Prospective changes in drinking during the COVID-19 pandemic among adults with unhealthy alcohol use.

IF 2.1 4区 医学 Q3 SUBSTANCE ABUSE
Vanessa A Palzes, Felicia W Chi, Derek D Satre, Andrea H Kline-Simon, Cynthia I Campbell, Constance Weisner, Stacy Sterling
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Abstract

Aims: This study examined differential changes in alcohol use during the COVID-19 pandemic among adults with unhealthy alcohol use.

Methods: Among 62 924 adults identified with unhealthy alcohol use in primary care prepandemic (1 January 2019 to 29 February 2020), changes in alcohol use during the pandemic (1 March 2020 to 30 June 2022) were examined using electronic health record data from Kaiser Permanente Northern California. Outcomes were changes in heavy drinking days in the past three months (HDDs) and overall consumption (drinks/week), including continuous and categorical measures. Differences in outcomes by sex, age, race/ethnicity, and alcohol use disorder (AUD) were examined.

Results: On average, drinking was reduced by 3.0 HDDs (in the past three months) (SD = 18.4) and 4.1 drinks/week (SD = 12.2), but women, certain age groups, White patients, and patients without AUD had smaller decreases than their counterparts. Overall, 9.1% increased, 34.4% maintained, and 56.5% decreased HDDs, and 20.2% increased, 19.8% maintained, and 60.1% decreased drinks/week. Women, patients aged ≥35 years, White patients, and patients with AUD had higher odds of increasing versus decreasing HDDs, and maintaining versus decreasing, compared to their counterparts. Patients aged 18-20 years, White patients, and patients without AUD had higher odds than their counterparts of increasing versus decreasing drinks/week. Women, patients aged 18-20 years, Asian/Pacific Islander, and Latino/Hispanic patients had higher odds of maintaining versus decreasing drinks/week.

Conclusions: While alcohol use decreased overall among this sample of primary care patients with unhealthy drinking prepandemic, certain subgroups were more likely to increase drinking, suggesting a greater risk of alcohol-related problems.

在 COVID-19 大流行期间,饮酒不健康的成年人饮酒量的前瞻性变化。
目的:本研究调查了 COVID-19 大流行期间饮酒不健康的成年人中饮酒情况的不同变化:方法:在大流行前(2019 年 1 月 1 日至 2020 年 2 月 29 日)的初级保健中发现有不健康饮酒行为的 62 924 名成人中,利用北加州凯泽医疗集团(Kaiser Permanente Northern California)的电子健康记录数据,研究了大流行期间(2020 年 3 月 1 日至 2022 年 6 月 30 日)饮酒行为的变化。研究结果是过去三个月中大量饮酒天数(HDDs)和总体饮酒量(饮酒量/周)的变化,包括连续和分类测量。研究了不同性别、年龄、种族/民族和酒精使用障碍(AUD)在结果上的差异:平均而言,饮酒量减少了 3.0 HDDs(过去三个月)(SD = 18.4)和 4.1 饮料/周(SD = 12.2),但女性、特定年龄组、白人患者和无 AUD 患者的饮酒量减少幅度小于同类患者。总体而言,9.1%的患者增加了HDDs,34.4%的患者保持了HDDs,56.5%的患者减少了HDDs;20.2%的患者增加了每周饮酒量,19.8%的患者保持了每周饮酒量,60.1%的患者减少了每周饮酒量。与同类患者相比,女性患者、年龄≥35 岁的患者、白人患者和有 AUD 的患者增加 HDDs 和减少 HDDs 的几率更高,维持 HDDs 和减少 HDDs 的几率更高。18-20 岁患者、白人患者和无 AUD 患者每周饮酒量增加或减少的几率高于同类患者。女性、18-20 岁患者、亚裔/太平洋岛民和拉丁裔/西班牙裔患者每周饮酒量保持不变或减少的几率更高:尽管不健康饮酒前流行的初级保健患者的饮酒量总体上有所下降,但某些亚群更有可能增加饮酒量,这表明出现酒精相关问题的风险更大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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