Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports

Background: The COVID-19 pandemic has generated a remarkable change in the behaviour of Healthcare workers (HCWs) around the world. However, there is a lack of evidence on substance use among HCWs in Latin America. Therefore, this study aimed to determine the current frequency of substance use among...

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Main Authors: Jeel Moya-Salazar, Elizabeth Nuñez, Alexis Jaime-Quispe, Nahomi Zuñiga, Isabel L Loaiza-Barboza, Edison A Balabarca, Karina Chicoma-Flores, Betsy Cañari, Hans Contreras-Pulache
Format: Article
Language:English
Published: SAGE Publishing 2022-03-01
Series:Substance Abuse: Research and Treatment
Online Access:https://doi.org/10.1177/11782218221085592
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author Jeel Moya-Salazar
Elizabeth Nuñez
Alexis Jaime-Quispe
Nahomi Zuñiga
Isabel L Loaiza-Barboza
Edison A Balabarca
Karina Chicoma-Flores
Betsy Cañari
Hans Contreras-Pulache
author_facet Jeel Moya-Salazar
Elizabeth Nuñez
Alexis Jaime-Quispe
Nahomi Zuñiga
Isabel L Loaiza-Barboza
Edison A Balabarca
Karina Chicoma-Flores
Betsy Cañari
Hans Contreras-Pulache
author_sort Jeel Moya-Salazar
collection DOAJ
description Background: The COVID-19 pandemic has generated a remarkable change in the behaviour of Healthcare workers (HCWs) around the world. However, there is a lack of evidence on substance use among HCWs in Latin America. Therefore, this study aimed to determine the current frequency of substance use among Latin American among HCWs. Methods: We searched 8 databases (PubMed, Scopus, ScientDirect, Web of Science, Cochrane, Scielo, LILACS and Latindex), 4 public prepublication servers (SocArXiv, medRxiv, bioRxiv and Preprints) and Google scholar from 1/9/2019 to 11/1/2021. We determined the frequency of each study based on original studies, scientific letters, and clinical trials in English, Spanish and Portuguese. Results: A total of 17 175 study articles were identified from electronic databases and preprints, and 2 cross-sectional studies conducted in 2020 were included in the qualitative analysis. Both studies included HCWs but did not perform a differential analysis. The first was developed by the Pan-American Health Organization and included interviewees from 35 countries, while the second was conducted with 1145 Brazilian participants. Both studies showed increases in substance use during the pandemic, with alcohol being the most commonly used substance (30%), but PAHO’s study reported a 13.8% increase in self-reported heavy-episodic drinking, with differences among genders (males, 15.4%), age groups (highest increase in the 40-49 age group, 16.5%) and area of residence (urban with 14%). The second study showed that 21 32% of participants reported initiating psychoactive substance use, 29.3% added some substance to their initial use and 4% of them had to replace the substance, mainly due to difficulty of access. Other substances of abuse that showed significant increases were tobacco (0.5%) and marijuana (0.3%). Conclusion: Overall, despite the analysis of the 2 studies, the results provided are not a conclusive description of the frequency of substance use by HCWs in Latin America during the COVID-19 pandemic. Further research is required to understand the impact of the pandemic on drug abuse in the region. Protocol Registration: The protocol has been registered on 30 November 2021 on the International Prospective Register of Systematic Reviews (PROSPERO) with ID: CRD420212919700.
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spelling doaj.art-0ac121fad3364c169accf1f476b55bc82022-12-22T02:38:30ZengSAGE PublishingSubstance Abuse: Research and Treatment1178-22182022-03-011610.1177/11782218221085592Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for ReportsJeel Moya-Salazar0Elizabeth Nuñez1Alexis Jaime-Quispe2Nahomi Zuñiga3Isabel L Loaiza-Barboza4Edison A Balabarca5Karina Chicoma-Flores6Betsy Cañari7Hans Contreras-Pulache8Hospital Nacional Docente Madre Niño San Bartolome, Lima, PeruSchool of Medicine, Faculties of Health Science, Universidad Norbert Wiener, Lima, PeruSchool of Medicine, Faculties of Health Science, Universidad Norbert Wiener, Lima, PeruSchool of Medicine, Faculties of Health Science, Universidad Norbert Wiener, Lima, PeruSchool of Medicine, Faculties of Health Science, Universidad Norbert Wiener, Lima, PeruSchool of Medicine, Faculties of Health Science, Universidad Norbert Wiener, Lima, PeruUnit of +Mental Health, Nesh Hubbs, Lima, PeruSchool of Medicine, Faculties of Health Science, Universidad Norbert Wiener, Lima, PeruSouth America Center for Education and Research in Public Health, Universidad Norbert Wiener, Lima, PeruBackground: The COVID-19 pandemic has generated a remarkable change in the behaviour of Healthcare workers (HCWs) around the world. However, there is a lack of evidence on substance use among HCWs in Latin America. Therefore, this study aimed to determine the current frequency of substance use among Latin American among HCWs. Methods: We searched 8 databases (PubMed, Scopus, ScientDirect, Web of Science, Cochrane, Scielo, LILACS and Latindex), 4 public prepublication servers (SocArXiv, medRxiv, bioRxiv and Preprints) and Google scholar from 1/9/2019 to 11/1/2021. We determined the frequency of each study based on original studies, scientific letters, and clinical trials in English, Spanish and Portuguese. Results: A total of 17 175 study articles were identified from electronic databases and preprints, and 2 cross-sectional studies conducted in 2020 were included in the qualitative analysis. Both studies included HCWs but did not perform a differential analysis. The first was developed by the Pan-American Health Organization and included interviewees from 35 countries, while the second was conducted with 1145 Brazilian participants. Both studies showed increases in substance use during the pandemic, with alcohol being the most commonly used substance (30%), but PAHO’s study reported a 13.8% increase in self-reported heavy-episodic drinking, with differences among genders (males, 15.4%), age groups (highest increase in the 40-49 age group, 16.5%) and area of residence (urban with 14%). The second study showed that 21 32% of participants reported initiating psychoactive substance use, 29.3% added some substance to their initial use and 4% of them had to replace the substance, mainly due to difficulty of access. Other substances of abuse that showed significant increases were tobacco (0.5%) and marijuana (0.3%). Conclusion: Overall, despite the analysis of the 2 studies, the results provided are not a conclusive description of the frequency of substance use by HCWs in Latin America during the COVID-19 pandemic. Further research is required to understand the impact of the pandemic on drug abuse in the region. Protocol Registration: The protocol has been registered on 30 November 2021 on the International Prospective Register of Systematic Reviews (PROSPERO) with ID: CRD420212919700.https://doi.org/10.1177/11782218221085592
spellingShingle Jeel Moya-Salazar
Elizabeth Nuñez
Alexis Jaime-Quispe
Nahomi Zuñiga
Isabel L Loaiza-Barboza
Edison A Balabarca
Karina Chicoma-Flores
Betsy Cañari
Hans Contreras-Pulache
Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports
Substance Abuse: Research and Treatment
title Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports
title_full Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports
title_fullStr Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports
title_full_unstemmed Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports
title_short Substance Use in Healthcare Professionals During the COVID-19 Pandemic in Latin America: A Systematic Review and a Call for Reports
title_sort substance use in healthcare professionals during the covid 19 pandemic in latin america a systematic review and a call for reports
url https://doi.org/10.1177/11782218221085592
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