.55, p = 0.02）。戒烟没有发现明显的效果。结论：基线戒烟自我效能可以识别那些不需要标准动机阶段治疗的人，因此需要不同的治疗方法。这些结果提出了对谁进行治疗以及如何治疗拒绝戒烟治疗的个体的问题。

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引用次数: 0

Adolescents’ and adults’ perceptions and intentions to use e-cigarettes following FDA authorization: insights from two survey experiments 青少年和成年人在FDA授权后使用电子烟的看法和意图：来自两个调查实验的见解。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-02-07 DOI: 10.1016/j.addbeh.2026.108636

Devin M. McCauley , Michael Baiocchi , Lauren K Lempert , Bonnie Halpern-Felsher

Background

In 2021, the U.S. Food and Drug Administration (FDA) authorized marketing of the first e-cigarette, Vuse Solo; subsequently, other e-cigarettes and related products were authorized or denied marketing. We examined how FDA authorization affects perceptions of and intentions to use e-cigarettes.

Methods

Cross-sectional survey of N = 6,098 participants 13–40 years old; embedded experiments: (1) Randomized to a statement indicating FDA authorized marketing of Vuse Solo (Treatment) or no statement (Control). Participants reported perceptions of Vuse Solo health harms, benefits, and intentions to use. (2) Viewed a fictional e-cigarette (“NovaStik”) with a brief description, including a randomized statement: NovaStik was “FDA authorized” (Condition 1), “Not FDA authorized” (Condition 2), or “FDA denied” (Condition 3). Participants reported perceptions of NovaStik and intentions to use. T-tests and ANOVAs evaluated differences in responses by condition; multi-variate regression examined differences in treatment effects by sex, age group, and past 30-day tobacco use.

Results

Experiment 1: treatment participants perceived Vuse Solo as less harmful than control participants (p’s < 0.01); there were no differences in perceptions of addictiveness or intentions to use Vuse Solo by condition. Experiment 2: there were statistically significant differences in all NovaStik perceptions and intentions items (p’s < 0.001). Participants in the FDA-authorized condition reported more positive perceptions and intentions compared to those in the “Not Authorized” or “Denied” conditions.

Discussion

Viewing information that e-cigarettes were FDA-authorized was associated with lower perceptions of health harms and higher intentions to use. Findings suggest that stated FDA authorization can have unintended effects on e-cigarette perceptions and intentions.

背景：2021年，美国食品和药物管理局（FDA）批准首款电子烟Vuse Solo上市；随后，其他电子烟及相关产品被批准或拒绝营销。我们研究了FDA的授权如何影响人们对使用电子烟的看法和意图。方法：横断面调查共6098人，年龄13 ~ 40岁；嵌入实验：(1)随机分配到FDA批准Vuse Solo（治疗）上市的声明或没有声明（对照组）。参与者报告了Vuse Solo对健康的危害、益处和使用意图的看法。(2)观看一种虚构的电子烟（“NovaStik”），并附上简短的描述，包括一段随机陈述：NovaStik获得“FDA授权”（条件1）、“未经FDA授权”（条件2）或“FDA拒绝”（条件3）。参与者报告了对NovaStik的看法和使用意图。t检验和方差分析评估不同情况下的反应差异；多变量回归分析了不同性别、年龄组和过去30天吸烟情况的治疗效果差异。结果：实验1：实验组参与者认为Vuse Solo的危害比对照组参与者小(p的讨论：查看fda批准的电子烟信息与较低的健康危害认知和较高的使用意图相关。研究结果表明，FDA的授权可能会对电子烟的认知和意图产生意想不到的影响。

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引用次数: 0

Association between intimate partner violence victimization and smoking initiation and cessation among married adults in Korea 韩国已婚成年人中亲密伴侣暴力受害与开始和戒烟之间的关系。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-01-19 DOI: 10.1016/j.addbeh.2026.108619

Seong-Uk Baek , Jin-Ha Yoon

Background

Intimate partner violence (IPV) is a global public health concern. Although some studies have identified cross-sectional associations between IPV victimization and smoking, longitudinal research remains limited. This study investigated the association between IPV victimization and smoking initiation and cessation among Korean adults.

