Monzon Jose, Barnoya Joaquin, Mus Sophia, Davila Gustavo, Vidaña-Pérez Desirée, Thrasher James F
Health Sciences School, Rafael Landívar University, Guatemala City, Guatemala.
Research Department, Cardiovascular Surgery Unit of Guatemala (UNICAR), Guatemala City, Guatemala.
Front Psychiatry. 2024 Feb 29;15:1331962. doi: 10.3389/fpsyt.2024.1331962. eCollection 2024.
Due to the COVID-19 pandemic, on March 16, schools had to be closed in Guatemala and went to online teaching. We sought to analyze the change in substance use among high school students in Guatemala associated with the lockdown.
Data from two surveys (2019, n=2096, and 2020, n=1606) of a student cohort in private high schools in Guatemala City was used. Logistic models for past 30-day cigarette, e-cigarette, marijuana, and alcohol (including binge drinking) were used, regressing these on survey wave, while adjusting for sex, scholastic performance, high school year of student, parental education, substance use, and household member tobacco use.
Prevalence declined for smoking (10% to 3%, p<0.001), e-cigarette (31% to 14%, p<0.001), marijuana (4.3% to 1.9%, p<0.001), and alcohol use (47% to 38.5%, p<0.001), and binge drinking (24% to 13%, p<0.001). Adjusted models showed wave 2 associated with lower odds of using cigarettes (AOR=0.44, 95%CI=0.32-0.62), e-cigarettes (AOR=0.41, 95% CI=0.35-0.49, p<0.001), and binge drinking (AOR=0.73, 95%CI=0.59-0.89; p=0.002).
Among Guatemalan adolescents, COVID-19 restrictions were associated with a significant decrease in smoking, e-cigarette use, and binge drinking.
由于新冠疫情，3月16日危地马拉的学校不得不关闭并转向在线教学。我们试图分析危地马拉高中生中与封锁相关的物质使用变化情况。
使用了危地马拉城私立高中一个学生队列的两项调查（2019年，n = 2096；2020年，n = 1606）的数据。采用过去30天吸烟、电子烟、大麻和酒精（包括暴饮）的逻辑模型，将这些模型回归到调查波次，并对性别、学业成绩、学生高中年级、父母教育程度、物质使用情况和家庭成员吸烟情况进行调整。
吸烟（从10%降至3%，p<0.001）、电子烟（从31%降至14%，p<0.001）、大麻（从4.3%降至1.9%，p<0.001）以及酒精使用（从47%降至38.5%，p<0.001）和暴饮（从24%降至13%，p<0.001）的患病率均有所下降。调整后的模型显示，第二波与使用香烟（优势比=0.44，95%置信区间=0.32 - 0.62）、电子烟（优势比=0.41，95%置信区间=0.35 - 0.49，p<0.001）和暴饮（优势比=0.73，95%置信区间=0.59 - 0.89；p = 0.002）的较低几率相关。
在危地马拉青少年中，新冠疫情限制措施与吸烟、电子烟使用和暴饮的显著减少有关。
