Impacts of the COVID-19 public health restrictions on substance use, mental health, and psychosocial functioning among individuals with alcohol use disorder

González‐Roz, Alba; Haik, Amanda K.; Rahman, Liah; Todi, Akshiti; Kane, Claire; Walji, Alyna; Dickerman, Sarah R.; Scarfe, Molly L; Levitt, Emily; Belisario, Kyla; Kelly, John F.; MacKillop, James

doi:10.1080/00952990.2022.2134021

Cited by 2 publications

(1 citation statement)

References 60 publications

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“…However, few studies have assessed the association of COVID-19 policy on substance use and related behaviors. Most studies that aimed to assess the association of COVID-19 policy, such as stay-at-home orders, did so by comparing waves before and during lockdowns or assessing individual behaviors during lockdowns (34)(35)(36). For instance, one longitudinal study assessed tobacco use among young adults during COVID-19 stay-at-home orders compared to before and found reductions in use (34).…”

Section: Discussionmentioning

confidence: 99%

Associations of U.S. state-level COVID-19 policies intensity with cannabis sharing behaviors in 2020

Assaf

Hamad

Javanbakht

et al. 2023

Preprint

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Background Cannabis use before the COVID-19 pandemic for many involved sharing prepared cannabis for inhalation, practices that were less prevalent during the pandemic. State-level COVID-19 containment policies may have influenced this decrease. This study examined the extent to which the intensity of state-level COVID-19 policies were associated with individual-level cannabis sharing. Findings have the potential to guide harm reduction policies for future respiratory pandemics and seasonal respiratory virus waves. Methods This study used cross-sectional individual-level data from the COVID-19 Cannabis Study, an anonymous U.S.-based web survey on cannabis use disseminated during the early phase of the pandemic (Full sample N = 1,883). We combined individual-level data with state-level policy data from Kaiser Family Foundation’s State COVID-19 Data and Policy Actions for three time-points from June to August 2020 that overlapped with the survey period. Cannabis sharing was dichotomized as any versus no sharing. We adapted a previously published coding framework to score the intensity of COVID-19 policies implemented in each U.S. state and averaged the policy score across the time period. We then used logistic regression models to quantify the associations of the average state-level COVID-19 policy score with cannabis sharing during the pandemic. Results Participants (n = 975) reporting using inhalation as a mode for cannabis use were included in this analysis. Most respondents were male (64.1%), non-Hispanic White (54.3%), with a mean age of 33.7 years (SD 8.8). A large proportion (75.1%) reported sharing cannabis during the pandemic. Those who shared cannabis more commonly lived in states with a lower average policy score (15.3, IQR 11.3–19.0) compared to those who did not share (16.3, IQR 13.7–22.7). In adjusted models, the odds of any cannabis sharing per every 5-unit increase in the average COVID-19 policy score were 0.78 (95% CI 0.58, 1.04). Conclusions Fewer individuals shared cannabis in states with more intense COVID-19 containment policies compared to those in states with less intense policies. Individuals who use cannabis may be willing to make changes to their behavior and may further benefit from specific and directed public health messaging to avoid sharing during respiratory infection outbreaks.

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Section: Discussionmentioning

confidence: 99%

Associations of U.S. state-level COVID-19 policies intensity with cannabis sharing behaviors in 2020

Assaf

Hamad

Javanbakht

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Associations of U.S. state-level COVID-19 policies intensity with cannabis sharing behaviors in 2020

Assaf,

Hamad,

Javanbakht

et al. 2024

Harm Reduct J

View full text Add to dashboard Cite

Background Cannabis use before the COVID-19 pandemic for many involved sharing prepared cannabis for inhalation, practices that were less prevalent during the pandemic. State-level COVID-19 containment policies may have influenced this decrease. This study examined the extent to which the intensity of state-level COVID-19 policies were associated with individual-level cannabis sharing. Findings have the potential to guide harm reduction policies for future respiratory pandemics and seasonal respiratory virus waves. Methods This study used cross-sectional individual-level data from the COVID-19 Cannabis Study, an anonymous U.S.-based web survey on cannabis use disseminated during the early phase of the pandemic (Full sample N = 1,883). We combined individual-level data with state-level policy data from Kaiser Family Foundation’s State COVID-19 Data and Policy Actions for three time-points from June to August 2020 that overlapped with the survey period. Cannabis sharing was dichotomized as any versus no sharing. We adapted a previously published coding framework to score the intensity of COVID-19 policies implemented in each U.S. state and averaged the policy score across the time period. We then used Poisson regression models to quantify the associations of the average state-level COVID-19 policy score with cannabis sharing during the pandemic. Results Participants (n = 925) reporting using inhalation as a mode for cannabis use were included in this analysis. Most respondents were male (64.1%), non-Hispanic White (54.3%), with a mean age of 33.7 years (SD 8.8). A large proportion (74.9%) reported sharing cannabis during the pandemic. Those who shared cannabis more commonly lived in states with a lower average policy score (16.7, IQR 12.3–21.5) compared to those who did not share (18.6, IQR 15.3–25.3). In adjusted models, the prevalence ratio of any cannabis sharing per every 5-unit increase in the average COVID-19 policy score was 0.97 (95% CI 0.93, 1.01). Conclusions Fewer individuals shared cannabis in states with more intense COVID-19 containment policies compared to those in states with less intense policies. Individuals who use cannabis may be willing to make changes to their behavior and may further benefit from specific and directed public health messaging to avoid sharing during respiratory infection outbreaks.

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Impacts of the COVID-19 public health restrictions on substance use, mental health, and psychosocial functioning among individuals with alcohol use disorder

Cited by 2 publications

References 60 publications

Associations of U.S. state-level COVID-19 policies intensity with cannabis sharing behaviors in 2020

Associations of U.S. state-level COVID-19 policies intensity with cannabis sharing behaviors in 2020

Associations of U.S. state-level COVID-19 policies intensity with cannabis sharing behaviors in 2020

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