Changes in Substance Use and Mental Health Burden among Women during the Second Wave of COVID-19 in Germany
Open Access
- 14 September 2021
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 18 (18), 9728
- https://doi.org/10.3390/ijerph18189728
Abstract
Unlike men, who are disproportionately affected by severe disease progression and mortality from COVID-19, women may be more affected by the economic, social and psychological consequences of the pandemic. Psychological distress and mental health problems are general risk factors for increases in the use of alcohol and other substances as a dysfunctional coping mechanism. Methods: An analysis was carried out of the female subset (n = 2153) of a population-based, cross-sectional online survey (October–December 2020), covering the “second wave” of the COVID-19 pandemic in Germany. Results: Among women, 23% increased their alcohol use, 28.4% increased their nicotine use and 44% increased their illicit substance use during the COVID-19 pandemic. Twenty percent reported major depressive symptoms and 23.4% symptoms of generalized anxiety. Generalized anxiety proved to be a significant predictor of increases in alcohol and nicotine use in logistic regression. Discussion: The mental health burden remained high during the second wave of COVID-19 and alcohol, nicotine and other substance use increased. However, the association between mental health and substance use was weak. Psychological distress does not seem to be the main motivator of substance use.Funding Information
- The Foundation of University Medicine Essen (“Stiftung Universitätsmedizin”) funded the study. (unknown)
This publication has 55 references indexed in Scilit:
- Alcohol Use Disorder and Depressive DisordersAlcohol Research: Current Reviews, 2019
- Socioeconomic inequality in non-communicable diseases in Europe between 2004 and 2015: evidence from the SHARE surveyEuropean Journal of Public Health, 2018
- Socioeconomic status, health inequalities and non-communicable diseases: a systematic reviewJournal of Public Health, 2017
- Der Epidemiologische Suchtsurvey 2015SUCHT, 2016
- Stress is a principal factor that promotes tobacco use in femalesProgress in Neuro-Psychopharmacology and Biological Psychiatry, 2016
- How economic crises affect alcohol consumption and alcohol-related health problems: A realist systematic reviewSocial Science & Medicine (1982), 2015
- Alcohol and depressionAddiction, 2011
- Alcohol Abuse/Dependence Symptoms Among Hospital Employees Exposed to a SARS Outbreak: Table 1Alcohol and Alcoholism, 2008
- A Brief Measure for Assessing Generalized Anxiety DisorderArchives of Internal Medicine, 2006
- The PHQ-9Journal of General Internal Medicine, 2001