Changes in substance use among young Black men who have sex with men during COVID-19 pandemic.

This study examines substance use behaviors and sociodemographic characteristics during the COVID-19 lockdown among young Black men who have sex with men (YBMSM) in California. Using data from the PPOWER2 intervention, 132 participants completed surveys from February 2020 to September 2021. Pre-pandemic, 70% reported marijuana use, and 60% reported alcohol use. During the lockdown, increased tobacco, alcohol, marijuana, and other drug use were reported, attributed to boredom and anxiety. Despite limited personal COVID-19 experiences, participants avoided exposure and delayed medical/dental care. Ongoing monitoring is necessary to understand whether substance use rates remain elevated or have returned to pre-pandemic levels.