Journal of Studies on Alcohol and Drugs

Combining Alcohol Misuse and Sexual Assault Prevention Enhances Training Outcomes in a U.S. Military Service Academy: Journal of Studies on Alcohol and Drugs: Vol 0, No ja Objective Alcohol misuse and sexual assault are prevalent in the U.S. military, including in military service academies. As these behaviors frequently co-occur, there is an urgent need to develop and ...

Combining Alcohol Misuse and Sexual Assault Prevention Enhances Training Outcomes in a U.S. Military Service Academy (online first in @jsadjournal.bsky.social)

by Emily Schmied, Marni Kan, et al.

@nmscaglione.bsky.social @uf-clas.bsky.social @sdsuresearch.bsky.social
www.jsad.com/doi/abs/10.1...

Parents Use Online Communities to Seek Guidance on Child Substance Use, Parental Use, and Family Substance Use Challenges: A Content Analysis of Reddit Posts: Journal of Studies on Alcohol and Drugs: ... Objectives: Parents play a role in shaping their children’s beliefs and behaviors around substance use. When faced with unfamiliar or challenging situations, many parents turn to peers for advice. Thi...

Parents Use Online Communities to Seek Guidance on Child Substance Use, Parental Use, & Family Substance Use Challenges: A Content Analysis of Reddit.... (just accepted in @jsadjournal.bsky.social)
@starrlab-uta.bsky.social @phdlitt.bsky.social @samuelacuff.bsky.social
www.jsad.com/doi/abs/10.1...

Suicidal Thoughts and Behaviors Do Not Influence Veterans’ Alcohol Use Disorder or Posttraumatic Stress Disorder Recovery Trajectories in a Randomized Controlled Trial: Journal of Studies on Alcohol a... Objective: Suicidal thoughts and behaviors (STB) are elevated among individuals with Alcohol Use Disorder (AUD) and posttraumatic stress disorder (PTSD). The highest STB prevalences occur among those ...

Suicidal Thoughts & Behaviors Do Not Influence Veterans’ Alcohol Use Disorder or Posttraumatic Stress Disorder Recovery Trajectorie... (online first in @jsadjournal.bsky.social)
@bumedicine.bsky.social @sudieback.bsky.social @aabrl.bsky.social @pittdeptofmed.bsky.social
www.jsad.com/doi/abs/10.1...

Testing the bidirectional associations between vaping and changing eating to manage weight and shape in a large Canadian adolescent cohort: Journal of Studies on Alcohol and Drugs: Vol 0, No ja Objective Vaping among adolescents has surged in recent years, underscoring the need to identify intentions and motivating factors behind vaping. While weight management behaviours have been associate...

Testing the bidirectional associations between vaping and changing eating to manage weight and shape in a large Canadian adolescent cohort (online first in @jsadjournal.bsky.social)
@brockhlsc.bsky.social @brocku.ca @uwaterloohealth.bsky.social @ontariotechu.bsky.social
www.jsad.com/doi/abs/10.1...

Absolutely loved writing this paper (with one of my favourite people) about how effective international exchanges are for ECRs working in addiction science. It's definitely a model worth replicating. @matildacentreusyd.bsky.social @muscyouthcollab.bsky.social

Fostering Long-Term International Collaborations Through Short-Term Exchange Programs for Early Career Addiction Researchers: Journal of Studies on Alcohol and Drugs: Vol 0, No ja Objective: International mobility and collaborations are a cornerstone of the academic career trajectory, as well as a pathway to better science. The aim of this article is to advocate for enhancing g...

Fostering Long-Term International Collaborations Through Short-Term Exchange Programs for Early Career Addiction Researchers (just accepted in @jsadjournal.bsky.social)

by Lindsay M. Squeglia and Louise Mewton

@louisemewton.bsky.social

www.jsad.com/doi/abs/10.1...

Low-Cost Alcohol Products Account for a Disproportionate Share of Privatized Off-Premises Alcohol Sales Across 42 U.S. States: Journal of Studies on Alcohol and Drugs: Vol 0, No ja Objective: We assessed alcohol product availability, sales, and prices among privatized off-premises alcohol sales in 42 US states and quantified sales among lower-priced products. Method: We used Nie...

Low-Cost Alcohol Products Account for a Disproportionate Share of Privatized Off-Premises Alcohol Sales Across 42 U.S. States (online first in @jsadjournal.bsky.social)

by Doris Gammon, Mary Catharine McKeithen, Jennifer Gaber, Marissa Esser et al.

