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大流行的毁灭性影响可能会包括对年轻人的负面影响 成人（YAS）心理健康和药物使用。重要的是要知道酒精，大麻（MJ）和 同时使用两种物质（即同时酒精和大麻[SAM]），以及动机 使用可能会因响应Covid-19。多个金融，住房的累积影响， 大流行期间的就业，社会干扰或损失有可能前所未有的 YAS中对酒精和MJ使用以及心理健康的负面影响。特别是 检查酒精和MJ使用轨迹的变化，从19和19的发作开始前几年开始 在急性大流行期延伸，对于指导更好的预测模型很重要 酒精和MJ在危机时期使用行为，包括轨迹是否可能呈现为政策的影响 （例如，待在家里）可能会影响可用性，动机和心理健康。记录风险和 与YAS在或响应YAS增加或有问题使用的风险相关的保护因素 大流行将使确定最需要干预措施和/或确定目标的人成为可能 在其他大规模危机中进行干预。拟议的项目将通过扩展来补充R01AA027496 参与项目过渡的600名年轻人（22-29岁）的现有纵向研究 （招收2015/2016），并连续24个月进行了跟踪，并完成了30个月的随访。 参与者最近在2020年1月（流行前）和2020年4月进行了调查（在 COVID-19的急性相）。使用随机交错设计，一月/四月调查的受访者 将邀请在2020年7月至2021年6月之间完成六次双月调查。 交错的设计使我们能够利用以前的纵向密集的每月设计，并跟踪相关的 随着这种动态的公共卫生危机的不断发展，变量在整个一年内成本效益。来自3-的数据 5年预兴之前，提供有关过渡经验，药物使用和心理健康的详细信息 将在急性共同199大流行期间和之后与新的评估结合在一起。具体目标将是 检查：（1））大流行和相关政策（例如，在家秩序）对YAS社会角色的影响 急性大流行期间的过渡以及随后的一年以及社会角色之间的同时关联 过渡和酒精，MJ和SAM使用； （2）课程中的身体距离和经济变化如何 大流行与短期和长期的酒精和MJ使用以及问题有关（包括 aud/cud）和使用动机； （3）大流行对YA酒精纵向轨迹的影响 MJ和SAM使用（包括大流行是否导致替代[即一种物质增加]或 酒精和MJ的互补作用[即两种物质的增加]，以及动机的变化 使用（即社交和应对动机）和心理健康（即焦虑，抑郁）； （4）最有风险的人。