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Background: Cambodian youth face many unique challenges, such as high instances of poverty and intergenerational trauma. Grit, a person-level trait defined as having "perseverance and passion for long-term goals", may be particularly important in helping Cambodian youth to succeed despite the extreme challenges they face. To date, the Original Grit Scale (Grit-O) has not been translated in Khmer or validated for a sample of Cambodian youth. Purpose: This study aimed to assess the reliability and validity of a Khmer translation of the Original Grit Scale (Grit-O) among urban Cambodian youth. Research Design: A cross-section survey battery--including Grit-O and other relevant covariates--was administered to Cambodian youth. Study Sample: Data were collected from 580 Cambodian adolescents (M[subscript age] = 15.85 years, SD[subscript age] = 2.05, 63.7% female). Data Collection and Analysis: Paper and pencil surveys were sent home from school with each participant and returned to the study team the next day. Analyses included calculating Cronbach's alphas, interitem correlations, correlations with relevant covariates and both a confirmatory and exploratory factor analysis. Results: Cronbach's alphas and interitem correlations indicated that the full scale was not reliable for this sample, and that reliability improved when two items ("I become interested in new pursuits every few months--reverse-scored and I finish whatever I begin") were excluded. The subscales "Consistency of Interests and Perseverance of Effort" were more reliable than the full scale. Correlations with relevant covariates indicated that the full scale was moderately valid. Factor analyses suggested that items 6 and 7 did not load well onto either identified factor. Conclusions: Investigators measuring grit in a sample of Cambodian youth should consider excluding items 6 and 7 of Grit-O, and assessing the two subscales on their own, rather than treating them as indicators of a single higher-order construct.

Adolescents are tasked with navigating competing priorities, including whether to marry, have children, pursue a job/career, go to college, and contribute to society. The developmental task of building expectations for the future is especially complex for Cambodian adolescents living within a society that strongly prioritizes family obligations yet increasingly provides educational and professional opportunities. The current study, guided by Seginer's (2003) future orientation model, applied latent profile analysis (LPA) to explore patterns of Cambodian adolescents' (N = 580, 64% female, M[subscript age] = 15.85) future expectations across key life domains and predictors of those patterns. LPA identified four profiles: Low Expectancy (low expectations across all domains; 12%), Family Focused (high expectations to get married and have children; 31%), Professional/Service Focused (high expectations across education, employment, and societal contribution domains; 27%), and High Expectancy (high expectations across all domains; 30%). Females were more likely than males to be in the Professional/Service Focused than High Expectancy profile. Adolescents with greater internal locus of control and family obligation were less likely to be in the Low Expectancy and Family Focused than High Expectancy profile, whereas adolescents in higher grade levels were more likely to be in the Family Focused than High Expectancy profile. Adolescents with closer relationships with mothers were "less" likely to be in the Professional/Service Focused than High Expectancy profile; adolescents with closer relationships with fathers were "more" likely to be in the Professional/Service Focused than High and Low Expectancy profiles. Findings elucidate configurations of adolescents' future expectations, and factors distinguishing among adolescents with different configurations.

Background and Objectives: The current study examines regional differences in Black/White fatal drug overdoses. Methods: Black/White overdose mortality data (2012–2021; N = 537,085) were retrieved from CDC WONDER. We used death counts and corresponding Census Bureau population estimates by the decedent's age and race/ethnicity to calculate mortality rate ratios. Results: From 2012 to 2021, there were 537,085 reported overdose deaths among White (85%) and Black (15%) individuals in the United States. In the South, Black individuals had lower fatal drug overdose deaths than their same‐aged White counterparts. In the Northeast, Midwest, and West regions, Black individuals had around 10%–60% lower likelihood of overdoses among younger ages (15–24, 25–34, 35–44) but about 60%–300% higher likelihood of overdoses among older adults (55–64). Increases in overdose deaths during the pandemic (2020–2021) led to changes in Black/White overdose death patterns, whereas Black individuals of all ages in the Midwest and West regions had approximately 15%–425% higher likelihood of fatal overdoses than their same‐aged White counterparts. Sex‐stratified analysis suggests that Black females in the South had overdose death rates around 50% lower than same‐aged White females, and overdose deaths were relatively equal for Black and White females in the Midwest—patterns not seen among males. Conclusions and Scientific Significance: The findings indicate that the Black/White overdose mortality gap changed after the COVID‐19 pandemic across all regions and age cohorts, with state and regional variations in magnitude. Behavioral interventions and policies to curb drug overdose deaths among populations most impacted should consider regional, sex, and age‐related differences. [ABSTRACT FROM AUTHOR]