@rti.bsky.social
www.jsad.com/doi/abs/10.1...

Latent class analysis of substance use behaviors and associations of class membership with gender affirmation, social determinants of health, and HIV-status among transfeminine adults in the Eastern a... Objective: To identify latent classes of substance use behaviors (i.e., alcohol and illicit drug use) and their correlates among transgender women and transfeminine nonbinary adults. Method: Baseline ...

Latent class analysis of substance use behaviors & associations of class membership w/ gender affirmation, social determinants of... (just accepted @jsadjournal.bsky.social )

@hlc123.bsky.social @hsph.harvard.edu @johnshopkinssph.bsky.social @ucsdhealthsci.bsky.social

www.jsad.com/doi/abs/10.1...

Maximizing Methodological Advances to Forward Progress in Substance Use Research: Journal of Studies on Alcohol and Drugs: Vol 87, No 1

Maximizing Methodological Advances to Forward Progress in Substance Use Research (new #openaccess editorial in @jsadjournal.bsky.social 87/1)

by JSAD Editor Jennifer P. Read, PhD

@ubuffalo.bsky.social @jenread.bsky.social
www.jsad.com/doi/full/10....

Innovative Methods Can Accelerate Advancements in Research on Alcohol and Other Drugs: Journal of Studies on Alcohol and Drugs: Vol 87, No 1

Innovative Methods Can Accelerate Advancements in Research on Alcohol and Other Drugs (new #openaccess editorial in @jsadjournal.bsky.social 87/1)

by Stephanie T. Lanza

@pennstatehhd.bsky.social @pennstateuniv.bsky.social

www.jsad.com/doi/full/10....

Medical-Legal Partnership: An Approach to Addressing Social and Structural Determinants of Health Among People Who Use Substances: Journal of Studies on Alcohol and Drugs: Vol 87, No 1

Medical-Legal Partnership: An Approach to Addressing Social & Structural Determinants of Health Among People... (new #openaccess Perspective in @jsadjournal.bsky.social 87/3)
@profcarlos.bsky.social @ucfgradstudies.bsky.social @umasschan.bsky.social @bostonu.bsky.social
www.jsad.com/doi/full/10....

From Assessment to Intervention: Leveraging Ecological Momentary Assessment (EMA) to Develop a Personalized mobile-health (mHealth) Ecological Momentary Intervention (EMI) for Young Adults With ADHD and High-Risk Alcohol Use: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Ecological momentary assessment (EMA) can be a powerful and flexible tool for collecting data on alcohol use, particularly to understand proximal precursors and consequences. EMA can also be leveraged to inform the development of and deploy mobile-health (mHealth) interventions. This article describes the development of an mHealth ecological momentary intervention (EMI) for young adults with high-risk alcohol use and attention-deficit/hyperactivity disorder (ADHD). This novel intervention uses EMA as an intervention component to increase self-awareness via symptom monitoring. It also incorporates additional EMI components, including personalized feedback and behavioral strategy suggestions (“tips”), which operate synergistically with EMA questions and are tailored by EMA data. The theoretical underpinnings of this intervention are described, and its distinct relevance for young adults with ADHD who engage in high-risk alcohol use is discussed. The process of developing this mHealth EMI is detailed, including examining EMA data to generate intervention content, considering participant feedback through iterative pilot testing, and applying human-centered design methods with end users and community partners. Finally, practical considerations of this intervention approach are discussed, including unique benefits, key challenges, and exciting future opportunities.

From Assessment to Intervention: Leveraging Ecological Momentary Assessment.... (new in @jsadjournal.bsky.social 87/1)

by Traci Kennedy, Christine M. Lee, Brooke Molina, Sarah Pedersen

@uwdeptmedicine.bsky.social @uw-psychiatry.bsky.social @pittdeptofmed.bsky.social
www.jsad.com/doi/full/10....

Grief is a public health issue: The overlooked impact of the overdose crisis

"We must support the millions of bereaved survivors of loss due to substance-related causes before we find ourselves asking how we let another relentless epidemic take off." (new
@jsadjournal.bsky.social FastTakes)

by Laura Vargas, Peer Support Community Partners

www.jsad.com/do/10.15288/...

