Addictive behaviors最新文献_第3页

Social attunement and alcohol use: The role of age and gender 社会调节和酒精使用：年龄和性别的作用。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-13 DOI: 10.1016/j.addbeh.2025.108587

Christophe Romein , Karis Colyer-Patel , Emese Kroon , Helle Larsen , Hanan El Marroun , Janna Cousijn

Background

Alcohol use typically peaks during adolescence and early adulthood, when its social reinforcement value is high, and then decreases as individuals take on more adult-like responsibilities. The present study investigates whether social attunement (SA) plays a role in higher alcohol use in adolescence as well as a lower alcohol use when aging.

Methods

This online study included an international sample of 683 alcohol users (16 – 81yrs). Participants completed a SA Questionnaire, an Implicit SA task (ISAT), and measures of alcohol use. The ISAT measured SA as the change in willingness to drink in response to peer feedback between two blocks of images representing social alcohol, social non-alcohol, and social non-drinking settings. Linear regressions were conducted to assess the association between SA and alcohol use, and the role of age and gender in these associations.

Results

Unlike expected, interactions between age and SA did not predict alcohol use across social situations regardless of feedback condition. However, exploratory post-hoc analyses using the total SA score per social condition showed significant interactions between age and SA in predicting alcohol use in social situations involving non-alcoholic or no drinks. In social non-alcohol drinking settings, SA was positively associated with alcohol use among younger participants, but this association became negative in older individuals. Contrastingly, in the social non-drinking condition, SA was negatively associated with alcohol use among younger participants, but this association became positive in older individuals.

Discussion

Depending on age and social setting, SA can both be a risk- or protective factor for alcohol use.

背景：酒精的使用通常在青春期和成年早期达到高峰，此时它的社会强化价值很高，然后随着个人承担更多成年人的责任而减少。本研究调查了社会调节（SA）是否在青春期较高的酒精使用量以及老年时较低的酒精使用量中起作用。方法：这项在线研究包括683名国际酒精使用者（16 - 81岁）的样本。参与者完成了SA问卷、内隐SA任务（ISAT）和酒精使用测量。ISAT测量的SA是在代表社交饮酒、社交非饮酒和社交非饮酒环境的两个图像块之间，根据同伴反馈而产生的饮酒意愿的变化。进行线性回归来评估SA与酒精使用之间的关系，以及年龄和性别在这些关系中的作用。结果：与预期不同的是，无论反馈条件如何，年龄和SA之间的相互作用并不能预测社会情境中的酒精使用情况。然而，使用每个社会条件的SA总分的探索性事后分析显示，年龄和SA在预测非酒精或不饮酒的社会情况下的酒精使用方面存在显著的相互作用。在社会非酒精饮酒环境中，SA与年轻参与者的酒精使用呈正相关，但这种关联在老年人中变为负相关。相反，在社会不饮酒条件下，SA与年轻参与者的酒精使用呈负相关，但这种关联在老年人中变为正相关。讨论：根据年龄和社会环境的不同，SA既可以是酒精使用的风险因素，也可以是保护因素。

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引用次数: 0

Evaluating different patterns of problematic internet use using a unified self-report measure based on the ICD-11 framework: Psychometric properties of the Italian version of the ACSID-11 使用基于ICD-11框架的统一自我报告测量来评估有问题的互联网使用的不同模式：意大利版ACSID-11的心理测量特性。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-11 DOI: 10.1016/j.addbeh.2025.108580

Simon Ghinassi , Giulia Fioravanti , Maria Anna Donati , Caterina Primi , Yura Loscalzo , Silvia Casale

