Addictive behaviors最新文献_第2页

The association between pain and negative alcohol-related consequences among college students engaged in binge drinking: The moderating role of reward and relief drinking motives

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-08 DOI: 10.1016/j.addbeh.2025.108287

Faith Holmes , Luke Herchenroeder , Victoria R. Votaw , Tessa Frohe , Ellen W. Yeung

Binge drinking, defined as consuming 4 or more drinks for females and 5 or more for males within a two-hour timeframe, is common among college students and associated with harmful health outcomes. Similarly, pain is prevalent in this population and can negatively affect students’ psychological, social, and academic functioning. However, the limited research examining associations between pain and alcohol-related constructs among college students has yielded inconsistent results. Individual differences in levels of reward and relief drinking motives (i.e., drinking in response to positive affect/social situations versus negative affect/stressful situations) may contribute to the complex, heterogeneous nature of these associations. The aim of the present study was to examine the moderating effects of reward and relief drinking on the association between pain and alcohol-related negative consequences in college students who binge drink. Participants were 436 college students who had engaged in past-month binge drinking. Most participants identified as White (66.7 %) and female (78.2 %), with a mean age of 19.62 (SD = 1.56) years. Results revealed significant moderating effects of both reward and relief motives on the association between pain at time 1 and alcohol-related negative consequences at time 2. In participants with either higher levels of relief or lower levels of reward drinking greater pain was significantly associated with a higher number of alcohol-related negative consequences. In participants demonstrating higher levels of reward drinking, greater pain was significantly associated with a lower number of alcohol-related negative consequences. Our work indicates targeting pain as a possible intervention to prevent alcohol-related negative consequences among those who report lower levels of reward or higher levels of relief drinking.

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引用次数: 0

Using Latent Class Analysis to Examine Polysubstance Use Patterns in Adolescents Aged 10-18: A Systematic Review

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-06 DOI: 10.1016/j.addbeh.2025.108281

Neha Skandan , Martin Hochheimer , Jacob White , Robert S LeComte , Emma Pattillo , Andrew S Huhn , Jennifer D Ellis

Purpose

Over half of substance use disorder (SUD) cases develop from substance use during adolescence. Studies have used latent class analysis (LCA) to determine adolescent polysubstance use patterns. This systematic review aims to provide an updated characterization of studies that examine patterns of adolescent polysubstance use.

Methods

This paper is part of a two-part systematic review examining patterns of polysubstance use. This review focuses on the adolescent literature, which includes study samples with mean age up to 18 years.

Results

A majority of the N=54 studies were conducted in the United States. Sample sizes (N=98 to N=418,702), number of substances used as indicators (3 to 15), and number of latent classes extracted (2 to 6) varied per study. Analyses with larger sample sizes tended to extract a greater number of latent classes (Spearman’s rho = .274, p = .022). The mean ages of samples (Spearman’s rho = .255, p = .181) nor the utilization of more substances as indicators (Spearman’s rho = 0.021, p = .861) were associated with the number of classes extracted. The Bayesian Information Criterion was the most used statistical fit index for the latent classes.

Discussion

Substantial heterogeneity existed regarding study methodologies, LCA solutions, and statistical measures. Analyses focusing on niche population samples tended to highlight patterns involving less commonly used substances among adolescents. Future studies should expand on the types of substances used as indicators to explore how polysubstance use patterns are influenced by unique geographical communities.

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引用次数: 0

Single and multiple tobacco product use among people with disabilities: Findings from the National Health Interview Survey, 2019–2022

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-05 DOI: 10.1016/j.addbeh.2025.108283

Jonathan A. Schulz , Ollie Ganz , Dana Rubenstein , Julia C. West , Elias M. Klemperer

Introduction

People with disabilities, approximately 25 % of the population, have a higher prevalence of smoking cigarettes and using various tobacco products; however, little is known about multiple tobacco product (MTP) use among this population. This study assessed patterns of MTP use among people with disabilities.

Methods

Data from the 2019–2022 National Health Interview Study were analyzed to estimate the prevalence of single tobacco, MTP, and specific combinations of MTP (multiple combusted, combusted and non-combusted) use among adults with any disability and six disability domains (cognitive, communication, hearing, mobility, self-care, vision). Multinomial logistic regression models examined the association between MTP use and disability status.

