Stress, Dependence, and COVID-19-related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults.
Stress, Dependence, and COVID-19-related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults.
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DOI：
10.1177/1179173x211067439
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发表时间：
2021
影响因子：
2.2
通讯作者：
Harrell MB
中科院分区：
文献类型：
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作者：
Clendennen SL;Case KR;Sumbe A;Mantey DS;Mason EJ;Harrell MB
研究表明，吸烟和蒸发行为会增加患新冠肺炎的风险，并使症状恶化。这项研究调查了过去30天的年轻人和年轻人使用大麻、电子烟和香烟的情况是否自我报告了由于新冠肺炎大流行而导致他们使用这些物质的变化；以及感知压力、尼古丁或大麻依赖与新冠肺炎相关使用变化之间的横向关联。参与者是德克萨斯州青少年烟草和营销监督研究(TATAMS；平均年龄=19岁；58%女性；38%西班牙裔，35%白人)过去30天自我报告的药物使用者。多元Logistic回归模型评估了感觉到的压力和依赖性与因新冠肺炎而增加、减少或持续30天以上对大麻、电子烟和香烟的使用之间的横向关联(例如，“您的大麻使用是否因新冠肺炎的爆发而发生了变化？”)。协变量包括年龄、种族/民族、社会经济地位(SES)、依赖(暴露：压力)和压力(暴露：依赖)。大多数参与者报告说，由于新冠肺炎，大麻、电子烟和香烟的持续使用(41%，43%，49%)或增加(37%，34%，25%)。报告依赖症状的参与者报告增加大麻(AOR：1.66；95%CI：1.15-2.39)和电子烟(AOR：2.57；95%CI：1.38-4.77)的可能性显著高于非依赖同龄人。那些感觉到更大压力的人报告说他们更有可能增加大麻的使用(AOR：1.55；95%CI：1.01-2.42)。在一场全球性的呼吸道疾病大流行中，大多数年轻人和年轻人并没有减少他们的药物使用。针对吸烟和电子烟对健康的影响，以及压力和依赖等因素可能会成为减少使用新冠肺炎的障碍的健康宣传和干预，对于遏制微博大流行至关重要。
Studies show smoking and vaping behaviors increase risk of contracting and worse symptoms of COVID-19. This study examines whether past 30-day youth and young adult users of marijuana, e-cigarettes, and cigarettes self-reported changes in their use of these substances due to the COVID-19 pandemic; and cross-sectional associations between perceived stress, nicotine or marijuana dependence, and COVID-19–related changes in use. Participants were 709 past 30-day self-reported substance users from the Texas Adolescent Tobacco and Marketing Surveillance study (TATAMS; mean age = 19; 58% female; 38% Hispanic, 35% white). Multiple logistic regression models assessed cross-sectional associations between perceived stress and dependence and increased, decreased, or sustained past 30-day use of marijuana, e-cigarettes, and cigarettes due to COVID-19 (e.g., “Has your marijuana use changed due to the COVID-19 outbreak?”). Covariates included age, race/ethnicity, socio-economic status (SES), dependence (exposure: stress), and stress (exposure: dependence). Most participants reported sustained (41%, 43%, 49%) or increased (37%, 34%, 25%) use of marijuana, e-cigarettes, and cigarettes due to COVID-19, respectively. Participants who reported symptoms of dependence were significantly more likely than their non-dependent peers to report increasing their marijuana (AOR: 1.66; 95% CI: 1.15–2.39) and e-cigarette (AOR: 2.57; 95% CI: 1.38–4.77) use. Those who reported higher perceived stress were significantly more likely to report increasing their marijuana use (AOR: 1.55; 95% CI: 1.01–2.42). Most youth and young adults did not decrease their substance use amid a global, respiratory disease pandemic. Health messaging and interventions that address the health effects of smoking and vaping as well as factors like stress and dependence that may be barriers to decreasing use are vital in curbing the COVID-19 pandemic.