COVID-19 Pandemic-related Impacts on Longitudinal Trajectories of Alcohol, Marijuana, and Simultaneous Use and Mental Health Among Young Adults

COVID-19 大流行对年轻人酒精、大麻和同时使用的纵向轨迹和心理健康的影响

• 批准号: 10166034
• 负责人: CHRISTINE M. Lee
• 金额: $ 11.8万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-15 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10166034
• 关键词: Acute; Address; Adult; Age; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Anxiety; Behavior; Boredom; Buffers; COVID-19; COVID-19 pandemic; Communities; Data; Data Analyses; Data Collection; Economics; Education; Employment; Enrollment; Event; Financial Hardship; Friendships; Funding; Grant; Health; Height; Home environment; Housing; Intervention; Knowledge; Loneliness; Longitudinal Studies; Marijuana; Mental Depression; Mental Health; Modeling; Motivation; Participant; Pattern; Personal Satisfaction; Phase; Policies; Public Health; Randomized; Research; Respondent; Risk; Risk Factors; Role; Sampling; Shelter facility; Social isolation; Social support; Stress; Surveys; Symptoms; Time; United States National Institutes of Health; Universities; Variant; Washington; Work; alcohol effect; base; behavioral economics; career; coping; coronavirus disease; cost; demographics; design; drinking; economic impact; experience; follow-up; high risk; marijuana use; marijuana use disorder; news; novel coronavirus; optimism; pandemic disease; phase change; policy implication; predictive modeling; protective factors; recruit; resilience; response; social; social health determinants; stressor; young adult

ABSTRACT The devastating impacts of the COVID-19 pandemic will likely include negative consequences for young adults' (YAs) mental health and substance use. It is important to know how alcohol, marijuana (MJ), and simultaneous use of both substances (i.e., simultaneous alcohol and marijuana [SAM]), as well as motives for use may be changing in response to COVID-19. The cumulative impact of multiple financial, housing, employment, and social disruptions or losses during the pandemic has the potential to have unprecedented negative effects on alcohol and MJ use as well as mental health among YAs. In particular, the ability to examine variation in trajectories of alcohol and MJ use starting from years prior to onset of COVID-19 and extending through the acute pandemic period and beyond is important to guide better prediction models for alcohol and MJ use behavior in times of crisis, including whether trajectories may diverge as policy implications (e.g., stay at home orders) may influence availability, motivations, and mental health. Documenting risk and protective factors associated with YAs' risk for increased or problematic use during or in response to the pandemic will make it possible to identify those in greatest need of interventions and/or identify targets for intervention during other large-scale crises. The proposed project will supplement R01AA027496 by extending an existing longitudinal study of 600 diverse young adults (ages 22-29) who participated in Project Transitions (enrolled 2015/2016) and were followed for 24 consecutive months and completed 30-month follow-up. Participants were most recently surveyed in January 2020 (pre-pandemic) and April 2020 (at the height of the acute phase of COVID-19). Using a randomized staggered design, respondents of the January/April surveys will be invited to complete six bi-monthly surveys between July 2020 and June 2021. The randomized staggered design allows us to capitalize on our prior longitudinal intensive monthly design and track relevant variables cost-effectively across one year as this dynamic public health crisis continues to evolve. Data from 3- 5 years pre-COVID with detailed information about transition experiences, substance use, and mental health will be combined with new assessments during and after the acute COVID-19 pandemic. Specific aims will be to examine: (1) ) impact of the pandemic and related policies (e.g., stay-at-home order) on YAs' social role transitions during the acute pandemic and subsequent year and concurrent associations between social role transitions and alcohol, MJ and SAM use; (2) how physical distancing and economic changes over the course of the pandemic are associated with shorter- and longer-term alcohol and MJ use and problems (including AUD/CUD) and motivations for use; (3) impact of the pandemic on longitudinal trajectories of YA alcohol and MJ and SAM use (including whether the pandemic led to substitution [i.e., increases in one substance] or complementary effects [i.e., increases in both substances] of alcohol and MJ), and changes to motivations for use (i.e., social and coping motives) and mental health (i.e., anxiety, depression); and (4) who is most at risk.

抽象的 COVID-19 大流行的破坏性影响可能包括对年轻人的负面影响 成年人 (YA) 的心理健康和物质使用。重要的是要了解酒精、大麻 (MJ) 和 同时使用两种物质（即同时饮酒和吸食大麻 [SAM]），以及吸食大麻的动机 用途可能会因应对新冠肺炎 (COVID-19) 而发生变化。多重金融、住房、 疫情期间的就业、社会混乱或损失有可能造成前所未有的影响 对酒精和 MJ 的使用以及青少年青少年心理健康的负面影响。特别是，有能力 检查从 COVID-19 发病前几年开始的酒精和 MJ 使用轨迹的变化， 延伸到严重的大流行时期及以后对于指导更好的预测模型很重要 酒精和乔丹在危机时期的使用行为，包括政策影响轨迹是否可能出现分歧 （例如，留在家里的命令）可能会影响可用性、动机和心理健康。记录风险和 与 YA 期间或响应期间使用增加或出现问题的风险相关的保护因素 大流行将使我们能够确定最需要干预的人群和/或确定治疗目标 其他大规模危机期间的干预。拟议项目将通过扩展 R01AA027496 来补充 一项针对 600 名参与项目过渡的不同年轻人（22-29 岁）的现有纵向研究 （2015/2016年入组）并连续随访24个月，完成30个月随访。 参与者最近一次接受调查是在 2020 年 1 月（疫情爆发前）和 2020 年 4 月（疫情高峰期） COVID-19 急性期）。使用随机交错设计，一月/四月调查的受访者 将被邀请在 2020 年 7 月至 2021 年 6 月期间完成六次双月调查。 交错设计使我们能够利用之前的纵向密集月度设计并跟踪相关 随着这一动态公共卫生危机的不断发展，一年内的变量具有成本效益。数据来自 3- 新冠疫情发生前 5 年，提供有关过渡经历、药物使用和心理健康的详细信息 将与新冠肺炎 (COVID-19) 疫情期间和之后的新评估相结合。具体目标将是 检查：(1) ) 疫情和相关政策（例如居家令）对青少年学生社会角色的影响 急性大流行期间和随后一年的转变以及社会角色之间的同时关联 过渡和酒精、MJ 和 SAM 的使用； (2) 物理距离和经济在整个过程中如何变化 流行病的发生与短期和长期饮酒以及 MJ 的使用和问题有关（包括 AUD/CUD）和使用动机； (3) 疫情对青少年酒精纵向轨迹的影响 MJ 和 SAM 的使用（包括大流行是否导致替代[即一种物质的增加]或 酒精和 MJ 的互补效应（即两种物质的增加），以及动机的改变 使用（即社交和应对动机）和心理健康（即焦虑、抑郁）； (4) 谁的风险最大。