ArticleDisability and health journal2022
Substance use and misuse patterns and disability status in the 2020 US National Alcohol Survey: A contributing role for chronic pain.
Article in Disability and health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Cancer risks related to intellectual disabilities: A systematic review.Cancer medicine · 2024Pooled it
- Alcohol use disorder diagnoses among commercially insured US adults from 2016 to 2023, by disability status and sex.Drug and alcohol dependence reports · 2026Article
- Disability-Related Differences in Substance Use Among U.S. Young Adults.Substance use & addiction journal · 2026Article
- Fourth annual workshop on fetal alcohol spectrum disorders prevention and clinical guidelines research: co-occurring conditions.BMC proceedings · 2026Article
- Nation-wide trends in prevalence and mortality of high-risk drinking among adult men with and without disabilities in South Korea between 2009 and 2017.Addiction (Abingdon, England) · 2026Article
- Mediation of chronic pain and disability on opioid use disorder risk by pain management practices among adult Medicaid patients, 2016-2019.American journal of epidemiology · 2026Article
- Intersecting challenges: Substance use and mental health disparities across self-reported disability status.Journal of substance use and addiction treatment · 2026Article
- Healthcare utilization among adults with co-occurring substance use and mental health disorders (2018-2023): A study based on All of Us program.medRxiv : the preprint server for health sciences · 2026Article
- Article
- Effects of COVID-19 economic impacts on alcohol use disorder symptoms are mediated by maximum and volume of alcohol intake: Data from the National Alcohol Survey's COVID Cohort.Alcohol, clinical & experimental research · 2026Article
- Alcohol and tobacco use among sexual and gender minority cancer survivors in relation to urbanicity/rurality.Cancer causes & control : CCC · 2025Article
- Perinatal mental health and risk of severe maternal morbidity in women with physical disabilities, Massachusetts 2003-2015.Disability and health journal · 2025Article
- Alcohol Use Disparities Among Transgender and Nonbinary Adults: An Intersectional Investigation.Drug and alcohol review · 2025Article
- Substance Use Prevalence Among Transgender and Gender Diverse Young Adults Across Identity and Life Experiences.Annals of LGBTQ public and population health · 2025Article
- Single and multiple tobacco product use among people with disabilities: Findings from the National Health Interview Survey, 2019-2022.Addictive behaviors · 2025Article
- Quantification of racial and ethnic disparities in alcohol-related problems in light of different methodological approaches.Addiction (Abingdon, England) · 2025Article
- Recent advances in the treatment of chronic pain and substance use disorders.Current opinion in psychology · 2025Review
- Alcohol and Disability Sports: Insights from Swiss Coaches.Substance abuse and rehabilitation · 2025Article
- Prevalence and Correlates of Alcohol and Drug Harms to Others: Findings From the 2020 U.S. National Alcohol Survey.Journal of studies on alcohol and drugs · 2024Article
- A predictive model for depression in Chinese middle-aged and elderly people with physical disabilities.BMC psychiatry · 2024Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundEvidence about substance use and misuse among adults with disabilities is still emerging, despite increased risk of chronic pain and mental health problems, which are in turn risk factors for substance use and misuse.
objectiveWe examined substance use and misuse among adults with selected self-reported disability (versus without), controlling for sociodemographics, depression/anxiety, physical health, and chronic pain, and assessed whether associations could be attributed to chronic pain.
methodsData are from the nationally representative 2020 US National Alcohol Survey. Disability indicators included sensory or mobility impairment, receiving Medicare before age 65, and/or unemployment due to disability. Regression analyses determined associations of disability with past-year substance use and misuse. Mediation analyses examined the role of chronic pain.
resultsApproximately 18% met 1+ disability criterion, representing 42.8 million adults. Disability was associated with reduced odds of current drinking (OR = 0.77, p < 0.01), but greater odds of daily nicotine use (OR = 1.43, p < 0.01), any drug use (OR = 1.32 p < 0.01), prescription drug misuse (OR = 1.99, p < 0.001), and other drug use (OR = 2.02, p < 0.001). Disability was not associated with high-intensity drinking or marijuana use. Chronic pain accounted for 17-38% of the association between disability and nicotine use, any drug use, prescription drug misuse, and other drug use.
conclusionsFindings indicated higher rates of substance use and misuse among people with disabilities, accounting for depression/anxiety, physical health, and chronic pain, with pain being a significant mediator. Substance use screening, brief intervention, and treatment should include appropriate accommodations for disabilities, inclusive of comprehensive pain management options.
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