Substance-related coping behaviours among youth during the early months of the COVID-19 pandemic.
Substance-related coping behaviours among youth during the early months of the COVID-19 pandemic.
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在COVID-19大流行的早期，青年人与物质相关的应对行为。
DOI：
10.1016/j.abrep.2021.100392
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发表时间：
2021-12
影响因子：
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通讯作者：
Leatherdale ST
中科院分区：
文献类型：
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作者：
Romano I;Patte KA;de Groh M;Jiang Y;Wade TJ;Bélanger RE;Leatherdale ST
在我们的样本中，12%的年轻人使用物质来科普COVID-19相关的变化。在我们的样本中，物质相关的应对在女性中比男性更常见。更严重的抑郁症与使用物质来科普COVID-19有关。对于女性，心理健康可能是保护物质相关的应对。COVID-19大流行对青少年物质使用和心理健康的次要影响。随着COVID-19大流行的影响继续显现，需要进行研究以了解学龄青年如何应对COVID-19相关的变化和日常生活的中断。在加拿大青年样本中，我们的目标是研究与使用物质科普COVID-19相关变化相关的心理健康因素，并考虑到预期的性别差异。我们使用了在COVID-19大流行的最初几个月（2020年5月至7月）在加拿大不列颠哥伦比亚省、安大略和魁北克收集的7150名学生的在线数据。我们指定了一个性别分层，广义线性混合模型来估计参与物质相关的应对行为的可能性，同时测试学生的心理健康，个人特征和学校附近的特点的影响。在我们的样本中，12%的学生（13.4%的女性，9.9%的男性）报告使用大麻，酒精，香烟和/或vaping来帮助科普COVID-19相关的变化。无论性别如何，抑郁症状更严重的学生更有可能从事物质相关的应对（aOR女性= 1.04，95% CI[1.01-1.07]; aOR男性= 1.06，95% CI[1.013-1.11]）。在女性中，更好的心理社会健康可以防止参与物质相关应对（aOR = 0.96，95%CI [0.94-0.98]），控制当前物质使用。在第一波大流行期间，精神健康状况普遍不佳的加拿大学龄青年可能更有可能参与药物使用，以帮助科普与COVID-19相关的变化，而女性青年参与这种行为的风险可能不成比例。需要持续评估COVID-19对青年健康的影响。
12% of youth in our sample used substances to cope with COVID-19-related changes. Substance-related coping was more common among females than males in our sample. Greater depression was associated with using substances to cope with COVID-19. For females, psychosocial wellbeing may be protective of substance-related coping. Secondary impacts of COVID-19 pandemic on youth substance use and mental health. As impacts of the COVID-19 pandemic continue to unfold, research is needed to understand how school-aged youth are coping with COVID-19-related changes and disruptions to daily life. Among a sample of Canadian youth, our objective was to examine the mental health factors associated with using substances to cope with COVID-19-related changes, taking account of expected sex differences. We used online data collected from 7150 students in the COMPASS study, during the early months of the COVID-19 pandemic (May–July 2020) in British Columbia, Ontario, and Quebec, Canada. We specified a sex-stratified, generalized linear mixed model to estimate the likelihood of engagement in substance-related coping behaviours, while testing for the effects of students’ mental health, individual characteristics, and school neighborhood characteristics. Twelve percent of students (13.4% of females, 9.9% of males) in our sample reported using cannabis, alcohol, cigarettes, and/or vaping to help cope with COVID-19-related changes. Regardless of sex, students with greater depressive symptoms were more likely to engage in substance-related coping (aORFemale = 1.04, 95 %CI[1.01–1.07]; aORMale = 1.06, 95 %CI[1.013–1.11]). Among females, better psychosocial wellbeing was protective against engagement in substance related-coping (aOR = 0.96, 95 %CI[0.94–0.98]), controlling for current substance use. Canadian school-aged youth with generally poor mental health may be more likely to have engaged in substance use to help cope with COVID-19-related changes during the first wave of the pandemic, and female youth may be at disproportionate risk of engaging in the behaviour. Ongoing evaluation of the impacts of COVID-19 on youth health is required.