What Does Adolescent Substance Use Look Like During the COVID-19 Pandemic? Examining Changes in Frequency, Social Contexts, and Pandemic-Related Predictors
What Does Adolescent Substance Use Look Like During the COVID-19 Pandemic? Examining Changes in Frequency, Social Contexts, and Pandemic-Related Predictors
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DOI：
10.1016/j.jadohealth.2020.06.018
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发表时间：
2020-09-01
影响因子：
7.6
通讯作者：
Litt, Dana M.
中科院分区：
文献类型：
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作者：
Dumas, Tara M.;Ellis, Wendy;Litt, Dana M.
目的：本研究的总体目标是提供关于自冠状病毒病（COVID）-19大流行以来青少年物质使用如何变化的关键信息，以及社交距离期间物质使用的关键背景和相关因素。方法：加拿大青少年（n = 1，054，M-年龄= 16.68，标准差= 0.78）完成了一项在线调查，其中他们报告了他们饮酒，酗酒，大麻的使用，和vaping在3周之前和之后直接社交距离的做法已经taken effectives.Results：对于大多数物质，用户的百分比下降;然而，酒精和大麻的使用频率增加。虽然最大比例的青少年单独使用药物（49.3%），但许多人仍然通过技术（31.6%）与同龄人一起使用药物，甚至面对面（23.6%）。关注社会距离如何影响同伴声誉是一个显着的预测与朋友面对面的物质使用的青少年低自我报告的受欢迎程度，和一个显着的预测孤独的物质使用的平均和高受欢迎的青少年。最后，调整预测因子，包括抑郁和对COVID-19传染性的恐惧，预测在大流行期间使用单独的物质使用。结论：我们的研究结果提供了初步证据，表明青少年物质使用，包括与同龄人面对面发生的物质使用，从而使青少年处于感染COVID-19的风险中，可能在大流行期间特别值得关注。此外，大流行期间青少年单独使用药物，这与心理健康和应对能力较差有关，也可能是值得进一步调查的一个值得关注的问题。(C)2020年青少年健康和医学协会。All rights reserved.
Purpose: The overarching goal of this study was to provide key information on how adolescents' substance use has changed since the corona virus disease (COVID)-19 pandemic, in addition to key contexts and correlates of substance use during social distancing.Methods: Canadian adolescents (n = 1,054, M-age = 16.68, standard deviation = .78) completed an online survey, in which they reported on their frequency of alcohol use, binge drinking, cannabis use, and vaping in the 3 weeks before and directly after social distancing practices had taken effect.Results: For most substances, the percentage of users decreased; however, the frequency of both alcohol and cannabis use increased. Although the greatest percentage of adolescents was engaging in solitary substance use (49.3%), many were still using substances with peers via technology (31.6%) and, shockingly, even face to face (23.6%). Concerns for how social distancing would affect peer reputation was a significant predictor of face-to-face substance use with friends among adolescents with low self-reported popularity, and a significant predictor of solitary substance use among average and high popularity teens. Finally, adjustment predictors, including depression and fear of the infectivity of COVID-19, predicted using solitary substance use during the pandemic.Conclusions: Our results provide preliminary evidence that adolescent substance use, including that which occurs face to face with peers, thereby putting adolescents at risk for contracting COVID-19, may be of particular concern during the pandemic. Further, solitary adolescent substance use during the pandemic, which is associated with poorer mental health and coping, may also be a notable concern worthy of further investigation. (C) 2020 Society for Adolescent Health and Medicine. All rights reserved.