Journal of Studies on Alcohol and Drugs

Journal of Studies on Alcohol and Drugs

@jsadjournal.bsky.social

The oldest substance-use journal in the U.S. (est. 1940). A nonprofit publication based at the Center of Alcohol and Substance Use Studies at Rutgers, The State University of New Jersey.

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Journal of Studies on Alcohol and Drugs reposted

CISUR researchers in @jsadjournal.bsky.social! "Lower alcohol prices are linked to risky alcohol use, with the strongest effects among structurally disadvantaged groups. MUP is likely to reduce this risk and promote health equity."

Lower Prices Associated w/ Greater Alcohol-Related Harm & Risky Drinking Among Vulnerable Groups: Findings Fr... (new in @jsadjournal.bsky.social) by James Clay... @ccsacanada.bsky.social @elizabethfarkouh.bsky.social @uviccisur.bsky.social @uvicscience.bsky.social www.jsad.com/doi/abs/10.1...

Methadone Is Associated With Superior Long-Term Treatment Retention Compared With Buprenorp... (new in @jsadjournal.bsky.social ) by Kristen Morin et al @publichealthsd.bsky.social @sfu-fhs.bsky.social @nosmuniversity.bsky.social @sfu.ca @icesontario.bsky.social www.jsad.com/doi/abs/10.1...

jsad.comMethadone Is Associated With Superior Long-Term Treatment Retention Compared With Buprenorphine/Naloxone in a Large Canadian Cohort: Journal of Studies on Alcohol and Drugs: Vol 0, No jaIntroduction: We aimed to compare the effectiveness of methadone and sublingual buprenorphine/naloxone and their association with treatment discontinuation using real-world data from Ontario, Canada. Methods: We conducted a longitudinal retrospective cohort study utilizing linked, population-level administrative databases in Ontario. We included data on all Ontario residents with an indication of opioid use disorder (OUD) between January 1, 2014, and a maximum follow-up of December 31, 2022 (n = 45,230). We defined exposure groups as methadone and buprenorphine, and the primary outcome was treatment discontinuation. We applied propensity score matching was applied to compare treatment discontinuation outcomes between patients initiating methadone or buprenorphine/naloxone, controlling for demographics and clinical measures. We incorporated various databases, including the Narcotics Monitoring System, Discharge Abstract Database, and the National Ambulatory Care Reporting System, and analyzed repeated treatment windows to evaluate healthcare utilization and treatment patterns across Ontario’s diverse geographic regions. Results: From 2014 to 2022, 45,230 people with OUD contributed case or control windows. During the first 30 days of treatment, buprenorphine was associated with lower discontinuation compared with matched methadone controls (61% vs. 57.7% retained at day 30). However, beyond 60 days, methadone demonstrated lower discontinuation, with Cox proportional hazards model indicating a lower risk of treatment discontinuation. We also observed lower discontinuation time among individuals in rural and remote Northern areas. Cox proportional hazards models confirm time-varying effects, with unadjusted HR 0.95 [0.94–0.96] and fully adjusted HRs ranging from 1.03 [1.02–1.04] to 1.09 [1.05–1.12], and rural/remote Northern areas show longer time to discontinuation. Conclusion: Our study highlights the importance of considering both medication type and geographic location when developing strategies to improve treatment retention for individuals with opioid use disorder.

Toward a Strengthened Addictions Neuroclinical Assessment (ANA) Framework: A Perspective on Current Assessment Approaches and the Added Value of Recovery-Inspired Dimensions (new #openaccess in @jsadjournal.bsky.social 87/5) by Claire Ledouble et al. www.jsad.com/doi/full/10....

jsad.comToward a Strengthened Addictions Neuroclinical Assessment (ANA) Framework: A Perspective on Current Assessment Approaches and the Added Value of Recovery-Inspired Dimensions: Journal of Studies on Alc...

