Publications by authors named "Hultgren B"

Article Synopsis
  • Young adults engaging in simultaneous alcohol and marijuana use (SAM) exhibit risky driving behaviors, which significantly increase the chances of accidents and injuries.
  • A study involving 1941 young adults found that while only 2.7% reported driving under the influence of SAM, 5.3% admitted to riding with someone impaired by SAM at least once in the past month.
  • Perceptions of what others do (descriptive norms) did not correlate with driving behaviors, but the belief that driving under the influence is acceptable (injunctive norms) was linked to an increase in both driving and riding with SAM impaired drivers.
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Background: Despite intervention efforts, negative alcohol-related consequences continue to impact young adults. Most alcohol interventions focus on reducing alcohol consumption; however, previous research indicates that focusing solely on alcohol use may not decrease consequences. Additionally, many alcohol interventions have diminishing engagement, and few are designed with young adults involved in the development process.

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Article Synopsis
  • * Data from the Washington Young Adult Health Survey showed that while overall changes in DUI behaviors were not statistically significant during the pandemic, the prevalence was notably concerning, with 12.0% for DUI-A, 12.5% for DUI-C, and 2.7% for DUI-AC.
  • * Specifically, college students experienced a relative increase in DUI-A during 2020 compared to their non-college peers, highlighting the need for ongoing prevention efforts
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Motor vehicle crashes are a leading cause of death for young adults (YA) in the USA, and driving under the influence of alcohol (DUIA), cannabis (DUIC), and simultaneous use of both substances (DUIAC) are prominent risk factors. Trends in YA impaired driving behaviors after opening of cannabis retail stores have been understudied. We examined YA trends in DUIA, DUIC, and DUIAC from immediately prior through 5 years following the opening of cannabis retail outlets in Washington State (2014-2019).

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Purpose: Alcohol- and cannabis-impaired driving behaviors remain a public health concern especially among young adults (i.e., ages 18-25).

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Article Synopsis
  • A study explored how cannabis use is related to the misuse of pain relievers among young adults in Washington State, where cannabis is legal.
  • The analysis involved 4,236 participants aged 18-25, tracking their cannabis use and instances of pain reliever misuse over three years.
  • Results indicated that both non-medical and medical cannabis use were linked to a higher risk of misusing pain relievers, challenging the belief that cannabis might help reduce opioid misuse.
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Objective: Whether college students' reports of their parents' behaviors are as reliable a predictor of student drinking as their parents' own reports remains an open question and a point of contention in the literature. To address this, the current study examined concordance between college student and mother/father reports of the same parenting behaviors relevant to parent-based college drinking interventions (relationship quality, monitoring, and permissiveness), and the extent to which student and parental reports differed in their relation to college drinking and consequences.

Method: The sample consisted of 1,429 students and 1,761 parents recruited from three large public universities in the United States (814 mother-daughter, 563 mother-son, 233 father-daughter, and 151 father-son dyads).

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Background: The COVID-19 pandemic has resulted in pronounced changes for college students, including shifts in living situations and engagement in virtual environments. Although college drinking decreased at the onset of the pandemic, a nuanced understanding of pandemic-related changes in drinking contexts and the risks conferred by each context on alcohol use and related consequences have yet to be assessed.

Methods: Secondary data analyses were conducted on screening data from a large parent clinical trial assessing a college student drinking intervention (N = 1669).

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Background: Motor vehicle crashes remain a leading cause of death among young adults (ages 18-25) in the United States. Many drivers implicated in these crashes are under the influence of alcohol, cannabis, or the simultaneous use of alcohol and cannabis. Extremely limited research has assessed impaired driving behaviors and their predictors at the daily level.

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Substance use is widely recognized as a negative outcome following traumatic events and is tied to symptoms of posttraumatic stress (PTS). Sleep quality may influence the PTS and substance use association, particularly among college students who are at risk for poor sleep. The purpose of the present study was to examine the moderating effect of sleep quality on the relationship between PTS and substance use in a cohort of college students, with an exploratory aim of examining potential differences by assigned sex.

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Purpose: This study examined levels of substance-specific risk factors such as perception of harm from substance use among young adults in a range of cannabis-permissive environments. The main objective was to inform future preventive interventions aimed at reducing cannabis use in the context of increasingly permissive environments.

Methods: Data came from the Community Youth Development Study (CYDS) collected in 2016 when participants were about 23 years old ( = 1,722 participants residing in 46 U.

