Association of the COVID-19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019-20 data.
Association of the COVID-19 lockdown with smoking, drinking and attempts to quit in England: an analysis of 2019-20 data.
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Covid-19-19与吸烟，饮酒和试图在英格兰戒烟的锁定的关联：对2019 - 20年数据的分析。
DOI：
10.1111/add.15295
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Brown J
中科院分区：
文献类型：
--
作者：
Jackson SE;Garnett C;Shahab L;Oldham M;Brown J
检查英格兰COVID-19封锁后吸烟、饮酒和戒烟/减少行为的变化。代表英格兰成年人口的月度横断面调查，在封锁前（2019年4月至2020年2月）与封锁后（2020年4月）汇总。共20558名成人（≥ 16岁）。自变量为COVID-19封城的时间（二零二零年三月之前与之后）。因变量为：吸烟和高危饮酒的患病率、过去一年的戒烟和尝试戒烟（在过去一年的吸烟者中）、过去一年尝试减少饮酒（在高危饮酒者中）以及使用循证（例如处方药/面对面行为支持）和远程支持[电话支持/网站/应用程序（应用程序）]戒烟和减少饮酒（在吸烟者/尝试戒烟/减少饮酒的高危饮酒者中）。协变量包括年龄、性别、社会等级、地区以及尼古丁和酒精依赖程度（如相关）。COVID-19封锁与吸烟率的显著变化无关[17.0%（后）vs 15.9%（前），比值比（OR）= 1.09，95% CI = 0.95-1.24]，但与戒烟尝试的增加相关[39.6 vs 29.1%，校正比值比（ORadj）= 1.56，95% CI = 1.23-1.98]、戒烟成功率（21.3 vs 13.9%，ORadj = 2.01，95% CI = 1.22-3.33）和戒烟率（8.8 vs 4.1%，ORadj = 2.63，95% CI = 1.69-4.09）。在尝试戒烟的吸烟者中，循证支持的使用没有显著变化（50.0 vs 51.5%，ORadj = 1.10，95% CI = 0.72-1.68），但远程支持的使用增加（10.9 vs 2.7%，ORadj = 3.59，95% CI = 1.56-8.23）。锁定与高风险饮酒的增加有关（38.3%对25.1%，OR = 1.85，CI = 1.67-2.06），但也与高风险饮酒者的酒精减少尝试有关（28.5%对15.3%，ORadj = 2.16，95%CI = 1.77-2.64）。在尝试减少饮酒的高危饮酒者中，使用循证支持的比例下降（1.2% vs 4.0%，ORadj = 0.23，95%CI = 0.05-0.97），使用远程支持的比例无显著变化（6.9% vs 6.1%，ORadj = 1.32，95%CI = 0.64-2.75）。于二零二零年三月COVID-19封城后，英格兰的吸烟者及高风险饮酒者较封城前更有可能报告尝试戒烟或减少饮酒，而戒烟率及使用远程戒烟支持的比率亦较高。然而，高风险饮酒率在封锁后增加，高风险饮酒者减少饮酒的循证支持减少，而远程支持的使用没有补偿性增加。
To examine changes in smoking, drinking and quitting/reduction behaviour following the COVID‐19 lockdown in England. Monthly cross‐sectional surveys representative of the adult population in England, aggregated before (April 2019–February 2020) versus after (April 2020) lockdown. A total of 20 558 adults (≥ 16 years). The independent variable was the timing of the COVID‐19 lockdown (before versus after March 2020). Dependent variables were: prevalence of smoking and high‐risk drinking, past‐year cessation and quit attempts (among past‐year smokers), past‐year attempts to reduce alcohol consumption (among high‐risk drinkers) and use of evidence‐based (e.g. prescription medication/face‐to‐face behavioural support) and remote support [telephone support/websites/applications (apps)] for smoking cessation and alcohol reduction (among smokers/high‐risk drinkers who made a quit/reduction attempt). Covariates included age, sex, social grade, region and level of nicotine and alcohol dependence (as relevant). The COVID‐19 lockdown was not associated with a significant change in smoking prevalence [17.0% (after) versus 15.9% (before), odds ratio (OR) = 1.09, 95% CI = 0.95–1.24], but was associated with increases in quit attempts [39.6 versus 29.1%, adjusted odds ratio (ORadj) = 1.56, 95% CI = 1.23–1.98], quit success (21.3 versus 13.9%, ORadj = 2.01, 95% CI = 1.22–3.33) and cessation (8.8 versus 4.1%, ORadj = 2.63, 95% CI = 1.69–4.09) among past‐year smokers. Among smokers who tried to quit, there was no significant change in use of evidence‐based support (50.0 versus 51.5%, ORadj = 1.10, 95% CI = 0.72–1.68) but use of remote support increased (10.9 versus 2.7%, ORadj = 3.59, 95% CI = 1.56–8.23). Lockdown was associated with increases in high‐risk drinking (38.3 versus 25.1%, OR = 1.85, CI = 1.67–2.06), but also alcohol reduction attempts by high‐risk drinkers (28.5 versus 15.3%, ORadj = 2.16, 95% CI = 1.77–2.64). Among high‐risk drinkers who made a reduction attempt, use of evidence‐based support decreased (1.2 versus 4.0%, ORadj = 0.23, 95% CI = 0.05–0.97) and there was no significant change in use of remote support (6.9 versus 6.1%, ORadj = 1.32, 95% CI = 0.64–2.75). Following the March 2020 COVID‐19 lockdown, smokers and high‐risk drinkers in England were more likely than before lockdown to report trying to quit smoking or reduce alcohol consumption and rates of smoking cessation and use of remote cessation support were higher. However, high‐risk drinking prevalence increased post‐lockdown and use of evidence‐based support for alcohol reduction by high‐risk drinkers decreased with no compensatory increase in use of remote support.
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影响因子：
4.5
作者：
Fidler, Jennifer A.;Shahab, Lion;West, Robert
通讯作者：
West, Robert
影响因子：
13.8
作者：
Jackson, Sarah E.;Beard, Emma;Brown, Jamie
通讯作者：
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影响因子：
3.5
作者：
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通讯作者：
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DOI：
10.1016/s2215-0366(18)30337-7
发表时间：
2018-12
期刊：
The lancet. Psychiatry
影响因子：
--
作者：
GBD 2016 Alcohol and Drug Use Collaborators
通讯作者：
GBD 2016 Alcohol and Drug Use Collaborators
影响因子：
3.7
作者：
Beard, Emma;Brown, Jamie;Michie, Susan
通讯作者：
Michie, Susan