Covid-19 pandemic and changes in the prevalence, patterns, and trajectories of substance use and related health risk outcomes among young adults in WA State

Covid-19 大流行以及西澳州年轻人物质使用流行率、模式和轨迹的变化以及相关健康风险结果

• 批准号: 10593852
• 负责人: Katarina Guttmannova
• 金额: $ 36.93万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-30 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10593852
• 关键词: 19 year old; 21 year old; Address; Adult; Affect; Age; Age-Years; Alcohol consumption; Alcohols; Automobile Driving; Behavior; COVID-19 pandemic; Cannabis; Characteristics; Communities; Data; Development; Driving While Intoxicated; Economics; Education; Ethnic Origin; Financial Hardship; Frequencies; Funding; Gender; Health; Health Surveys; Healthcare; Individual; Intervention; Intoxication; Legal; Link; Longitudinal cohort; Occupations; Outcome; Pattern; Persons; Population; Prevalence; Prevention; Problem behavior; Process; Public Health; Race; Recovery; Resources; Risk; Risk Behaviors; Risk Factors; Role; SARS-CoV-2 infection; Sales; Sampling; Services; Source; Stress; Subgroup; Time; Tobacco; Tobacco use; Washington; Work; authority; behavioral health; cohort; community-level factor; coronavirus disease; data cleaning; differences in access; disorder risk; experience; high risk; improved; marijuana use; neighborhood disadvantage; pandemic disease; response; secondary analysis; sex; sociodemographics; stressor; substance use; tobacco products; tobacco user; university student; vaping nicotine; young adult

ABSTRACT The COVID-19 pandemic has disrupted lives and affected behavioral health of many. Unhealthy changes in substance use are a great concern. Early data indicate substance use has changed during the pandemic, particularly for some sub-groups of the population. This project aims to examine changes in cannabis, alcohol, and tobacco use and related health risk behaviors (i.e. driving while—or riding with a driver—under the influence of cannabis, alcohol, and simultaneous effects of cannabis and alcohol) during the course of COVID- 19 pandemic among young adults in Washington State. Specifically, we will address the following questions: What are the patterns of young adult substance use during the pandemic and how do these relate to use before the pandemic both in terms of individual trajectories and normative patterns over the course of young adulthood? What are the predictors of escalation of use vs. desistance from use during the pandemic and what is the role of pandemic stressors in these processes? How do community-level differences in access to resources and access to substances relate to patterns of substance use during the pandemic? To answer these questions, we will use data from the WA Young Adult Health Survey (YAHS) that we collected over the past 7 years with funding from the WA State’s Division of Behavioral Health and Recovery. YAHS is an accelerated longitudinal cohort sequential study of young adults ages 18-25, with cohorts added annually and followed over time (2015-2021). Two cohorts were added after the onset of the pandemic, and five cohorts have longitudinal data spanning the time from before to during the pandemic. These data will be linked with community-level variables (e.g., neighborhood disadvantage, availability of substance use-related outlets and services) before and during the COVID-19 pandemic. We will assess changes in patterns (e.g., mode of use, sources, frequency, and amount) of cannabis, alcohol, and tobacco use, simultaneous cannabis and alcohol use, and SU-related risk behaviors (e.g., driving while intoxicated) from before to during the pandemic. The role of community-level factors and differences by socio-demographic characteristics (e.g., sex, sexual and gender minoritized status, race/ethnicity, college student status) in these changes will be examined. Moreover, we will examine within-person changes in risk factors such as norms and perceived harm of cannabis, tobacco, and alcohol use and COVID-19 pandemic related stressors by socio-demographic and community-level characteristics. Finally, we will assess within-person changes in substance use and related risk behaviors (e.g., driving while intoxicated), focusing specifically on initiation, escalation, and desistance and their predictors and potential explanatory mechanisms. Findings will inform planning of prevention and intervention efforts aimed at improving health and reducing problem behaviors.

抽象的 COVID-19大流行破坏了生命，并影响了许多人的行为健康。不健康的变化 吸毒是一个很好的问题。早期数据表明在大流行期间使用药物的使用已改变， 特别是对于某些人口的子群体。该项目旨在检查大麻，酒精， 以及烟草使用及相关的健康风险行为（即，在驾驶时或与驾驶员一起骑行） 大麻，酒精以及大麻和酒精的简单影响）在共同的过程中 华盛顿州的年轻人中的19个大流行。具体来说，我们将解决以下问题： 大流行期间年轻成人物质使用的模式是什么？ 在大流行之前，就个人轨迹和年轻人的正常模式而言 成年？在大流行期间使用的使用与使用的欲望的预测指标是什么？ 大流行应激源在这些过程中的作用是吗？社区级别访问方面的差异如何 大流行期间与物质使用模式有关的资源和获取物质？回答 这些问题，我们将使用西澳青年健康调查（YAHS）的数据 过去的7年，西澳州的行为健康和恢复部门的资助。 Yahs是一个 18-25岁的年轻人的加速纵向队列顺序研究，每年增加队列和 随着时间的推移（2015-2021）。大流行开始后增加了两个队列，五个队列 具有纵向数据跨越大流行期间的时间。这些数据将与 社区级变量（例如，邻里灾难，与物质使用相关的渠道的可用性以及 服务）在COVID-19-19大流行之前和期间。我们将评估模式的变化（例如，使用方式， 大麻，酒精和烟草的来源，频率和数量）同时大麻和酒精 在大流行期间，使用和与SU相关的风险行为（例如，在氧基化时驾驶）。 社区水平因素和社会人口统计学特征的差异（例如，性，性和性 将检查这些变化中的性别少量状态，种族/民族，大学生的地位）。而且， 我们将检查危险因素的人内部变化，例如规范和烟草的危害，烟草， 和饮酒以及社会人口统计学和社区层面 特征。最后，我们将评估物质使用和相关风险行为的人体内部变化（例如， 醉酒时开车），专门针对启动，升级及其预测因素和 潜在的剥夺机制。调查结果将为旨在预防和干预工作的计划提供信息 改善健康并减少问题行为。