{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:11:45Z","timestamp":1790665905751,"version":"4.1.0"},"reference-count":65,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,8,11]],"date-time":"2022-08-11T00:00:00Z","timestamp":1660176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000027","name":"National Institute on Alcohol Abuse and Alcoholism","doi-asserted-by":"publisher","award":["R21 AA026689\u2010S1"],"award-info":[{"award-number":["R21 AA026689\u2010S1"]}],"id":[{"id":"10.13039\/100000027","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R34 DA049989"],"award-info":[{"award-number":["R34 DA049989"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Before COVID\u201019, Native Hawaiians\/Pacific Islanders (NH\/PI) endured a heavy burden of alcohol, tobacco and other drug (ATOD) use in prior US data. Responding to reports that many NH\/PI communities experienced severe COVID\u201019 disparities that could exacerbate their ATOD burden, we partnered with NH\/PI communities to assess the substance use patterns and treatment needs of diverse NH\/PIs during COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Collaborating with NH\/PI community organisations across five states with large NH\/PI populations, we conducted a large\u2010scale investigation of NH\/PI ATOD use, mental health and treatment need during COVID\u201019. Between April and November 2021, NH\/PI\u2010heritage research staff from our community partners collected data involving 306 NH\/PI adults using several community\u2010based recruitment methods (e\u2010mail, telephone, in\u2010person) and two survey approaches: online and paper\u2010and\u2010pencil. Multivariate regressions were conducted to examine potential predictors of NH\/PI alcohol use disorder and need for behavioural health treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During COVID\u201019, 47% and 22% of NH\/PI adults reported current alcohol and cigarette use, while 35% reported lifetime illicit substance use (e.g., cannabis, opioid). Depression and anxiety were high, and alcohol use disorder, major depression and generalised anxiety disorder prevalence were 27%, 27% and 19%, respectively. One\u2010third of participants reported past\u2010year treatment need with lifetime illicit substance use, COVID\u201019 distress and major depression respectively associating with 3.0, 1.2, and 5.3 times greater adjusted odds for needing treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>NH\/PI adults reported heavy ATOD use, depression, anxiety and treatment need during COVID\u201019. Targeted research and treatment services may be warranted to mitigate COVID\u201019's negative behavioural health impact on NH\/PI communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.13522","type":"journal-article","created":{"date-parts":[[2022,8,12]],"date-time":"2022-08-12T00:30:15Z","timestamp":1660264215000},"page":"1653-1663","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Native Hawaiian\/Pacific Islander alcohol, tobacco and other drug use, mental health and treatment need in the\n                    <scp>United States<\/scp>\n                    during\n                    <scp>COVID<\/scp>\n                    \u201019"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6424-7668","authenticated-orcid":false,"given":"Andrew M.","family":"Subica","sequence":"first","affiliation":[{"name":"School of Medicine University of California  Riverside USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick G.","family":"Guerrero","sequence":"additional","affiliation":[{"name":"Research to End Healthcare Disparities Corp I\u2010Lead Institute  Los Angeles USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy K. K.","family":"Martin","sequence":"additional","affiliation":[{"name":"School of Social Work Hawai\u2018i Pacific University  Honolulu USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott K.","family":"Okamoto","sequence":"additional","affiliation":[{"name":"School of Social Work Hawai\u2018i Pacific University  Honolulu USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nia","family":"Aitaoto","sequence":"additional","affiliation":[{"name":"Pacific Islander Center of Primary Care Excellence  San Leandro USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard B.","family":"Moss","sequence":"additional","affiliation":[{"name":"School of Medicine University of California  Riverside USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany N.","family":"Morey","sequence":"additional","affiliation":[{"name":"Department of Health, Society, and Behavior University of California  Irvine USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Tzy","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Medicine Duke University  Durham USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,11]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"144","article-title":"COVID\u201019 special column: COVID\u201019 hits native Hawaiian and Pacific islander communities the hardest","volume":"79","author":"Kaholokula JK","year":"2020","journal-title":"Hawaii J Health Soc Welf"},{"key":"e_1_2_10_3_1","first-page":"1","article-title":"COVID\u201019 and the state of health of Pacific Islanders in the United States","volume":"17","author":"Samoa R","year":"2020","journal-title":"AAPI Nexus"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6948a2"},{"issue":"9","key":"e_1_2_10_5_1","first-page":"34","article-title":"A report on the impact of the COVID\u201019 pandemic on the health and social welfare in the county of Hawai\u2018i, Hawai\u2018i","volume":"80","author":"Qureshi K","year":"2021","journal-title":"Hawaii J Health Soc Welf."},{"key":"e_1_2_10_6_1","unstructured":"HofschneiderA.Some Pacific Islanders hit hardest by COVID\u201019 Can't get Federal aid for Burials [Internet]. 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