{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:06:16Z","timestamp":1787169976273,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Mental health has been impacted by COVID-19 throughout the United States and beyond. The mental health and well-being were further affected with excessive substance use during the pandemic. The aim of this research was to explore how the COVID-19 affects the mental health of the young adults (18\u201324 years) in the South Jersey area. We also examined the association between mental health symptoms in young adults and substance use during the first and second year of the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS AND MATERIAL:<\/jats:title>\n                    <jats:p>\n                      A cross-sectional survey was conducted with (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 711) 527 participants that included young adults (18\u201324 years old) across university campus in south jersey and in the community cohorts. Multinomial regression analysis and Chi-squared test were used to explore the association between mental symptoms and substance use. Data were analyzed using Microsoft Excel Spreadsheet for descriptive statistics and Python 3.0 scikit-learn package.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>The study showed that \u201cLonely\u201d and \u201cHopeless\u201d were the top two mental health symptoms. It was observed that the symptoms of \u201cLonely\u201d and \u201cHopeless\u201d increased for both males and females. In general, males seemed to be affected more than females in this study for mental health symptoms. For substance use, \u201cNervous\u201d and \u201cSmoking\u201d showed positive correlation in 2020 and \u201cHopeless\u201d and \u201cAlcohol\u201d were positively correlated in 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Young adults' mental health symptoms and substance use has been proven to be affected through the pandemic and this research results even though localized will assist the community and educational institutions to plan better support to assist young adults with better health and wellness initiatives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_1167_22","type":"journal-article","created":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T05:46:10Z","timestamp":1681191970000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Does COVID-19 affect mental health and substance use in young adults?"],"prefix":"10.4103","volume":"12","author":[{"given":"Duo (Helen)","family":"Wei","sequence":"first","affiliation":[{"name":"Computer Science Department, School of Business, Stockton University, Galloway, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sreelekha","family":"Prakash","sequence":"additional","affiliation":[{"name":"School of Health Science, Stockton University, Galloway, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riya","family":"Goyal","sequence":"additional","affiliation":[{"name":"Computer Science Department, School of Business, Stockton University, Galloway, NJ, USA"},{"name":"Department of Mathematics, School of Natural Sciences and Mathematics, Stockton University, Galloway, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Zhang","sequence":"additional","affiliation":[{"name":"Biotechnology High School, Freehold, NJ, 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the mental health of individuals with pre-existing severe mental illnesses","volume":"294","author":"Pinkham","year":"2020","journal-title":"Psychiatry Res"},{"key":"R21-20240829","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1080\/08897077.2020.1823550","article-title":"Self-isolation: A significant contributor to cannabis use during the COVID-19 pandemic","volume":"41","author":"Bartel","year":"2020","journal-title":"Subst Abus"},{"key":"R22-20240829","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/j.jadohealth.2020.06.018","article-title":"What does adolescent substance use look like during the COVID-19 pandemic? Examining changes in frequency, social contexts, and pandemic-related predictors","volume":"67","author":"Dumas","year":"2020","journal-title":"J Adolesc Health"},{"key":"R23-20240829","doi-asserted-by":"crossref","first-page":"e0254215","DOI":"10.1371\/journal.pone.0254215","article-title":"Gender-affirming care, mental health, and economic stability in the time of COVID-19: A multi-national, cross-sectional study of transgender and nonbinary people","volume":"16","author":"Jarrett","year":"2021","journal-title":"PLoS One"},{"key":"R24-20240829","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1089\/trgh.2015.0001","article-title":"Mental health disparities within the LGBT population: A comparison between transgender and nontransgender individuals","volume":"1","author":"Su","year":"2016","journal-title":"Transgend Health"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_1167_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:15:55Z","timestamp":1787166955000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_1167_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_1167_22","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3]]},"assertion":[{"value":"2022-08-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}