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Trends of Adolescent Substance Use by Type of Victimization: COVID-19 Interaction Effects in the United States Youth Risk Behavior Survey (2013–2023).

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Title: Trends of Adolescent Substance Use by Type of Victimization: COVID-19 Interaction Effects in the United States Youth Risk Behavior Survey (2013–2023).
Authors: Gu, Hyejin (AUTHOR), Myong, Jun-Pyo (AUTHOR)
Source: Substance Use & Misuse. 2026, Vol. 61 Issue 8, p1112-1122. 11p.
Subjects: Substance abuse, Cross-sectional method, Risk-taking behavior, Logistic regression analysis, Chi-squared test, Descriptive statistics, Crime victims, Teenagers' conduct of life, Surveys, Odds ratio, Bullying, Cluster sampling, Centers for Disease Control & Prevention (U.S.), Data analysis software, Comparative studies, Confidence intervals, COVID-19 pandemic, School health services, Adolescence
Geographic Terms: United States
Abstract: Background: Adolescent substance use remains a public health concern, particularly among youth exposed to interpersonal victimization. The COVID-19 pandemic has further disrupted social contexts, potentially intensifying disparities in substance use. Methods: We analyzed nationally representative data from the Youth Risk Behavior Survey (2013–2023), including 52,679 U.S. adolescents. Substance use outcomes included current cigarette use, alcohol use, marijuana use, and other drug use. Victimization types were categorized as school bullying, electronic bullying, sexual victimization, or multiple. Linear logistic regression models were used to assess temporal trends and victimization-by-year interaction effects. Difference-in-differences (DID) regression tested changes across pre-COVID-19 (2019), COVID-19 pandemic (2021), and post-COVID-19 (2023) periods. Results: Overall, 27.2% of adolescents reported at least one form of victimization. Adolescent with sexual victimization had higher odds of alcohol use (aOR = 2.79) and other drug use (aOR = 3.65) compared to non-victimized peers. Those reporting multiple victimizations had the highest risk across all substances, particularly for marijuana use (aOR = 3.53) and inhalant use (aOR = 6.45) during the pandemic. Victimization-by-year interactions were significant (p < 0.05), indicating widening disparities over time. While marijuana use declined in 2021, it rebounded in 2023 among multiple victimization group (aOR = 1.72). Conclusions: The COVID-19 pandemic exacerbated substance use disparities among victimized adolescents, especially those with multiple victimizations. Findings highlight the need for trauma-informed, targeted interventions beyond universal school-based approaches to address these behavioral vulnerabilities. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Trends of Adolescent Substance Use by Type of Victimization: COVID-19 Interaction Effects in the United States Youth Risk Behavior Survey (2013–2023).
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  Data: Background: Adolescent substance use remains a public health concern, particularly among youth exposed to interpersonal victimization. The COVID-19 pandemic has further disrupted social contexts, potentially intensifying disparities in substance use. Methods: We analyzed nationally representative data from the Youth Risk Behavior Survey (2013–2023), including 52,679 U.S. adolescents. Substance use outcomes included current cigarette use, alcohol use, marijuana use, and other drug use. Victimization types were categorized as school bullying, electronic bullying, sexual victimization, or multiple. Linear logistic regression models were used to assess temporal trends and victimization-by-year interaction effects. Difference-in-differences (DID) regression tested changes across pre-COVID-19 (2019), COVID-19 pandemic (2021), and post-COVID-19 (2023) periods. Results: Overall, 27.2% of adolescents reported at least one form of victimization. Adolescent with sexual victimization had higher odds of alcohol use (aOR = 2.79) and other drug use (aOR = 3.65) compared to non-victimized peers. Those reporting multiple victimizations had the highest risk across all substances, particularly for marijuana use (aOR = 3.53) and inhalant use (aOR = 6.45) during the pandemic. Victimization-by-year interactions were significant (p &lt; 0.05), indicating widening disparities over time. While marijuana use declined in 2021, it rebounded in 2023 among multiple victimization group (aOR = 1.72). Conclusions: The COVID-19 pandemic exacerbated substance use disparities among victimized adolescents, especially those with multiple victimizations. Findings highlight the need for trauma-informed, targeted interventions beyond universal school-based approaches to address these behavioral vulnerabilities. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Substance Use &amp; Misuse is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193623148
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10826084.2025.2597457
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 1112
    Subjects:
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Risk-taking behavior
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Crime victims
        Type: general
      – SubjectFull: Teenagers' conduct of life
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Bullying
        Type: general
      – SubjectFull: Cluster sampling
        Type: general
      – SubjectFull: Centers for Disease Control & Prevention (U.S.)
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: School health services
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Trends of Adolescent Substance Use by Type of Victimization: COVID-19 Interaction Effects in the United States Youth Risk Behavior Survey (2013–2023).
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            NameFull: Gu, Hyejin
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            NameFull: Myong, Jun-Pyo
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            – D: 01
              M: 07
              Text: 2026
              Type: published
              Y: 2026
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