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Native Hawaiian/Pacific Islander alcohol, tobacco, and other drug use, mental health, and treatment need in the US during COVID-19
INTRODUCTION: Before COVID-19, Native Hawaiians/Pacific Islanders (NH/PI) endured a heavy burden of alcohol, tobacco and other drug (ATOD) use in prior US data. Responding to reports that many NH/PI communities experienced severe COVID-19 disparities that could exacerbate their ATOD burden, we partn...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9539247/ https://www.ncbi.nlm.nih.gov/pubmed/35953887 http://dx.doi.org/10.1111/dar.13522 |
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author | Subica, Andrew M. Guerrero, Erick G. Martin, Tammy K. K. Okamoto, Scott K. Aitaoto, Nia Moss, Howard B. Morey, Brittany N. Wu, Li-Tzy |
author_facet | Subica, Andrew M. Guerrero, Erick G. Martin, Tammy K. K. Okamoto, Scott K. Aitaoto, Nia Moss, Howard B. Morey, Brittany N. Wu, Li-Tzy |
author_sort | Subica, Andrew M. |
collection | PubMed |
description | INTRODUCTION: Before COVID-19, Native Hawaiians/Pacific Islanders (NH/PI) endured a heavy burden of alcohol, tobacco and other drug (ATOD) use in prior US data. Responding to reports that many NH/PI communities experienced severe COVID-19 disparities that could exacerbate their ATOD burden, we partnered with NH/PI communities to assess the substance use patterns and treatment needs of diverse NH/PIs during COVID-19. METHODS: Collaborating with NH/PI community organisations across 5 states with large NH/PI populations, we conducted a large-scale investigation of NH/PI ATOD use, mental health and treatment need during COVID-19. Between April-November 2021, NH/PI-heritage research staff from our community partners collected data involving 306 NH/PI adults using several community-based recruitment methods (e-mail, telephone, in-person) and two survey approaches: online and paper-and-pencil. Multivariate regressions were conducted to examine potential predictors of NH/PI alcohol use disorder and need for behavioural health treatment. RESULTS: During COVID-19, 47% and 22% of NH/PI adults reported current alcohol and cigarette use, while 35% reported lifetime illicit substance use (e.g., cannabis, opioid). Depression and anxiety were high, and alcohol use disorder, major depression and generalised anxiety disorder prevalence were 27%, 19% and 27%, respectively. One-third of participants reported past-year treatment need with lifetime illicit substance use, COVID-19 distress and major depression respectively associating with 3.0, 1.2, and 5.3 times greater adjusted odds for needing treatment. CONCLUSIONS: NH/PI adults reported heavy ATOD use, depression, anxiety and treatment need during COVID-19. Targeted research and treatment services may be warranted to mitigate COVID-19’s negative behavioural health impact on NH/PI communities. |
format | Online Article Text |
id | pubmed-9539247 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
record_format | MEDLINE/PubMed |
spelling | pubmed-95392472022-10-11 Native Hawaiian/Pacific Islander alcohol, tobacco, and other drug use, mental health, and treatment need in the US during COVID-19 Subica, Andrew M. Guerrero, Erick G. Martin, Tammy K. K. Okamoto, Scott K. Aitaoto, Nia Moss, Howard B. Morey, Brittany N. Wu, Li-Tzy Drug Alcohol Rev Article INTRODUCTION: Before COVID-19, Native Hawaiians/Pacific Islanders (NH/PI) endured a heavy burden of alcohol, tobacco and other drug (ATOD) use in prior US data. Responding to reports that many NH/PI communities experienced severe COVID-19 disparities that could exacerbate their ATOD burden, we partnered with NH/PI communities to assess the substance use patterns and treatment needs of diverse NH/PIs during COVID-19. METHODS: Collaborating with NH/PI community organisations across 5 states with large NH/PI populations, we conducted a large-scale investigation of NH/PI ATOD use, mental health and treatment need during COVID-19. Between April-November 2021, NH/PI-heritage research staff from our community partners collected data involving 306 NH/PI adults using several community-based recruitment methods (e-mail, telephone, in-person) and two survey approaches: online and paper-and-pencil. Multivariate regressions were conducted to examine potential predictors of NH/PI alcohol use disorder and need for behavioural health treatment. RESULTS: During COVID-19, 47% and 22% of NH/PI adults reported current alcohol and cigarette use, while 35% reported lifetime illicit substance use (e.g., cannabis, opioid). Depression and anxiety were high, and alcohol use disorder, major depression and generalised anxiety disorder prevalence were 27%, 19% and 27%, respectively. One-third of participants reported past-year treatment need with lifetime illicit substance use, COVID-19 distress and major depression respectively associating with 3.0, 1.2, and 5.3 times greater adjusted odds for needing treatment. CONCLUSIONS: NH/PI adults reported heavy ATOD use, depression, anxiety and treatment need during COVID-19. Targeted research and treatment services may be warranted to mitigate COVID-19’s negative behavioural health impact on NH/PI communities. 2022-11 2022-08-11 /pmc/articles/PMC9539247/ /pubmed/35953887 http://dx.doi.org/10.1111/dar.13522 Text en |
spellingShingle | Article Subica, Andrew M. Guerrero, Erick G. Martin, Tammy K. K. Okamoto, Scott K. Aitaoto, Nia Moss, Howard B. Morey, Brittany N. Wu, Li-Tzy Native Hawaiian/Pacific Islander alcohol, tobacco, and other drug use, mental health, and treatment need in the US during COVID-19 |
title | Native Hawaiian/Pacific Islander alcohol, tobacco, and other drug use, mental health, and treatment need in the US during COVID-19 |
title_full | Native Hawaiian/Pacific Islander alcohol, tobacco, and other drug use, mental health, and treatment need in the US during COVID-19 |
title_fullStr | Native Hawaiian/Pacific Islander alcohol, tobacco, and other drug use, mental health, and treatment need in the US during COVID-19 |
title_full_unstemmed | Native Hawaiian/Pacific Islander alcohol, tobacco, and other drug use, mental health, and treatment need in the US during COVID-19 |
title_short | Native Hawaiian/Pacific Islander alcohol, tobacco, and other drug use, mental health, and treatment need in the US during COVID-19 |
title_sort | native hawaiian/pacific islander alcohol, tobacco, and other drug use, mental health, and treatment need in the us during covid-19 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9539247/ https://www.ncbi.nlm.nih.gov/pubmed/35953887 http://dx.doi.org/10.1111/dar.13522 |
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