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Article Synopsis
  • The study investigates how the legalization of nonmedical cannabis in Washington State affects the use of other substances, particularly alcohol and nicotine, among young adults aged 18-25.
  • Using regression models on survey data from 2014 to 2019, the research found a decrease in alcohol consumption, heavy drinking, and cigarette use, alongside an increase in e-cigarette use.
  • Despite occasional cannabis users tending to use other substances more, the connection between frequent cannabis use and substance misuse weakened over time, suggesting a potential shift in trends that warrants further research.
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Background: Previous research indicates college students report heavier drinking on certain events (e.g., 21st birthday).

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Despite patient demand for stem cell therapies (SCTs) for musculoskeletal conditions, there remains limited research on why patients seek SCTs or their sources of information. We employ three questions into a consult intake form: (1) Why are you interested in stem cell treatment for your condition? (2) How did you find out about stem cell treatment for your condition? (3) Have you contacted a stem cell clinic? Responses analyzed, using a qualitative content analysis approach to identify themes reveal many patients seek SCTs to treat pain or delay surgery which may align with some current clinical evidence while other patients express motivations as expected outcomes (e.g.

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To examine changes in prevalence of cannabis use and of cannabis use disorder symptomatology among young adults from 2014 to 2019 in Washington State, where nonmedical (or "recreational") cannabis was legalized in 2012 and retail stores opened in July 2014. We used 6 years of cross-sectional data collected annually from 2014 (premarket opening) to 2019 from 12 963 (∼2000 per year) young adults aged 18 to 25 years residing in Washington. Logistic regression models estimated yearly change in prevalence of cannabis use at different margins and related outcomes.

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During the COVID-19 pandemic, college students have experienced heightened stressors and reported stress-related drinking. To identify potential protective factors among college students, we investigate the possibility that finding meaning and purpose in one's life may lessen the strength of the association between stress and alcohol consumption in a multicohort sample of college students (N = 694; 64.8% women) recruited between November 2019 and September 2021.

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Purpose: Young adults may use alcohol and cannabis as sleep aids, a risky behavior that can worsen sleep health over time and lead to substance dependence. Perceived norms for such risky behaviors are often overestimated and related to one's own use. This cross-sectional study examined: (a) the extent to which college students overestimated the prevalence of alcohol and cannabis use as sleep aids (i.

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Background: This study examined associations of local cannabis retail outlet availability and neighborhood disadvantage with cannabis use and related risk factors among young adults.

Methods: Data were from annual cross-sectional surveys administered from 2015 to 2019 to individuals ages 18-25 residing in Washington State (N = 10,009). As outcomes, this study assessed self-reported cannabis use at different margins/frequencies (any past year, at least monthly, at least weekly, at least daily) and perceived ease of access to cannabis and acceptability of cannabis use in the community.

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The first clinical trial of the Brief Alcohol Screening and Intervention for College Students (BASICS) was launched at the University of Washington in 1990. Since that time, multiple trials have demonstrated the efficacy of BASICS and related approaches in a variety of young adult populations and this information has been widely disseminated. However, in practice BASICS implementation varies considerably, including formats and mediums (e.

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Perceptions of friends' approval of drinking behaviors (i.e., injunctive drinking norms) play a central role in shaping college students' alcohol use behaviors.

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Student drinking during the college years can result in many adverse outcomes. Emotion-based decision-making (EBDM), or the use of emotional information to influence future plans and behavior, may lead to increased harmful consequences of alcohol. The current study examined both the number of types and total frequency of alcohol consequences as a function of EBDM.

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Objective: While alcohol, marijuana, and nicotine are the most commonly used substances, there is limited research on the between- and within-person associations of their use and driving under the influence (DUI) and riding with an impaired driver (RWID). The current study utilized a burst design to assess how use and co-use of these substances is associated with DUI and RWID.

Methods: College student drinkers with past-year marijuana and/or nicotine use (N = 367) were assessed on two consecutive weekends for three semesters.

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Objective: The current study expands the literature on alcohol-related protective behavioral strategies (PBS) that individuals may use to reduce risk of intoxication and/or consequences. This study used daily data collected prospectively to test (a) the extent to which college students' plans for using different types of PBS on a given day were associated with actual PBS use and (b) whether drinking intentions moderated the strength of the association between PBS plans and use.

Method: College students ages 18-24 ( = 189; mean () = 20.

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Background: Daily diaries and ecological momentary assessments (EMA) are frequently used to assess event-level college student drinking. While both methods have advantages, they also raise questions about data validity, particularly in regard to alcohol's impact on protocol compliance. The current study examined congruence in drinking behaviors reported via retrospective daily diaries and event-contingent drinking logs, protocol compliance with each method, and the extent to which alcohol consumption impacted compliance.

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