The ACSID-11 was developed to assess five patterns of problematic Internet use—namely, gaming disorder, compulsive online shopping, problematic online pornography use, problematic social networks use, and online gambling disorder—using a unified set of items grounded in the ICD-11 framework. The present study examined the psychometric properties of the Italian version of the ACSID-11. A sample of 1263 participants (76.70 % females, M_age = 40.89, SD = 13.72, range = 18–83) completed the ACSID-11 and was included in the analysis of its factorial structure. A series of Confirmatory Factor Analyses (CFAs) confirmed the assumed four-factorial structure (i.e., Impaired Control, Increased Priority, Continuation/Escalation of Use, Functional Impairment in Daily Life/Marked Distress), which was superior to the unidimensional solution for all the patterns of problematic Internet use. Moreover, the second-order models demonstrated comparable fit to the four-factor solutions and supported the use of an overall composite score. A subsample of 999 participants (76.40 % females, M = 40.59, SD = 13.67, range = 18–83) also completed the Patient Health Questionnaire-9, the General Anxiety Disorder Scale-7, and the Satisfaction with Life Scale, whereas the number of participants who completed the measures used to assess convergent validity varied depending on whether they reported engaging in the corresponding behavior or not. Convergent and criterion validity were supported. These findings suggest that the Italian version of this unified item set is a valid and reliable tool for consistently assessing different patterns of problematic Internet use.

制定ACSID-11是为了评估有问题的互联网使用的五种模式，即游戏障碍、强迫性在线购物、有问题的在线色情使用、有问题的社交网络使用和在线赌博障碍，使用的是基于ICD-11框架的一套统一项目。本研究考察了意大利版ACSID-11的心理测量特性。1263名参与者（76.70%为女性，Mage = 40.89, SD = 13.72, range = 18-83）完成了ACSID-11，并纳入其析因结构分析。一系列验证性因子分析（CFAs）证实了假设的四因子结构（即控制障碍，优先级增加，使用的持续/升级，日常生活功能障碍/明显的痛苦），对于所有有问题的互联网使用模式，这优于单维解决方案。此外，二阶模型显示出与四因素解决方案相当的拟合性，并支持使用综合评分。999名参与者的子样本（76.40%为女性，M = 40.59, SD = 13.67，范围= 18-83）还完成了患者健康问卷-9，一般焦虑障碍量表-7和生活满意度量表，而完成用于评估收敛效度的措施的参与者数量取决于他们是否报告从事相应的行为。支持收敛效度和标准效度。这些发现表明，这个统一项目集的意大利语版本是一个有效和可靠的工具，用于一致地评估不同的有问题的互联网使用模式。

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引用次数: 0

Hippocampal transcranial temporal interference stimulation reduced craving in methamphetamine use disorder 海马经颅颞叶干扰刺激减少甲基苯丙胺使用障碍的渴求

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-11 DOI: 10.1016/j.addbeh.2025.108581

Dongcheng Wang , Zhe Du , Xinwen Wen , Qihan Li , Yi Liu , Junjie Tang , Chunhao Shui , Peijie Yu , Likun Yang , Pengquan Tu , Xin Liu , Cunfeng Yuan , Dahua Yu , Tengfei Ma , Kai Yuan

Background

Craving is a key challenge in treating methamphetamine use disorder (MUD). The memory reconsolidation theory indicates that interference with MUD after drug memory retrieval helps to reduce craving. Previous studies have demonstrated the importance of the hippocampus in memory consolidation, but traditional non-invasive interventions cannot effectively locate and intervene in the hippocampus. Although tTIS can accurately intervene in deep brain regions, it is still unknown whether tTIS intervention on the MUD hippocampus is effective in reducing craving.

Method

A total of 40 male participants with MUD were randomized to active or sham tTIS. Active tTIS delivered a 10 Hz electric field to the hippocampus for 20 min per day over 10 consecutive days, while sham stimulation lasted only 1 min per day during the same period. We also assessed its effects on craving, cognitive function and emotional symptoms at baseline, post intervention and one month follow-up.

Results

A two-way repeated-measures analysis of variances (ANOVAs) on drug cue-induced craving revealed a significant group × time interaction effect (F (2, 108) = 5.652, P = 0.005). Post hoc paired t-test indicated a significant decrease in craving in the active tTIS group (t = 5.04, P = 0.002) after the intervention and one month follow-up (t = 6.04, P < 0.001). In contrast, no significant changes were observed in the sham group.