Methods

This study included adult participants from the Korean Welfare Panel Study 2009–2023 (n = 13,450; observations = 108,932). Experiences of non-physical and overt physical IPV within the past year were assessed. The outcome measure was the incidence of smoking initiation and cessation in the following year. Generalized estimating equations were used to account for repeated measures. Odds ratios and 95% confidence intervals (CIs) were calculated to represent the associations.

Results

Among the overall sample, individuals exposed to non-physical or physical IPV had 1.36-fold (95% CI: 1.18–1.56) and 2.69-fold (95% CI: 1.77–4.08) higher odds of smoking initiation, respectively, compared to those not exposed to IPV. Furthermore, verbal IPV, threats of physical IPV, and physical IPV were associated with 1.43-fold (95% CI: 1.24–1.63), 1.74-fold (95% CI: 1.26–2.39), and 2.44-fold (95% CI: 1.60–3.72) increased odds of smoking initiation, respectively. These associations were observed in both men and women. However, no clear association was found between IPV and smoking cessation in the subsequent years.

Conclusion

This study demonstrates that individuals who experienced IPV had an increased likelihood of smoking initiation one year after exposure. Consequently, policy interventions aimed at preventing IPV are warranted.

背景：亲密伴侣暴力（IPV）是一个全球性的公共卫生问题。虽然一些研究已经确定了IPV受害与吸烟之间的横断面关联，但纵向研究仍然有限。本研究调查了韩国成年人中IPV受害与吸烟开始和戒烟之间的关系。方法：本研究纳入了2009-2023年韩国福利委员会研究的成年参与者（n = 13,450；观察 = 108,932）。评估过去一年内的非物质性和显性物质性IPV经历。结果测量是第二年开始吸烟和戒烟的发生率。使用广义估计方程来解释重复测量。计算比值比和95%置信区间（ci）来表示相关性。结果：在整个样本中，与未暴露于IPV的个体相比，暴露于非物理或物理IPV的个体开始吸烟的几率分别高出1.36倍（95% CI: 1.18-1.56）和2.69倍（95% CI: 1.77-4.08）。此外，言语IPV、身体IPV威胁和身体IPV分别与1.43倍（95% CI: 1.24-1.63）、1.74倍（95% CI: 1.26-2.39）和2.44倍（95% CI: 1.60-3.72）增加的吸烟开始几率相关。这些关联在男性和女性身上都观察到了。然而，在随后的几年里，IPV和戒烟之间没有明显的联系。结论：本研究表明，经历过IPV的个体在接触一年后开始吸烟的可能性增加。因此，有必要采取旨在预防IPV的政策干预措施。

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引用次数: 0

Social norms modulate asymmetric effects of group opinions on cue-induced smoking craving 社会规范调节群体意见对提示诱导的吸烟渴望的不对称效应

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-01-25 DOI: 10.1016/j.addbeh.2026.108623

Woojin Jung , HeeYoung Seon , Sunhae Sul , Dongil Chung

The social environment is an important predictor of smoking behavior. However, it remains unknown if social factors shape beliefs about whether certain cues trigger their urge to smoke, known as cue-induced smoking craving. Across two studies (total N = 300), we investigated whether group opinions influence cue-induced smoking craving in current- and past-smokers. Individuals rated their level of craving for each presented image, followed by exposure to group opinions. In Study 1, we found that individuals’ smoking craving shifted in response to group opinions, with stronger conformity to lower group opinions compared with equal or higher group opinions. Study 2, a pre-registered follow-up study, replicated these findings and further demonstrated that biased social norms modulate the degree of social influence on smoking craving. Specifically, individuals conformed more to low group opinions when biased social norms favored low ratings, and to high group opinions when norms favored high ratings. Our data demonstrate that group opinions can influence cue-induced smoking craving, highlighting the pivotal role of the social environment in shaping smoking-related beliefs and, consequently, smoking behavior.

