PMID- 37317983 OWN - NLM STAT- MEDLINE DCOM- 20230717 LR - 20240131 IS - 1532-2491 (Electronic) IS - 1082-6084 (Linking) VI - 58 IP - 11 DP - 2023 TI - COVID-19-Related Shifts in Polysubstance Use. PG - 1314-1323 LID - 10.1080/10826084.2023.2181034 [doi] AB - Background: Big Events, such as economic crises and natural disasters, affect drug use patterns (e.g. Friedman & Rossi, 2015). The COVID-19 pandemic is a Big Event that led to lockdowns, travel restrictions, protocols on businesses, and rules for social engagements across the globe. Studies primarily in Europe and Oceania show that the pandemic impacted the type and amount of substances used (e.g. Winstock et al., 2020). Objectives: This study examines the impact of COVID-19 on substance use using a sample of 257 individuals across 36 states, who engage in polysubstance use. Results: The sample was recruited via DanceSafe, Inc.'s social media to complete an online survey (April-October 2020) about drug use during the pandemic. The mostly White, heterosexual sample used an average of seven different substances in the past 12 months. Slightly less than half reported increasing use since the onset of the COVID-19 pandemic, with young adults and lesbian, gay, bisexual, pansexual, or queer (LGBPQ) identifying individuals significantly more likely to do so. Relative to other substances, benzodiazepine use increased, and 3,4- methylenedioxymethamphetamine (MDMA) and psychedelic use decreased, while alcohol use stayed the same. Conclusions: The COVID-19 pandemic disproportionately affected those who are young adults, LGBPQ, and use drugs. Their unique needs during the pandemic warrant attention. The swap from leisure (e.g. MDMA) to anti-anxiety (e.g. Xanax) drugs is not surprising. Yet, the rise in novel benzodiazepines (Laing et al., 2021) is a point of concern that suggests drug checking and educational efforts can best reduce potential risks. FAU - Perrone, Dina AU - Perrone D AD - School of Criminology, Criminal Justice, and Emergency Management, California State University, Long Beach, California, USA. FAU - Fischer, Ryan AU - Fischer R AD - School of Criminology, Criminal Justice, and Emergency Management, California State University, Long Beach, California, USA. FAU - Florek, Jianna AU - Florek J AD - School of Criminology, Criminal Justice, and Emergency Management, California State University, Long Beach, California, USA. LA - eng PT - Journal Article DEP - 20230615 PL - England TA - Subst Use Misuse JT - Substance use & misuse JID - 9602153 RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Female MH - Young Adult MH - Humans MH - *N-Methyl-3,4-methylenedioxyamphetamine MH - Pandemics MH - *COVID-19 MH - Communicable Disease Control MH - *Sexual and Gender Minorities MH - *Substance-Related Disorders/epidemiology OTO - NOTNLM OT - Big Events OT - COVID-19 OT - EDM OT - LGB OT - benzodiazepines OT - drugs OT - polysubstance use EDAT- 2023/06/15 13:07 MHDA- 2023/07/17 06:42 CRDT- 2023/06/15 06:13 PHST- 2023/07/17 06:42 [medline] PHST- 2023/06/15 13:07 [pubmed] PHST- 2023/06/15 06:13 [entrez] AID - 10.1080/10826084.2023.2181034 [doi] PST - ppublish SO - Subst Use Misuse. 2023;58(11):1314-1323. doi: 10.1080/10826084.2023.2181034. Epub 2023 Jun 15.