High-Intensity Drinking Is Linked to Greater Same-Day Positive and Negative Consequences in Young Adults (new in @jsadjournal.bsky.social ) by Jennifer Merrill et al @browncaas.bsky.social @jenmerrillphd.bsky.social @thejacksonlab.bsky.social @rutgersarc.bsky.social www.jsad.com/doi/full/10....

jsad.comHigh-Intensity Drinking Is Linked to Greater Same-Day Positive and Negative Consequences in Young Adults: Journal of Studies on Alcohol and Drugs: Vol 87, No 5Objective: Young adults who report high-intensity drinking (HID; 8+/10+ drinks for females/males) are more likely to experience negative alcohol consequences than those reporting heavy episodic drinking (HED; 4+/5+ drinks for females/males). Identifying for whom and when HID is associated with same-day negative (and positive) consequences may inform intervention approaches. We hypothesized that negative consequences would be more likely on HID versus HED days, and when HID levels were reached more quickly. Method: Young adults reporting prior HID (N = 203, 57% female) completed a 28-day ecological momentary assessment of alcohol use and consequences. Generalized hierarchical linear modeling was used to test hypothesized effects. Analyses also explored the odds of each unique negative (e.g., hangover) and positive (e.g., improved mood) consequence. Results: HID (vs. HED) was related to more same-day negative consequences. In exploratory analyses, HID was associated with increased odds of being rude/obnoxious, hurting/injuring oneself, feeling too drunk, nausea, vomiting, sleeping worse, hangover, and memory loss. HID (vs. HED) was also related to more same-day positive consequences. In exploratory analyses, HID was associated with increased odds of expressing feelings more easily, feeling more energetic, having an improved mood, being more sociable, achieving a desirable level of intoxication, laughing with others, and having a fun/exciting time. Drinking duration was not significantly related to consequences on HID days. Conclusions: Same-day positive consequences of HID may help explain why this risky behavior recurs despite its negative consequences. From a prevention and intervention perspective, health care providers and clinicians are strongly encouraged to prioritize alcohol interventions for young adults reporting 8–10 drinks per occasion. Public health significance statement: High-intensity drinking (8+/10+ drinks/sitting for females/males) is related to an increased likelihood of both positive and negative consequences, regardless of drinking duration. Young adults who engage in high-intensity drinking may benefit from knowing how various drinking limits can mitigate/elevate the likelihood of specific negative consequences.

Journal of Studies on Alcohol and Drugs reposted

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Social Media Portrayals of Nitrous Oxide Normalize Use and Encourage Youth Exposure (new in @jsadjournal.bsky.social 87/5) R. Andrew Yockey, Bria Singleton, Elise Devier... @yockeyandrew.bsky.social @rachelhoopsick.bsky.social @news.illinois.edu @olemiss.bsky.social www.jsad.com/doi/full/10....

Alcohol Sales Taxes Are Associated With Reduced Preterm Birth and Low Birthweight in the United States (new in @jsadjournal.bsky.social 87/5) by Meenakshi Subbaraman et al. @publichealthinst.bsky.social @pacificinstitute.bsky.social @ucsfhealth.bsky.social www.jsad.com/doi/full/10....

jsad.comAlcohol Sales Taxes Are Associated With Reduced Preterm Birth and Low Birthweight in the United States: Journal of Studies on Alcohol and Drugs: Vol 87, No 5Objective: Historically, alcohol taxation has been one of the best strategies to reduce drinking and related harms in the general population, and prior analyses support that increased alcohol taxes are associated with fewer harms related to drinking during pregnancy. Here, we examine how alcohol taxes are related to preterm and low birthweight births. Method: Birth certificate data for 101,191,080 births conceived between January 1993 and March 2019 come from the U.S. National Vital Statistics System. Outcomes were preterm birth (<37 weeks) and low birthweight (<2,500 g). Time-varying state-level alcohol tax policies were beverage-specific volume-based, sales, and ad valorem taxes. Final regression models adjusted for individual and state covariates, state trends, and clustered standard errors by state. Results: Only sales taxes were consistently related to birth outcomes. Having a beer sales tax was significantly related to lower odds of preterm birth (odds ratio [OR] = 0.94, 95% CI [0.90, 0.98]) and lower odds of low birthweight (OR = 0.98, 95% CI [0.96, 0.99]). Similarly, having a wine sales tax was significantly related to lower odds of preterm birth (OR = 0.94, 95% CI [0.90, 0.98]) and lower odds of low birthweight (OR = 0.97, 95% CI [0.95, 0.99]). Finally, having a spirits sales tax was also significantly related to lower odds of preterm birth (OR = 0.95, 95% CI [0.91, 0.98]) and lower odds of low birthweight (OR = 0.97, 95% CI [0.95, 0.99]). Conclusions: State-level beverage-specific sales taxes are associated with fewer adverse birth outcomes. This study provides additional evidence that increased alcohol taxes may be relevant for reducing adverse effects related to pregnant people's alcohol consumption. Public health significance statement: Policies related to alcohol use during pregnancy in the United States are related to more harms than benefits. Broader alcohol policies that affect the general public—and not just pregnant people—might be better for reducing harms related to drinking during pregnancy. Increased alcohol taxes are linked to better birth outcomes and are one example of broader alcohol policies that may reduce harms from alcohol use during pregnancy.

