The Association of Vaping With Social/Emotional Health and Attitudes Toward COVID-19 Mitigation Measures in Adolescent and Young Adult Cohorts During the COVID-19 Pandemic.

IF 2.8 3区 医学 Q2 SUBSTANCE ABUSE
Alicia L Oliver, Joe Kossowsky, Machiko Minegishi, Sharon Levy, Elissa R Weitzman
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引用次数: 0

Abstract

Background: Vaping is a major health risk behavior which often occurs socially. Limited social activity during the COVID-19 pandemic contributed to worsening social and emotional health. We investigated associations among youth vaping, and reports of worsening mental health, loneliness, and relationships with friends and romantic partners (ie, social health), as well as perceived attitudes toward COVID-19 mitigation measures.

Methods: From October 2020 to May 2021, a clinical convenience sample of adolescents and young adults (AYA) reported on their past-year substance use, including vaping, their mental health, COVID-19 related exposures and impacts, and their attitudes toward non-pharmaceutical COVID-19 mitigation interventions, via a confidential electronic survey. Multivariate logistic regressions were used to estimate associations among vaping and social/emotional health.

Results: Of 474 AYA (mean age = 19.3 (SD = 1.6) years; 68.6% female), 36.9% reported vaping in the prior 12 months. AYA who self-reported vaping were more likely than non-vaping AYA to report worsening: anxiety/worry (81.1%; P = .036), mood (78.9%; P = .028), eating (64.6%; P = .015), sleep (54.3%; P = .019), family discord (56.6%; P = .034), and substance use (54.9%; P < .001). Participants who vaped also reported easy access to nicotine (63.4%; P < .001) and cannabis products (74.9%; P < .001). No difference in perceived change in social wellbeing was seen between the groups. In adjusted models, vaping was associated with symptoms of depression (AOR = 1.86; 95% CI = 1.06-3.29), less social distancing (AOR = 1.82; 95% CI = 1.11-2.98), lower perceived importance of proper mask wearing (AOR = 3.22; 95% CI = 1.50-6.93), and less regular use of masks (AOR = 2.98; 95% CI = 1.29-6.84).

Conclusions: We found evidence that vaping was associated with symptoms of depression and lower compliance with non-pharmaceutical COVID-19 mitigation efforts among AYA during the COVID-19 pandemic.

在COVID-19大流行期间,青少年和年轻人群体中,电子烟与社会/情绪健康的关系以及对COVID-19缓解措施的态度。
背景:电子烟是社会上常见的危害健康的主要行为。在2019冠状病毒病大流行期间,有限的社交活动导致社交和情绪健康恶化。我们调查了青少年吸电子烟与心理健康、孤独感、与朋友和恋人的关系(即社会健康)恶化的报告之间的关联,以及对COVID-19缓解措施的态度。方法:从2020年10月到2021年5月,通过一项保密的电子调查,对青少年和年轻人(AYA)的临床方便样本报告了他们过去一年的物质使用情况,包括电子烟、心理健康、与COVID-19相关的暴露和影响,以及他们对非药物COVID-19缓解干预措施的态度。使用多变量逻辑回归来估计电子烟与社会/情绪健康之间的关联。结果:474例AYA患者平均年龄19.3岁(SD = 1.6);68.6%的女性),36.9%的人在过去12个月里吸过电子烟。自我报告吸电子烟的美国青少年比不吸电子烟的美国青少年更有可能报告焦虑/担忧加剧(81.1%;P = 0.036),情绪(78.9%;P = 0.028),进食(64.6%;P = 0.015)、睡眠(54.3%;P = 0.019),家庭不和(56.6%;P = 0.034),药物使用(54.9%;结论:我们发现证据表明,在COVID-19大流行期间,AYA中的电子烟与抑郁症状和对非药物COVID-19缓解措施的依从性较低有关。
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来源期刊
Substance abuse
Substance abuse SUBSTANCE ABUSE-
CiteScore
5.90
自引率
2.90%
发文量
88
审稿时长
>12 weeks
期刊介绍: Now in its 4th decade of publication, Substance Abuse journal is a peer-reviewed journal that serves as the official publication of Association for Medical Education and Research in Substance Abuse (AMERSA) in association with The International Society of Addiction Medicine (ISAM) and the International Coalition for Addiction Studies in Education (INCASE). Substance Abuse journal offers wide-ranging coverage for healthcare professionals, addiction specialists and others engaged in research, education, clinical care, and service delivery and evaluation. It features articles on a variety of topics, including: Interdisciplinary addiction research, education, and treatment Clinical trial, epidemiology, health services, and translation addiction research Implementation science related to addiction Innovations and subsequent outcomes in addiction education Addiction policy and opinion International addiction topics Clinical care regarding addictions.
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