Did the COVID-19 pandemic influence the use of psychotropic medications by university students and LGBTQIAPN+? A Brazilian multicenter study.

Waléria de Paula, Adriana Lúcia Meireles, Bruna Carolina Rafael Barbosa, Luiz Antônio Alves de Menezes Júnior, Clareci Silva Cardoso, Lívia Garcia Ferreira, Eulilian Dias de Freitas, Fernanda de Carvalho Vidigal, Luciana Saraiva da Silva, Luciana Neri Nobre, Elaine Leandro Machado, Helian Nunes de Oliveira, Renata Cristina Rezende Macedo do Nascimento, Glenda Nicioli da Silva
Author Information
  1. Waléria de Paula: Universidade Federal de Ouro Preto, Ouro Preto, Brasil. ORCID
  2. Adriana Lúcia Meireles: Universidade Federal de Ouro Preto, Ouro Preto, Brasil. ORCID
  3. Bruna Carolina Rafael Barbosa: Universidade Federal de Ouro Preto, Ouro Preto, Brasil. ORCID
  4. Luiz Antônio Alves de Menezes Júnior: Universidade Federal de Ouro Preto, Ouro Preto, Brasil. ORCID
  5. Clareci Silva Cardoso: Universidade Federal de São João del-Rei, Divinópolis, Brasil. ORCID
  6. Lívia Garcia Ferreira: Universidade Federal de Lavras, Lavras, Brasil. ORCID
  7. Eulilian Dias de Freitas: Universidade Federal de Juiz de Fora, Governador Valadares, Brasil. ORCID
  8. Fernanda de Carvalho Vidigal: Universidade Federal de Alfenas, Alfenas, Brasil. ORCID
  9. Luciana Saraiva da Silva: Universidade Federal de Uberlândia, Uberlândia, Brasil. ORCID
  10. Luciana Neri Nobre: Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brasil. ORCID
  11. Elaine Leandro Machado: Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. ORCID
  12. Helian Nunes de Oliveira: Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. ORCID
  13. Renata Cristina Rezende Macedo do Nascimento: Universidade Federal de Ouro Preto, Ouro Preto, Brasil. ORCID
  14. Glenda Nicioli da Silva: Universidade Federal de Ouro Preto, Ouro Preto, Brasil. ORCID

Abstract

The COVID-19 pandemic may have had an impact on the mental health of university students and, consequently, led to the initiation on psychotropic medications or an increase on its use. This study aimed to assess the prevalence of the use of psychotropic medications among university students and evaluate the association of the use of such medicine with students who belong to minority groups. This is a cross-sectional study, in which all students enrolled in undergraduate courses at eight Brazilian public universities were invited to answer an online self-administered questionnaire. The data collection was conducted from October 2021 to February 2022. The outcome was the use of psychotropic medications and the explanatory variables were students who belong to minority groups, such as female, black, mixed-race, and other skin colors, and LGBTQIAPN+ individuals. The variables were descriptively analyzed and Pearson's chi-squared test and multinomial logistic regression were performed. A total of 8,650 students participated in the study, of which 25.7% reported using psychotropic medications in the 30 days prior to completing the questionnaire. It was observed that among students, female (OR = 1.8; 95%CI: 1.41-2.20) and non-heterosexual (OR = 1.5; 95%CI: 1.23-1.80) had higher chances of using psychotropic medications during the COVID-19 pandemic. It was found that university students began using psychotropic medications and the association of its use with minority groups was observed.