Conclusions

In this trial, 10 Hz tTIS was effective for METH craving reduction in MUD. Further trials are needed to explore neural mechanisms of tTIS.

渴望是治疗甲基苯丙胺使用障碍（MUD）的一个关键挑战。记忆再巩固理论表明，药物记忆提取后对MUD的干扰有助于减少渴望。以往的研究已经证明了海马体在记忆巩固中的重要性，但传统的非侵入性干预无法有效定位和干预海马体。虽然tTIS可以准确地干预脑深部区域，但tTIS对MUD海马的干预是否能有效减少渴望仍是未知的。方法将40名男性MUD患者随机分为活动性或假性tTIS组。在连续10天内，活跃的tTIS每天向海马体提供20分钟的10 Hz电场，而假性刺激在同一时间段内每天仅持续1分钟。我们还在基线、干预后和一个月随访时评估了其对渴望、认知功能和情绪症状的影响。结果对药物线索诱导的渴求进行双向重复测量方差分析（ANOVAs），发现组×时间交互作用显著（F (2,108) = 5.652, P = 0.005）。事后配对t检验显示，在干预和随访1个月后，活跃tTIS组的渴望显著降低（t = 5.04, P = 0.002）（t = 6.04, P < 0.001）。相比之下，假手术组未见明显变化。结论在本试验中，10hz tTIS可有效降低吸毒者对甲基苯丙胺的渴望。需要进一步的试验来探索tTIS的神经机制。

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引用次数: 0

Alcohol demand and alcohol use disorder among adolescents and young adults who drink heavily: An exploratory analysis including sex differences 酗酒的青少年和年轻人的酒精需求和酒精使用障碍：包括性别差异的探索性分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-11 DOI: 10.1016/j.addbeh.2025.108583

Kathryn S. Gex , ReJoyce Green , Samuel F. Acuff , Anna E. Kirkland , Brittney D. Browning , Rachel L. Tomko , Kevin M. Gray , Lindsay M. Squeglia

Behavioral economic alcohol demand, or the reward value of alcohol consumption, consistently shows associations between alcohol use and alcohol use disorder (AUD) in adults, yet research within clinical youth populations (considered to be ages 15–24) remains limited. It is critical to better understand how demand functions in clinical youth populations to predict alcohol related outcomes. Moreover, given the narrowing gap between male and female youth in alcohol use prevalence in recent years, exploring sex differences in alcohol demand and its role in the relationship between demand, alcohol use, alcohol-related problems, and AUD is important. The current study used data from two samples of adolescents and young adults from the community (N = 127; ages 16–25, M_age = 20.57, SD = 2.27; 56.35 % female; 91.27 % white), one treatment seeking (n = 94) and one non-treatment seeking (n = 33), to examine the relationship between demand indices and alcohol use outcomes and to explore the role of sex in these relationships. Demand intensity (the number of standard drinks a person would consume if drinks were $0), O_max (maximum money spent across prices, i.e., number of drinks purchased × price), and price sensitivity (α; the rate alcohol consumption decreases as prices increase) were significantly associated with alcohol use quantity and frequency outcomes, but not alcohol-related problems or AUD severity. Although male youth had significantly greater intensity relative to female youth, intensity was more strongly associated with drinking days in female youth. Broadly, our findings support the importance of evaluating alcohol demand in clinical youth as well as sex differences in alcohol demand. Our results also speak to the need for interventions targeting sex-specific mechanisms and moderators of alcohol use.

