{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T23:59:51Z","timestamp":1773878391017,"version":"3.50.1"},"reference-count":49,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There is growing recognition that social determinants of health (SDOH) shape health behaviors in powerful ways. Given that risky substance use remains a persistent public health problem, the relationship between SDOH and substance use merits investigation. The objective of this study is to examine the relationship between various social determinants of health (SDOH) with binge drinking, daily tobacco use, and daily cannabis consumption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the most recent Behavioral Risk Factor Surveillance System data (2022\u20132023) we conducted two sets of logistic regression models. The first examined relationships between our three outcomes and 13 separate SDOH measures. The second assessed a categorical, composite SDOH measure and our outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Frequent stress was associated with significantly higher odds of each outcome (binge drinking: AOR 1.27, 95% CI: 1.13\u20131.42; tobacco: AOR 1.16, 95% CI: 1.02\u20131.32; cannabis: AOR 1.43, 95% CI: 1.22\u20131.68). Having a recent medical checkup was associated with lower odds (binge drinking: AOR 0.84, 95% CI: 0.75\u20130.95; tobacco: AOR 0.77, 95% CI: 0.67\u20130.88; cannabis: AOR 0.82, 95% CI: 0.71\u20130.96). Higher cumulative SDOH-needs were associated with significantly higher odds. For cannabis: 1\u20133 needs: AOR 1.54, 95% CI: 1.27\u20131.87; 4\u20136 needs: AOR 3.35, 95% CI: 2.64\u20134.25; 7\u201313 needs: AOR 4.61, 95% CI: 3.32\u20136.41. Similar patterns were observed for other outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings should inform interventions to reduce substance use by directly addressing SDOH associated with increased risk and by supporting the co-location of social and health services to better meet individuals\u2019 complex needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0343677","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T17:22:01Z","timestamp":1773854521000},"page":"e0343677","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining the relationship between social determinants of health with daily tobacco use, binge-drinking, and daily cannabis use"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5456-7665","authenticated-orcid":true,"given":"Zoe","family":"Lindenfeld","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen T.","family":"Kurtzman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"pone.0343677.ref001","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.copsyc.2015.05.002","article-title":"Social Determinants and Health Behaviors: Conceptual Frames and Empirical Advances","volume":"5","author":"SE Short","year":"2015","journal-title":"Curr Opin Psychol"},{"key":"pone.0343677.ref002","doi-asserted-by":"crossref","DOI":"10.1093\/heapro\/dav022","article-title":"Addressing the social determinants of inequities in physical activity and sedentary behaviours","volume":"30","author":"K Ball","year":"2015","journal-title":"Health Promotion International"},{"issue":"10","key":"pone.0343677.ref003","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1016\/S1474-4422(22)00347-7","article-title":"Social determinants and health disparities affecting sleep","volume":"21","author":"G Jean-Louis","year":"2022","journal-title":"Lancet Neurol"},{"key":"pone.0343677.ref004","year":"2014"},{"issue":"2","key":"pone.0343677.ref005","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1111\/ejed.12496","article-title":"Challenges for higher education in the United States: The cost problem and a comparison of remedies","volume":"57","author":"S Brint","year":"2022","journal-title":"Euro J of Education"},{"key":"pone.0343677.ref006","author":"R Buehler","year":"2014"},{"issue":"6","key":"pone.0343677.ref007","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1177\/00333549221120244","article-title":"Social Needs and Social Determinants: The Role of the Centers for Disease Control and Prevention and Public Health","volume":"137","author":"K Hacker","year":"2022","journal-title":"Public Health Rep"},{"issue":"6","key":"pone.0343677.ref008","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1097\/PHH.0000000000001626","article-title":"Social Determinants of Health-An Approach Taken at CDC","volume":"28","author":"K Hacker","year":"2022","journal-title":"J Public Health Manag Pract"},{"key":"pone.0343677.ref009","author":"CDC","year":"2025"},{"key":"pone.0343677.ref010","author":"SAMHSA","year":"2024"},{"key":"pone.0343677.ref011","unstructured":"Roche A, Kostadinov V, Fischer J, Nicholas R. 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