Framing Alcohol as Everyday: Network and Semantic Analysis of Sulbang on Korean YouTube (new in @jsadjournal.bsky.social 87/5) by Jeong Kyu Lee, Yifan Wang, Mengqi Du, Kyung Han You www.jsad.com/doi/full/10....

jsad.comFraming Alcohol as Everyday: Network and Semantic Analysis of Sulbang on Korean YouTube: Journal of Studies on Alcohol and Drugs: Vol 87, No 5Objective: This study examines how sulbang (drinking broadcast) content on Korean YouTube contributes to alcohol normalization by analyzing structural organization, thematic framing, and audience engagement patterns. Method: We analyzed 1,012 sulbang-related videos using computational methods including channel networks, keyword co-occurrence clustering via CONCOR analysis, and semantic network mapping of user comments. Data collection involved scraping YouTube videos with more than 50,000 views and algorithmically recommended content, and generating transcripts using automatic speech recognition. Results: Analysis revealed a highly centralized network, dominated by mainstream entertainment channels (tvN ENT, MBC, JTBC), that received algorithmic amplification. Keyword clustering identified six thematic domains that embed alcohol within everyday narratives of food, relationships, leisure, and emotional expression rather than prominently featuring it. Semantic analysis of viewer comments demonstrated parasocial engagement patterns, with audiences using relational language (“older sister,” “friend”) alongside alcohol-related terms. Conclusions: Sulbang normalizes alcohol consumption through subtle embedding within emotionally resonant, culturally familiar contexts amplified by platform algorithms rather than explicit promotion. These findings expose critical regulatory gaps in digital alcohol marketing and underscore the importance of comprehensive policy frameworks that address influencer-driven content on social media platforms. Public health significance statement: This study indicates how Korean YouTube drinking shows, known as sulbang, portray alcohol as a normal and enjoyable part of daily life. Because many young viewers watch these videos without realizing their influence, the findings of this study highlight the need for stronger regulations and public education to prevent risky drinking behaviors and protect youth from subtle forms of alcohol marketing.
jsad.comHeterogeneity of Within-Day Simultaneous Alcohol and Cannabis Use Behaviors Among Young Adults: A Multilevel Latent Class Analysis: Journal of Studies on Alcohol and Drugs: Vol 87, No 5Objective: Simultaneous alcohol and cannabis use is prevalent among young adults and linked with heavy use and related harms. Days with simultaneous use have been linked with poorer proximal outcomes than days involving only alcohol or cannabis, but findings are mixed. Importantly, days with simultaneous use vary greatly with respect to level and timing of use, and other substance use. Thus, all simultaneous use days may not carry the same risks, which partially explains the discrepancies. We aimed to characterize heterogeneity across simultaneous use days via an innovative statistical method applied to daily data--multilevel latent class analysis (MLCA)--and identify features of days most strongly linked to same-day harms and motives. Method: Participants were n = 255 young adult college students (48% male) who completed 54 or fewer days of surveys on substance use behavior, yielding 1,527 person-days with simultaneous use. Results: MLCA identified four day-level latent classes of simultaneous use occasions: Alcohol-Focused (43% of days), Cannabis-Focused (35%), Heavy Use (14%), and Early-Day Use (8%). Same-day harms were more likely on heavy use days than on other days, and day-level classes varied significantly across three same-day motivations for simultaneous use: to be social, because it was offered, and to have fun. Conclusions: Simultaneous alcohol and cannabis use days are highly varied. Heavy use days, characterized by the level of alcohol/cannabis use and engagement in other substance use, were most strongly linked with harms, but timing of use in a day also distinguished patterns of use. Studies investigating the role of additional substances are warranted. Public health significance statement: Simultaneous alcohol and cannabis use, or the use of both substances such that the effects overlap, is prevalent among young adults and highly varied with respect to level of substance use, ordering of substances used, and use of other substances beyond alcohol and cannabis. Motivations to be social, because a substance was offered, and to have fun were the strongest predictors for particularly higher-risk simultaneous use occasions. Findings represent an important step toward developing targeted, timely interventions for young adults who engage in simultaneous use.