行为经济酒精需求，或酒精消费的奖励价值，一致显示酒精使用与成人酒精使用障碍（AUD）之间的关联，但在临床青年人群（被认为是15-24岁）中的研究仍然有限。更好地了解临床青年人群的需求如何发挥作用以预测酒精相关结果至关重要。此外，鉴于近年来男性和女性青年在酒精使用患病率方面的差距正在缩小，探索酒精需求的性别差异及其在需求、酒精使用、酒精相关问题和AUD之间的关系中的作用非常重要。目前的研究使用了来自社区的两个青少年和年轻人样本（N = 127，年龄16-25岁，Mage = 20.57, SD = 2.27, 56.35%女性，91.27%白人），一个寻求治疗（N = 94）和一个非寻求治疗（N = 33）的数据，以检验需求指数与酒精使用结果之间的关系，并探讨性别在这些关系中的作用。需求强度（如果饮料价格为0美元，一个人将消费的标准饮料数量）、Omax（各种价格的最大消费金额，即购买的饮料数量×价格）和价格敏感性（α；酒精消费量随价格上涨而下降的速度）与酒精使用数量和频率结果显著相关，但与酒精相关问题或AUD严重程度无关。尽管男性青年的强度明显高于女性青年，但强度与女性青年的饮酒天数关系更强。总的来说，我们的研究结果支持了评估临床青年酒精需求的重要性，以及酒精需求的性别差异。我们的研究结果也说明了针对酒精使用的性别特异性机制和调节因素进行干预的必要性。

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引用次数: 0

Smartphones are not addictive: a proposal to distinguish between rewards and reward delivery vehicles 智能手机不会让人上瘾：一项区分奖励和奖励递送工具的建议

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-11 DOI: 10.1016/j.addbeh.2025.108585

Dar Meshi , Jens Binder

引用次数: 0

Investigation into the psychometric properties of the Brief Religious Coping Scale (Brief RCOPE) in adults with substance use disorder 成人物质使用障碍患者简易宗教应对量表（RCOPE）的心理测量特征研究

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-09 DOI: 10.1016/j.addbeh.2025.108584

Charles A. Manzler , Ben Lewis , Scott Teitelbaum , Robert C. Schlauch

Many individuals turn to religion in their efforts to deal with difficult times in their lives, and research has consistently linked indices of religious coping to measures of health and well-being. The Brief Religious Coping Scale (Brief RCOPE) is the most commonly used measure of religious coping in the literature; however, relatively little has been reported about the psychometric properties of the brief version. Moreover, the examination of this scale among individuals with a substance use disorder (SUD), a disorder highly associated with major life stressors for which religious coping may serve as a principle form of coping, has been largely overlooked. Therefore, the current study sought to examine the psychometric properties of the Brief RCOPE in a sample of 1290 adults undergoing residential treatment for SUD. Results from confirmatory factor analyses supported the theorized two-factor structure of positive (PRC) and negative (NRC) religious coping, as well as measurement invariance across sex and across time. Validity was established through significant, differential associations between PRC and NRC at pre-treatment and a range of psychosocial outcomes at pre- and post-treatment. This study provides evidence that the Brief RCOPE is a reliable and valid tool for assessing religious coping among adults with SUD. Its strong psychometric performance supports its potential for use in clinical settings to help clinicians understand and address patients’ spiritual experiences in recovery.

许多人在努力应对生活中的困难时期时求助于宗教，研究一直将宗教应对指数与健康和幸福措施联系起来。简要宗教应对量表（Brief Religious Coping Scale，简称RCOPE）是文献中最常用的宗教应对量表；然而，关于简短版本的心理测量特性的报道相对较少。此外，在物质使用障碍（一种与主要生活压力源高度相关的障碍，宗教应对可能是应对的主要形式）患者中对该量表的检查在很大程度上被忽视了。因此，目前的研究试图在1290名接受SUD住院治疗的成年人样本中检查简短RCOPE的心理测量特性。验证性因子分析的结果支持积极（PRC）和消极（NRC）宗教应对的理论双因素结构，以及跨性别和跨时间的测量不变性。通过PRC和NRC在治疗前以及治疗前和治疗后一系列社会心理结果之间的显著差异关联，建立了有效性。本研究提供了证据，证明简短的RCOPE是评估成人宗教应对的可靠和有效的工具。其强大的心理测量性能支持其在临床环境中使用的潜力，以帮助临床医生理解和解决患者在康复中的精神体验。

