The early impact of COVID-19 on the incidence, prevalence, and severity of alcohol use and other drugs: A systematic review
The aim of this paper was to examine the early impact of COVID-19 on substance use to assess implications for planning substance use treatment and support systems. A systematic review of literature published up to March 2021 was conducted to summarize changes in prevalence, incidence, and severity o...
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| Published in | Drug and alcohol dependence Vol. 228; p. 109065 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Ireland
Elsevier B.V
01.11.2021
Elsevier Science Ltd |
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| Online Access | Get full text |
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| Abstract | The aim of this paper was to examine the early impact of COVID-19 on substance use to assess implications for planning substance use treatment and support systems.
A systematic review of literature published up to March 2021 was conducted to summarize changes in prevalence, incidence, and severity of substance use associated with COVID-19 and the accompanying public health measures, including lockdown, stay-at-home orders, and social distancing.
We identified 53 papers describing changes to substance use at the population level. The majority of papers described changes related to alcohol use and most relied on self-reported measures of consumption during the COVID-19 pandemic, compared with pre-pandemic use. There was less evidence to support changes in non-alcohol substance use. In general, risky pre-pandemic alcohol use, caregiving responsibilities, stress, depression, anxiety, and current treatment for a mental disorder were found to be associated with increased substance use.
This review provides preliminary data on changes in substance use, indicating that certain segments of the population increased their alcohol use early on in the COVID-19 pandemic and may be at greater risk of harm and in need of additional services. There is a need for additional population-level information on substance use to inform evidence-based rapid responses from a treatment system perspective.
•Segments of the population increased frequency and amount of substance use early in the pandemic.•People who already drank in risky ways before the pandemic were more likely to increase their substance use.•Caregiving, psychosocial distress, anxiety and depression, and poor mental health were associated with greater use. |
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| AbstractList | The aim of this paper was to examine the early impact of COVID-19 on substance use to assess implications for planning substance use treatment and support systems.BACKGROUNDThe aim of this paper was to examine the early impact of COVID-19 on substance use to assess implications for planning substance use treatment and support systems.A systematic review of literature published up to March 2021 was conducted to summarize changes in prevalence, incidence, and severity of substance use associated with COVID-19 and the accompanying public health measures, including lockdown, stay-at-home orders, and social distancing.METHODA systematic review of literature published up to March 2021 was conducted to summarize changes in prevalence, incidence, and severity of substance use associated with COVID-19 and the accompanying public health measures, including lockdown, stay-at-home orders, and social distancing.We identified 53 papers describing changes to substance use at the population level. The majority of papers described changes related to alcohol use and most relied on self-reported measures of consumption during the COVID-19 pandemic, compared with pre-pandemic use. There was less evidence to support changes in non-alcohol substance use. In general, risky pre-pandemic alcohol use, caregiving responsibilities, stress, depression, anxiety, and current treatment for a mental disorder were found to be associated with increased substance use.RESULTSWe identified 53 papers describing changes to substance use at the population level. The majority of papers described changes related to alcohol use and most relied on self-reported measures of consumption during the COVID-19 pandemic, compared with pre-pandemic use. There was less evidence to support changes in non-alcohol substance use. In general, risky pre-pandemic alcohol use, caregiving responsibilities, stress, depression, anxiety, and current treatment for a mental disorder were found to be associated with increased substance use.This review provides preliminary data on changes in substance use, indicating that certain segments of the population increased their alcohol use early on in the COVID-19 pandemic and may be at greater risk of harm and in need of additional services. There is a need for additional population-level information on substance use to inform evidence-based rapid responses from a treatment system perspective.CONCLUSIONThis review provides preliminary data on changes in substance use, indicating that certain segments of the population increased their alcohol use early on in the COVID-19 pandemic and may be at greater risk of harm and in need of additional services. There is a need for additional population-level information on substance use to inform evidence-based rapid responses from a treatment system perspective. The aim of this paper was to examine the early impact of COVID-19 on substance use to assess implications for planning substance use treatment and support systems. A systematic review of literature published up to March 2021 was conducted to summarize changes in prevalence, incidence, and severity of substance use associated with COVID-19 and the accompanying public health measures, including lockdown, stay-at-home orders, and social distancing. We identified 53 papers describing changes to substance use at the population level. The majority of papers described changes related to alcohol use and most relied on self-reported measures of consumption during the COVID-19 pandemic, compared with pre-pandemic use. There was less evidence to support changes in non-alcohol substance use. In general, risky pre-pandemic alcohol use, caregiving responsibilities, stress, depression, anxiety, and current treatment for a mental disorder were found to be associated with increased substance use. This review provides preliminary data on changes in substance use, indicating that certain segments of the population increased their alcohol use early on in the COVID-19 pandemic and may be at greater risk of harm and in need of additional services. There is a need for additional population-level information on substance use to inform evidence-based rapid responses from a treatment system perspective. •Segments of the population increased frequency and amount of substance use early in the pandemic.