Family History of Problem Drinking Is Associated With Reduced Sensitivity of Alcohol Deman... (new in @jsadjournal.bsky.social 87/5) by Brandon Miller et al @mcmasteruniversity.bsky.social @machealthsci.bsky.social @b-p-miller.bsky.social @james-g-murphy.bsky.social www.jsad.com/doi/full/10....

jsad.comFamily History of Problem Drinking Is Associated With Reduced Sensitivity of Alcohol Demand to Next-Day Responsibilities: A Replication and Extension: Journal of Studies on Alcohol and Drugs: Vol 87, No 5Objective: Murphy et al. (2014) found that university students with a family history (FH) of alcohol problems exhibit a reduced sensitivity of alcohol demand to next-day academic responsibilities. Considering the ongoing replication crisis, the objective of this study was to replicate and extend this research in community adults, including a range of non-academic responsibilities. Method: We conducted a secondary analysis of 461 adults who reported past-year alcohol consumption (39% women; mean age = 38.42 years), recruited from Amazon Mechanical Turk. Participants were coded as FH+ (40%) or FH- (60%) based on reporting if any biological parents or grandparents had a history of alcohol problems. Participants completed alcohol purchase tasks (APT) involving a typical drinking situation or next-day responsibility (e.g., work, caregiving). FH status was examined as a moderator of reductions in observed indices of alcohol demand in separate analyses of covariance, controlling for participant sex and severity of alcohol misuse. Results: Alcohol demand did not significantly differ by FH status on the no-responsibility APT (ps >.56). Compared with FH- participants, FH+ participants showed a smaller magnitude reduction in the responsibility condition for breakpoint (p = .002, ηp2 = .036), Omax (p = .002, ηp2 = .041), and Pmax (p = .001, ηp2 = .040), and nonsignificant effects for intensity (p = .053, ηp2 = .015). Conclusions: These findings replicate and extend Murphy et al. (2014) by confirming that FH confers a greater risk of alcohol consumption despite upcoming responsibilities. People with a FH of problem drinking may require specific interventions that make the impact of drinking on next-day responsibilities more salient. Public health significance statement: This study replicates previous research showing that adults who drink alcohol and report a family history of alcohol problems report that they would continue to consume more alcohol when they have important responsibilities the next morning, compared to adults who drink alcohol and do not report a family history of alcohol problems. These results suggest that people with a family history may need targeted interventions to increase the importance of responsibilities and reduce their alcohol consumption to mitigate risks of adverse outcomes associated with drinking in these situations.

Living Up to Their Name: Blackout Rage Gallons (BORGs) Marked by High-Intensity Drinking and Alcohol Consequences in College Students: New #openaccess in @jsadjournal.bsky.social by Andrea C. King et al. @uchicagomedicine.bsky.social @emilyatkinson.bsky.social www.jsad.com/doi/full/10....

jsad.comLiving Up to Their Name: Blackout Rage Gallons (BORGs) Marked by High-Intensity Drinking and Alcohol Consequences in College Students: Journal of Studies on Alcohol and Drugs: Vol 87, No 5Objective: The blackout rage gallon (BORG) is an excessive drinking trend popular at some colleges in the United States and propelled by social media. Media reports depict harmful consequences of BORG use, but others view this trend as a strategy to reduce drink contamination, control alcohol intake, and minimize hangovers. This study provides the first detailed assessment of college students’ perceptions and use of BORGs, including consequences and motivations for use and nonuse. Method: Participants (ages 18–25 years) were past-year college students (N = 103) from both public and private U.S. institutions who reported weekly binge drinking and completed a survey assessing BORG use, motivations, and drinking-related outcomes. Results: Participants were 20.4 years old, 62% female sex at birth, and their mean Alcohol Use Disorders Identification Test score was 11.3 ± 5.2. We oversampled college students who reported past-year BORG use (BORG+; n = 63) relative to those who denied BORG use (BORG-; n = 40). BORG+ participants consumed 9–10 standard alcohol drinks during a typical BORG event. Most reported getting buzzed or drunk (98%), nearly one third (29%) experienced a blackout, 17% vomited, and 59% said/did something embarrassing. Regardless of these effects, two thirds endorsed intending to engage in future BORG drinking. BORG-participants cited refraining from BORG use because it was not part of their college culture and was not effective for limiting alcohol intake. Conclusions: The BORG trend presents another challenge for harm reduction efforts focused on curbing excessive drinking in college students. The high-intensity drinking of BORG use, paired with associated blackouts, vomiting, and behavioral disinhibition, renders this phenomenon as living up to its name. Public health significance statement: The blackout rage gallon (BORG) is a binge-drinking trend popular among some college students that facilitates high-intensity drinking and produces acute alcohol-related harm. The present study provides insight into the motivations and outcomes of BORG use, which may inform prevention and education efforts to mitigate its negative consequences.

