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Substance Use Disorders: Etiology, Epidemiology, Prevention, Treatment and Recovery

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 1170

Special Issue Editors


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Guest Editor
Department of Psychology, College of Behavioral, Social, and Health Sciences, Clemson University, Clemson, SC 29634, USA
Interests: smoking; e-cigarette

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Guest Editor
Department of Public Health Sciences, Clemson University, Clemson, SC 29634, USA
Interests: health behaviors; psycho-socio-economic determinants of health outcomes; treatment cascade outcomes

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Guest Editor
Department of Public Health Sciences, Clemson University, Clemson, SC 29631, USA
Interests: biostatistics; epidemiology; clinical trials

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Guest Editor
Department of Medicince, Prisma Health Upstate, Greenville, SC 29605, USA
Interests: PWID; HCV; care models; recovery support

Special Issue Information

Dear Colleagues,

Substance use disorder (SUD) is a chronic relapsing condition leading to personal, professional, familial, social and financial ruins, along with medical comorbidity, mental health consequences and even death. For instance, the use of drugs has a strong impact in the workplace and is of crucial importance for the health and safety of workers. The spectrum of SUDs is wide, including, but not limited to, opioids, stimulants, alcohol and smoking. Although numerous studies have been conducted, the trend of world-wide ever-increasing SUD prevalence has been stubbornly resisting to relent or mitigate.  As such, we are inviting colleagues to join the journey to combat and overcome the SUD epidemic to change the devastating landscape. We seek all types of studies: basic science, experimental, clinical trial, observational, qualitative or mixed, in any settings addressing any aspects of SUD, including etiology, epidemiology, prevention, treatment and recovery. Broadly, we invite studies on the following: (1) innovative and disruptive models of care involving psychotherapies, pharmacotherapies, care managements, contingency models or care delivery modalities; (2) effective and sustainable models of prevention, education, harm reduction or recovery support; (3) co-care treatment models for treating SUD–comorbid infectious diseases such as HCV and HIV; (4) social determinants of health and disparities on SUD; (5) health promotion in the workplace and the management of workers who use drugs; and (6) integrated data-driven AI or ML algorithm modeling approaches, for instance, to surveil and identify geographical locations in near real time where surges of SUD incidents are alarming. 

Dr. Irene Pericot-Valverde
Dr. Snehal Lopes
Prof. Dr. Moonseong Heo
Prof. Dr. Alain H. Litwin
Guest Editors

Manuscript Submission Information

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Keywords

  • SUD
  • prevention
  • harm reduction
  • models of care
  • recovery support
  • health promotion

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Published Papers (1 paper)

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Research

12 pages, 301 KiB  
Article
Racial Disparities in Outpatient Substance Use Disorder Treatment Completion: Trends and Changes from 2004 to 2024
by Monica F. Wright
Int. J. Environ. Res. Public Health 2025, 22(2), 278; https://doi.org/10.3390/ijerph22020278 - 14 Feb 2025
Viewed by 738
Abstract
Racial disparities have been found in outpatient substance use disorder (SUD) treatment completion rates. Improvements in access to treatment have sought to decrease these disparities and increase treatment engagement and success. To understand outcomes among different racial groups across time, we assessed (1) [...] Read more.
Racial disparities have been found in outpatient substance use disorder (SUD) treatment completion rates. Improvements in access to treatment have sought to decrease these disparities and increase treatment engagement and success. To understand outcomes among different racial groups across time, we assessed (1) completion rates, (2) racial representation among patients who have completed treatment, (3) general representation of racial groups within treatment, and (4) treatment length between 2004 and 2024. “Completion” is defined as “meeting all treatment goals”. Chi-squared analyses suggest significant differences among racial groups within the completed (x215=158.0, p=<0.001), not-completed (x215=561.75, p=<0.001), and other (x215=186.19, p=<0.001) groups across time. Asian and Other/Multiracial patients experienced the greatest improvement in both representation within treatment overall and proportional representation within the “completer” group over time, despite their overall completion rates fluctuating. White and Black/African American patients decreased in representation, completion rates, and representation in the “completer” group over time, with a peak in 2004–2009. In terms of length of stay, White patients remained in treatment the longest across time, F(5, 4198) = 24.605, p < 0.011, and treatment length increased for other racial groups. While disparities in completion rates decreased and racial representation in treatment increased, discrepancies persist. We discuss these findings within the context of evolving patient populations and changes in treatment provision (e.g., harm reduction frameworks). Full article
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