Department of Addictive Behavior and Addiction Medicine, Medical Faculty, LVR-Hospital Essen, University of Duisburg-Essen, Virchowstrasse 174, D-45147 Essen, Germany.
Clinic for Psychosomatic Medicine and Psychotherapy, LVR University Hospital Essen, University of Duisburg-Essen, Virchowstrasse 174, D-45147 Essen, Germany.
Int J Environ Res Public Health. 2021 Sep 15;18(18):9728. doi: 10.3390/ijerph18189728.
Unlike men, who are disproportionately affected by severe disease progression and mortality from COVID-19, women may be more affected by the economic, social and psychological consequences of the pandemic. Psychological distress and mental health problems are general risk factors for increases in the use of alcohol and other substances as a dysfunctional coping mechanism.
An analysis was carried out of the female subset ( = 2153) of a population-based, cross-sectional online survey (October-December 2020), covering the "second wave" of the COVID-19 pandemic in Germany.
Among women, 23% increased their alcohol use, 28.4% increased their nicotine use and 44% increased their illicit substance use during the COVID-19 pandemic. Twenty percent reported major depressive symptoms and 23.4% symptoms of generalized anxiety. Generalized anxiety proved to be a significant predictor of increases in alcohol and nicotine use in logistic regression.
The mental health burden remained high during the second wave of COVID-19 and alcohol, nicotine and other substance use increased. However, the association between mental health and substance use was weak. Psychological distress does not seem to be the main motivator of substance use.
与 COVID-19 严重疾病进展和死亡率不成比例地影响男性不同，女性可能更容易受到大流行的经济、社会和心理后果的影响。心理困扰和心理健康问题是增加酒精和其他物质使用的一般风险因素，作为一种功能失调的应对机制。
对基于人群的横断面在线调查（2020 年 10 月至 12 月）的女性子样本（n = 2153）进行了分析，该调查涵盖了德国 COVID-19 大流行的“第二波”。
在女性中，23%的人增加了酒精使用，28.4%的人增加了尼古丁使用，44%的人增加了非法物质使用。20%的人报告有重度抑郁症状，23.4%的人有广泛性焦虑症状。在逻辑回归中，广泛性焦虑被证明是酒精和尼古丁使用增加的一个显著预测因素。
在 COVID-19 的第二波中，心理健康负担仍然很高，酒精、尼古丁和其他物质的使用增加。然而，心理健康和物质使用之间的关联很弱。心理困扰似乎不是物质使用的主要动机。
