Intensifying Substance Use Trends among Youth: A Narrative Review of Recent Trends and Implications.

IF 5.5 2区医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2024-11-14 DOI:10.1007/s11920-024-01554-9

Nicholas A Harris, Elissa R Weitzman

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Abstract

Purpose of review: Substance use among adolescents and young adults remains a critical public health concern, with patterns shifting dramatically in recent years. This narrative review examines trends in substance use behaviors during and following the COVID-19 pandemic.

Recent findings: Epidemiologic evidence shows declines in the proportion of youth who are using most substances but intensified consumption patterns with rising levels of disorder among adolescents who use substances. This picture may reflect the greater potency, availability and accessibility of substances, vulnerabilities related to poor mental health, minoritization, as well as social factors including pandemic stressors, commercial and regulatory forces - in short, features of the agent (substance), host (person), and environment (context), consistent with a public health formulation. Understanding trends in youth substance use and related problems, especially in the context of contributing factors, is critical for informing clinical care strategies and public health interventions to improve outcomes for youth across diverse populations.

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青少年药物使用趋势加剧：最新趋势和影响的叙述性回顾。

审查目的：青少年和年轻成年人使用药物仍然是一个重要的公共卫生问题，近年来其模式发生了巨大变化。这篇叙述性综述研究了 COVID-19 大流行期间及之后的药物使用行为趋势：流行病学证据显示，使用大多数药物的青少年比例有所下降，但使用药物的青少年中，消费模式加剧，失调程度上升。这种情况可能反映了物质的效力、可获得性和可利用性、与精神健康状况差有关的脆弱性、未成年化，以及包括流行病压力、商业和监管力量在内的社会因素--简而言之，与公共卫生表述一致的病原体（物质）、宿主（个人）和环境（背景）的特征。了解青少年药物使用和相关问题的趋势，尤其是在诱因的背景下，对于为临床治疗策略和公共卫生干预措施提供信息，从而改善不同人群中青少年的治疗效果至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Psychiatry Reports PSYCHIATRY-

CiteScore

11.30

自引率

3.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.