青少年过去 30 天内吸食大麻、电子烟和香烟的压力、依赖性和 COVID-19 相关变化。

IF 2.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Tobacco Use Insights Pub Date : 2021-12-20 eCollection Date: 2021-01-01 DOI:10.1177/1179173X211067439
Stephanie L Clendennen, Kathleen R Case, Aslesha Sumbe, Dale S Mantey, Emily J Mason, Melissa B Harrell
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引用次数: 0

摘要

背景:研究表明,吸烟和吸食电子烟的行为会增加感染COVID-19的风险并加重其症状。本研究调查了过去 30 天内使用大麻、电子烟和香烟的青少年和年轻成年人是否自述了他们使用这些物质的变化是由于 COVID-19 的流行;以及感知到的压力、尼古丁或大麻依赖与 COVID-19 相关使用变化之间的横断面关联:参与者为德克萨斯青少年烟草和营销监测研究(TATAMS;平均年龄 = 19;58% 为女性;38% 为西班牙裔,35% 为白人)中 709 名过去 30 天自我报告的药物使用者。多元逻辑回归模型评估了感知压力和依赖性与 COVID-19 导致的过去 30 天使用大麻、电子烟和香烟的增加、减少或持续之间的横截面关联(例如,"COVID-19 的爆发是否改变了您使用大麻的情况?)协变量包括年龄、种族/民族、社会经济地位(SES)、依赖性(暴露:压力)和压力(暴露:依赖性):大多数参与者报告说,由于 COVID-19,他们分别持续(41%、43%、49%)或增加(37%、34%、25%)使用大麻、电子烟和香烟。报告有依赖症状的参与者报告增加使用大麻(AOR:1.66;95% CI:1.15-2.39)和电子烟(AOR:2.57;95% CI:1.38-4.77)的可能性明显高于无依赖症状的参与者。报告压力感知较高的人更有可能增加大麻的使用(AOR:1.55;95% CI:1.01-2.42):结论:在全球呼吸道疾病大流行的情况下,大多数青少年和年轻人并没有减少使用药物。针对吸烟和吸食毒品对健康的影响以及可能阻碍减少使用的压力和依赖性等因素的健康信息和干预措施对于遏制 COVID-19 的流行至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Stress, Dependence, and COVID-19-related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults.

Stress, Dependence, and COVID-19-related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults.

Stress, Dependence, and COVID-19-related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults.

Stress, Dependence, and COVID-19-related Changes in Past 30-day Marijuana, Electronic Cigarette, and Cigarette Use among Youth and Young Adults.

Background: Studies show smoking and vaping behaviors increase risk of contracting and worse symptoms of COVID-19. This study examines whether past 30-day youth and young adult users of marijuana, e-cigarettes, and cigarettes self-reported changes in their use of these substances due to the COVID-19 pandemic; and cross-sectional associations between perceived stress, nicotine or marijuana dependence, and COVID-19-related changes in use.

Methods: Participants were 709 past 30-day self-reported substance users from the Texas Adolescent Tobacco and Marketing Surveillance study (TATAMS; mean age = 19; 58% female; 38% Hispanic, 35% white). Multiple logistic regression models assessed cross-sectional associations between perceived stress and dependence and increased, decreased, or sustained past 30-day use of marijuana, e-cigarettes, and cigarettes due to COVID-19 (e.g., "Has your marijuana use changed due to the COVID-19 outbreak?"). Covariates included age, race/ethnicity, socio-economic status (SES), dependence (exposure: stress), and stress (exposure: dependence).

Results: Most participants reported sustained (41%, 43%, 49%) or increased (37%, 34%, 25%) use of marijuana, e-cigarettes, and cigarettes due to COVID-19, respectively. Participants who reported symptoms of dependence were significantly more likely than their non-dependent peers to report increasing their marijuana (AOR: 1.66; 95% CI: 1.15-2.39) and e-cigarette (AOR: 2.57; 95% CI: 1.38-4.77) use. Those who reported higher perceived stress were significantly more likely to report increasing their marijuana use (AOR: 1.55; 95% CI: 1.01-2.42).

Conclusions: Most youth and young adults did not decrease their substance use amid a global, respiratory disease pandemic. Health messaging and interventions that address the health effects of smoking and vaping as well as factors like stress and dependence that may be barriers to decreasing use are vital in curbing the COVID-19 pandemic.

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Tobacco Use Insights
Tobacco Use Insights PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
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4.50%
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32
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8 weeks
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