scholarly journals Changes in substance use among young adults during a respiratory disease pandemic

2020 ◽  
Vol 8 ◽  
pp. 205031212096532
Author(s):  
Pravesh Sharma ◽  
Jon O Ebbert ◽  
Jordan K Rosedahl ◽  
Lindsey M Philpot

Background: News articles, commentaries, and opinion articles have suggested that ongoing social distancing measures coupled with economic challenges during COVID-19 may worsen stress, affective state, and substance use across the globe. We sought to advance our understanding of the differences between individuals who change their substance use patterns during a public health crisis and those who do not. Methods: Cross-sectional survey of young adults (18–25 years of age) assessing respondent characteristics and vaping, tobacco, alcohol, and/or marijuana use. We calculated prevalence estimates, prevalence changes, and prevalence ratios with associated 95% confidence intervals and looked for differences with the chi-square test. Results: Of the total sample, 53.2% ( n = 542/1018) young adults reported vaping or using tobacco, alcohol, and/or marijuana. Among the 542 respondents reporting use, 34.3% reported a change in their use patterns. Among respondents reporting changes in substance use patterns during the pandemic ( n = 186), 68.8% reported an increase in alcohol use, 44.0% reported a decrease in vaping product use, and 47.3% reported a decrease in tobacco product use due to COVID-19. Substance use changed significantly for respondents with increasing degree of loneliness (continuous loneliness score: prevalence ratio = 1.12, 95% confidence interval = 1.01–1.25), anxiety (prevalence ratio = 1.45, 95% confidence interval = 1.14–1.85), and depression (prevalence ratio = 1.44, 95% confidence interval = 1.13–1.82). Conclusion: Self-reported substance use among young adults was observed to change during a pandemic, and the degree of loneliness appears to impact these changes. Innovative strategies are needed to address loneliness, anxiety, depression, and substance use during global health crises that impact social contact.

2021 ◽  
Vol 12 ◽  
Author(s):  
Ali Farhoudian ◽  
Seyed Ramin Radfar ◽  
Hossein Mohaddes Ardabili ◽  
Parnian Rafei ◽  
Mohsen Ebrahimi ◽  
...  

Background and Aims: COVID-19 has infected more than 77 million people worldwide and impacted the lives of many more, with a particularly devastating impact on vulnerable populations, including people with substance use disorders (SUDs). Quarantines, travel bans, regulatory changes, social distancing, and “lockdown” measures have affected drug and alcohol supply chains and subsequently their availability, price, and use patterns, with possible downstream effects on presentations of SUDs and demand for treatment. Given the lack of multicentric epidemiologic studies, we conducted a rapid global survey within the International Society of Addiction Medicine (ISAM) network in order to understand the status of substance-use patterns during the current pandemic.Design: Cross-sectional survey.Setting: Worldwide.Participants: Starting on April 4, 2020 during a 5-week period, the survey received 185 responses from 77 countries.Measurements: To assess addiction medicine professionals' perceived changes in drug and alcohol supply, price, use pattern, and related complications during the COVID-19 pandemic.Findings: Participants reported (among who answered “decreased” or “increased”) a decrease in drug supply (69.0%) and at the same time an increase in price (95.3%) globally. With respect to changes in use patterns, an increase in alcohol (71.7%), cannabis (63.0%), prescription opioids (70.9%), and sedative/hypnotics (84.6%) use was reported, while the use of amphetamines (59.7%), cocaine (67.5%), and opiates (58.2%) was reported to decrease overall.Conclusions: The global report on changes in the availability, use patterns, and complications of alcohol and drugs during the COVID-19 pandemic should be considered in making new policies and in developing mitigating measures and guidelines during the current pandemic (and probable future ones) in order to minimize risks to people with SUD.


2020 ◽  
Author(s):  
Rajon Banik ◽  
Mahmudur Rahman ◽  
Tajuddin Sikder ◽  
Quazi Maksudur Rahman ◽  
Mamun Ur Rashid Pranta