This study used the National Survey on Drug Use and Health to assess a nationally representative sample (N = 4596) weighted to represent 35.2 million adults with DSM-5 criteria-determined substance use disorders (SUDs). This study explored substance use treatment utilization in 2020, emphasizing populations with high vulnerability (e.g., criminal justice involvement (CJI) through parole or probation, polysubstance use, severe mental illness, and HIV/STI). Substance use treatment was broadly defined (any inpatient, outpatient/doctor's office, self-help/other for alcohol/drugs). Our results indicated that among adults with SUDs in 2020, 7 million (20%) had multiple SUDs, 1.75 million (5%) had CJI, 5.3 million (15%) had a severe mental illness, and 1.8 million (5%) had a diagnosis of HIV/STI in the last year. Only 7% of individuals with SUD sought any substance use treatment in the past year. CJI (aOR: 13.39, 95% CI: [7.82, 22.94]), serious mental illness (aOR: 3.27, 95% CI: [1.93, 5.55]), and having both 2 (aOR: 2.10, 95% CI: [1.29, 3.42]) or 3 or more SUDs (aOR: 3.46, 95% CI: [1.82, 6.58]) were all associated with a greater likelihood of receiving treatment. Marriage (aOR: 0.43, 95% CI: [0.25, 0.74]) and having an income twice the poverty threshold (aOR: 0.53, 95% CI: [0.29, 0.94]) were associated with reduced odds of receiving any substance use treatment. Compared to those 18 to 25, older individuals had increased odds (2-4 times) of receiving treatment. Interventions are crucially needed to increase access to treatment among those with SUDs. [ABSTRACT FROM AUTHOR]

Few nationally representative studies examine suicidality and substance use during 2020; as such, we explored the role of substance use disorders (SUDs) on suicidality among adults and adolescents in 2020. Data were derived from N = 26,084 adult participants, representing 240 million U.S. adults weighted, and N = 5,723 adolescent participants, representing 25 million U.S. adolescents (12-17 years.). Separate logistic regressions for adults and adolescents were used to assess the association of DSM-5 SUDs, related factors, and suicidal thoughts and behaviors (ideation, planning, and attempts). In 2020, adults with SUDs were nearly 4 times more likely to seriously consider suicide (aOR = 3.94, 95% CI: 3.19, 4.86), 3 times more likely to make a suicide plan (aOR = 3.09, 95% CI: 2.25, 4.25), and nearly 4 times more likely to attempt suicide (aOR = 3.77, 95% CI: 2.29, 6.19) than adults without SUDs. Adolescents with SUDs were 4 times more likely to consider suicide (aOR = 3.69, 95% CI: 2.47, 5.51), 5 times as likely to make a suicide plan (aOR = 5.14, 95% CI: 3.25, 8.13) and to attempt suicide (aOR = 5.27, 95% CI: 2.91, 9.53) than adolescents without SUDs. Adult females and individuals experiencing poverty were twice as likely to attempt suicide than adult males and individuals not living in poverty. Adolescent females were 3-5 times more likely to seriously consider, plan, and attempt suicide than adolescent males. Interventions to curb suicidality among individuals with SUDs are crucial. [ABSTRACT FROM AUTHOR]

Social comparison processes between siblings play an important role in the ways siblings influence one another at younger ages, but to our knowledge, no studies have examined social comparison processes between siblings in mid- to later life. The current study examined (1) factors associated with the propensity for social comparisons with a sibling and (2) how social comparison is linked to well-being and sibling relationship quality. Data came from 491 adults from across the United States (M age = 58.96, SD = 6.25; 68% female). Results indicated that adults who are the same sex as their sibling are more likely to engage in social comparison with their sibling. Additionally, an inclination for social comparison with a sibling was linked to more depressive symptoms, more sibling conflict, and greater sibling closeness. Overall, comparison with a sibling in adulthood may be linked to both positive and negative outcomes. [ABSTRACT FROM AUTHOR]

