Women's Substance Use and Mental Health During the COVID-19 Pandemic.

Women's Substance Use and Mental Health During the COVID-19 Pandemic.
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DOI:
10.1016/j.whi.2022.01.004
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发表时间:
2022-05
期刊:
Women's health issues : official publication of the Jacobs Institute of Women's Health
影响因子:
--
通讯作者:
Curtis B
Curtis B
中科院分区:
其他
文献类型:
--
作者:
Devoto A;Himelein-Wachowiak M;Liu T;Curtis B

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在COVID-19大流行期间,女性比男性面临更大的失业率和更大的育儿责任压力。在COVID-19大流行期间,有这些经历的女性可能特别容易患上精神疾病和增加物质使用。这项研究的目的是评估妇女的物质使用、心理健康和COVID-19大流行影响的经历。2020年9月至11月,对成年女性进行了全国性在线调查。该调查包括评估心理健康,孤独感,对不确定性的不容忍,社会支持,物质使用和亲密伴侣暴力(IPV)的问卷。共有499名女性做出了回应;大多数是白色,受过大学教育,35岁左右。在20.24%承认至少有一个IPV问题的人中,29.7%的人表示,自大流行开始以来,他们的IPV问题变得更糟,16.83%的人表示,他们增加了药物或酒精的使用,以科普他们的关系问题。焦虑、对COVID-19日常影响的感知和较低的自我效能感是COVID-19焦虑的重要预测因素。与低风险饮酒者相比,有风险饮酒者的焦虑(p = 0.028)和抑郁(p = 0.032)显著更高。对COVID-19的更大焦虑,由于大流行而导致的日常生活的更大变化以及高风险的酒精使用与女性更大的心理健康相关的困扰有关。对一些人来说,IPV在大流行期间变得更糟,吸毒或酗酒是一种应对机制。
Women are experiencing greater unemployment and increased stress from childcare responsibilities than men during the COVID-19 pandemic. Women with these experiences may be at particular risk for mental illness and increased substance use during the COVID-19 pandemic. The purpose of the study was to assess women's substance use, mental health, and experiences of COVID-19 pandemic impacts. A national online survey was administered to adult women from September to November 2020. The survey included questionnaires assessing mental health, loneliness, intolerance for uncertainty, social support, substance use, and intimate partner violence (IPV). A total of 499 women responded; most were White, college educated, and in their mid-30s. Of the 20.24% who acknowledged at least one IPV problem, 29.7% stated that their IPV problems have gotten worse since the pandemic began, and 16.83% said that they have increased their drug or alcohol use to cope with their relationship problems. Anxiety, perceived daily impact of COVID-19, and lower self-efficacy were significant predictors of COVID-19 anxiety. Those with risky alcohol use had significantly higher anxiety (p = .028) and depression (p = .032) than those with low-risk alcohol use. Greater anxiety about COVID-19, greater reported changes in daily life due to the pandemic, and high-risk alcohol use are related to greater mental health–related distress among women. For some, IPV has gotten worse during the pandemic and drug or alcohol use is a coping mechanism.
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