•People who already drank in risky ways before the pandemic were more likely to increase their substance use.•Caregiving, psychosocial distress, anxiety and depression, and poor mental health were associated with greater use. The aim of this paper was to examine the early impact of COVID-19 on substance use to assess implications for planning substance use treatment and support systems. A systematic review of literature published up to March 2021 was conducted to summarize changes in prevalence, incidence, and severity of substance use associated with COVID-19 and the accompanying public health measures, including lockdown, stay-at-home orders, and social distancing. We identified 53 papers describing changes to substance use at the population level. The majority of papers described changes related to alcohol use and most relied on self-reported measures of consumption during the COVID-19 pandemic, compared with pre-pandemic use. There was less evidence to support changes in non-alcohol substance use. In general, risky pre-pandemic alcohol use, caregiving responsibilities, stress, depression, anxiety, and current treatment for a mental disorder were found to be associated with increased substance use. This review provides preliminary data on changes in substance use, indicating that certain segments of the population increased their alcohol use early on in the COVID-19 pandemic and may be at greater risk of harm and in need of additional services. There is a need for additional population-level information on substance use to inform evidence-based rapid responses from a treatment system perspective. Background The aim of this paper was to examine the early impact of COVID-19 on substance use to assess implications for planning substance use treatment and support systems. Method A systematic review of literature published up to March 2021 was conducted to summarize changes in prevalence, incidence, and severity of substance use associated with COVID-19 and the accompanying public health measures, including lockdown, stay-at-home orders, and social distancing. Results We identified 53 papers describing changes to substance use at the population level. The majority of papers described changes related to alcohol use and most relied on self-reported measures of consumption during the COVID-19 pandemic, compared with pre-pandemic use. There was less evidence to support changes in non-alcohol substance use. In general, risky pre-pandemic alcohol use, caregiving responsibilities, stress, depression, anxiety, and current treatment for a mental disorder were found to be associated with increased substance use. Conclusion This review provides preliminary data on changes in substance use, indicating that certain segments of the population increased their alcohol use early on in the COVID-19 pandemic and may be at greater risk of harm and in need of additional services. There is a need for additional population-level information on substance use to inform evidence-based rapid responses from a treatment system perspective. |
| ArticleNumber | 109065 |
| Author | Schmidt, Rose A. Rush, Brian Vigo, Daniel Rehm, Jürgen Genois, Rosalie Jin, Jonathan |
| Author_xml | – sequence: 1 givenname: Rose A. surname: Schmidt fullname: Schmidt, Rose A. email: Ra.schmidt@mail.utoronto.ca organization: Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, Toronto, ON M5T 2S1, Canada – sequence: 2 givenname: Rosalie orcidid: 0000-0003-1041-8833 surname: Genois fullname: Genois, Rosalie email: Rosalie.genois@usherbrooke.ca organization: Université de Sherbrooke, 2500 Boulevard de l'Université, Sherbrooke, QC J1K 2R1, Canada – sequence: 3 givenname: Jonathan orcidid: 0000-0001-7264-7215 surname: Jin fullname: Jin, Jonathan email: Jonathan.jin@camh.ca organization: Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, Toronto, ON M5T 2S1, Canada – sequence: 4 givenname: Daniel surname: Vigo fullname: Vigo, Daniel email: daniel.vigo@ubc.ca organization: Department of Psychiatry, University of British Columbia, 2255 Wesbrook Mall, Vancouver, BC V6T 2A1, Canada – sequence: 5 givenname: Jürgen surname: Rehm fullname: Rehm, Jürgen email: Jurgen.rehm@camh.ca organization: Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, Toronto, ON M5T 2S1, Canada – sequence: 6 givenname: Brian surname: Rush fullname: Rush, Brian email: Brian.Rush@camh.ca organization: Institute for Mental Health Policy Research, Centre for Addiction and Mental Health (CAMH), 33 Ursula Franklin Street, Toronto, ON M5T 2S1, Canada |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/34600257$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Alcohol use Alcohols Caregiver burden Changes Communicable Disease Control Coronaviruses COVID-19 Disease control Drug use Evidence-based medicine Health services needs and demand Humans Incidence Literature reviews Medical treatment Mental disorders Pandemics Pharmaceutical Preparations Prevalence Public health Review SARS-CoV-2 Substance abuse Substance use Substance-related disorders Support systems Systematic review |
| Title | The early impact of COVID-19 on the incidence, prevalence, and severity of alcohol use and other drugs: A systematic review |
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