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引用次数: 0

Performing identity and risk: chemsex, misogyny, and algorithmic exclusion in queer Reddit spaces 表演身份和风险：酷儿Reddit空间中的化学性、厌女症和算法排斥

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-08 DOI: 10.1016/j.addbeh.2025.108582

Sezai Tunca

This study examines how LGBTQ+ identities, chemsex experiences, and digital misogyny intersect and are discursively negotiated within Anglophone Reddit spaces. Adopting an integrative mixed-methods design, it analyzes 509,327 posts and comments drawn from four LGBTQ+ -oriented subreddits through semantic co-occurrence mapping, sentiment and subjectivity profiling, lexical diversity metrics, and qualitative thematic coding. The analytical framework connects three mutually constitutive axes—identity performance, affective discourse, and platform/algorithmic dynamics—to capture how individual narratives are shaped by both cultural hierarchies and sociotechnical infrastructures. Findings show that identity expressions cluster around themes of community belonging, family disclosure, and self-recognition, while trans and nonbinary users remain disproportionately exposed to hypersexualization and digital exclusion. Chemsex discourse is predominantly marked by negative affect—loneliness, shame, and stigma—but also includes solidarity and harm-reduction dialogue, revealing ambivalent forms of care within digital queer cultures. Digital misogyny and algorithmic silencing appear as layered phenomena, manifesting both in external harassment and intra-community norm enforcement. The study contributes theoretically by integrating critical chemsex scholarship with digital queer theory, demonstrating that affective harm is simultaneously interpersonal and infrastructural. Methodologically, it adapts a transparent computational–qualitative triad suitable for analyzing large-scale online discourse. Practically, the results inform platform governance (bias audits, transparent moderation) and public health communication (embedding community-based, empathetic language in harm-reduction outreach). While limited to English-language Reddit data, the framework offers transferable insights into how LGBTQ+ users negotiate vulnerability, resilience, and belonging in digital environments.

本研究探讨了LGBTQ+身份、化学性经历和数字厌女症是如何在英语Reddit空间中相交和讨论的。采用综合混合方法设计，通过语义共现映射、情感和主观性分析、词汇多样性指标和定性主题编码，分析了来自四个LGBTQ+的子reddit的509,327篇帖子和评论。分析框架连接了三个相互构成的轴——身份表现、情感话语和平台/算法动态——以捕捉文化等级和社会技术基础设施如何塑造个人叙事。研究结果表明，身份表达集中在社区归属、家庭披露和自我认可的主题上，而跨性别和非二元用户仍然不成比例地暴露于过度性化和数字排斥之中。Chemsex话语主要以负面影响为特征——孤独、羞耻和耻辱——但也包括团结和减少伤害的对话，揭示了数字酷儿文化中相互矛盾的关怀形式。数字厌女症和算法沉默似乎是分层现象，既表现在外部骚扰中，也表现在社区内部规范的执行中。该研究通过将批判性化学性研究与数字酷儿理论相结合，在理论上做出了贡献，证明了情感伤害同时是人际和基础设施造成的。在方法上，它采用了一种透明的计算-定性三位一体，适合于分析大规模的在线话语。实际上，这些结果为平台治理（偏见审计、透明调节）和公共卫生沟通（在减少伤害的外展活动中嵌入基于社区的同情语言）提供了信息。虽然仅限于英文Reddit数据，但该框架提供了关于LGBTQ+用户如何在数字环境中协商脆弱性、弹性和归属感的可转移见解。

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引用次数: 0

Social support, online social support, and problematic social media use: A three-level meta-analysis 社会支持、在线社会支持和有问题的社交媒体使用：一个三层次的元分析

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-02 DOI: 10.1016/j.addbeh.2025.108579

