DiGuiseppi Graham T, Fedorova Ekaterina V, Conn Bridgid, Lankenau Stephen E, Davis Jordan P, Ataiants Janna, Wong Carolyn F
Suzanne Dworak-Peck School of Social Work, University of Southern California.
Drexel University, Dornsife School of Public Health, Department of Community Health and Prevention.
Cannabis. 2023 Feb 7;6(1):20-33. doi: 10.26828/cannabis/2023.01.003. eCollection 2023.
As the COVID-19 pandemic has caused historic morbidity and mortality and disrupted young people's social relationships, little is known regarding change in young adults' social cannabis use following social distancing orders, or other factors associated with such changes before and during the pandemic.
108 young adult cannabis users in Los Angeles reported on their personal (egocentric) social network characteristics, cannabis use, and pandemic-related variables before (July 2019 - March 2020) and during the COVID-19 pandemic (August 2020 - August 2021). Multinomial logistic regression identified factors associated with increasing or maintaining the number of network members (alters) participants used cannabis with before and during the pandemic. Multilevel modeling identified ego- and alter-level factors associated with dyadic cannabis use between each ego and alter during the pandemic.
Most participants (61%) decreased the number of alters they used cannabis with, 14% maintained, and 25% increased. Larger networks were associated with a lower risk of increasing (vs. decreasing); more supportive cannabis-using alters was associated with a lower risk of maintaining (vs. decreasing); relationship duration was associated with a greater risk of maintaining and increasing (vs. decreasing). During the COVID-19 pandemic (August 2020 - August 2021), participants were more likely to use cannabis with alters they also used alcohol with and alters who were perceived to have more positive attitudes towards cannabis.
The present study identifies significant factors associated with changes in young adults' social cannabis use following pandemic-related social distancing. These findings may inform social network interventions for young adults who use cannabis with their network members amid such social restrictions.
由于新冠疫情造成了历史性的发病率和死亡率，并扰乱了年轻人的社会关系，对于社交距离措施实施后年轻成年人社交性大麻使用的变化，以及疫情之前和期间与此类变化相关的其他因素，我们知之甚少。
洛杉矶的108名年轻成年大麻使用者报告了他们在新冠疫情之前（2019年7月至2020年3月）和期间（2020年8月至2021年8月）的个人（以自我为中心的）社交网络特征、大麻使用情况以及与疫情相关的变量。多项逻辑回归分析确定了与疫情之前和期间参与者一起使用大麻的网络成员（他人）数量增加或保持不变相关的因素。多层次建模确定了疫情期间每个自我与他人之间二元大麻使用相关的自我层面和他人层面的因素。
大多数参与者（61%）减少了与他们一起使用大麻的他人数量，14%保持不变，25%增加。较大的社交网络与增加（相对于减少）的风险较低相关；更多支持使用大麻的他人与保持（相对于减少）的风险较低相关；关系持续时间与保持和增加（相对于减少）的风险较高相关。在新冠疫情期间（2020年8月至2021年8月），参与者更有可能与他们也一起饮酒的他人以及被认为对大麻态度更积极的他人一起使用大麻。
本研究确定了与疫情相关社交距离措施实施后年轻成年人社交性大麻使用变化相关的重要因素。这些发现可能为在这种社会限制下与网络成员一起使用大麻的年轻成年人的社交网络干预提供参考。
