National trends in alcohol and substance use among adolescents from 2005 to 2021: a Korean serial cross-sectional study of one million adolescents

被引：25

作者：

Park, Sangil ^{[1
]}

Yon, Hyunju ^{[2
]}

Ban, Chae Yeon ^{[2
]}

Shin, Hyoin ^{[2
]}

Eum, Seounghyun ^{[2
]}

Lee, Seung Won ^{[3
]}

Shin, Youn Ho ^{[4
]}

Shin, Jung U. ^{[5
,25
]}

Koyanagi, Ai ^{[6
,7
]}

Jacob, Louis ^{[6
,8
]}

Smith, Lee ^{[9
]}

Min, Chanyang ^{[10
]}

Yeniova, Abdullah Ozguer ^{[11
]}

Kim, So Young ^{[12
]}

Lee, Jinseok ^{[13
]}

Hadalin, Vlasta ^{[14
]}

Kwon, Rosie ^{[10
,15
]}

Koo, Min Ji ^{[10
,16
]}

Fond, Guillaume ^{[17
,18
]}

Boyer, Laurent ^{[17
,18
]}

Kim, Sunyoung ^{[19
]}

Hahn, Jong Woo ^{[20
]}

Kim, Namwoo ^{[21
]}

Lefkir, Elea ^{[22
]}

Bondeville, Victoire ^{[2
]}

Rhee, Sang Youl ^{[10
,23
]}

Shin, Jae Il ^{[24
]}

Yon, Dong Keon ^{[10
,25
]}

Woo, Ho Geol ^{[1
]}

机构：

[1] Kyung Hee Univ, Dept Neurol, Med Ctr, 23 Kyungheedae Ro, Seoul 02447, South Korea

[2] Kyung Hee Univ, Dept Med, Coll Med, Seoul, South Korea

[3] Sungkyunkwan Univ, Dept Precis Med, Sch Med, Suwon, South Korea

[4] CHA Univ, CHA Gangnam Med Ctr, Dept Pediat, Sch Med, Seoul, South Korea

[5] CHA Univ, CHA Bundang Med Ctr, Dept Dermatol, Sch Med, Seongnam, South Korea

[6] ISCIII, CIBERSAM, Parc Sanitari St Joan de Deu, Res & Dev Unit, Barcelona, Spain

[7] Pg Lluis Companys, Catalan Inst Res & Adv Studies ICREA, Barcelona, Spain

[8] Univ Versailles St Quentin En Yvelines, Fac Med, Montigny Le Bretonneux, France

[9] Anglia Ruskin Univ, Ctr Hlth Performance & Wellbeing, Cambridge, England

[10] Kyung Hee Univ, Coll Med, Med Sci Res Inst, Ctr Digital Hlth,Med Ctr, Seoul, South Korea

[11] Tokat Gaziosmanpasa Univ, Fac Med, Dept Internal Med, Div Gastroenterol, Tokat, Turkiye

[12] CHA Univ, CHA Bundang Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Sch Med, Seongnam, South Korea

[13] Kyung Hee Univ, Dept Biomed Engn, Yongin, South Korea

[14] Univ Ljubljana, Fac Med, Ljubljana, Slovenia

[15] Univ Michigan, Dept Biomed Engn, Ann Arbor, MI 48109 USA

[16] Univ Toronto, Dept Human Biol, Toronto, ON, Canada

[17] Aix Marseille Univ, AP HM, CEReSS Hlth Serv Res & Qual Life Ctr, Marseille, France

[18] FondaMental Fdn, Creteil, France

[19] Kyung Hee Univ, Dept Family Med, Coll Med, Seoul, South Korea

[20] Seoul Natl Univ, Dept Pediat, Bundang Hosp, Seongnam, South Korea

[21] Seoul Natl Univ Hosp, Dept Neuropsychiat, Seoul, South Korea

[22] Univ Rennes 1, Fac Med, Rennes, France

[23] Kyung Hee Univ, Dept Endocrinol & Metab, Coll Med, Seoul, South Korea

[24] Yonsei Univ, Dept Pediat, Coll Med, 50 Yonsei Ro, Seoul 03722, South Korea

[25] Kyung Hee Univ, Dept Pediat, Coll Med, 23 Kyungheedae Ro, Seoul 02447, South Korea

来源：

WORLD JOURNAL OF PEDIATRICS | 2023年 / 19卷 / 11期

关键词：

Alcohol; Adolescent; Corona virus disease 2019; South Korea; Substance use; COVID-19; SYMPTOMS; ABUSE;

D O I：

10.1007/s12519-023-00715-9

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

BackgroundAlthough previous studies have provided data on early pandemic periods of alcohol and substance use in adolescents, more adequate studies are needed to predict the trends of alcohol and substance use during recent periods, including the mid-pandemic period. This study investigated the changes in alcohol and substance use, except tobacco use, throughout the pre-, early-, and mid-pandemic periods in adolescents using a nationwide serial cross-sectional survey from South Korea.MethodsData on 1,109,776 Korean adolescents aged 13-18 years from 2005 to 2021 were obtained in a survey operated by the Korea Disease Control and Prevention Agency. We evaluated adolescents' alcohol and substance consumption prevalence and compared the slope of alcohol and substance prevalence before and during the COVID-19 pandemic to see the trend changes. We define the pre-COVID-19 period as consisting of four groups of consecutive years (2005-2008, 2009-2012, 2013-2015, and 2016-2019). The COVID-19 pandemic period is composed of 2020 (early-pandemic era) and 2021 (mid-pandemic era).ResultsMore than a million adolescents successfully met the inclusion criteria. The weighted prevalence of current alcohol use was 26.8% [95% confidence interval (CI) 26.4-27.1] from 2005 to 2008 and 10.5% (95% CI 10.1-11.0) in 2020 and 2021. The weighted prevalence of substance use was 1.1% (95% CI 1.1-1.2) from 2005 to 2008 and 0.7% (95% CI 0.6-0.7) between 2020 and 2021. From 2005 to 2021, the overall trend of use of both alcohol and drugs was found to decrease, but the decline has slowed since COVID-19 epidemic (current alcohol use: beta(diff) 0.167; 95% CI 0.150-0.184; substance use: beta(diff) 0.152; 95% CI 0.110-0.194). The changes in the slope of current alcohol and substance use showed a consistent slowdown with regard to sex, grade, residence area, and smoking status from 2005 to 2021.ConclusionThe overall prevalence of alcohol consumption and substance use among over one million Korean adolescents from the early and mid-stage (2020-2021) of the COVID-19 pandemic showed a slower decline than expected given the increase during the prepandemic period (2005-2019).

引用

页码：1071 / 1081

页数：11

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