Currie Cheryl L
Faculty of Health Sciences, University of Lethbridge, M3083 Markin Hall, 4401 University Drive, Lethbridge, Alberta T1K 3M4, Canada.
Addict Behav Rep. 2021 Mar 3;13:100341. doi: 10.1016/j.abrep.2021.100341. eCollection 2021 Jun.
This study examined associations between pandemic-related PTSD symptoms and substance use among adults, the role of gender and socioeconomic status in these outcomes, and the supports that adults needed to address these problems during Wave 1 of the COVID-19 pandemic in Alberta, Canada.
Data were collected from 933 community-based adults without a previous diagnosis of PTSD in June 2020. The Primary Care PTSD Screen was adapted to assess pandemic-related PTSD symptoms. Participants were asked if alcohol or cannabis use had increased in the past month. Adjusted logistic regression models examined associations between pandemic-related PTSD symptoms and substance use.
More women (19%) than men (13%) met criteria for high pandemic-related PTSD symptomology, while a similar percentage (13.4% of women, 13.2% of men) reported significant increases in substance use during the pandemic. Adults 18-35 years; those who believed they would become infected with the virus; and those with low income, education, or pandemic-related job loss were more likely to report PTSD symptoms. High pandemic-related PTSD symptomology was associated with a significant substance use increase among both women (OR = 2.2) and men (OR = 2.3) in adjusted models. Many adults (50% of women, 40% of men) reported they needed help to address these problems.
Pandemic-related PTSD symptoms were common among adults during Wave 1 of COVID-19. These symptoms were associated with a significant increase in substance use among women and men. Many adults voiced a need for help with these problems. Findings suggest substance use interventions that consider and address pandemic-related PTSD symptoms may be needed.
本研究调查了加拿大艾伯塔省在新冠疫情第一波期间，成年人中与疫情相关的创伤后应激障碍（PTSD）症状与物质使用之间的关联、性别和社会经济地位在这些结果中的作用，以及成年人解决这些问题所需的支持。
2020年6月，从933名此前未被诊断为创伤后应激障碍的社区成年人中收集数据。对初级保健创伤后应激障碍筛查进行了调整，以评估与疫情相关的创伤后应激障碍症状。参与者被问及在过去一个月中酒精或大麻的使用是否增加。调整后的逻辑回归模型研究了与疫情相关的创伤后应激障碍症状和物质使用之间的关联。
符合与疫情相关的高创伤后应激障碍症状标准的女性（19%）多于男性（13%），而报告在疫情期间物质使用显著增加的比例相似（女性为13.4%，男性为13.2%）。18至35岁的成年人；那些认为自己会感染病毒的人；以及低收入、低学历或因疫情失去工作的人更有可能报告创伤后应激障碍症状。在调整后的模型中，与疫情相关的高创伤后应激障碍症状与女性（OR = 2.2）和男性（OR = 2.3）物质使用显著增加相关。许多成年人（50%的女性，40%的男性）报告他们需要帮助来解决这些问题。
在新冠疫情第一波期间，与疫情相关的创伤后应激障碍症状在成年人中很常见。这些症状与女性和男性物质使用的显著增加有关。许多成年人表示需要帮助解决这些问题。研究结果表明，可能需要考虑并解决与疫情相关的创伤后应激障碍症状的物质使用干预措施。
