Mental health and drinking to cope in the early COVID period: Data from the 2019-2020 US National Alcohol Survey.

Mental health and drinking to cope in the early COVID period: Data from the 2019-2020 US National Alcohol Survey.
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DOI:
10.1016/j.addbeh.2022.107247
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发表时间:
2022-05
影响因子:
4.4
通讯作者:
Kerr WC
Kerr WC
中科院分区:
医学2区
文献类型:
--
作者:
Martinez P;Karriker-Jaffe KJ;Ye Y;Patterson D;Greenfield TK;Mulia N;Kerr WC

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研究显示,在COVID-19大流行期间,饮酒以科普和心理健康问题有所增加,然而,由于方便取样或缺乏大流行前的措施,他们的样本受到限制。我们使用基于概率的美国成年人口样本,研究了COVID-19大流行对心理健康的早期影响、饮酒科普及其相关性。数据来自2019-2020年全国酒精调查(N = 7,233)的概率样本,以检查饮酒科普以及抑郁和焦虑症状的差异。分析比较了在大流行广泛爆发之前对调查作出回应的参与者与在2020年3月之后作出回应的参与者的总样本和性别。与新冠肺炎前相比,早期的受访者对饮酒以忘记烦恼和问题的认同度高出1.48倍(p = 0.03),仅在女性中观察到显著相关性。有抑郁和焦虑症状的受访者分别有2.94和1.56的几率,更高的同意喝酒忘记一个人的烦恼。我们观察到,仅在女性中,早期与前COVID-19时期,抑郁和焦虑症状以及饮酒以忘记自己的担忧之间存在显著关联;然而,在总样本中,性别的适度没有统计学意义。我们观察到,与之前相比,在COVID限制的最初几个月,抑郁和焦虑症状的患病率更高,并且更多地饮酒以忘记担忧,其中一些影响在女性中更为突出。这些观察结果要求在这一大流行病期间持续监测和支持一般人口,特别是妇女的心理健康。
Studies show drinking to cope and mental health problems have increased during the COVID-19 pandemic, however, their samples have been limited by convenience sampling or lack of a pre-pandemic measure. We examined the early impact of the COVID-19 pandemic on mental health, drinking to cope and their association using a probability-based sample of the US adult population. Data was drawn from the probability samples of the 2019–2020 National Alcohol Survey (N = 7,233) to examine differences in drinking to cope and symptoms of depression and anxiety. Analyses compared participants who responded to the survey just prior to the widespread onset of the pandemic to those who responded after March 2020, in the total sample and by sex. Respondents in the early- vs. pre-COVID-19 period had a 1.48 higher odds (p = 0.03) of higher agreement with drinking to forget one’s worries and problems, with a significant association observed among women only. Respondents with symptoms of depression and anxiety had a 2.94 and 1.56 higher odds, respectively, of higher agreement with drinking to forget one’s worries. We observed significant associations between early- vs. pre-COVID-19 period, depression and anxiety symptoms, and drinking to forget one’s worries among women only; however, moderation by sex in the total sample was not statistically significant. We observed higher prevalence of depression and anxiety symptoms and greater drinking to forget worries in the early months of COVID restrictions relative to the period just prior, with some effects more prominent among women. These observations call for sustained monitoring of and support for the mental health of the general population, and of women in particular during the course of the pandemic.
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