社会环境是吸烟行为的重要预测因素。然而，社会因素是否会影响人们对某些线索是否会引发吸烟冲动的看法，即线索诱导吸烟渴望，目前尚不清楚。在两项研究中（总N = 300），我们调查了群体意见是否影响当前和过去吸烟者的线索诱导的吸烟渴望。被试对每一张图片的渴望程度打分，然后再看群体意见。在研究1中，我们发现个体的吸烟渴望随着群体意见的变化而变化，与同等或更高的群体意见相比，个体对低群体意见的遵从性更强。研究2是一项预先登记的随访研究，重复了这些发现，并进一步证明有偏见的社会规范调节了社会对吸烟渴望的影响程度。具体来说，当有偏见的社会规范倾向于低评分时，个体更倾向于低群体意见，而当规范倾向于高评分时，个体更倾向于高群体意见。我们的数据表明，群体意见可以影响线索诱导的吸烟渴望，突出了社会环境在塑造吸烟相关信念以及吸烟行为方面的关键作用。

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引用次数: 0

Trends in US adolescent cannabis use, 1991–2023 1991-2023年美国青少年大麻使用趋势。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-02-08 DOI: 10.1016/j.addbeh.2026.108634

Stephen M. Amrock , Agata J. Sajkiewicz

Background and objectives

Cannabis use remains a major concern for adolescent health. Monitoring adolescent cannabis use trends and whether demographic subgroups might be differentially impacted remains important for public health planning.

Methods

Data from the 1991–2023 Youth Risk Behavior Survey (YRBS), a biennial school-based survey representative of US high school students, were analyzed. Cross-tabulations and logistic regression models were calculated to examine lifetime, recent, and early-age cannabis use. Trends in cannabis use were examined by sex and race/ethnicity.

Results

Across different demographic groups, adolescent cannabis use rates have largely followed a similar inverted-U pattern, with rates peaking in 1999 and subsequently declining. Lifetime cannabis use decreased from 47.3% (95% CI: 44.5–50.2%) in 1999 to 30.1% (95% CI: 27.8–32.3%) in 2023. Recent use declined from 27.1% (95% CI: 24.6–29.6%) to 17.8% (95% CI: 16.2–19.4%). Early-age initiation declined from 11.5% (95% CI: 9.7–13.3%) to 6.5% (95% CI: 4.7–8.4%). A significant gender shift occurred: while males historically reported higher rates, in 2023, females demonstrated higher prevalence of both lifetime (33.4% vs. 27.0%) and recent use (19.4% vs. 16.4%). Consistent racial/ethnic differences persisted, with Asian adolescents reporting consistently lower prevalence and non-Hispanic Black and Hispanic adolescents reporting higher rates across most metrics.

Conclusion

Rates of lifetime, recent, and early-age cannabis rose through the 1990s, peaked around 1999, and have since declined. Where males formerly reported higher cannabis use rates, females now report higher rates of lifetime and recent cannabis use. Such convergence, noted to be robust across racial/ethnic groups, merits further study.

背景和目标：大麻使用仍然是青少年健康的一个主要问题。监测青少年大麻使用趋势以及人口亚群体是否可能受到不同程度的影响，对公共卫生规划仍然很重要。方法：对1991-2023年青少年危险行为调查（YRBS）的数据进行分析，该调查是一项两年一次的以学校为基础的美国高中生调查。计算交叉表和逻辑回归模型来检查终生、近期和早期大麻使用情况。大麻使用趋势按性别和种族/民族进行了审查。结果：在不同的人口群体中，青少年大麻使用率在很大程度上遵循类似的倒u型模式，其使用率在1999年达到峰值，随后下降。终生大麻使用率从1999年的47.3%（95%置信区间：44.5-50.2%）下降到2023年的30.1%（95%置信区间：27.8-32.3%）。最近的使用率从27.1% （95% CI: 24.6-29.6%）下降到17.8% （95% CI: 16.2-19.4%）。早期启蒙从11.5% （95% CI: 9.7-13.3%）下降到6.5% （95% CI: 4.7-8.4%）。发生了显著的性别变化：虽然男性在历史上报告的发病率较高，但在2023年，女性的终生患病率（33.4%对27.0%）和近期使用率（19.4%对16.4%）均较高。种族/民族差异持续存在，在大多数指标中，亚洲青少年报告的患病率始终较低，非西班牙裔黑人和西班牙裔青少年报告的患病率较高。结论：终身、近期和早期吸食大麻的比例在20世纪90年代上升，在1999年左右达到顶峰，此后下降。以前男性报告的大麻使用率较高，现在女性报告的终生和近期大麻使用率较高。这种趋同在不同种族/民族群体中表现强劲，值得进一步研究。

