Decrease in prevalence but increase in frequency of non-marijuana drug use following the onset of the COVID-19 pandemic in a large cohort of young men who have sex with men and young transgender women.
Decrease in prevalence but increase in frequency of non-marijuana drug use following the onset of the COVID-19 pandemic in a large cohort of young men who have sex with men and young transgender women.
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DOI：
10.1016/j.drugalcdep.2021.108701
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发表时间：
2021-06-01
影响因子：
4.2
通讯作者：
Mustanski B
中科院分区：
文献类型：
--
作者：
Janulis P;Newcomb ME;Mustanski B
COVID-19疫情对物质使用行为的影响备受关注。这对于与男性发生性关系的年轻男性和年轻变性女性（YMSM-YTW）等亚群来说尤其如此，他们报告了更高的药物使用率。本研究探讨了流行病爆发后，YMSM-YTW中大麻和非大麻药物使用的流行率和频率的变化。本分析的数据（n = 458名参与者，1356个观察结果）来自正在进行的YMSM-YTW纵向队列研究。使用一系列贝叶斯多水平模型来检查大麻和非大麻药物的流行率和使用频率的变化。结果表明，大麻使用的流行率或频率没有系统性变化。然而，在大流行开始后，观察到非大麻药物使用减少（OR = 0.60，95%CrI：[0.37，0.94]）。此外，在使用这些物质的个体中，观察到非大麻药物使用频率略有增加（OR = 1.79，95%CrI：[1.02，3.21]）。这些调查结果与少数研究一致，这些研究确定吸毒流行率下降，但继续吸毒者的频率增加。尽管较低的药物使用流行率具有保护作用，但较高的使用频率可能导致药物使用的其他负面健康后果，特别是在面临多种健康挑战的群体中，如YMSM-YTW。然而，大流行可能对各亚群的物质使用行为产生独特的影响。
Substantial concern exists regarding the impact of the COVID-19 pandemic on substance use behaviors. This is especially true for subpopulations like young men who have sex with men and young transgender women (YMSM-YTW) who report higher rates of substance use. This study examines changes in prevalence and frequency of marijuana and non-marijuana drug use among YMSM-YTW following the onset of the pandemic. Data for this analysis (n = 458 participants, 1356 observations) come from an ongoing longitudinal cohort study of YMSM-YTW. A series of Bayesian multilevel models were used to examine change in prevalence and frequency of use for marijuana and non-marijuana drugs. Results indicated no systematic change in prevalence or frequency of marijuana use. However, a decrease in non-marijuana drug use was observed (OR = 0.60, 95 % CrI: [0.37, 0.94]) following the onset of the pandemic. Furthermore, a small increase in the frequency of non-marijuana drug use was observed (OR = 1.79, 95 % CrI: [1.02, 3.21]) among individuals who used these substances. These findings concur with a small number of studies identifying a decrease in drug use prevalence but increase in frequency among those who continue to use drugs. Despite the protective effect of lower drug use prevalence, higher frequency of use may lead to additional negative health outcomes of drug use, particularly among groups facing multiple health challenges such as YMSM-YTW. However, the pandemic likely has a unique impact on substance use behaviors across subpopulations.
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DOI：
10.1097/qai.0000000000001886
发表时间：
2019-01-01
影响因子：
3.6
作者：
Mustanski, Brian;Morgan, Ethan;Newcomb, Michael E.
通讯作者：
Newcomb, Michael E.
影响因子：
3.5
作者：
Brédart, A;Razavi, D;de Haes, JCJM
通讯作者：
de Haes, JCJM
影响因子：
4.8
作者：
Schuler, Megan S.;Stein, Bradley D.;Collins, Rebecca L.
通讯作者：
Collins, Rebecca L.
影响因子：
3.7
作者：
Elmer, Timon;Mepham, Kieran;Stadtfeld, Christoph
通讯作者：
Stadtfeld, Christoph
影响因子：
12.7
作者：
Mustanski, Brian S.;Garofalo, Robert;Emerson, Erin M.
通讯作者：
Emerson, Erin M.