Division on Substance Use Disorders, New York State Psychiatric Institute & Department of Psychiatry, Columbia University Medical Center, New York, New York, USA.
Psychology Department, The City College of New York, New York, New York, USA.
J Am Coll Health. 2024 Aug-Sep;72(6):1717-1726. doi: 10.1080/07448481.2022.2089844. Epub 2022 Jun 21.
This study explored substance use trajectories and associations with mental health among an ethnically/racially diverse college student sample before and during the COVID-19 pandemic. We combined repeated cross-sections and panel data from a total of 3,247 college students assessed with an online survey in 2018, 2019, and in three waves in 2020. We estimated trends in substance use and their relation to mental health over the survey waves using generalized estimating equations (GEE). Our results revealed notable associations between 30-day substance use patterns, time of assessment, and psychological well-being. These findings suggest a complex interplay between access to substances, context of substance use, and mental health. We discuss several initiatives that have been launched in response to the results of this ongoing study. Such initiatives may serve as examples for expanding similar efforts to other commuter colleges to prevent further increases in mental health problems and risky substance use.
本研究探讨了在新冠疫情前后，一个种族/民族多样化的大学生样本中的物质使用轨迹及其与心理健康的关系。我们结合了来自总共 3247 名大学生的重复横断面和面板数据，这些学生在 2018 年、2019 年以及 2020 年的三个波次中接受了在线调查。我们使用广义估计方程（GEE）来估计调查波次中物质使用的趋势及其与心理健康的关系。我们的结果揭示了 30 天物质使用模式、评估时间和心理幸福感之间的显著关联。这些发现表明，物质的可及性、物质使用的背景与心理健康之间存在复杂的相互作用。我们讨论了为应对这项正在进行的研究结果而启动的几项举措。这些举措可以作为在其他通勤学院扩大类似努力的范例，以防止心理健康问题和危险物质使用的进一步增加。