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Cannabis Use Disorder and Suicidal Ideation in the United States: Persistent Risk and Stable Trends, 2014–2023 (just accepted in @jsadjournal.bsky.social) by Tosin Philip Oyetunji, Alec M. Chan-Golston, Sandie Ha... @hsri-ucmerced.bsky.social @ucmerced.bsky.social www.jsad.com/doi/abs/10.1...

jsad.comCannabis Use Disorder and Suicidal Ideation in the United States: Persistent Risk and Stable Trends, 2014–2023: Journal of Studies on Alcohol and Drugs: Vol 0, No jaObjective Amid rising cannabis use, declining perceived harm, and policy liberalization over the past 15 years, we examined whether the association between cannabis use disorder (CUD) and past-year suicidal ideation among U.S. adults changed from 2014–2023 and varied by sex, age, and race/ethnicity. Method Using data from 415,861 adults in the 2014–2023 National Surveys on Drug Use and Health, we examined temporal association change between past-year suicidal ideation and CUD (≥2 of 9 harmonized DSM-5 criteria). Logistic regression models, adjusted for demographic, social, clinical, and geographic covariates, tested whether survey year moderated the CUD–suicidal ideation association overall and in strata by sex, age, and race/ethnicity. Results Adults with cannabis use disorder had 57% higher odds of past-year suicidal ideation than those without (OR, 1.57; 95% CI, 1.44–1.72) across years. Joint Wald tests showed no evidence that the association changed over time overall (p = 0.12) nor within strata defined by sex or age. Although the joint interaction test suggested some variation among Hispanic respondents (p = 0.01), no individual year-specific interaction terms remained statistically significant after Bonferroni correction. Conclusions Adults with CUD had higher odds of suicidal ideation but, contrary to expectations, the strength of this association remained stable from 2014–2023 and did not differ significantly across sex, age, or racial/ethnic groups despite widespread legalization, increased potency, and shifting norms.

Limited Evidence on Cannabis Taxation Effects in the United States: A Rapid Review of Use, Purchasing, and Risk Perceptions (new in @jsadjournal.bsky.social 87/4) by Melissa Ponce, Kara R. Skelton @johnshopkinssph.bsky.social www.jsad.com/doi/full/10....

jsad.comLimited Evidence on Cannabis Taxation Effects in the United States: A Rapid Review of Use, Purchasing, and Risk Perceptions: Journal of Studies on Alcohol and Drugs: Vol 87, No 4Objective: The global cannabis policy landscape has changed dramatically in recent decades. In the United States, there is significant variation in cannabis tax structures, and there is limited consensus on how to implement cannabis tax policy to mitigate related harms. Therefore, the objective of this rapid review was to synthesize current evidence on the impact of cannabis taxation on purchasing behavior, use, and risk perceptions among U.S. adults. Method: We systematically searched for peer-reviewed studies published in English (2014–present) in PubMed, SCOPUS, and Google Scholar. Two reviewers independently screened all relevant articles for eligibility using Covidence software. Out of the 1,342 references identified, 1,337 were not eligible for inclusion. Results: The five included studies examined excise taxes on cannabis. Outcomes measured across the studies included cannabis use, cannabis demand, purchasing patterns, and perceptions. The data sources ranged from participant-level to state-level to nationally representative. One study found a negative association between taxes and past-30-day cannabis use, although it was statistically insignificant. A higher cannabis tax was linked to a decrease in cannabis demand. Another study demonstrated evidence of consumer stockpiling and increased crossborder substitution in response to higher cannabis tax rates. In terms of perceptions, policymakers rated taxes as a highly efficacious public health tool, and cannabis users viewed taxation as an important factor in their purchase decisions. Conclusions: The limited number of articles identified in this rapid review highlights the need for future studies to better understand consumer behavior and inform policy. Public health significance statement: In this review, we found a paucity of evidence on the impact of cannabis taxation on cannabis risk perceptions, purchasing, and use, which hinders policymakers’ decisions to enact evidence-informed cannabis tax policies. As state cannabis legalization continues in the United States, future studies must evaluate the impact different tax policies have on health outcomes.