Alcohol Craving and Cue Exposure in Real Time: A Pilot Ecological Momentary Assessment (EMA)-Based Personalized Feedback Intervention for Young Adults: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Alcohol cues vary situationally across contexts and have been recognized as a factor that contributes to craving and alcohol use. We describe a brief web-based personalized feedback intervention (PFI) that summarizes ecological momentary assessment (EMA) data collected in a pilot study. The PFI highlighted young adults’ desire to drink and the presence/absence of alcohol cues, capitalizing on variability found in the natural environment across 17 days. We examined the extent to which the EMA data collected in the pilot study were optimal for use in the PFI and participants’ evaluations of the PFI. Method: Eligibility criteria included being age 18–24 years and reporting one or more heavy episodic drinking occasions in the last month. Data were collected from 51 participants (mean age = 21.69 years, SD = 1.86; 54.9% female; 56.9% non-Hispanic White). Data were from a baseline survey, 17 days of EMAs (4×/day), and an evaluation survey. Results: High EMA survey retention was obtained (85.8% completion). The intraclass correlation coefficient for desire to drink showed that 22% of the variability was between persons and 78% was within persons. Cues of interest were adequately reported (e.g., physical cues reported on 23.2% of p.m. surveys, being around people with whom they typically drink on 31.9% of p.m. surveys). Participants rated the intervention favorably on 8 of 14 items (mean greater than 4.0 on a scale of 1–5). Conclusions: EMA data offer rich opportunities for PFIs aimed at reducing alcohol use and consequences. The Alcohol Cue Reactivity PFI described here can inform future intervention research.

Alcohol Craving and Cue Exposure in Real Time: A Pilot Ecological Momentary Assessment (EMA)-Based Personalized Feedback Inte... (new @jsadjournal.bsky.social)

by Anne Fairlie, Christine Lee, Miranda Delawalla, Jason Ramirez

@smahrteam.bsky.social @adaiuw.bsky.social

www.jsad.com/doi/full/10....

Designing an Online and Text-Messaging Intervention to Enhance Protective Behavioral Strategy Utilization at the Daily Level Among Young Adults Engaged in Alcohol and Cannabis Use: Journal of Studies ... Objective: This article describes the development of an online and text-messaging intervention aimed at augmenting protective behavioral strategies (PBS) utilization at the daily level among young adu...

Designing an Online and Text-Messaging Intervention to Enhance Protective Behavioral Strategy Utilization at the Daily Level Among... (new @jsadjournal.bsky.social 87/1)
@phdlitt.bsky.social @melissa-lewis.bsky.social @graups-phd.bsky.social @allison-cross.bsky.social
www.jsad.com/doi/full/10....

Patterns of Cannabis Use and Perceived Accessibility Among Underage U.S. Young Adults: Implications for Policy and Prevention: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Using a national U.S. underage young adult sample, we examined the prevalence of smoking, vaping, eating, drinking, and dabbing cannabis; perceived accessibility by product type; and percei...

Patterns of Cannabis Use and Perceived Accessibility Among Underage U.S. Young Adults: Implications for Policy and Prevention (new @jsadjournal.bsky.social 87/1)

Yvonne M. Terry-McElrath, Yuk C. Pang, Megan E. Patrick

@meganpatrickphd.bsky.social @umisr.bsky.social
www.jsad.com/doi/full/10....

Long-Term Patterns of Alcohol Use in Older Different-Sex Couples: Concordant Drinking Appears Initially Protective but Predicts Declines in Health Over Time: Journal of Studies on Alcohol and Drugs: V... Objective: Longitudinal patterns of alcohol use among older couples may have important implications for health. This study identified trajectories of alcohol use among different-sex couples and their ...

Long-Term Patterns of Alcohol Use in Older Different-Sex Couples: Concordant Drinking Appears Initially Protective... (new in @jsadjournal.bsky.social 87/1)

Angela Turkelson et al.

@umisr.bsky.social @umichsph.bsky.social @um-src.bsky.social @micda-umisr.bsky.social

www.jsad.com/doi/full/10....

“Other” Substance Use Among American Indian Reservation-Area High School Youth: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: High school youth have an elevated risk of substance use. Some substances (e.g., inhalants, MDMA/Ecstasy [3,4-methylenedioxymethamphetamine]) used by youth are overlooked or grouped in an “...

“Other” Substance Use Among American Indian Reservation-Area High School Youth (new in @jsadjournal.bsky.social 87/1)

by Mark A. Prince et al.

@noahemery.bsky.social @megcaxtree.bsky.social @bostoncollege.bsky.social @addpsychpodcast.bsky.social

www.jsad.com/doi/full/10....