Results

People with any disability had higher odds of single tobacco product use (aOR = 1.35; 95 % CI 1.26, 1.45) and MTP use (aOR = 1.81; 95 % CI 1.57, 2.09) compared to those without any disability, which included multiple combusted use (aOR = 2.01; 95 % CI 1.62, 2.51) and multiple combusted/non-combusted use (aOR = 1.70; 95 % CI 1.43, 2.02). Higher odds of multiple combusted use were also found among those with cognitive, hearing, mobility, and vision disabilities and higher odds of multiple combusted/non-combusted use were found among those with cognitive and vision disabilities compared to those without the respective disability.

Conclusion

People with disabilities have higher odds of MTP use and therefore may be exposed to more toxicants and at risk for more severe nicotine dependence than those without a disability. Future research should investigate reasons for MTP use in this population and tailored cessation interventions may need to account for MTP use.

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引用次数: 0

The relationship between parental affective disorders and digital addiction in children and adolescents: A systematic review and meta-analysis

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-04 DOI: 10.1016/j.addbeh.2025.108282

Qian Li , Yebo Yu , Xin Wang , Samuel Yeung-shan Wong , Xue Yang

Background and aims

This study aims to comprehensively evaluate the correlation between parental affective disorders and four common digital addiction in children and adolescents.

Methods

The research was conducted in MEDLINE, PsycINFO, Embase, CINAHL, and Web of Science. The meta-analysis included studies focusing on parental affective disorders and digital addiction to the Internet, smartphones, social media, and gaming among children and adolescents, using longitudinal, cohort, or cross-sectional study designs, and reporting correlation effect sizes or other data that could be converted to correlation r. Pooled Pearson’s correlations were calculated using the random-effect model.

Results

Nineteen studies were included (sample sizes ranged from 104 to 4,385), with ten on gaming addiction, four on smartphone addiction, three on Internet addiction, and two on social media addiction. The meta-analysis revealed a small but significant correlation (pooled r [95 %CI] = 0.15 [0.11–0.19]) between parental affective disorders and digital addiction in children and adolescents. This correlation was stronger in studies focusing on offspring’s smartphone addiction (r [95 %CI] = 0.25 [0.17, 0.33]), and studies conducted in Asia (r [95 %CI] = 0.17 [0.12, 0.22]), and increased slightly from 0.09 to 0.10 to 0.15–0.16 by years in 2017 and 2024.

Discussion and Conclusions

Parental affective disorders were positively correlated with offspring’s digital addiction, particularly on smartphone addiction and in Asian families. Improving parental mental health as a complementary strategy of clinical treatments might be more effective in reducing digital addiction in offspring. Further research is needed to explore the potential underlying mechanisms to gain a deeper understanding.

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引用次数: 0

Cannabis use across the menstrual cycle: The impact of negative affect and cannabis use motives

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-04 DOI: 10.1016/j.addbeh.2025.108284

Paige E. Morris, Paul L. Soto, Julia D. Buckner

Women experience greater state negative affect (NA) and physical symptoms during the premenstrual and menstrual phases of the menstrual cycle. Although women use more cannabis during the premenstrual and menstrual phases, no known studies have tested whether this is due to the synergistic effects of heightened NA and using cannabis to cope with increased NA or physical symptoms. This study tested whether state NA interacts with cannabis motives to predict more frequent cannabis use during these phases. Normally cycling women who endorsed past-month cannabis use (N = 40) retrospectively reported NA, cannabis use, and motives for 65 days. Cannabis use was more frequent during the premenstrual (but not menstrual) phase, and cannabis use to manage physical pain/discomfort (physical motives) was greater in the menstrual (but not premenstrual) phase. There were significant interactions between phase, state NA (depression and anger, in separate models), and coping and physical motives. Among women with higher state depression, coping motives were associated with more frequent cannabis use in the ovulatory phase whereas among women with lower state depression, coping motives were associated with more frequent cannabis use in the premenstrual phase. Among women with lower (but not higher) state anger, coping motives were associated with greater cannabis use frequency in the premenstrual phase. Among women with higher state NA, physical motives were associated with more frequent cannabis use in the menstrual (but not premenstrual) phase. Findings support that state NA interacts with motives during high-risk phases and is differentially related to more frequent cannabis use, which has important clinical implications.

