Oh Hans, Smith Lee, Jacob Louis, Du Jinyu, Shin Jae Il, Zhou Sasha, Koyanagi Ai
From the Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, CA (HO); Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, United Kingdom (LS); Research and Development Unit, Parc Sanitari Sant Joan de Déu Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM ISCIII), Barcelona, Spain (LJ, AK); Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain (AK); Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France (LJ); Southern Methodist University, University Park, TX (JD); Department of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea (JIS); and Department of Public Health, Wayne State University, Detroit, MI (SZ).
J Addict Med. 2023;17(2):163-168. doi: 10.1097/ADM.0000000000001062. Epub 2022 Aug 30.
Food insecurity is prevalent among college students in the United States and has been associated with substance use. We sought to provide updated prevalence estimates and associations between food insecurity and a broad range of substances during the SARS-CoV-2 pandemic.
Using cross-sectional data from the Health Minds Study (N = 94,722; September 2020-June 2021), we used multivariable logistic regression to examine associations between food insecurity and several substances, adjusting for age, gender, race/ethnicity, hours worked, and residence. We then added a block of adjustments consisting of mental health factors (depression, anxiety, loneliness, financial stress).
Food insecurity was associated with significantly greater odds of having used most individual substances, including greater odds of binge drinking (adjusted odds ratio [aOR], 1.21; 95% confidence interval [CI], 1.13-1.30), cigarette use (aOR, 1.91; 95% CI, 1.73-2.10), vaping (aOR, 1.74; 95% CI, 1.62-1.87), and a range of illicit or prescription drugs (using any illicit/prescription drug; aOR, 1.43; 95% CI, 1.32-1.55) These associations attenuated and many lost significance after adjusting for mental health factors.
This study found evidence to suggest that food insecurity is related to substance use in a large sample of young adult college students in the United States, calling for targeted interventions.
在美国大学生中，粮食不安全问题普遍存在，且与物质使用有关。我们试图提供有关新冠疫情期间粮食不安全状况的最新患病率估计，以及粮食不安全与多种物质之间的关联。
利用健康心智研究的横断面数据（N = 94722；2020年9月至2021年6月），我们使用多变量逻辑回归来检验粮食不安全与几种物质之间的关联，并对年龄、性别、种族/族裔、工作时长和居住地进行了调整。然后，我们增加了一组由心理健康因素（抑郁、焦虑、孤独、经济压力）组成的调整项。
粮食不安全与使用大多数单一物质的几率显著更高有关，包括暴饮（调整后的优势比[aOR]，1.21；95%置信区间[CI]，1.13 - 1.30）、吸烟（aOR，1.91；95% CI，1.73 - 2.10）、吸电子烟（aOR，1.74；95% CI，1.62 - 1.87）以及一系列非法或处方药（使用任何非法/处方药；aOR，1.43；95% CI，1.32 - 1.55）。在对心理健康因素进行调整后，这些关联减弱，许多失去了显著性。
本研究发现有证据表明，在美国大量年轻成年大学生样本中，粮食不安全与物质使用有关，需要进行有针对性的干预。