Population-Level Evidence That Alcohol Brief Interventions Improve Drinking and Blood Pressure Outcomes in Patients With Hypertension and Unhealthy Alcohol Use: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Hypertension is highly prevalent in primary care. Unhealthy alcohol use can impact its management and associated cardiovascular disease risks. Alcohol screening and brief intervention (ASBI) in primary care is effective for early intervention for unhealthy use, yet its effectiveness in heterogeneous populations in real-world settings remains unclear. Using electronic health records, we emulated a pragmatic clinical trial to evaluate the effects of receiving ASBI on drinking and blood pressure (BP) outcomes among primary care patients with hypertension and unhealthy alcohol use. Method: This observational study identified 72,979 patients with hypertension who screened positive for unhealthy drinking between January 1, 2014, and December 31, 2017. We used a target trial framework to compare the effects of receiving ASBI (intervention) to not receiving brief intervention (comparison) on drinking (change in heavy drinking days and drinks/week) and BP outcomes (changes in diastolic and systolic BP) from baseline to 2- and 5-year follow-ups. Treatment effect estimates were obtained using inverse probability–weighted models. Results: At 2 years, the intervention condition had about 0.2 fewer heavy drinking days and about 0.1 fewer drinks/week than the comparison condition. The intervention condition had an additional 0.5 mmHg and 0.7 mmHg decline in diastolic and systolic BP, and 8% and 6% higher odds of having a ≥3 mmHg reduction in diastolic and systolic BP, respectively, than the comparison condition. Between-group differences in both outcomes diminished at 5 years. Conclusions: The modest changes in drinking and BP we found contribute to the emerging evidence that brief intervention may benefit broader health outcomes at the population level.

Population-Level Evidence That Alcohol Brief Interventions Improve Drinking & Blood Pressure Outcomes in Patients With Hypertension & Unhealthy Al... (new in @jsadjournal.bsky.social 87/1)
@kaiser-permanente.bsky.social @kpscresearch.bsky.social @ucsfpsych.bsky.social
www.jsad.com/doi/full/10....

Graduating With an Alcohol Problem? Associations Between Drinking, Willingness to Experience Consequences, Protective Behavioral Strategies, and Repeated Alcohol Problems Across the Senior Year of College: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Research shows that a high proportion of college seniors experience alcohol problems repeatedly. The present study examined associations between behavioral willingness to experience alcohol consequences, protective behavioral strategies (PBS) to reduce harmful drinking, drinking, and repeated alcohol problems (RAP) early in the senior year, and how these constructs influenced behavioral willingness, PBS, drinking, and RAP later in the senior year. Method: The sample included randomly selected first-year students from a large northeastern university who met the inclusion criterion of consuming alcohol before enrollment. Students were followed each semester across 4 years. The study (N = 1,753; 58% female) focused on the assessments in the fall (Time 1 [T1]) and spring (T2) semesters of their senior year (mean age = 21). A longitudinal path model examined associations among behavioral willingness, PBS, drinking, and RAP at both waves. Results: Behavioral willingness, drinking, and PBS had direct, concurrent associations with RAP at T1 and T2. The nature of the associations was positive for behavioral willingness and drinking and negative for PBS. Prospective analyses revealed significant independent, positive associations between T1 RAP and T2 behavioral willingness, drinking, and RAP, whereas a negative independent association between T1 RAP and PBS was observed at T2. Conclusions: Findings show evidence for a cycle of alcohol use behavior between behavioral willingness, drinking, and RAP. Based on the findings, interventions targeting college seniors seem warranted to reduce the development of further alcohol problems in adulthood.

Graduating With an Alcohol Problem? Associations Between Drinking, Willingness to Experience Consequences, Protective... (new in @jsadjournal.bsky.social 87/1)
@prcpennstate.bsky.social @pennstatehhd.bsky.social @veronicarichards.bsky.social @prcpennstate.bsky.social
www.jsad.com/doi/full/10....

"Lifelong patterns of alcohol use can begin in college, and findings indicate that state alcohol policies are a foundation on which community- and campus-level preventive efforts can build."

Associations of State-Level Alcohol Policies and Population Use Rates With Alcohol Use and Binge Drinking Among U.S. 4-Year College Students, 2008–2019: Journal of Studies on Alcohol and Drugs: Vol 87... Objective: The prevalence of binge drinking among U.S. college students has decreased over the last two decades but remains high. We examined the extent to which state-level alcohol policies and drink...

Associations of State-Level Alcohol Policies and Population Use Rates With Alcohol Use and Binge.... (new in @jsadjournal.bsky.social 87/1)

by David C. R. Kerr, Timothy S. Naimi, Marlene C. Lira, Harold Bae

@workithealth.bsky.social @uvicsocialsciences.bsky.social

www.jsad.com/doi/abs/10.1...