Women are among the fastest growing populations of those with substance use disorders in the United States. Women face different social barriers than men in their access to treatment and recovery from these disorders. Differentially experienced barriers include greater child caregiving responsibilities, social sigma regarding motherhood and substance use, romantic partners who also use substances, experiences of violence and trauma, and, relatedly, symptoms of post-traumatic stress disorder. These barriers have been studied primarily by employing between-group approaches (e.g. comparing men and women) or between-persons approaches (e.g. cross-sectionally assessing the relationship between person-level PTSD symptoms and relapse). However, there are limited studies on women's gender-specific experiences in recovery with the aim of elucidating within-person effects. Employing within-person designs, such as daily diary or ecological momentary assessments, has many advantages. These advantages include reducing retrospective bias, assessing temporality of processes that occur on a short time scale, and analyzing processes that may occur when individuals deviate from their personally normative experiences. Studying women's experiences in recovery "as they are lived" will enable the development of interventions that are fine-tuned to the specific needs of each woman, and ultimately may help to reduce the suffering of women with substance use disorders. [ABSTRACT FROM AUTHOR]

Introduction: The disproportionate incidence of opioid use disorder (OUD) and the alarming increases in opioid-related overdose deaths among women highlight a clear need for the expansion of effective harm reduction and treatment practices. Research supports medications for opioid use disorders (MOUD) as an effective intervention; however, with low rates of utilization of such, there is a need to identify factors that facilitate MOUD treatment uptake and retention for women. Thus, the current study examines contributors to treatment success through the triangulation of perspectives from affected women as well as health and criminal justice professionals., Methods: Interviews (N = 42) were conducted from May to July 2022 with women in recovery who previously used or currently use MOUD (N = 10), women who currently use opioids who terminated a MOUD program previously (N = 10), SUD treatment professionals (N = 12), and criminal justice professionals who work with women who use opioids (N = 10). Interviews for all participants centered around their backgrounds, perceived barriers and facilitators to MOUD treatment, and issues specific to women in treatment for substance use disorder. We used a thematic qualitative data analysis process to analyze transcripts., Results: Participants highlighted contributors to treatment success from 3 domains: (1) internal processes (including promoting self-efficacy and setting realistic goals), (2) access to resources (including material resources, such as food and shelter, educational resources and social support), and (3) treatment structure (such as treatment type and protocol)., Conclusion: Internal processes, access to resources, and treatment structure contribute to MOUD treatment success for women with OUD. Structured support where experiences are shared, and realistic goals are set, may promote feelings of acceptance and empowerment, thereby bolstering chances of treatment success. Additionally, the court system can promote evidence-based and trauma-informed substance use treatment and provide accessible educational resources related to substance use to extend these benefits to more women., Competing Interests: Dr. Schwartz served as Principal Investigator of a National Institute on Drug Abuse funded study that received medication in-kind from Alkermes and Indivior. The other author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2024.)

Few nationally representative studies examine suicidality and substance use during 2020; as such, we explored the role of substance use disorders (SUDs) on suicidality among adults and adolescents in 2020. Data were derived from N = 26,084 adult participants, representing 240 million U.S. adults weighted, and N = 5,723 adolescent participants, representing 25 million U.S. adolescents (12-17 years.). Separate logistic regressions for adults and adolescents were used to assess the association of DSM-5 SUDs, related factors, and suicidal thoughts and behaviors (ideation, planning, and attempts). In 2020, adults with SUDs were nearly 4 times more likely to seriously consider suicide (aOR = 3.94, 95% CI: 3.19, 4.86), 3 times more likely to make a suicide plan (aOR = 3.09, 95% CI: 2.25, 4.25), and nearly 4 times more likely to attempt suicide (aOR = 3.77, 95% CI: 2.29, 6.19) than adults without SUDs. Adolescents with SUDs were 4 times more likely to consider suicide (aOR = 3.69, 95% CI: 2.47, 5.51), 5 times as likely to make a suicide plan (aOR = 5.14, 95% CI: 3.25, 8.13) and to attempt suicide (aOR = 5.27, 95% CI: 2.91, 9.53) than adolescents without SUDs. Adult females and individuals experiencing poverty were twice as likely to attempt suicide than adult males and individuals not living in poverty. Adolescent females were 3-5 times more likely to seriously consider, plan, and attempt suicide than adolescent males. Interventions to curb suicidality among individuals with SUDs are crucial., Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2023.)

Competing Interests: The authors declare that there is no conflict of interest.