Liangrong Huang , Miaomiao Zeng , Xue Wen

Numerous studies have examined the relationship between social support and problematic social media use; however, findings are inconsistent. Hence, this study employed a three-level meta-analysis to clarify the relationship between social support and problematic social media use. Additionally, a meta-analysis was conducted to examine the relationship between online social support and problematic social media use and to identify potential moderators of this relationship. After searching and screening the literature, this meta-analysis included a total of 65 studies, with 235 effect sizes and 52,738 participants. The results showed a negative correlation between social support and problematic social media use (r = -0.178, p < 0.001), and a positive correlation between online social support and problematic social media use (r = 0.399, p < 0.001). Age and educational stage significantly moderated the association between social support and problematic social media use. Online social support measurement and problematic social media use measurement significantly moderated the association between online social support and problematic social media use. It is suggested that treatment for problematic social media use should attend to individuals’ levels of social support and online social support.

许多研究已经调查了社会支持和有问题的社交媒体使用之间的关系；然而，研究结果并不一致。因此，本研究采用三层次元分析来阐明社会支持与问题社交媒体使用之间的关系。此外，还进行了一项荟萃分析，以检验在线社会支持与有问题的社交媒体使用之间的关系，并确定这种关系的潜在调节因素。在检索和筛选文献后，本荟萃分析共纳入65项研究，有235个效应量和52,738名参与者。结果显示，社会支持与问题社交媒体使用呈负相关（r = -0.178, p < 0.001），在线社会支持与问题社交媒体使用呈正相关（r = 0.399, p < 0.001）。年龄和教育阶段显著调节了社会支持与有问题的社交媒体使用之间的关系。在线社会支持测量和问题社交媒体使用测量显著调节了在线社会支持与问题社交媒体使用之间的关联。建议对社交媒体使用问题的治疗应关注个人的社会支持水平和在线社会支持水平。

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引用次数: 0

Restricting choice of e-cigarette flavor and device type increases choices to use combusted cigarettes among adults who dual use both products: Results from a within-subjects randomized trial 限制电子烟口味和设备类型的选择增加了双重使用两种产品的成年人使用燃烧香烟的选择：一项受试者内随机试验的结果。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-12-01 DOI: 10.1016/j.addbeh.2025.108578

Dana Rubenstein , Lauren R. Pacek , Michael J. Green , Maggie M. Sweitzer , Rachel Kozink , Alicia Holloway , Eric C. Donny , Tracy T. Smith , F. Joseph McClernon

Introduction

Data from real-world e-cigarette (EC) flavor bans suggest that such bans may increase combusted cigarette (CC) use. However, experimental data are needed to better understand how EC characteristics affect EC appeal and CC use.

Methods

Participants were adults who used both CC and flavored EC. They made 10 choices per session between taking two puffs from an EC or CC (supplied by study) or abstaining. EC type was unblinded and varied across three counterbalanced sessions: 1) own device and flavor, 2) study device with a non-tobacco-flavored e-liquid, and 3) study device with a tobacco-flavored e-liquid. Analyses evaluated EC appeal and choices to use EC, CC, or abstain.

Results

Participants (n = 41) reported using CCs on 22.1 days/month and ECs on 26.9 days/month. Appeal of study EC was lower than participants’ own EC, and participants made fewer choices for EC during tobacco-flavor EC versus own device sessions (p = 0.006). Relative to own device sessions, participants made a greater number of choices for CC when study EC were available (p’s < 0.05), regardless of flavor.

Discussion

Regulators and public health officials should be aware that restricting EC characteristics such as device type and flavor may increase consumption of CC among people who use both products, especially people who find restricted EC less appealing than their own device. Findings are consistent with real-world sales data following EC flavor bans.