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引用次数: 0

Parental sociodemographic profiles in relation to mental health, cannabis use motives, and cannabis use behaviors among a sample of US young adult parents 美国年轻成年父母样本中与心理健康、大麻使用动机和大麻使用行为相关的父母社会人口学概况

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-02-07 DOI: 10.1016/j.addbeh.2026.108635

Katelyn F. Romm , Morgan Speer , Darcey M. McCready , Shriya Thakkar , Rishika Chakraborty , Patricia A. Cavazos-Rehg , Carla J. Berg

Introduction

Although past-month cannabis use has increased among US parents, little work has identified factors associated with parental use.

Methods

We analyzed 2023 survey data from 1,247 US young adult parents. Latent class analysis (LCA) identified sociodemographic profiles of age, number of children, education, marital status, employment, and sex. Multivariable regressions examined associations between class, depressive/anxiety symptoms, and past-month cannabis use among all participants; and class, depressive/anxiety symptoms, cannabis use motives, use frequency, consequences, and driving under the influence (DUI) of cannabis among those reporting past-month use.

Results

LCA identified 4 classes: Class 1 (‘older married males with ≥ Bachelor’s degree, full-time employment, 1–2 children’, 18.4%); Class 2 (‘younger single/cohabitating females with < Bachelor’s degree, 1–2 children’, 37.9%); Class 3 (‘older married females with 1–3+ children’, 30.3%); and Class 4 (‘older single/cohabitating females with < Bachelor’s degree, 3+ children’ 13.3%). Among all parents, Class 2 and 4 (vs. 1) displayed higher odds of cannabis use; Class 2 displayed higher odds of depressive/anxiety symptoms, which were associated with past-month use. Among those reporting past-month use; Class 2 and 3 (vs. 1) displayed more frequent use and greater coping motives; coping motives were associated with more frequent use. Class 1 displayed greatest risk of use consequences and DUI of cannabis.

Conclusions

Findings provide preliminary insights into parents most likely to use cannabis and experience consequences, highlighting the need for public health prevention/interventions that provide these parents with alternative coping resources.

导读：虽然过去一个月的大麻使用在美国父母中有所增加，但很少有工作确定与父母使用相关的因素。方法：我们分析了来自1247名美国年轻成年父母的2023份调查数据。潜在类别分析（LCA）确定了年龄、子女数量、教育程度、婚姻状况、就业和性别等社会人口统计资料。多变量回归检验了所有参与者的阶级、抑郁/焦虑症状和过去一个月大麻使用情况之间的关系；报告过去一个月吸食大麻者的类别、抑郁/焦虑症状、吸食大麻动机、吸食频率、后果和酒后驾驶。结果：LCA识别出4个类别：1类（“大龄已婚男性，学士以上学历，全职工作，1-2名子女”，占18.4%）；结论：研究结果为最有可能使用大麻和经历后果的父母提供了初步见解，强调了公共卫生预防/干预的必要性，为这些父母提供了替代的应对资源。