{"title":"Cannabis use across the menstrual cycle: The impact of negative affect and cannabis use motives","authors":"Paige E. Morris, Paul L. Soto, Julia D. Buckner","doi":"10.1016/j.addbeh.2025.108284","DOIUrl":"10.1016/j.addbeh.2025.108284","url":null,"abstract":"<div><div>Women experience greater state negative affect (NA) and physical symptoms during the premenstrual and menstrual phases of the menstrual cycle. Although women use more cannabis during the premenstrual and menstrual phases, no known studies have tested whether this is due to the synergistic effects of heightened NA and using cannabis to cope with increased NA or physical symptoms. This study tested whether state NA interacts with cannabis motives to predict more frequent cannabis use during these phases. Normally cycling women who endorsed past-month cannabis use (<em>N</em> = 40) retrospectively reported NA, cannabis use, and motives for 65 days. Cannabis use was more frequent during the premenstrual (but not menstrual) phase, and cannabis use to manage physical pain/discomfort (physical motives) was greater in the menstrual (but not premenstrual) phase. There were significant interactions between phase, state NA (depression and anger, in separate models), and coping and physical motives. Among women with higher state depression, coping motives were associated with more frequent cannabis use in the ovulatory phase whereas among women with lower state depression, coping motives were associated with more frequent cannabis use in the premenstrual phase. Among women with lower (but not higher) state anger, coping motives were associated with greater cannabis use frequency in the premenstrual phase. Among women with higher state NA, physical motives were associated with more frequent cannabis use in the menstrual (but not premenstrual) phase. Findings support that state NA interacts with motives during high-risk phases and is differentially related to more frequent cannabis use, which has important clinical implications.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108284"},"PeriodicalIF":3.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350712","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

Age of onset of adolescent alcohol use with parental permission and its impact on drinking and alcohol-harms in young adulthood: A longitudinal study

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-02 DOI: 10.1016/j.addbeh.2025.108271

Bernard Pereda, Nathaniel Caluda-Perdue, Samuel Levy, Lillianna Zhang, Craig R. Colder

Parental permission to use alcohol is common in adolescence, and many parents believe it to be an effective harm reduction strategy because it provides an opportunity to supervise drinking. Contrary to this belief, prior research has consistently linked parental provision of alcohol and permission to drink to increases in future alcohol-related harms. Whether the age of onset of parental permission to use alcohol influences these outcomes is poorly understood. This study is the first to investigate the impact of age of onset of parental permission to use alcohol on later drinking outcomes, utilizing a longitudinal US community sample of adolescents (n = 387). The analysis included nine annual waves of data and accounted for risk and protective factors at the individual, peer, and family levels. Consistent with prior research, a robust relationship was found between parental permission to use alcohol during adolescence and increased alcohol use frequency and quantity, alcohol use disorder symptoms, and alcohol-related harms in young adulthood. Age of onset of parental permission was not associated with later alcohol use outcomes, suggesting a uniform risk effect of parental permission to drink. Public health messaging to parents should seek to correct perceptions of supervised alcohol use as a harm reduction strategy and emphasize the harm of parental permission to use alcohol, regardless of age.

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引用次数: 0

The correlation between mindfulness and problematic smartphone use: A meta-analysis

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-02 DOI: 10.1016/j.addbeh.2025.108272

Yangshu Ru , Hassan C. Norlizah , Nur Aimi Nasuha Burhanuddin , Huange Liu , Jingyi Dong

Objectives

In the modern era of constant digital technological advancements, problematic smartphone use has become a key issue in educational psychology. This phenomenon affects individual psychological well-being and academic or other performance and encompasses interpersonal relationships and societal aspects, divulging the intricate correlation between technology usage and human behavior. This study aims to explore mindfulness as an intervention measure to lessen problematic smartphone use.

