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Background <p>A growing population of working-aged men are not in employment, education, or training (NEET). The COVID-19 pandemic has been associated with changes in rates of substance use disorders (SUDs) and treatment seeking in the general population, but COVID-era substance use patterns among NEET men are unknown.</p> Methods <p>We estimated the prevalence and correlates of NEET status among working-aged (18–64) men using data from the 2022 National Survey on Drug Use and Health, a nationally representative survey of non-institutionalized individuals in the United States. We developed logistic regression models to examine associations between NEET status and substance use behaviors and treatment engagement, adjusted for sociodemographic factors.</p> Results <p>An estimated 11.1% of working-aged men were NEET in 2022 representing 10.6&#xa0;million individuals. Compared to non-NEET men, NEET men were significantly overrepresented among older age groups, lower income brackets, unmarried individuals, those with lower educational attainment, and Non-Hispanic Black men. After adjusting for sociodemographic factors, NEET status was significantly associated with higher odds of prescription tranquilizer/sedative use disorder (aOR = 3.54, 95% CI: 1.97–6.37), methamphetamine use disorder (aOR = 3.10, 95% CI: 1.82–5.28), and prescription pain‑reliever use disorder (aOR = 2.88, 95% CI: 1.82–4.53), while being inversely associated with alcohol use disorder (aOR = 0.68, 95% CI: 0.54–0.85).</p> Conclusion <p>More than 1 in 10 working-aged men were NEET in 2022. Adjusted models showed higher odds of past-year SUDs but lower odds of alcohol use disorder. Targeted interventions should include age-appropriate, culturally tailored, and substance-specific treatment programs to improve public health.</p>

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Substance use and treatment utilization patterns of working-age American men who were not in employment, education, or training (NEET) during the COVID-19 pandemic

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月23日

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  • Wayne Kepner,
  • Keith Humphreys

摘要

Background

A growing population of working-aged men are not in employment, education, or training (NEET). The COVID-19 pandemic has been associated with changes in rates of substance use disorders (SUDs) and treatment seeking in the general population, but COVID-era substance use patterns among NEET men are unknown.

Methods

We estimated the prevalence and correlates of NEET status among working-aged (18–64) men using data from the 2022 National Survey on Drug Use and Health, a nationally representative survey of non-institutionalized individuals in the United States. We developed logistic regression models to examine associations between NEET status and substance use behaviors and treatment engagement, adjusted for sociodemographic factors.

Results

An estimated 11.1% of working-aged men were NEET in 2022 representing 10.6 million individuals. Compared to non-NEET men, NEET men were significantly overrepresented among older age groups, lower income brackets, unmarried individuals, those with lower educational attainment, and Non-Hispanic Black men. After adjusting for sociodemographic factors, NEET status was significantly associated with higher odds of prescription tranquilizer/sedative use disorder (aOR = 3.54, 95% CI: 1.97–6.37), methamphetamine use disorder (aOR = 3.10, 95% CI: 1.82–5.28), and prescription pain‑reliever use disorder (aOR = 2.88, 95% CI: 1.82–4.53), while being inversely associated with alcohol use disorder (aOR = 0.68, 95% CI: 0.54–0.85).

Conclusion

More than 1 in 10 working-aged men were NEET in 2022. Adjusted models showed higher odds of past-year SUDs but lower odds of alcohol use disorder. Targeted interventions should include age-appropriate, culturally tailored, and substance-specific treatment programs to improve public health.