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

查看全文 作　　者：Sangil [1]Park;Hyunju [2]Yon;Chae Yeon [2]Ban;Hyoin [2]Shin;Seounghyun [2]Eum;Seung Won [3]Lee;Youn Ho [4]Shin;Jung [5,25]UShin;Ai [6,7]Koyanagi;Louis [6,8]Jacob;Lee [9]Smith;Chanyang [10]Min;AbdullahÖzgür [11]Yeniova;So Young [12]Kim;Jinseok [13]Lee;Vlasta [14]Hadalin;Rosie [10,15]Kwon;Min Ji [10,16]Koo;Guillaume [17,18]Fond;Laurent [17,18]Boyer;Sunyoung [19]Kim;Jong Woo [20]Hahn;Namwoo [21]Kim;Eléa [22]Lefkir;Victoire [2]Bondeville;Sang Youl [10,23]Rhee;Jae Il [24]Shin;Dong Keon [10,25]Yon;Ho Geol [1]Woo 高影响力作者 机构地区：[1]Department of Neurology,Kyung Hee University Medical Center,23 Kyungheedae‑ro,Dongdaemun‑gu,Seoul 02447,South Korea;[2]Department of Medicine,Kyung Hee University College of Medicine,Seoul,South Korea;[3]Department of Precision Medicine,Sungkyunkwan University School of Medicine,Suwon,South Korea;[4]Department of Pediatrics,CHA Gangnam Medical Center,CHA University School of Medicine,Seoul,South Korea;[5]Department of Dermatology,CHA Bundang Medical Center,CHA University School of Medicine,Seongnam,South Korea;[6]Research and Development Unit,Parc Sanitari Sant Joan de Deu,CIBERSAM,ISCIII,Barcelona,Spain;[7]Catalan Institution for Research and Advanced Studies(ICREA),Pg.Lluis Companys,Barcelona,Spain;[8]Faculty of Medicine,University of Versailles Saint-Quentin-en-Yvelines,Montigny‑le‑Bretonneux,France;[9]Centre for Health,Performance and Wellbeing,Anglia Ruskin University,Cambridge,UK;[10]Center for Digital Health,Medical Science Research Institute,Kyung Hee University Medical Center,Kyung Hee University College of Medicine,Seoul,South Korea;[11]Division of Gastroenterology,Department of Internal Medicine,Faculty of Medicine,Tokat Gaziosmanpaşa University,Tokat,Turkey;[12]Department of Otorhinolaryngology‑Head&Neck Surgery,CHA Bundang Medical Center,CHA University School of Medicine,Seongnam,South Korea;[13]Department of Biomedical Engineering,Kyung Hee University,Yongin,South Korea;[14]Faculty of Medicine,University of Ljubljana,Ljubljana,Slovenia;[15]Department of Biomedical Engineering,University of Michigan,Ann Arbor,MI,USA;[16]Department of Human Biology,University of Toronto,Toronto,ON,Canada;[17]AP-HM,Aix-Marseille University,CEReSS-Health Service Research and Quality of Life Center,Marseille,France;[18]FondaMental Foundation,Creteil,France;[19]Department of Family Medicine,Kyung Hee University College of Medicine,Seoul,South Korea;[20]Department of Pediatrics,Seoul National University Bundang Hospital,Seongnam,South Korea;[21]Department of Neuropsychiatry,Seoul National University Hospital,Seoul,South Korea;[22]Faculty of Medicine,University of Rennes 1,Rennes,France;[23]Department of Endocrinology and Metabolism,Kyung Hee University College of Medicine,Seoul,South Korea;[24]Department of Pediatrics,Yonsei University College of Medicine,50 Yonsei‑ro,Seodaemun‑gu,Seoul 03722,South Korea;[25]Department of Pediatrics,Kyung Hee University College of Medicine,23 Kyungheedae‑ro,Dongdaemun‑gu,Seoul 02447,South Korea高影响力机构 出　　处：《World Journal of Pediatrics》索引2023年第19卷第11期,共11页高影响力期刊 基　　金：supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute(KHIDI);funded by the Ministry of Health&Welfare,Republic of Korea(grant number:HV22C0233 and grant number:HI22C1976);The funders had no role in study design,data collection,data analysis,data interpretation,or writing of the report. 摘　　要：Background Although 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.Methods Data 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(midpandemic era).Results More 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:βdiff 0.167;95%CI 0.150–0.184;substance use:βdiff 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.Conclusion The 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). 关 键 词：ALCOHOL ADOLESCENT Corona virus disease 2019 South Korea Substance use
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