导读：来自现实世界电子烟（EC）风味禁令的数据表明，此类禁令可能会增加燃烧香烟（CC）的使用。然而，需要实验数据来更好地了解EC特性如何影响EC的吸引力和CC的使用。方法：参与者是同时使用CC和调味EC的成年人。每个疗程中，他们在抽两口EC或CC（由研究提供）或不抽之间做出10个选择。EC类型是无盲的，并且在三个平衡阶段有所不同：1)自己的设备和风味，2)使用非烟草味电子液体的研究设备，以及3)使用烟草味电子液体的研究设备。分析评估了EC的吸引力和使用EC、CC或弃权的选择。结果：参与者（n = 41）报告使用CCs的时间为22.1天/月，使用ec的时间为26.9天/月。研究EC的吸引力低于参与者自己的EC，参与者在烟草味EC期间对EC的选择少于自己的设备会话（p = 0.006）。相对于自己的设备，当研究EC可用时，参与者对CC的选择更多(p讨论：监管机构和公共卫生官员应该意识到，限制EC的特征，如设备类型和风味，可能会增加使用两种产品的人对CC的消费，特别是那些发现限制EC不如自己的设备有吸引力的人。研究结果与欧盟香料禁令后的实际销售数据一致。

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引用次数: 0

Nicotine and cannabis vaping among U.S. emerging young adults: Findings from 2022 and 2023 National Survey on Drug Use and Health 美国新兴年轻人吸食尼古丁和大麻：来自2022年和2023年全国药物使用和健康调查的结果。

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-11-30 DOI: 10.1016/j.addbeh.2025.108577

Nayoung Kim , Joy Haizelden , Gracie Avery , Mercy Mumba

Objectives

With recent rise in nicotine and cannabis vaping and growing evidence of their negative health effects, especially when co-vaped, understanding vaping patterns is important. This study examined national prevalence and factors associated with nicotine and cannabis vaping among U.S. emerging young adults.

Methods

Cross-sectional data from the 2022 and 2023 National Survey on Drug Use and Health were used to assess past-month rates of exclusive nicotine vaping, exclusive cannabis vaping, and co-vaping (versus no vaping) and examine its associations with sociodemographic characteristics, mental health, other substance use (e.g., tobacco, alcohol, binge drinking), substance use disorders (nicotine dependence, alcohol use disorder), and cannabis legalization.

Results

Among emerging adults, 16.0% reported exclusive nicotine vaping, 4.3% exclusive cannabis vaping, and 8.1% co-vaping in the past month. Non-Hispanic White individuals, those with lower education, and those identified as sexual minorities reported higher rates of vaping. Severe psychological distress, tobacco and alcohol co-use, and alcohol use disorder increased odds of all vaping behaviors. Medical cannabis legalization significantly increased odds of exclusive cannabis vaping and co-vaping, but not exclusive nicotine vaping.

Conclusions

Vaping patterns vary by certain sociodemographic characteristics and cannabis policy. Mental health challenges and substances co-use consistently elevated risks of all forms of vaping among this vulnerable population.

目的：随着最近尼古丁和大麻电子烟的增加，以及越来越多的证据表明它们对健康的负面影响，特别是当共同吸电子烟时，了解电子烟的模式很重要。这项研究调查了美国新兴年轻人中尼古丁和大麻电子烟的全国流行程度和相关因素。方法：使用2022年和2023年全国药物使用和健康调查的横断面数据来评估过去一个月纯尼古丁电子烟、纯大麻电子烟和共同电子烟（与不电子烟相比）的比率，并检查其与社会人口特征、心理健康、其他物质使用（如烟草、酒精、酗酒）、物质使用障碍（尼古丁依赖、酒精使用障碍）和大麻合法化的关系。结果：在刚刚成年的人群中，16.0%的人在过去一个月里只吸尼古丁电子烟，4.3%的人只吸大麻电子烟，8.1%的人同时吸电子烟。非西班牙裔白人、受教育程度较低的人以及被认定为性少数群体的人吸电子烟的比例更高。严重的心理困扰、烟酒混合使用以及酒精使用障碍增加了所有电子烟行为的几率。医用大麻合法化显著增加了吸食大麻和共同吸食大麻的几率，但没有增加吸食尼古丁的几率。结论：吸电子烟模式因某些社会人口特征和大麻政策而异。在这一弱势群体中，精神健康挑战和药物共同使用持续增加了各种形式的电子烟风险。

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