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Identifying risk factors of hazardous alcohol use, particularly factors that may differentiate risk among those with regular postoperative alcohol consumption, would inform postoperative monitoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009100) who were up to 5\u00a0years post-MBS and were consuming alcohol at least 2\u20133 times per month completed an assessment as part of a larger study. Measures assessed hazardous alcohol use, drinking motives, psychiatric symptoms, and disordered eating behaviors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants were primarily female (87.0%), White (49.0%) or Black (44.0%), with a mean age of 48\u00a0years. Approximately 1 in 5 met the threshold for hazardous alcohol use. In bivariate analyses, clinically significant symptoms of depression (OR\u2009=\u20094.88,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.01) and anxiety (OR\u2009=\u20098.21,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) were associated with the presence of hazardous alcohol use. All four types of drinking motives were associated with greater likelihood of hazardous alcohol use: social (OR\u2009=\u20091.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.03), coping (OR\u2009=\u20091.33,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), enhancement (OR\u2009=\u20091.24,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001), and conformity (OR\u2009=\u20091.25,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.01). Emotional eating scores and the presence of a food addiction were not significantly associated with hazardous alcohol use (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u2009.05). In a multivariable analysis, only the coping drinking motive remained statistically significant (OR\u2009=\u20091.26,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.003).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Drinking to cope with negative emotions may be a factor associated with increased risk of hazardous drinking among individuals who regularly consume alcohol after MBS. Interventions aimed at improving coping strategies could mitigate risk of hazardous alcohol use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00464-026-13270-x","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T16:20:53Z","timestamp":1786378853000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postoperative factors associated with hazardous alcohol use after metabolic and bariatric surgery"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7044-7831","authenticated-orcid":false,"given":"Lisa R.","family":"Miller-Matero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Saleh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Christopher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maha","family":"Albujuq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin N.","family":"Haley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Vanderziel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan M.","family":"Braciszewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland S.","family":"Moore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maunda","family":"Snodgrass","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Hamann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur M.","family":"Carlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina M.","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"13270_CR1","volume":"383","author":"AP Courcoulas","year":"2023","unstructured":"Courcoulas AP, Daigle CR, Arterburn DE (2023) Long term outcomes of metabolic\/bariatric surgery in adults. 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Miller-Matero: Received funding from NIAAA (R21 AA029423). Daniel Saleh: received funding from NIAAA (R21 AA029423). Brittany Christopher: received funding from NIAAA (R21 AA029423). Maha Albujuq: received funding from NIAAA (R21 AA029423). Alyssa Vanderziel: received funding from NIAAA (R21 AA029423). Jordan M. Braciszewski: received funding from NIAAA (R21 AA029423). Roland S. Moore: received funding from NIAAA (R21 AA029423). Arthur M. Carlin: Honorarium from the Michigan Bariatric Surgery Collaborative Kristina M. Jackson: received funding from NIAAA (R21 AA029423). Erin N. Haley, Maunda Snodgrass, and Aaron Hamann have no conflicts of interest or financial ties to disclose.","order":1,"name":"Ethics","label":"Disclosures","group":{"name":"EthicsHeading","label":"Declarations"}}]}}