Substance Use Patterns and Their Association with Depression and Social Factors During COVID-19 Among Harlem Residents in New York City.
Substance Use Patterns and Their Association with Depression and Social Factors During COVID-19 Among Harlem Residents in New York City.
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DOI：
10.1007/s10900-023-01253-1
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发表时间：
2023-12
影响因子：
5.9
通讯作者：
Ngo, Victoria K.
中科院分区：
文献类型：
--
作者：
Vu, Thinh T.;Dario, Joseph P.;Mateu-Gelabert, Pedro;Levine, Deborah;Punter, Malcolm A.;Borrell, Luisa N.;Ngo, Victoria K.
关键词：
本研究旨在确定COVID-19之前和期间物质使用的流行程度;并在纽约市北方曼哈顿哈莱姆附近的437名居民中检查其与抑郁症和社会因素的关联。超过三分之一的受访者报告在COVID-19之前使用任何物质，并在COVID-19期间开始/增加物质使用。在COVID-19之前使用和在COVID-19期间开始/增加的最常见物质是吸烟（20.8%对18.3%），大麻（18.8%对15.3%）和vaping（14.2%和11.4%）。任何硬性药物使用的百分比分别为7.3%和3.4%。调整后，轻度（患病率[PR] = 2.86，95% CI 1.65，4.92）和中度（PR = 3.21，95% CI 1.86，5.56）抑郁症状和住房不安全（PR = 1.47，95% CI 1.12，1.91）开始和/或增加物质使用的概率至少高出47%。相反，就业不安全的受访者（PR = 0.71，95% CI 0.57，0.88）报告这种模式的可能性要低29%。药物使用的开始和/或增加与粮食不安全之间没有联系。COVID-19期间物质使用的高流行率可能导致居民转向物质使用作为心理社会压力的应对机制。因此，必须提供可获得的和文化上敏感的精神卫生和药物使用服务。
This study aimed to identify the prevalence of substance use before and during COVID-19; and examined its association with depression and social factors among 437 residents from the neighborhood of Harlem in Northern Manhattan, New York City. Over a third of respondents reported using any substance before COVID-19, and initiating/increasing substance use during COVID-19. The most common substances used before COVID-19 and initiated/increased during COVID-19 were smoking (20.8% vs. 18.3%), marijuana (18.8% vs. 15.3%), and vaping (14.2% and 11.4%). The percentages of any hard drug use were 7.3% and 3.4%, respectively. After adjustment, residents with mild (Prevalence Ratio [PR] = 2.86, 95% CI 1.65, 4.92) and moderate (PR = 3.21, 95% CI 1.86, 5.56) symptoms of depression, and housing insecurity (PR = 1.47, 95% CI 1.12, 1.91) had at least a 47% greater probability of initiating and/or increasing substance use. Conversely, respondents with employment insecurity (PR = 0.71, 95% CI 0.57, 0.88) were 29% less likely to report such patterns. No association was found between substance use initiation and/or increase and food insecurity. High prevalence of substance use during COVID-19 may lead residents to turn to substance use as a coping mechanism for psychosocial stressors. Thus, it is essential to provide accessible and culturally sensitive mental health and substance use services.
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