{"title":"Parental sociodemographic profiles in relation to mental health, cannabis use motives, and cannabis use behaviors among a sample of US young adult parents","authors":"Katelyn F. Romm , Morgan Speer , Darcey M. McCready , Shriya Thakkar , Rishika Chakraborty , Patricia A. Cavazos-Rehg , Carla J. Berg","doi":"10.1016/j.addbeh.2026.108635","DOIUrl":"10.1016/j.addbeh.2026.108635","url":null,"abstract":"<div><h3>Introduction</h3><div>Although past-month cannabis use has increased among US parents, little work has identified factors associated with parental use.</div></div><div><h3>Methods</h3><div>We analyzed 2023 survey data from 1,247 US young adult parents. Latent class analysis (LCA) identified sociodemographic profiles of age, number of children, education, marital status, employment, and sex. Multivariable regressions examined associations between class, depressive/anxiety symptoms, and past-month cannabis use among all participants; and class, depressive/anxiety symptoms, cannabis use motives, use frequency, consequences, and driving under the influence (DUI) of cannabis among those reporting past-month use.</div></div><div><h3>Results</h3><div>LCA identified 4 classes: Class 1 (‘older married males with ≥ Bachelor’s degree, full-time employment, 1–2 children’, 18.4%); Class 2 (‘younger single/cohabitating females with < Bachelor’s degree, 1–2 children’, 37.9%); Class 3 (‘older married females with 1–3+ children’, 30.3%); and Class 4 (‘older single/cohabitating females with < Bachelor’s degree, 3+ children’ 13.3%). Among all parents, Class 2 and 4 (vs. 1) displayed higher odds of cannabis use; Class 2 displayed higher odds of depressive/anxiety symptoms, which were associated with past-month use. Among those reporting past-month use; Class 2 and 3 (vs. 1) displayed more frequent use and greater coping motives; coping motives were associated with more frequent use. Class 1 displayed greatest risk of use consequences and DUI of cannabis.</div></div><div><h3>Conclusions</h3><div>Findings provide preliminary insights into parents most likely to use cannabis and experience consequences, highlighting the need for public health prevention/interventions that provide these parents with alternative coping resources.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"176 ","pages":"Article 108635"},"PeriodicalIF":3.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gambling participation and risk over time associated with type of gambling activity: Trends in Australian general population 2015–2022 与赌博活动类型相关的赌博参与和风险：2015-2022年澳大利亚普通人口的趋势。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-01-27 DOI: 10.1016/j.addbeh.2026.108618

Miranda R. Chilver , Peter Butterworth , Aino Suomi

There is limited longitudinal data examining national gambling trends in Australia. This study examines longitudinal trends in gambling participation and higher-risk gambling in Australia from 2015 to 2022 using data from the nationally representative Household Income and Labour Dynamics in Australia (HILDA) panel study. Study participants were HILDA respondents aged 15 and older in 2015, 2018, or 2022 who completed the Problem Gambling Severity Index (PGSI; N = 44,836 observations). Gambling participation was based on self-reported typical monthly expenditure on 10 gambling activities. Gambling risk was assessed using the 9-item PGSI and categorised as low-risk (0–2) or higher-risk (3+) gambling. Age and sex were included as socio-demographic variables. The results indicated that monthly gambling participation declined from 37.1% in 2015 to 32.9% in 2022 but levels of higher-risk gambling did not reduce at the same rate. Higher-risk gambling was independently associated with participation in electronic gaming machines (EGMs; OR = 8.0, p < 0.001), race betting (OR = 2.3, p < 0.001) and sports betting (OR = 1.5, p = 0.01). These were the most popular forms of gambling among those aged under 25. Although overall gambling participation in Australia has declined to 2022, this did not result in a reduction to higher-risk gambling. Young adults were the least likely to gamble, but show disproportionate participation in EGMs, race, and sports betting, and an increasing rate of higher-risk gambling.