Methods

Based on the PRISMA method, this study used a meta-analytic approach to explore the relationship between mindfulness and problematic smartphone use systematically. Systematic literature searches for papers published before February 2024 yielded 29 studies, including 17,534 individuals and 30 effect sizes. The sample comprised participants from Eastern cultures (n = 22 studies) and Western cultures (n = 8 studies).

Results

The meta-analysis revealed a significant negative correlation between mindfulness and problematic smartphone use (r = −0.399, 95 % CI [−0.457, −0.338], p < 0.001). Moderator analyses revealed the strongest relationship when using the Child and Adolescent Mindfulness Measure (CAMM) (r = −0.498), while the Five Facet Mindfulness Questionnaire (FFMQ) showed the weakest (r = −0.245). Cultural background analyses indicated stronger effects in Eastern cultures (r = −0.428) compared to Western cultures (r = −0.316). Gender analyses revealed stronger effects among female participants (β = −0.510, p < 0.05).

Conclusion

These findings demonstrate that mindfulness serves as an effective approach to addressing problematic smartphone use. The significant moderating effects identified have important implications for the implementation of mindfulness-based interventions in educational settings.

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引用次数: 0

Family incarceration and adolescent nicotine, alcohol, and cannabis use: A coarsened exact matching approach

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-01 DOI: 10.1016/j.addbeh.2025.108270

Myriam Forster , Abnous Shaverdi , Xiao Zhang , Claudia M Toledo-Corral , Timothy J Grigsby

Introduction

Evidence overwhelmingly indicates that adverse childhood experiences (ACE), a set of highly correlated traumatic events experienced before age 18, increase risk for adolescent substance use. However, few studies have examined the association of family/household member incarceration (FI) and early substance use initiation (≤14 years old) and past 30-day substance use accounting for other ACE, demographic characteristics, and socio-economic status. To fill this gap, we used a matching method to explore the unique effect of FI on early substance use initiation and past 30-day use among diverse adolescents.

Methods

Data are baseline survey responses of high school students enrolled in the first year of a longitudinal school-based study. After matching youth on key characteristics to create balanced groups of exposed and non-exposed respondents, logistic regression models assessed the association between FI and early initiation of alcohol and cannabis use and past 30-day nicotine, alcohol and cannabis use.

Results

Exposure to FI was significantly associated with higher odds of early initiation of alcohol (OR = 2.54, 95 % CI: 1.64–3.90) and cannabis (OR = 1.63, 95 % CI: 1.03–2.59) use and past 30-day alcohol (OR = 2.11, 95 % CI: 1.50–2.94), nicotine, (OR = 1.72, 95 % CI: 1.21–2.45) and cannabis (OR = 1.71, 95 % CI: 1.17–2.48) use.

Conclusion

Despite advocacy and criminal justice reform initiatives, generations of families in vulnerable communities navigate the complexities of arrest, incarceration, and reintegration with few supports or initiatives for impacted youth. Our findings point towards the need and potential benefit of prevention programs and services, especially upstream prevention efforts, for this youth population.

{"title":"Family incarceration and adolescent nicotine, alcohol, and cannabis use: A coarsened exact matching approach","authors":"Myriam Forster , Abnous Shaverdi , Xiao Zhang , Claudia M Toledo-Corral , Timothy J Grigsby","doi":"10.1016/j.addbeh.2025.108270","DOIUrl":"10.1016/j.addbeh.2025.108270","url":null,"abstract":"<div><h3>Introduction</h3><div>Evidence overwhelmingly indicates that adverse childhood experiences (ACE), a set of highly correlated traumatic events experienced before age 18, increase risk for adolescent substance use. However, few studies have examined the association of family/household member incarceration (FI) and early substance use initiation (≤14 years old) and past 30-day substance use accounting for other ACE, demographic characteristics, and socio-economic status. To fill this gap, we used a matching method to explore the unique effect of FI on early substance use initiation and past 30-day use among diverse adolescents.</div></div><div><h3>Methods</h3><div>Data are baseline survey responses of high school students enrolled in the first year of a longitudinal school-based study. After matching youth on key characteristics to create balanced groups of exposed and non-exposed respondents, logistic regression models assessed the association between FI and early initiation of alcohol and cannabis use and past 30-day nicotine, alcohol and cannabis use.</div></div><div><h3>Results</h3><div>Exposure to FI was significantly associated with higher odds of early initiation of alcohol (OR = 2.54, 95 % CI: 1.64–3.90) and cannabis (OR = 1.63, 95 % CI: 1.03–2.59) use and past 30-day alcohol (OR = 2.11, 95 % CI: 1.50–2.94), nicotine, (OR = 1.72, 95 % CI: 1.21–2.45) and cannabis (OR = 1.71, 95 % CI: 1.17–2.48) use.</div></div><div><h3>Conclusion</h3><div>Despite advocacy and criminal justice reform initiatives, generations of families in vulnerable communities navigate the complexities of arrest, incarceration, and reintegration with few supports or initiatives for impacted youth. Our findings point towards the need and potential benefit of prevention programs and services, especially upstream prevention efforts, for this youth population.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108270"},"PeriodicalIF":3.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Significant wins and their impacts: Predictors of problem gambling in French and Polish national samples

