Changes in alcohol use since the onset of COVID-19 are associated with psychological distress among sexual and gender minority university students in the U.S.

Changes in alcohol use since the onset of COVID-19 are associated with psychological distress among sexual and gender minority university students in the U.S.
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DOI:
10.1016/j.drugalcdep.2021.108594
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发表时间:
2021-04-01
影响因子:
4.2
通讯作者:
Fish JN
Fish JN
中科院分区:
医学2区
文献类型:
--
作者:
Salerno JP;Shrader CH;Algarin AB;Lee JY;Fish JN

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由于独特的社会不平等以及存在的心理健康和药物使用挑战,性和性别少数(SGM)年轻人正在经历COVID-19的复合影响。鉴于41%的年轻人就读于大学,而SGM年轻人在疫情期间面临的脆弱性增加,因此了解COVID-19期间饮酒对SGM大学生心理健康的影响至关重要。这项研究旨在研究自COVID-19开始以来饮酒量的变化与美国SGM大学学生的精神困扰之间的关联,并探索性别分层差异。在2020年5月至8月期间,对509名SGM大学生(法师= 22.04岁,SD = 3.99)的非概率横断面样本进行了回顾性在线调查,并询问他们的饮酒情况自COVID-19开始以来是否发生了变化。统计分析探讨了自COVID-19开始以来酒精使用的变化与精神痛苦之间的关系。根据现有研究和已建立的临床临界评分,平均心理困扰(M = 27.79,SD = 7.82)相对较高。自COVID-19开始以来,大约32%的人增加了饮酒。随后,自COVID-19开始以来,更多的酒精使用(p < .05)与SGM大学学生以及出生时分配的女性(而非男性)的心理困扰程度较高相关。高等教育、医疗和行为健康专业人员应考虑如何调整他们的做法,以解决SGM大学生(尤其是女性)的饮酒和心理负担问题,这些学生在COVID-19期间及之后面临健康不平等,需要SGM肯定性护理。
Sexual and gender minority (SGM) young persons are experiencing compounding effects of COVID-19 due to unique social inequalities and existent mental health and substance use challenges. Given that 41% of all young persons are enrolled in universities, and the increased vulnerabilities faced by SGM young persons during the pandemic, it is imperative to understand the effects of alcohol use on mental health among SGM university students amid COVID-19. This study aims to examine the associations between changes in alcohol use since the start of COVID-19 and mental distress among SGM university students in the U.S., and to explore sex-stratified differences. A nonprobability cross-sectional sample of 509 SGM university students (Mage = 22.04 years, SD = 3.99) were retrospectively surveyed online between May-August 2020 and asked if their alcohol use had changed since the start of COVID-19. Statistical analyses explored the association between changes in alcohol use since the start of COVID-19 and mental distress. Average psychological distress (M = 27.79, SD = 7.82) was relatively high as per existing research and established clinical cutoff scores. Roughly 32% had increased alcohol use since the start of COVID-19. Subsequently, greater alcohol use (p < .05) since the start of COVID-19 was associated with higher psychological distress among SGM university students, and among females but not males assigned at birth. Higher education, medical, and behavioral health professionals should consider how to adapt their practice to address alcohol use and psychological burdens among SGM university students (especially females) who are facing health inequities during and beyond COVID-19, requiring SGM-affirmative care.
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