Drug use trajectories among U.S. adults during the first year of the COVID-19 pandemic.
Drug use trajectories among U.S. adults during the first year of the COVID-19 pandemic.
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DOI：
10.1016/j.jpsychires.2022.07.055
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发表时间：
2022-10
影响因子：
4.8
通讯作者：
Leventhal, Adam M.
中科院分区：
文献类型：
--
作者：
Riehm, Kira E.;Cho, Junhan;Smail, Emily J.;Pedersen, Eric;Lee, Jungeun Olivia;Davis, Jordan P.;Leventhal, Adam M.
这项研究描述了新冠肺炎大流行第一年期间具有不同药物使用轨迹的美国成年亚群的流行率、社会人口学特征和行为健康。在一项具有全国代表性的纵向研究中，成年受访者(n=8306)完成了13个月的网络调查(2020年3月至2021年3月)。在每个调查中，评估过去一周的药物使用、大麻使用和酒精使用的频率(范围：0-7)，以及焦虑和抑郁症状。生长混合模型被用来解析出具有基于一段时间平均药物使用天数的同质药物使用轨迹的不同亚群。确定了四种药物使用轨迹：稳定戒断(样本的85.7%[95%CI=85.0-86.5])，过去一周平均吸毒天数为<；1；不频繁使用增加(7.1%[95%CI=36.6-7.7])，过去一周平均吸毒天数为0.2，从4月到10月增加；停止使用(4.3%[95%CI=33.8-4.7])，3.1月份过去一周平均吸毒天数最初增加，然后急剧减少到接近于零；在整个研究期间，稳定的频繁使用(2.9%[95%CI=22.5-3.3])，过去一周的药物使用天数在2.4到3.5天之间。与稳定禁欲组相比，其他亚组更有可能是西班牙裔或黑人，年龄更小，失业，低于联邦贫困线，拥有大学学位或结婚的可能性较小。他们还报告了更高水平的酒精和大麻使用，以及更高的焦虑和抑郁症状。这些结果为优化新冠肺炎大流行和未来突发公共卫生事件期间药物使用预防性干预措施的定向交付提供了机会。
This study characterized the prevalence, sociodemographic characteristics, and behavioral health of U.S. adult subpopulations with distinct drug use trajectories during the first year of the COVID-19 pandemic. Adult respondents (n = 8306) in a nationally-representative longitudinal study completed 13 monthly web surveys (March 2020–March 2021). Frequency of past-week drug use, cannabis use, and alcohol use (range:0–7), as well as anxiety and depressive symptoms, were assessed at each survey. Growth mixture models were used to parse out distinct subpopulations with homogenous drug use trajectories based on mean drug use days over time. Four drug use trajectories were identified: Stable Abstinence (85.7% [95%CI = 85.0–86.5] of the sample) with <1 mean past-week drug use days; Escalating Infrequent Use (7.1% [95%CI = 6.6–7.7]) with 0.2 March mean past-week drug use days and increases from April to October; Use Cessation (4.3% [95%CI = 3.8–4.7]) with 1.1 March mean past-week drug use days that initially increased, then sharply decreased to near zero; and Stable Frequent Use (2.9% [95%CI = 2.5–3.3]) with between 2.4 and 3.5 past-week drug use days across the study period. Compared to the stable abstinence group, the other subgroups were more likely to be Hispanic or Black, younger in age, unemployed, below the federal poverty line, and less likely to have a college degree or be married. They also reported higher levels of alcohol and cannabis use, as well as higher anxiety and depressive symptoms. These results provide opportunities to optimize the targeted delivery of preventive interventions for substance use during the COVID-19 pandemic and future public health emergencies.
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影响因子：
13.8
作者：
Czeisler MÉ;Lane RI;Wiley JF;Czeisler CA;Howard ME;Rajaratnam SMW
通讯作者：
Rajaratnam SMW
影响因子：
25.8
作者：
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影响因子：
2.9
作者：
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通讯作者：
Ignaszewski, Martha J.
DOI：
10.1097/00000374-200006000-00020
发表时间：
2000-06-01
影响因子：
3.2
作者：
Muthén, B;Muthén, LK
通讯作者：
Muthén, LK
影响因子：
2.7
作者：
Ghosh, Abhishek;Sharma, Kshitiz
通讯作者：
Sharma, Kshitiz