A longitudinal study of change in substance use from before to during the COVID-19 pandemic in young adults.

A longitudinal study of change in substance use from before to during the COVID-19 pandemic in young adults.
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DOI:
10.1016/j.lana.2021.100168
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发表时间:
2022-04
期刊:
LANCET REGIONAL HEALTH-AMERICAS
影响因子:
--
通讯作者:
O'Loughlin, Jennifer
O'Loughlin, Jennifer
中科院分区:
其他
文献类型:
--
作者:
Sylvestre, Marie-Pierre;Tchouangue Dinkou, Gillis Delmas;Naja, Mounia;Riglea, Teodora;Pelekanakis, Annie;Belanger, Mathieu;Maximova, Katerina;Mowat, David;Paradis, Gilles;O'Loughlin, Jennifer

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我们评估了年轻人在新冠肺炎大流行之前和期间物质使用的变化,并确定了与开始/增加使用相关的因素。抽样调查的对象是蒙雷亚尔地区10所高中的1294名12-13岁(1999-2000年)的青年,他们来自纵向调查。大流行前有关大麻、酒精、可燃香烟、电子烟和酗酒的数据分别在20.4岁、24.0岁和30.6岁收集。新冠肺炎期间,数据收集时间为2020年12月至2021年6月(年龄33.6岁)。我们研究了从20.4岁到33.6岁的任何使用和每周/每天使用的流行率。大流行期间药物使用的个人水平变化估计为从30.6岁到33.6岁与从24.0岁到30.6岁使用频率的差异。使用改进的泊松回归分析在新冠肺炎期间开始/增加药物使用的风险在社会人口统计亚组中的异质性。从大流行前到大流行期间,大麻使用率从17.5%上升到23.1%;电子烟使用率从3.8%上升到5.4%。在个人变化分析中,参与者的物质使用没有变化的比例从48.9%(酒精)到84.0%(电子烟)不等。在大流行期间,开始/增加使用大麻(22.4%)、戒酒/戒酒(35.2%)和酗酒(53.5%)的发生率高于24.0至30.6岁之间。低教育程度和独居与开始/增加使用大多数物质的风险较高有关。大多数参与者报告说,从新冠肺炎大流行之前到期间,药物使用模式稳定。NDIT的这项研究得到了加拿大癌症协会(赠款编号010271、017435、704031)和加拿大卫生研究所(赠款编号451832)的支持。
We assessed change in substance use from before to during the COVID-19 pandemic in young adults and identified factors associated with initiation/increase in use. The sample comprised young adults from a longitudinal investigation of 1294 youth recruited at ages 12-13 (1999-2000) in 10 Montréal-area high schools. Pre-pandemic data on use of cannabis, alcohol, combustible cigarette, e-cigarette and binge drinking were collected at ages 20.4, 24.0 and 30.6. During COVID-19, data were collected from December 2020 to June 2021 (age 33.6). We studied the prevalence of any and weekly/daily use from age 20.4 to 33.6. Individual-level change in substance use during the pandemic was estimated as differences in the frequency of use from age 30.6 to 33.6 versus from age 24.0 to 30.6. Heterogeneity in the risk of initiated/increased substance use during COVID-19 across sociodemographic subgroups was assessed using modified Poisson regression. The prevalence of cannabis use increased from 17.5% to 23.1% from before to during the pandemic; e-cigarette use increased from 3.8% to 5.4%. In individual change analyses, the proportion of participants whose substance use did not change ranged from 48.9% (alcohol) to 84.0% (e-cigarettes). The incidence of initiated/increased cannabis use (22.4%), and quit/decreased alcohol (35.2%) and binge drinking (53.5%) were higher during the pandemic than between ages 24.0 to 30.6. Low education and living alone were associated with higher risks of initiated/increased use of most substances. Most participants reported stable patterns in substance use from before to during the COVID-19 pandemic. The NDIT study was supported by the Canadian Cancer Society (grant numbers 010271, 017435, 704031) and the Canadian Institutes of Health Research (grant number 451832).
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