References

  1. Front Psychiatry. 2022 Dec 15;13:1020023 [PMID: 36590615]
  2. J Occup Environ Med. 2020 Sep;62(9):686-691 [PMID: 32890205]
  3. Addict Behav. 2010 May;35(5):517-21 [PMID: 20061091]
  4. Brain Sci. 2023 Apr 29;13(5): [PMID: 37239213]
  5. J Adolesc Health. 2021 Feb;68(2):270-276 [PMID: 33288459]
  6. Int J Ment Health Addict. 2022 Nov 22;:1-17 [PMID: 36465995]
  7. J Child Adolesc Psychopharmacol. 2022 Sep;32(7):408-414 [PMID: 36067121]
  8. Aust N Z J Psychiatry. 2012 May;46(5):457-67 [PMID: 22535294]
  9. Front Pharmacol. 2022 Apr 27;13:886652 [PMID: 35571118]
  10. Int J Environ Res Public Health. 2021 Jun 11;18(12): [PMID: 34208274]
  11. World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253 [PMID: 11234459]
  12. Front Psychol. 2024 Feb 21;15:1330720 [PMID: 38449744]
  13. Psychol Trauma. 2020 Aug;12(S1):S239-S242 [PMID: 32551761]
  14. Harv Rev Psychiatry. 2019 Sep/Oct;27(5):279-289 [PMID: 31385811]
  15. J Pharm Bioallied Sci. 2015 Jul-Sep;7(3):181-7 [PMID: 26229351]
  16. J Am Coll Health. 2021 Jan;69(1):95-102 [PMID: 31513464]
  17. PLoS One. 2020 Nov 11;15(11):e0241990 [PMID: 33175882]
  18. Nat Rev Neurosci. 2013 May;14(5):365-76 [PMID: 23571845]
  19. Psychol Bull. 2003 Sep;129(5):674-697 [PMID: 12956539]
  20. Sao Paulo Med J. 2020 Jan-Feb;138(1):27-32 [PMID: 32321102]
  21. Therapie. 2019 Apr;74(2):169-174 [PMID: 30389102]
  22. PLoS One. 2021 Jan 7;16(1):e0245327 [PMID: 33411812]
  23. J Psychoactive Drugs. 2021 Nov-Dec;53(5):413-421 [PMID: 34694200]
  24. Addict Behav Rep. 2023 Mar 07;17:100485 [PMID: 36941849]
  25. Cognit Ther Res. 2022;46(1):1-10 [PMID: 34177004]
  26. Front Pharmacol. 2018 Jul 17;9:725 [PMID: 30065649]
  27. Drug Alcohol Depend. 2005 Jul;79(1):53-62 [PMID: 15943944]
  28. Cien Saude Colet. 2020 Nov;25(11):4601-4614 [PMID: 33175066]
  29. Sao Paulo Med J. 2022 Sep-Oct;140(5):697-704 [PMID: 35976367]
  30. Rev Gaucha Enferm. 2020 Jun 12;41:e20190297 [PMID: 32555956]
  31. Am J Public Health. 2015 Dec;105(12):e60-76 [PMID: 26469668]
  32. PLoS One. 2022 Jan 12;17(1):e0262562 [PMID: 35020758]
  33. Cien Saude Colet. 2020 May;25(5):1677-1688 [PMID: 32402020]
  34. Gen Psychiatr. 2020 Mar 6;33(2):e100213 [PMID: 32215365]
  35. J Homosex. 2021 Mar 21;68(4):577-591 [PMID: 33399504]
  36. Cien Saude Colet. 2017 Dec;22(12):3841-3848 [PMID: 29267703]
  37. J Ment Health Policy Econ. 2005 Sep;8(3):131-43 [PMID: 16278501]
  38. Front Pharmacol. 2022 Dec 23;13:1028233 [PMID: 36618914]
  39. Epidemiol Serv Saude. 2017 Oct-Dec;26(4):747-758 [PMID: 29211139]
  40. J Child Adolesc Psychiatr Nurs. 2010 Nov;23(4):205-13 [PMID: 21073595]
  41. PLoS One. 2021 Mar 5;16(3):e0247999 [PMID: 33667243]
  42. World J Psychiatry. 2021 Apr 19;11(4):94-108 [PMID: 33889535]
  43. SSM Popul Health. 2022 Sep;19:101156 [PMID: 35784491]
  44. J Am Acad Child Adolesc Psychiatry. 2021 Jan;60(1):134-141.e2 [PMID: 33091568]
  45. Psychiatry Res. 2021 Feb;296:113706 [PMID: 33482422]
  46. Lancet. 2020 Mar 14;395(10227):912-920 [PMID: 32112714]
  47. BMC Public Health. 2023 Mar 15;23(1):494 [PMID: 36918825]
  48. J Affect Disord. 2014 Feb;155:104-9 [PMID: 24238871]
  49. J Affect Disord. 2020 Feb 15;263:292-300 [PMID: 31818792]

MeSH Term

Humans
Female
Brazil
Psychotropic Drugs
Male
Cross-Sectional Studies
Students
COVID-19
Universities
Young Adult
Sexual and Gender Minorities
Surveys and Questionnaires
Adult
SARS-CoV-2
Pandemics
Adolescent

Chemicals

Psychotropic Drugs

Word Cloud

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