Substance and Internet use during the COVID-19 pandemic in China.
Substance and Internet use during the COVID-19 pandemic in China.
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DOI：
10.1038/s41398-021-01614-1
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发表时间：
2021-09-23
影响因子：
6.8
通讯作者：
Shen H
中科院分区：
文献类型：
--
作者：
Huang Q;Chen X;Huang S;Shao T;Liao Z;Lin S;Li Y;Qi J;Cai Y;Shen H
2019冠状病毒病（COVID-19）对人类的身心健康产生了不利影响，包括情绪障碍和成瘾。本研究考察了COVID-19大流行期间物质和互联网使用行为及其与焦虑和抑郁的关联。2020年2月17日至29日，对2196名中国成年人进行了在线自我报告问卷调查。问卷包括广泛性焦虑量表（GAD-7）和患者健康问卷（PHQ-9）、人口学资料、物质和互联网使用特征等。我们的研究结果显示，男性在大流行期间饮酒（p < 0.001）和槟榔（p = 0.012）比大流行前少。年龄，性别，教育状况和职业显着不同的增加物质使用者，经常物质使用者和非物质使用者。在大流行期间，花在互联网上的时间明显延长（p < 0.001），72%的参与者报告对互联网的依赖性增加。与普通互联网用户相比，增加的用户更有可能是年轻人和女性。多元Logistic回归分析显示，年龄<33岁（OR = 2.034，p < 0.001）、物质使用增加（OR = 3.439，p < 0.001）和互联网使用增加（OR = 1.914，p < 0.001）与抑郁症显著相关。此外，焦虑与女性性别（OR = 2.065，p < 0.001）、“未婚”状态（OR = 1.480，p = 0.017）、非学生（OR = 1.946-3.030，p = 0.001）和物质使用增加（OR = 4.291，p < 0.001）显著相关。虽然在大流行期间，社交药物的使用显著减少，但应更多地关注互联网使用的增加。互联网使用的增加与焦虑和抑郁症显著相关，而物质使用的增加与抑郁症有关。应向易受伤害的个人提供专业支助，以防止吸毒成瘾。
The coronavirus disease 2019 (COVID-19) has adversely influenced human physical and mental health, including emotional disorders and addictions. This study examined substance and Internet use behavior and their associations with anxiety and depression during the COVID-19 pandemic. An online self-report questionnaire was administered to 2196 Chinese adults between February 17 and 29, 2020. The questionnaire contained the seven-item Generalized Anxiety Disorder Scale (GAD-7) and Patient Health Questionnaire (PHQ-9), questions on demographic information, and items about substance and Internet use characteristics. Our results revealed that males consumed less alcohol (p < 0.001) and areca-nut (p = 0.012) during the pandemic than before the pandemic. Age, gender, education status, and occupation significantly differed among increased substance users, regular substance users, and nonsubstance users. Time spent on the Internet was significantly longer during the pandemic (p < 0.001) and 72% of participants reported increased dependence on the Internet. Compared to regular Internet users, increased users were more likely to be younger and female. Multiple logistic regression analysis revealed that age <33 years (OR = 2.034, p < 0.001), increased substance use (OR = 3.439, p < 0.001), and increased Internet use (OR = 1.914, p < 0.001) were significantly associated with depression. Moreover, anxiety was significantly related to female gender (OR = 2.065, p < 0.001), “unmarried” status (OR = 1.480, p = 0.017), nonstudents (OR = 1.946–3.030, p = 0.001), and increased substance use (OR = 4.291, p < 0.001). Although there was a significant decrease in social substance use during the pandemic, more attention should be paid to increased Internet use. Increased Internet use was significantly associated with both anxiety and depression, and increased substance use was related to depression. Professional support should be provided to vulnerable individuals to prevent addiction.
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