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-29 DOI: 10.1016/j.addbeh.2025.108266

Bernadeta Lelonek-Kuleta , Marie-Line Tovar , Rafał P. Bartczuk , Jean-Michel Costes

Aim

We examined the role of significant win experiences alongside psychosocial factors in the risk of problem gambling.

Participants

The study involved adult pure-chance gamblers from representative Polish (n = 3143) and French samples (n = 5692).

Measurements

The questionnaire encompassed socio-demographic details, gambling behaviours, significant win experiences, gambling motivation, and problem gambling.

Design & setting

Logistic regression analyses unveiled universal and country-specific factors significantly linked to problem-gambling risk.

Findings

Universal factors comprised gender (lower risk among females), age (higher risk for ages 35+), household income (negative association), current and past debt (positive association), type of gambling game (higher risk for games other than lotteries), and gambling frequency (positive association). Risk factors also encompassed heightened coping and social motivations to gamble, while the financial motivation inversely correlated with risk. Inter-country differences featured significant wins in the player’s environment, associated with problem-gambling risk only among the French. Then, only the highest amounts spent on gambling in the French group correlated with problem gambling, while lower amounts in the Polish group also did. Notably, a higher problem-gambling risk was observed in the Polish group compared to the French.

Conclusions

A crucial finding was that significant wins were associated with problem gambling, even when controlling for other essential factors. Our study highlights the role of significant wins, construed as subjective gambler experiences, in fostering problem gambling. This insight suggests the need for a paradigm shift in understanding the role of winning in gambling, representing a risky experience regardless of the objective amount gambled.

{"title":"Significant wins and their impacts: Predictors of problem gambling in French and Polish national samples","authors":"Bernadeta Lelonek-Kuleta , Marie-Line Tovar , Rafał P. Bartczuk , Jean-Michel Costes","doi":"10.1016/j.addbeh.2025.108266","DOIUrl":"10.1016/j.addbeh.2025.108266","url":null,"abstract":"<div><h3>Aim</h3><div>We examined the role of significant win experiences alongside psychosocial factors in the risk of problem gambling.</div></div><div><h3>Participants</h3><div>The study involved adult pure-chance gamblers from representative Polish (<em>n</em> = 3143) and French samples (<em>n</em> = 5692).</div></div><div><h3>Measurements</h3><div>The questionnaire encompassed socio-demographic details, gambling behaviours, significant win experiences, gambling motivation, and problem gambling.</div></div><div><h3>Design & setting</h3><div>Logistic regression analyses unveiled universal and country-specific factors significantly linked to problem-gambling risk.</div></div><div><h3>Findings</h3><div>Universal factors comprised gender (lower risk among females), age (higher risk for ages 35+), household income (negative association), current and past debt (positive association), type of gambling game (higher risk for games other than lotteries), and gambling frequency (positive association). Risk factors also encompassed heightened coping and social motivations to gamble, while the financial motivation inversely correlated with risk. Inter-country differences featured significant wins in the player’s environment, associated with problem-gambling risk only among the French. Then, only the highest amounts spent on gambling in the French group correlated with problem gambling, while lower amounts in the Polish group also did. Notably, a higher problem-gambling risk was observed in the Polish group compared to the French.</div></div><div><h3>Conclusions</h3><div>A crucial finding was that significant wins were associated with problem gambling, even when controlling for other essential factors. Our study highlights the role of significant wins, construed as subjective gambler experiences, in fostering problem gambling. This insight suggests the need for a paradigm shift in understanding the role of winning in gambling, representing a risky experience regardless of the objective amount gambled.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108266"},"PeriodicalIF":3.7,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076517","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