The Impact of a Registry-Based Environmental Risk Score on Episodes of Alcohol Use Disorder and Drug Use Disorder in Swedish National Samples: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Psychosocial stress increases the risk for subsequent episodes of alcohol use disorder (AUD) and drug use disorder (DUD), with most studies assessing stress exposure by questionnaire or int...

The Impact of a Registry-Based Environmental Risk Score on Episodes of Alcohol Use Disorder and Drug Use Disorder in Swedish National Samples (new in @jsadjournal.bsky.social 87/1)

by Kenneth S. Kendler, Sara L. Lönn, Jan Sundquist, Kristina Sundquist

www.jsad.com/doi/full/10....

Paradoxical Multilevel Relations Between Internalizing Symptoms and Solitary Drinking in Emerging Adults: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Theoretical models suggest that internalizing symptoms predispose individuals toward solitary drinking. However, data have not explicated whether longitudinal relations occur across or with...

Paradoxical Multilevel Relations Between Internalizing Symptoms and Solitary Drinking in Emerging Adults (new in @jsadjournal.bsky.social)

by Jack T. Waddell, Scott E. King, William R. Corbin, William E. Pelham

@psychiatryucsd.bsky.social @jtwaddell7.bsky.social
‬
www.jsad.com/doi/full/10....

College Students’ Intentions to Seek Help for Alcohol Use: A Network-Informed Reasoned Action Approach: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Despite alcohol use remaining a prevalent issue on college campuses, the number of students who seek help remains low. The Reasoned Action Approach (RAA) provides a theoretical framework fo...

College Students’ Intentions to Seek Help for Alcohol Use: A Network-Informed Reasoned Action Approach (new #openaccess in @jsadjournal.bsky.social 87/2)

by Sara A. Flores, Arham Hassan, Benjamin N. Montemayor

@tamu.bsky.social
www.jsad.com/doi/full/10....

Increasing Assimilation Associated With Slower Reductions in Alcohol Use Among Latina Young Adults Soon After Immigration: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: We investigated how rates of change in acculturation processes correlated with changes in alcohol use frequency and quantity among young adult Latina women after they immigrated to the Unit...

Increasing Assimilation Associated With Slower Reductions in Alcohol Use Among Latina Young Adults Soon After Immigration (new in @jsadjournal.bsky.social 87/1)

by Frank R. Dillon, Cristalís Capielo Rosario...

@ccapielorosariophd.bsky.social @melissaertl.bsky.social

www.jsad.com/doi/abs/10.1...

Increased Delta Connectivity Within Brain Networks Predicts Adherence to an rTMS-Based Treatment Program in Cocaine Use Disorder Patients: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: We investigated the association between the adherence to a repetitive transcranial magnetic stimulation (rTMS)–based treatment program and resting-state (RS) functional connectivity within ...

Increased Delta Connectivity Within Brain Networks Predicts Adherence to an rTMS-Based Treatment Program in Cocaine Use Disorder Patients (new in @jsadjournal.bsky.social 87/1)

by Elena De Rossi, Luis J. Gómez Pérez, Stefano Cardullo, Giuseppe Alessio Carbone ....

www.jsad.com/doi/full/10....

Understanding Gender-Specific Cycles of Nicotine Dependence and Mental Health: Evidence for Dynamic and Reciprocal Relationships: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Nicotine dependence is a significant public health issue linked to various psychosocial problems. However, previous research has largely examined these relationships in a unidirectional manner or at the between-person level, overlooking the potential for within-person fluctuations over time. This study uses a longitudinal approach to investigate the bidirectional associations between nicotine dependence, internalizing problems, and externalizing problems among adults. In addition, we examine gender as a potential moderator of these relationships. Method: Using data from the Population Assessment of Tobacco and Health (PATH) Study (2013–2021), we analyzed four waves of data from a nationally representative sample of 9,620 adults. A random intercept cross-lagged panel model (RI-CLPM) was used to distinguish between-person and within-person associations while accounting for individual variability over time. A multigroup RI-CLPM was conducted to assess gender differences. Results: At the between-person level, nicotine dependence was positively associated with both internalizing and externalizing problems. At the within-person level, significant bidirectional associations were observed between nicotine dependence and internalizing problems, as well as between internalizing and externalizing problems. Gender moderated these associations, with females showing stronger links between nicotine dependence and internalizing problems, whereas males exhibited stronger associations between nicotine dependence and externalizing behaviors. Conclusions: These findings highlight the complex, dynamic interplay between nicotine dependence and psychosocial problems, emphasizing the need for tailored interventions that account for both within-person fluctuations and gender differences. Understanding these mechanisms can inform more effective prevention and treatment strategies targeting nicotine dependence and associated mental health challenges.

