Changing Patterns of Substance Use During the Coronavirus Pandemic: Self-Reported Use of Tobacco, Alcohol, Cannabis, and Other Drugs.

Changing Patterns of Substance Use During the Coronavirus Pandemic: Self-Reported Use of Tobacco, Alcohol, Cannabis, and Other Drugs.
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DOI:
10.3389/fpsyt.2021.633551
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发表时间:
2021
影响因子:
4.7
通讯作者:
Noijen J
Noijen J
中科院分区:
医学3区
文献类型:
--
作者:
Benschop A;van Bakkum F;Noijen J

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与世界上许多其他国家一样,冠状病毒大流行促使荷兰在2020年春季实施了“智能封锁”,包括关闭夜生活场所和取消节日活动。这种限制和保持社交距离特别可能影响到在娱乐环境中使用酒精或其他药物的人,并在成瘾预防和护理领域带来新的挑战和额外需求。为了监测药物使用的变化,并为针对性预防提供实用指导,我们通过各种社交媒体和其他在线渠道,以16岁及以上的方便样本为目标,开展了一项匿名网络调查。在2020年5月至10月期间,共有6070名参与者完成了调查,主要是青少年和年轻人(16-24岁)。这些数据被用来探索和描述物质使用的变化模式。总体结果显示,与“冠状病毒前”相比,目前的使用量有所下降,但掩盖变化模式的潜在差异,包括停止使用(烟草10.4%、酒精11.3%、大麻16.3%、其他药物30.4%)、减少(烟草23.0%、酒精29.1%、大麻17.4%、其他药物20.7%)、不变(烟草30.3%、酒精21.2%、大麻22.3%、其他药物17.3%)、增加(烟草29.6%、酒精32.1%、大麻32.9%、其他药物25.3%)和(重新)开始使用(烟草6.7%、酒精6.3%、大麻11.1%、其他药物6.2%)。特别是像摇头丸和一氧化二氮这样的药物的使用,由于缺乏使用的社交场合而停止或减少。增加使用与所有物质类型的应对动机有关。由于抗击冠状病毒的措施可能需要在未来一段时间内实施,可能导致物质使用的长期变化,并带来持续的“冠状病毒后”后果,因此及时和持续监测物质使用模式的变化,对于向这一领域的预防服务提供信息至关重要。
As in many other countries worldwide, the coronavirus pandemic prompted the implementation of an “intelligent lockdown” in the spring of 2020 in the Netherlands, including the closure of nightlife venues and cancellation of festivals. Such restrictions and social distancing could particularly affect people who use alcohol or other drugs in recreational settings and give rise to new challenges and additional needs in the field of addiction prevention and care. To monitor changes in substance use and provide services with practical directions for tailored prevention, an anonymous web survey was set up, targeting a convenience sample aged 16 years or older through various social media and other online channels. Between May and October 2020, a total of 6,070 participants completed the survey, mainly adolescents and young adults (16–24 years old). These data were used to explore and describe changing patterns in substance use. Overall results showed declined current use compared to “pre-corona,” but mask underlying variation in changing patterns, including discontinued (tobacco 10.4%, alcohol 11.3%, cannabis 16.3%, other drugs 30.4%), decreased (tobacco 23.0%, alcohol 29.1%, cannabis 17.4%, other drugs 20.7%), unchanged (tobacco 30.3%, alcohol 21.2%, cannabis 22.3%, other drugs 17.3%), increased (tobacco 29.6%, alcohol 32.1%, cannabis 32.9%, other drugs 25.3%), and (re)commenced use (tobacco 6.7%, alcohol 6.3%, cannabis 11.1%, other drugs 6.2%). Especially the use of drugs like ecstasy and nitrous oxide was discontinued or decreased due to the lack of social occasions for use. Increased use was associated with coping motives for all substance types. As measures combatting the coronavirus may need to be practiced for some time to come, possibly leading to prolonged changes in substance use with lingering “post-corona” consequences, timely and ongoing monitoring of changing patterns of substance use is vital for informing prevention services within this field.
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