Illegal drug use amongst male UK military personnel who sustained physical combat injuries: The ADVANCE cohort study

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-27 DOI: 10.1016/j.addbeh.2025.108269

Daniel Dyball , Susie Schofield , Alexander N. Bennett , Christopher J. Boos , Anthony M.J. Bull , Nicola T. Fear , on behalf of the ADVANCE Study

Illegal drug use may be a consequence of sustaining a serious physical combat injury, though no known research has investigated this in a UK setting. This analysis utilises the baseline data from a longitudinal cohort (ADVANCE), to assess whether 577 UK military personnel who sustained serious physical combat injuries reported more illegal drug use compared to 565 frequency-matched personnel without such injuries.

Most personnel reported no illegal drug use in the past year (88.7%). Cocaine was the most common drug reported in the past year, followed by cannabis. Injured personnel had greater odds of reporting illegal drug use in the past year compared to the comparison group (injured group: 16.3%, comparison group: 5.4%; Odds Ratio (OR) 3.09 (95% CI 2.03, 5.31)), however, no differences were observed amongst veterans in each group (OR 0.67 (95% CI 0.40, 1.27)). Higher prevalence of illegal drug use was observed amongst those of white ethnic background, lower rank, those who were single, younger, veterans, and those who reported a probable mental illness, suicidal ideation or heavy alcohol use/tobacco use. Veterans who left service at a younger age and with a shorter length of service were also identified as having higher prevalence of illegal drug use.

UK Armed Forces personnel who sustained serious physical combat injuries in Afghanistan report more illegal drug use in the past year compared to demographically similar personnel without serious physical injury. Greater prevalence of illegal drug use was evident in those that left service, with >20 % of veterans reporting illegal drug use in the past year.

{"title":"Illegal drug use amongst male UK military personnel who sustained physical combat injuries: The ADVANCE cohort study","authors":"Daniel Dyball , Susie Schofield , Alexander N. Bennett , Christopher J. Boos , Anthony M.J. Bull , Nicola T. Fear , on behalf of the ADVANCE Study","doi":"10.1016/j.addbeh.2025.108269","DOIUrl":"10.1016/j.addbeh.2025.108269","url":null,"abstract":"<div><div>Illegal drug use may be a consequence of sustaining a serious physical combat injury, though no known research has investigated this in a UK setting. This analysis utilises the baseline data from a longitudinal cohort (ADVANCE), to assess whether 577 UK military personnel who sustained serious physical combat injuries reported more illegal drug use compared to 565 frequency-matched personnel without such injuries.</div><div>Most personnel reported no illegal drug use in the past year (88.7%). Cocaine was the most common drug reported in the past year, followed by cannabis. Injured personnel had greater odds of reporting illegal drug use in the past year compared to the comparison group (injured group: 16.3%, comparison group: 5.4%; Odds Ratio (OR) 3.09 (95% CI 2.03, 5.31)), however, no differences were observed amongst veterans in each group (OR 0.67 (95% CI 0.40, 1.27)). Higher prevalence of illegal drug use was observed amongst those of white ethnic background, lower rank, those who were single, younger, veterans, and those who reported a probable mental illness, suicidal ideation or heavy alcohol use/tobacco use. Veterans who left service at a younger age and with a shorter length of service were also identified as having higher prevalence of illegal drug use.</div><div>UK Armed Forces personnel who sustained serious physical combat injuries in Afghanistan report more illegal drug use in the past year compared to demographically similar personnel without serious physical injury. Greater prevalence of illegal drug use was evident in those that left service, with >20 % of veterans reporting illegal drug use in the past year.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108269"},"PeriodicalIF":3.7,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143304845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0