有有限的纵向数据检查全国赌博趋势在澳大利亚。本研究使用来自澳大利亚全国代表性家庭收入和劳动力动态（HILDA）小组研究的数据，研究了2015年至2022年澳大利亚赌博参与和高风险赌博的纵向趋势。研究参与者是2015年、2018年或2022年15岁及以上的HILDA受访者，他们完成了问题赌博严重程度指数（PGSI; N = 44,836个观察值）。参与赌博的情况是基于自我报告的10项赌博活动的典型每月支出。赌博风险使用9项PGSI进行评估，并分为低风险（0-2）或高风险（3+）赌博。年龄和性别被纳入社会人口变量。结果表明，每月的赌博参与率从2015年的37.1%下降到2022年的32.9%，但高风险赌博的水平并没有以同样的速度下降。高风险赌博与参与电子游戏机独立相关(egm; OR = 8.0, p

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引用次数: 0

CBD, cannabis, or both? Examining use patterns and associated factors among U.S. youth and adults CBD，大麻，还是两者都有？研究美国青少年和成年人的使用模式和相关因素。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2026-05-01 Epub Date: 2026-01-22 DOI: 10.1016/j.addbeh.2026.108622

Hongying Daisy Dai , Troy B. Puga

Background

Cannabis and cannabidiol (CBD) use have grown recently among U.S. adults, yet little is known about their exclusive or combined use at the population level. This study sought to assess the prevalence and contributing factors of distinct use patterns.

Methods

Data from the 2023 National Survey of Drug Use and Health study were analyzed for adolescents (12–17,n = 11,572) and adults (18+,n = 45,133). Past-month cannabis and CBD use over the past 30 days, including patterns (non-use, exclusive, and dual-use), were reported and associated factors were examined by multinomial regressions.

Results

In 2023, 15.4% and 9.8% of participants reported past-month cannabis and CBD use, respectively; while 8.9, 3.4%, and 6.4% reported exclusive cannabis use, exclusive CBD use, and dual-use, respectively. Cannabis and CBD use were most common among individuals aged 18–34, while dual use was highest in 18–25-year-olds (10.8%). Exclusive cannabis use peaked in 26–34-year-olds (14.8%), and exclusive CBD use was most prevalent in adults 65+ (5.0%). Youth females (vs. males) and those living above the poverty line (vs. in poverty) were more likely to report exclusive CBD use. Adolescents with fair or poor health (vs. excellent/good) were more likely to report exclusive cannabis (AOR = 3.2,p < 0.001), exclusive CBD (AOR = 3.0,p = 0.002), and dual-use (AOR = 3.0, p < 0.001). Based on adolescent regression results, state medical cannabis legalization was associated with higher exclusive cannabis use(AOR = 1.8,p = 0.01). Based on adult regression results, state medical cannabis legalization was associated with higher exclusive cannabis use (AOR = 1.5, p < 0.001) and dual-use (AOR = 1.5, p < 0.001).

Conclusions

Cannabis and CBD use exhibited distinct usage patterns. As cannabis legalization policies continue to evolve, public health professionals should focus on tailored interventions to mitigate potential side effects associated with complex cannabis use.

背景：大麻和大麻二酚（CBD）的使用最近在美国成年人中有所增长，但在人口水平上对它们的单独或联合使用知之甚少。本研究旨在评估不同使用模式的流行程度和影响因素。方法：分析2023年全国药物使用与健康调查的青少年（12-17岁，n = 11572）和成人（18岁以上，n = 45133）的数据。报告了过去30天内过去一个月的大麻和CBD使用情况，包括模式（不使用、专用和双重使用），并通过多项回归检查了相关因素。结果：2023年，15.4%和9.8%的参与者分别报告了过去一个月的大麻和CBD使用情况；而分别有8.9、3.4%和6.4%的人表示专门使用大麻、专门使用CBD和两用。大麻和CBD的使用在18-34岁的人群中最常见，而双重使用在18-25岁的人群中最高（10.8%）。独家大麻使用在26-34岁的人群中达到顶峰（14.8%），独家CBD使用在65岁以上的成年人中最为普遍（5.0%）。年轻女性（相对于男性）和生活在贫困线以上（相对于贫困）的人更有可能报告独家使用CBD。健康状况一般或较差的青少年（与优秀/良好相比）更有可能报告独家大麻（AOR = 3.2,p）。随着大麻合法化政策的不断发展，公共卫生专业人员应侧重于有针对性的干预措施，以减轻与复杂的大麻使用有关的潜在副作用。

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引用次数: 0