Abstract Aim: This study aimed to assess knowledge, attitudes, and practices (KAP) towards COVID-19 among young adults in Bangladesh. Subject and Methods: A cross-sectional survey was conducted from 5th May to 25th May 2020. Young adults aged between 18-35 years were approached via social media to complete an online questionnaire consisted of socio-demographic characteristics and KAP towards COVID-19. Descriptive statistics, t-tests, one-way analysis of variance (ANOVA), and multiple logistic regressions were conducted. Results: Of the 707 survey participants, the majority were male (57.1%), with a mean age of 25.03 (SD: 4.26) years, 60.3% were students, 57% had a bachelor's degree, and 64.4% urban residents. Participants gather information on COVID-19 mostly through Social media (70.4%). Overall, 61.2% had adequate knowledge with 78.9% having a positive attitude towards COVID-19 and only 51.6% had good practices. Most (86.8%) of the participants were confident that COVID-19 will be successfully controlled and Bangladesh was handling the COVID-19 health crisis well (84.20%). Only 75.2% of participants always washed hands with soap or hand-sanitizer and 70.6% wore a mask when going outside the home in recent days. Factors associated with adequate knowledge were being female, having a master's degree and above, and living in an urban area (𝑝 < 0.05). Participants having adequate knowledge of COVID-19 had higher likelihood of positive attitudes (OR: 6.41, 95% CI = 2.34-25.56, 𝑝 = 0.000) and good practices (OR: 8.93, 95% CI = 3.92-38.42, 𝑝 = 0.000). Conclusion: Introducing effective COVID-19 Health campaigns incorporating factors to influence KAP is urgently needed.


Author(s):  
Ali Farhoudian ◽  
Seyed Ramin Radfar ◽  
Hossein Mohaddes Ardabili ◽  
Parnian Rafei ◽  
Mohsen Ebrahimy ◽  
...  

Background and aims: COVID-19 has infected more than 13 million people worldwide and impacted the lives of many more, with a particularly devastating impact on vulnerable populations, including people with substance use disorders (SUDs). Quarantines, travel bans, regulatory changes, social distancing and ′lockdown′ measures have affected drug and alcohol supply chains and subsequently their availability, price and use patterns, with possible downstream effects on presentations of SUDs and demand for treatment. Given the lack of multicentric epidemiologic studies, we conducted a rapid global survey within the International Society of Addiction Medicine (ISAM) network in order to understand the status of substance-use patterns during the current pandemic. Design: Cross-sectional survey. Setting: Worldwide. Participants: Starting on April 4th, 2020 during a 5-week period, the survey received 185 responses from 77 countries. Measurements: To assess addiction medicine professionals′ perceived changes in drug and alcohol supply, price, use pattern and related complications during the COVID-19 pandemic. Findings: Participants reported (among who answered ″decreased″ or ″increased″, percentage of those who were in majority is reported in the parenthesis) a decrease in drug supply (69.0%), and at the same time an increase in price (95.3%) globally. With respect to changes in use patterns, an increase in alcohol (71.7%), cannabis (63.0%), prescription opioids (70.9%), and sedative/hypnotics (84.6%) use was reported while the use of amphetamines (59.7%), cocaine (67.5%), and opiates (58.2%) was reported to decrease overall. Conclusions: The global report on changes in the availability, use patterns and complications of alcohol and drugs during the COVID-19 pandemic should be considered in making new policies and in developing mitigating measures and guidelines during the current pandemic (and probable future ones) in order to minimize risks to SUDs. Key words: COVID-19, pandemic, alcohol, drug, substance use disorder, supply, price.


2020 ◽  
Author(s):  
Rajon Banik ◽  
Mahmudur Rahman ◽  
Md. Tajuddin Sikder ◽  
Quazi Maksudur Rahman ◽  
Mamun Ur Rashid Pranta

Abstract Aim: This study aimed to assess knowledge, attitudes, and practices (KAP) towards COVID-19 among young adults in Bangladesh. Subject and Methods: A cross-sectional survey was conducted from 5th May to 25th May 2020. Young adults aged between 18-35 years were approached via social media to complete an online questionnaire consisted of socio-demographic characteristics and KAP towards COVID-19. Descriptive statistics, t-tests, one-way analysis of variance (ANOVA), and multiple logistic regression were conducted.Results: Of the 707 survey participants, the majority were male (57.1%), with a mean age of 25.03 (SD: 4.26) years, 60.3% were students, 57% had a bachelor's degree, and 64.4% were urban residents. Participants gather information on COVID-19 mostly through Social media (70.4%). Overall, 61.2% had adequate knowledge with 78.9% having a positive attitude towards COVID-19 and only 51.6% had good practices. Most (86.8%) of the participants were confident that COVID-19 will be successfully controlled and Bangladesh was handling the COVID-19 health crisis well (84.20%). Only 75.2% of participants always washed hands with soap or hand-sanitizer and 70.6% wore a mask when going outside the home in recent days. Factors associated with adequate knowledge were being female, having a master's degree and above, and living in an urban area (𝑝 < 0.05). Participants having adequate knowledge of COVID-19 had higher likelihood of positive attitudes (OR: 6.41, 95% CI = 2.34-25.56, 𝑝 = 0.000) and good practices (OR: 8.93, 95% CI = 3.92-38.42, 𝑝 = 0.000).Conclusion: Introducing effective COVID-19 Health campaigns incorporating factors to influence KAP is urgently needed.