Understanding Gender-Specific Cycles of Nicotine Dependence and Mental Health: Evidence for Dynamic and Reciprocal Relationships (new in @jsadjournal.bsky.social 87/1)

by Yanyi Chen

www.jsad.com/doi/full/10....

Daily Sexual Objectification As a Proximal Risk Factor for Craving and Alcohol Use After Sexual Assault: An Ecological Momentary Assessment Study: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: Women who have experienced sexual assault report higher rates of alcohol use. Sexual objectification experiences, such as sexualized body gazes, gestures, commentary, and physical contact, have been linked with greater alcohol use and may represent a particular stressor for women who have experienced sexual assault, potentially leading to craving and alcohol use to cope. This study used a 3-week ecological momentary assessment design to test whether experiencing sexual objectification indirectly predicted the likelihood of later alcohol use through heightened craving. Further, because sexual minority women may be disproportionately targeted by objectification and are more likely to report alcohol misuse, we explored whether sexual minority women experienced more objectification than heterosexual women and, in turn, greater craving and alcohol use. Method: Participants were 82 women who had experienced sexual assault and reported probable alcohol misuse and posttraumatic stress symptoms. Women were predominantly heterosexual and bisexual. Participants reported on daily objectification experiences and momentary craving each evening, as well as past-day alcohol use each morning. A multilevel structural equation model was estimated in Mplus. Results: As hypothesized, there was an indirect effect of experiencing objectification on a given day on later alcohol use endorsement via greater alcohol craving. There was not an indirect effect of sexual minority identity on average alcohol use frequency via objectification and craving, but sexual minority women experienced greater average craving than heterosexual women. Conclusions: Findings support daily objectification experiences as a novel proximal risk factor for heightened craving and drinking among sexual assault survivors with diverse sexual identities.

Daily Sexual Objectification As a Proximal Risk Factor for Craving and Alcohol Use After Sexual Assault: An Ecological Momentary Assessment Study (new in @jsadjournal.bsky.social 87/1)

@medunivsc.bsky.social @amandabaildon.bsky.social @uofscnewsy.bsky.social

www.jsad.com/doi/full/10....

Dental Screening, Counseling, and Referral to Treatment for Substance Use Disorder: Survey of the National Dental Practice-Based Research Network: Journal of Studies on Alcohol and Drugs: Vol 87, No 1 Objective: The objective of this study was to conduct a national survey of practicing dentists to assess their current knowledge, attitudes, and practice behaviors related to substance use screening among their adult patients. The secondary objective was to identify practitioner- and practice-level facilitators and barriers to substance use screening. Method: This cross-sectional study consisted of an electronic survey disseminated to practicing dentists who were active members of the National Dental Practice-Based Research Network (n = 790; 61% male). Results: The majority of dentists reported some level of screening for nicotine (95.7%), alcohol (87.2%), cannabis (83.9%), and illicit drug (87.7%) use among their adult patients. More than 2 in 5 dentists reported never counseling patients regarding problematic use of alcohol, cannabis, and illicit drugs. Higher screening frequency was associated with higher counseling frequency and lower endorsement of two barrier factors: beliefs regarding responsibility, relevance, and effectiveness, and lack of training and/or resources. Higher frequency of counseling was associated with higher frequency of referral behavior and lower endorsement of three barrier factors: concerns regarding patient truthfulness/ discomfort; beliefs regarding responsibility, relevance, and effectiveness; and lack of training and/or resources. Conclusions: Results indicate a high level of willingness to screen, counsel, and refer patients for substance use among a majority of dentists, although current practice behaviors lag willingness. Findings regarding barriers and facilitators can guide efforts to develop, disseminate, and implement screening, brief intervention, and referral to treatment training, initiatives, and tools that are inclusive of or specifically target dental providers.

Dental Screening, Counseling, and Referral to Treatment for Substance Use Disorder: Survey of the National Dental Practice-Based Research Network (new in @jsadjournal.bsky.social 87/1)

@kpchr.bsky.social @kpscresearch.bsky.social @kaiser-permanente.bsky.social

www.jsad.com/doi/full/10....