ArticleInternational journal of alcohol and drug research2025
Family burden among US adults experiencing secondhand harms from alcohol, cannabis or other drugs.
Article in International journal of alcohol and drug research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
8 authors.
Funding
Abstract
Background: Family burden has not been studied in relation to alcohol and other drug harms from others. We adapted a family burden scale from studies of caring for those with mental health conditions for use in the US Alcohol and Drug Harm to Others Survey (ADHTOS). We investigated associations between a seven-item summative burden scale and different types of harms attributed to someone else's use of alcohol, cannabis, or another drug: (a) being assaulted/physically harmed; (b) having family/partner problems; (c) feeling threatened or afraid; and (d) being emotionally hurt/neglected due to others' substance use. Methods: A survey of adults aged 18 years and over conducted between October 2023 and July 2024 ( Results: The single factor burden scale showed good internal consistency (α = .91). Components assessing being emotionally drained/exhausted and family friction/arguments were endorsed by 38-39% of participants; finding stigma of the other's substance use upsetting was affirmed by 33%. Fewer endorsed feeling trapped in caregiving roles (22%), problems outside the family (26%), neglect of other family members' needs (16%), and having to change plans (14%). In adjusted regression models, seven of eight harm exposures were significantly associated with burden scores. Discussion: People reported substantial burden from others' use of alcohol, cannabis, and other drugs. Family support interventions and policy remedies to mitigate these burdens are needed.
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Identifiers
41200097PMC12588143What OpenQuestion holds
Registered trials
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