2021 ◽  
Vol 7 (3) ◽  
pp. 210-220
Author(s):  
Joshua D. Jones ◽  
Jason Adamson ◽  
Claudia Kanitscheider ◽  
Krishna Prasad ◽  
Oscar M. Camacho ◽  
...  

Objective: In this study, we obtained key population-level data on use patterns and behavior relating to tobacco and nicotine products in Japan. Methods: We performed a nationwide cross-sectional survey of the general population in Japan in 2019 to assess use patterns after the introduction of tobacco heating products (THPs). Eligible participants were Japanese residents, aged 20 years or older who consented to complete the survey. Individuals living in institutions were excluded. A 3-stage probability sampling method was applied that was geographically stratified by street blocks proportionate to population density. Respondents self-reported patterns of product use and reasons for THP use. Results: Complete responses were available from 5306 individuals, of whom 933.5 (17.6%) were current users, 984.2 (18.5%) were former users, and 3388.4 (63.9%) were never users of tobacco products (weighted respondent totals). Cigarettes were used by 14.6% of current tobacco product users and THPs by 5.3%. Cigarettes and THPs were used exclusively by 64.5% and 12.2%, respectively, and both were used by 12.7%. The most common reasons reported for THP use were perceived reduction in harm to self and others compared to cigarettes. Conclusions: Whereas the prevalence of cigarette use in Japan is decreasing, THPs seem to be increasingly used as long-term alternatives to cigarette smoking.


2021 ◽  
Author(s):  
Sara Kalkhoran ◽  
Douglas E Levy ◽  
Nancy A Rigotti

Introduction: With concerns about cigarette smoking as a risk factor for severe disease from COVID-19, understanding nicotine and tobacco use patterns is important for preventive efforts. We aimed to understand changes in product use behaviors among U.S. adult combustible cigarette smokers and electronic cigarette (e-cigarette) users. Methods: In August 2020, we conducted a cross-sectional survey of a nationally-representative sample of adults age >18 in the NORC AmeriSpeak Panel who reported past 6-month use of combustible cigarettes or e-cigarettes. Multivariable logistic regression assessed factors associated with increased product use and quit attempts since hearing about COVID-19. Results: 1024 past 6-month cigarette smokers and/or e-cigarette users were surveyed. Among cigarette smokers, 45% reported no change in cigarette smoking and 33% increased cigarette smoking since hearing about COVID-19. Higher stress was associated with increased cigarette smoking. Among e-cigarette users, 41% reported no change in and 23% reported increasing e-cigarette use. 26% of cigarette smokers and 41% of e-cigarette users tried to quit because of COVID-19. Higher perceived risk of COVID-19 was associated with attempts to quit combustible cigarettes (AOR 2.37, 95% CI 1.59-3.55) and e-cigarettes (AOR 3.14, 1.73-5.70). Conclusions: Cigarette and e-cigarette use patterns varied in response to the COVID-19 pandemic. Most cigarette smokers and e-cigarette users perceived product use as increasing COVID-19-related health risks, and this was associated with attempts to quit. Others, especially those reporting higher stress, increased product use. Proactive provision of cessation support to smokers and e-cigarette users may help mitigate stress-related increases in product use during the COVID-19 pandemic.


2020 ◽  
Author(s):  
Rajon Banik ◽  
Mahmudur Rahman ◽  
Md. Tajuddin Sikder ◽  
Quazi Maksudur Rahman ◽  
Mamun Ur Rashid Pranta

Abstract Aim: This study aimed to assess knowledge, attitudes, and practices (KAP) towards COVID-19 among young adults in Bangladesh. Subject and Methods: A cross-sectional survey was conducted from 5th May to 25th May 2020. Young adults aged between 18-35 years were approached via social media to complete an online questionnaire consisted of socio-demographic characteristics and KAP towards COVID-19. Descriptive statistics, t-tests, one-way analysis of variance (ANOVA), and multiple logistic regression were conducted.Results: Of the 707 survey participants, the majority were male (57.1%), with a mean age of 25.03 (SD: 4.26) years, 60.3% were students, 57% had a bachelor's degree, and 64.4% were urban residents. Participants gather information on COVID-19 mostly through Social media (70.4%). Overall, 61.2% had adequate knowledge with 78.9% having a positive attitude towards COVID-19 and only 51.6% had good practices. Most (86.8%) of the participants were confident that COVID-19 will be successfully controlled and Bangladesh was handling the COVID-19 health crisis well (84.20%). Only 75.2% of participants always washed hands with soap or hand-sanitizer and 70.6% wore a mask when going outside the home in recent days. Factors associated with adequate knowledge were being female, having a master's degree and above, and living in an urban area (𝑝 < 0.05). Participants having adequate knowledge of COVID-19 had higher likelihood of positive attitudes (OR: 6.41, 95% CI = 2.34-25.56, 𝑝 = 0.000) and good practices (OR: 8.93, 95% CI = 3.92-38.42, 𝑝 = 0.000).Conclusion: Introducing effective COVID-19 Health campaigns incorporating factors to influence KAP is urgently needed.


