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首页> 外文期刊>JMIR public health and surveillance. >The psychosocial predictors and day-level correlates of substance use among participants recruited via an online crowdsourcing platform in the United States
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The psychosocial predictors and day-level correlates of substance use among participants recruited via an online crowdsourcing platform in the United States

机译：通过在美国在线众包平台招募的参与者之间的心理社会预测和日级相关性

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BACKGROUND:Alcohol consumption and stimulant use are major public health problems and contribute to morbidity and mortality in the United States. To inform interventions for substance use, there is a need to identify the day-level correlates of substance use by collecting repeated measures data in one's natural environment. There is also a need to use crowdsourcing platforms like Amazon Mechanical Turk (MTurk) to efficiently engage larger populations of people who use alcohol and stimulants in research.OBJECTIVE:We aimed to (1) utilize daily diaries to examine the temporal relationship between day-level cravings for alcohol and stimulant/substance use (ie, heavy drinking or any drug use) in a given day over 14 days and (2) assess whether depression, negative affect, and self-esteem measured at baseline predict substance use in a given day over 14 days among people who use alcohol and/or stimulants in the United States.METHODS:Individuals aged ≥18 years in the United States, who reported alcohol or stimulant (ie, cocaine, crack cocaine, and methamphetamine) use in the past year, were recruited using MTurk between March 26 and April 13, 2018. Eligible participants completed a baseline survey and 14 daily surveys online. The baseline survey assessed sociodemographics and psychosocial (ie, depression, affect, self-esteem, and stress) factors. Daily surveys assessed substance use and cravings for alcohol and stimulants. Four multivariable random-intercept logistic regression models were built to examine psychosocial constructs separately along with other significant predictors from bivariate analyses while controlling for age and education.RESULTS:Among a total of 272 participants, 220 were White, 201 were male, and 134 were men who have sex with men (MSM). The mean age was 36.1 years (SD 10.5). At baseline, 173 participants engaged in any current or past hazardous alcohol consumption, 31 reported using cocaine, 19 reported using methamphetamine, 8 reported using crack cocaine, and 104 reported any noninjection or injection drug use in the past 6 months. Factors independently associated with substance use were depression (adjusted odds ratio [aOR] 1.11, 95% CI 1.02-1.21; P=.01), negative affect (aOR 1.08, 95% CI 1.01-1.16; P=.01), lower levels of self-esteem (aOR 0.90, 95% CI 0.82-0.98; P=.02), and cravings for alcohol (aOR 1.02, 95% CI 1.01-1.03; P.001) and stimulants (aOR 1.03, 95% CI 1.01-1.04; P=.01). MSM had higher odds of engaging in substance use in all models (model 1: aOR 4.90, 95% CI 1.28-18.70; P=.02; model 2: aOR 5.47, 95% CI 1.43-20.87; P=.01; model 3: aOR 5.99, 95% CI 1.55-23.13; P=.009; and model 4: aOR 4.94, 95% CI 1.29-18.84; P=.01).CONCLUSIONS:Interventions for substance use should utilize evidenced-based approaches to reduce depression, negative affect, and cravings; increase self-esteem; and engage MSM. Interventions may also consider leveraging technology-based approaches to reduce substance use among populations who use crowdsourcing platforms.?Jennifer Payaal Jain, Claudine Offer, Christopher Rowe, Caitlin Turner, Carol Dawson-Rose, Thomas Hoffmann, Glenn-Milo Santos. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 27.04.2021.
机译：背景：饮酒和兴奋剂使用是主要的公共卫生问题，并有助于美国的发病率和死亡率。为了向物质使用的干预措施，需要通过收集一个人的自然环境中的重复措施数据来确定物质使用的日期水平相关性。还需要使用像亚马逊机械土耳其人（MTURK）这样的众包平台，以有效地接受使用酒精和兴奋剂在研究中使用的人口更大的人群。目的：我们的目标是（1）利用每日日记来检查白天之间的时间关系 - 在14天和（2）超过14天内的给定日期的酒精和兴奋剂/物质使用（即重饮用或任何药物使用）的水平渴望评估是否在基线预测在给定的基线预测物质使用的抑郁症，负面影响和自尊的抑郁症，负面影响和自尊在美国使用酒精和/或兴奋剂的人中有超过14天的一天。年度，在2018年3月26日和3月13日之间使用Mturk招聘。符合条件的参与者在线完成了基线调查和14日在线调查。基线调查评估了社会主干和心理社会（即抑郁，影响，自尊和压力）因素。每日调查评估物质使用和渴望的酒精和兴奋剂。建立了四种多变量随机拦截逻辑回归模型，以便在控制年龄和教育的同时分别与双人分析中的其他重要预测器分开检查心理社会结构。结果：在共有272名参与者中，220名是白色的，201人男性，134人与男人发生性关系的人（MSM）。平均年龄为36.1岁（SD 10.5）。在基线，从事任何当前或过去危险酒精消费的173名参与者使用可卡因报告的31种，使用甲基苯丙胺据报道，8例使用裂缝可卡因报告，104次报告过去6个月内任何非关注或注射药物使用。独立与物质使用相关的因素是抑郁症（调节的差距[AOR] 1.11,95％CI 1.02-1.21; P = .01），负面影响（AOR 1.08,95％CI 1.01-1.16; P = .01），更低自尊的水平（AOR 0.90,95％CI 0.82-0.98; p = .02），以及醇的渴望（AOR 1.02,95％CI 1.01-1.03; P＆。AOR 1.03,95％） CI 1.01-1.04; p = .01）。 MSM在所有型号中使用物质使用的可能性较高（型号1：AOR 4.90,95％CI 1.28-18.70; P = .02;模型2：AOR 5.47,95％CI 1.43-20.87; P = .01;模型3：AOR 5.99,95％CI 1.55-23.13; P = .009;和型号4：AOR 4.94,95％CI 1.29-18.84; p = .01）。CONCLUSIONS：用于物质使用的干预应利用基于证据的方法减少抑郁症，负面影响和渴望;增加自尊;并参与MSM。干预措施还可以考虑利用基于技术的方法，以减少使用众群平台的人口中的物质使用.?Jennifer Payaal Jain，Claudine优惠，Christopher Rowe，Caitlin Turner，Carol Dawson Rose，Thomas Hoffmann，Glenn-Milo Santos。最初在JMIR公共卫生和监督（HTTPS://Publichealth.jmir.org），27.04.2021。

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