Native Hawaiian/Pacific Islander alcohol, tobacco and other drug use, mental health and treatment need in the United States during COVID-19.

Native Hawaiian/Pacific Islander alcohol, tobacco and other drug use, mental health and treatment need in the United States during COVID-19.
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DOI:
10.1111/dar.13522
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发表时间:
2022-11
影响因子:
3.8
通讯作者:
Wu, Li-Tzy
Wu, Li-Tzy
中科院分区:
医学3区
文献类型:
--
作者:
Subica, Andrew M.;Guerrero, Erick G.;Martin, Tammy K. K.;Okamoto, Scott K.;Aitaoto, Nia;Moss, Howard B.;Morey, Brittany N.;Wu, Li-Tzy

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根据美国之前的数据,在 COVID-19 之前,夏威夷原住民/太平洋岛民 (NH/PI) 承受着酗酒、吸烟和使用其他药物 (ATOD) 的沉重负担。有报道称,许多 NH/PI 社区经历了严重的 COVID-19 差异,可能会加剧他们的 ATOD 负担,为此,我们与 NH/PI 社区合作,评估了不同 NH/PI 在 COVID-19 期间的物质使用模式和治疗需求。我们与拥有大量 NH/PI 人口的 5 个州的 NH/PI 社区组织合作,对 COVID-19 期间的 NH/PI ATOD 使用、心理健康和治疗需求进行了大规模调查。 2021 年 4 月至 11 月期间,我们社区合作伙伴的 NH/PI 遗产研究人员使用多种基于社区的招募方法(电子邮件、电话、亲自)和两种调查方法(在线和纸笔)收集了涉及 306 名 NH/PI 成年人的数据。进行多变量回归来检查 NH/PI 酒精使用障碍和行为健康治疗需求的潜在预测因素。在 COVID-19 期间,47% 和 22% 的 NH/PI 成年人报告目前饮酒和吸烟,而 35% 的人报告终生使用非法物质(例如大麻、阿片类药物)。抑郁和焦虑水平较高,酒精使用障碍、重度抑郁症和广泛性焦虑症患病率分别为 27%、19% 和 27%。三分之一的参与者表示,过去一年的治疗需求与终生非法药物使用、COVID-19 困扰和重度抑郁症分别与需要治疗的调整后赔率增加 3.0、1.2 和 5.3 倍相关。 NH/PI 成年人报告了在 COVID-19 期间大量使用 ATOD、抑郁、焦虑和治疗需求。可能需要有针对性的研究和治疗服务来减轻 COVID-19 对 NH/PI 社区的负面行为健康影响。
Before COVID-19, Native Hawaiians/Pacific Islanders (NH/PI) endured a heavy burden of alcohol, tobacco and other drug (ATOD) use in prior US data. Responding to reports that many NH/PI communities experienced severe COVID-19 disparities that could exacerbate their ATOD burden, we partnered with NH/PI communities to assess the substance use patterns and treatment needs of diverse NH/PIs during COVID-19. Collaborating with NH/PI community organisations across 5 states with large NH/PI populations, we conducted a large-scale investigation of NH/PI ATOD use, mental health and treatment need during COVID-19. Between April-November 2021, NH/PI-heritage research staff from our community partners collected data involving 306 NH/PI adults using several community-based recruitment methods (e-mail, telephone, in-person) and two survey approaches: online and paper-and-pencil. Multivariate regressions were conducted to examine potential predictors of NH/PI alcohol use disorder and need for behavioural health treatment. During COVID-19, 47% and 22% of NH/PI adults reported current alcohol and cigarette use, while 35% reported lifetime illicit substance use (e.g., cannabis, opioid). Depression and anxiety were high, and alcohol use disorder, major depression and generalised anxiety disorder prevalence were 27%, 19% and 27%, respectively. One-third of participants reported past-year treatment need with lifetime illicit substance use, COVID-19 distress and major depression respectively associating with 3.0, 1.2, and 5.3 times greater adjusted odds for needing treatment. NH/PI adults reported heavy ATOD use, depression, anxiety and treatment need during COVID-19. Targeted research and treatment services may be warranted to mitigate COVID-19’s negative behavioural health impact on NH/PI communities.
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