Evidence map›Paper›PMID 41709495›Full record

ArticleDrug and alcohol review2026

Self-Reported Adverse Effects Associated With New Psychoactive Substance Use in a Sample of Adults From 20 US Cities.

Nicole D Fitzgerald, Joseph J Palamar, Linda B Cottler

Abstract read
In one paragraph

Article in Drug and alcohol review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nicole D FitzgeraldDepartment of Epidemiology, Columbia Mailman School of Public Health, New York, New York, USA.ORCID 0000-0001-7779-5874
Joseph J PalamarDepartment of Population Health, NYU Grossman School of Medicine, New York, New York, USA.
Linda B CottlerDepartment of Epidemiology, College of Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, Florida, USA.

Funding

National Drug Early Warning System (NDEWS) COVID-19 SupplementU01DA051126 · NIDA · UNIVERSITY OF FLORIDA · PI Linda B. Cottler, Joseph J Palamar · 2020 to 2026
$6.3M
Substance Abuse Epidemiology Training Program (SAETP) at Columbia UniversityT32DA031099 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DEBORAH S HASIN, Silvia Saboia Martins · 2012 to 2026
$6.1M
UF Substance Abuse Training Center in Public HealthT32DA035167 · NIDA · UNIVERSITY OF FLORIDA · PI Linda B. Cottler · 2014 to 2026
$4.8M
New psychoactive substance exposure among NYC nightclub and festival attendeesR01DA057289 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Joseph J Palamar · 2023 to 2026
$2.7M
NIDA NIH HHS R01 DA057289NIDA NIH HHS R01DA057289NIDA NIH HHS T32 DA031099NIDA NIH HHS T32DA031099NIDA NIH HHS T32 DA035167NIDA NIH HHS T32DA035167NIDA NIH HHS U01 DA051126NIDA NIH HHS U01DA051126
6 · The paper itself

Abstract

introductionAs new psychoactive substances (NPS) continue to emerge both in the US and globally, research is needed to determine the extent of adverse effects associated with NPS use beyond poisonings or mortality to inform prevention and harm reduction efforts in this population.

methodsData were from the National Drug Early Warning System Rapid Street Reporting study, which uses a venue-intercept design to survey adults (≥ 18 years) in US cities over weekend periods. Between January 2022 and November 2023, 6039 individuals were surveyed in 20 cities regarding their use of a range of NPS and other common drugs. Those reporting past 12-month use of a drug were asked if they experienced a harmful or very unpleasant effect after use.

resultsOverall, among those reporting any past 12-month NPS use (n = 259), over a quarter (27.03%) reported experiencing an adverse effect related to the use of at least one NPS in the past 12 months. Among those reporting NPS use, those who also reported past 12-month opioid use had over two times the prevalence of reporting an adverse effect related to NPS use (adjusted prevalence ratio 2.66, 95% confidence interval 1.41, 5.01). Symptom profiles were broadly similar between NPS and common drug classes. DISCUSSION AND

conclusionsAdverse effects from NPS appear to be common among those self-reporting NPS use, particularly among those reporting polysubstance use. More data are needed to determine event-specific adverse outcomes involving the use of NPS and other drugs.

Indexed as

Illicit DrugsPsychotropic DrugsSelf ReportSubstance-Related DisordersAdolescentAdultCitiesFemaleHumansMaleMiddle AgedUnited StatesYoung AdultIllicit DrugsPsychotropic Drugsadverse effectsnew psychoactive substancespolysubstance use

Identifiers

PMID41709495
PMCPMC13005137

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.