Author(s):  
Paulina Majek ◽  
Mateusz Jankowski ◽  
Bartłomiej Nowak ◽  
Maksymilian Macherski ◽  
Maciej Nowak ◽  
...  

Heated tobacco products (HTPs) are devices for generating a nicotine aerosol by heating the tobacco sticks. This study aimed to assess (1) the prevalence of HTP and tobacco cigarette usage among medical students, (2) to characterize smoking habits and (3) to assess students’ awareness and opinions about HTPs. A cross-sectional survey on the frequency and attitudes toward cigarettes, e-cigarettes and HTP use was performed between 2019–2020 at the Medical University of Silesia in Katowice (Poland). The data were obtained from 1344 students aged 21.8 ± 1.9 years (response rate: 66.9%). Current traditional tobacco use was 13.2%, e-cigarettes use 3.5%, and HTP use 2.8% of students. Duration of use was shorter among HTPs users comparing to cigarette smokers (p < 0.001) although the number of tobacco sticks used daily was similar (p = 0.1). Almost 30% of respondents have ever tried HTPs. HTPs were considered safe by 5.3% of respondents (43.2% of HTP users vs. 3.9% of non-HTP users, p < 0.001). HTP users were more likely to report that heating tobacco is not addictive (odds ratio (OR) = 8.9, 95% confidence interval (CI): 1.8–45.8) and disagreed with a public ban on HTP use (OR = 4.9, 95%CI: 2.5–9.8). Among students, HTP use was less popular than cigarette smoking, but awareness of their presence is widespread.


Author(s):  
Helen M. Parker ◽  
Robyn Gallagher ◽  
Christine Duffield ◽  
Ding Ding ◽  
David Sibbritt ◽  
...  

Background: Recent research has focused on the potential benefits of physical activity in occupational settings in addition to leisure time. However, occupational physical activity (OPA) differs substantially for occupations that require heavy and repetitive physical work, such as nursing. We explored associations between leisure time and OPA and health outcomes in working nurses and midwives. Methods: Nurses who were enrolled in the Fit For the Future study (New South Wales, Australia) and who completed physical activity questionnaires (n = 4343) were classified according to high (HO) or low (LO) occupational and high (HL) or low (LL) leisure-time physical activity (LTPA): HO performed walking/heavy labor most/all of the time at work; HL met the guidelines of 150 minutes per week moderate to vigorous LTPA, creating 4 categories: HOLL, HOHL, LOHL, and LOLL. Results: HL predicted better self-rated health (unstandardized B = 0.51, 95% confidence interval, 0.44 to 0.57) and lower likelihood of ≥3 sick days in the past 12 months (OR: 0.71, 95% confidence interval, 0.61 to 0.83), whereas HO predicted higher likelihood of ≥3 sick days (OR: 1.17, 95% confidence interval, 1.01 to 1.35), adjusting for all variables. Conclusions: OPA may not confer the same health benefits as LTPA for nurses. Health-promoting interventions should emphasize the importance of achieving adequate moderate to vigorous LTPA for all, including those undertaking substantial OPA.


2021 ◽  
Vol 10 (2) ◽  
pp. 37-42
Author(s):  
Asma Khalid

BACKGROUND AND AIMS Smart phones usage is rapidly progressing day by day in young adults’ lives who have become habituated and less indulged in physical activities. Thus, this study is aimed to measure the impact of internet-enabled smart phones on physical activity of students. METHODOLOGY An online cross-sectional survey was conducted among students aged 18-30 years studying in tertiary institutions. Internet-Connectedness Index and International Physical Activity Questionnaire-Short Form were formulated in the Google Docs and distributed to participants via email or social media applications. RESULTS A total number of 252 students participated in study revealed that majority of users have own computer for prolonged time with broadband and 3G internet. Only (4.4%) participants have performed vigorous and (5.6%) moderate activities 7 days a week. Whereas (27.8%) participants spent their time sitting at desk, visiting friends, reading, sitting or lying down to watch TV for <2 hours (27.8%), <4 hours (21.8%) while >8 hours (23%) respectively. This showed that with the increased use of internet, young adults performed low physical activity. CONCLUSION It was concluded that majority of young adults have used internet for prolonged time on computer/laptop/cell phones whereas limited participants reported to have regular physical activity however, no significant association was found between the impacts of internet-connectedness with physical activity.


Sign in / Sign up

Export Citation Format

Share Document